Photo of Berti Jackson-Babel, Licensed Professional Counselor, LPC, MA
Berti Jackson-Babel
Licensed Professional Counselor, LPC, MA
Verified Verified
Online Only
Waitlist for new clients
Welcome! The world can be a dumpster fire, but you don’t have to go through it alone. Coming from a place of compassion and nonjudgment, therapy can be a collaborative space to process current stressors and past traumas. I believe in meeting you where you are, and aim to help you identify your goals and build the skills to get there. As a trauma informed therapist, I aim to provide a safe space for exploring these difficult issues. Together we can explore with curiosity how you enter the world and deepen your relationship with self.
Welcome! The world can be a dumpster fire, but you don’t have to go through it alone. Coming from a place of compassion and nonjudgment, therapy can be a collaborative space to process current stressors and past traumas. I believe in meeting you where you are, and aim to help you identify your goals and build the skills to get there. As a trauma informed therapist, I aim to provide a safe space for exploring these difficult issues. Together we can explore with curiosity how you enter the world and deepen your relationship with self.
(314) 408-5763 View (314) 408-5763
Photo of Rachel Wethers, Clinical Social Work/Therapist, LCSW
Rachel Wethers
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Providing telehealth therapy or coaching to clients age 12+ in the states of Illinois, Michigan, or Missouri. Therapy wise, utilizing trauma or anxiety work with EMDR, IFS parts work, ACT/Mindfulness, Narrative and Nurturing/Relational approaches. Also available, coaching for life skills, executive functions, leadership, and accommodations for neurodivergent professionals or parent coaching for neurodivergence or trauma education and support.
Providing telehealth therapy or coaching to clients age 12+ in the states of Illinois, Michigan, or Missouri. Therapy wise, utilizing trauma or anxiety work with EMDR, IFS parts work, ACT/Mindfulness, Narrative and Nurturing/Relational approaches. Also available, coaching for life skills, executive functions, leadership, and accommodations for neurodivergent professionals or parent coaching for neurodivergence or trauma education and support.
(314) 441-7189 View (314) 441-7189
Photo of Kyle Brandt-Lubart, Clinical Social Work/Therapist, LCSW
Kyle Brandt-Lubart
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63111
Not accepting new clients
Therapy has the power to facilitate a relationship with the self that is tender, introspective, and vibrant. My goal is to support you in nurturing this relationship. In therapy we will always work as collaborators. I specialize in trauma therapy and integrating expressive arts approaches, but have experience working with a wide variety of clients.
Therapy has the power to facilitate a relationship with the self that is tender, introspective, and vibrant. My goal is to support you in nurturing this relationship. In therapy we will always work as collaborators. I specialize in trauma therapy and integrating expressive arts approaches, but have experience working with a wide variety of clients.
(314) 463-4563 View (314) 463-4563
Photo of Katrina Kanwischer, Marriage & Family Therapist
Katrina Kanwischer
Marriage & Family Therapist
Verified Verified
Online Only
As a marriage and family therapist, I empower individuals and couples to overcome hurdles and difficulties to improve their relationships and develop a deeper understanding of themselves. As a therapist I am collaborative, laid back, and yet direct when needed. Your relationship with your therapist should feel supportive and safe. I strive to offer that to each individual I see. Although I work with all individuals, I find my niche to be teenagers, adults and couples that are primarily dealing with anxiety, depression, trauma, infertility, and family of origin difficulties. I welcome and work with all individuals regardless of race
As a marriage and family therapist, I empower individuals and couples to overcome hurdles and difficulties to improve their relationships and develop a deeper understanding of themselves. As a therapist I am collaborative, laid back, and yet direct when needed. Your relationship with your therapist should feel supportive and safe. I strive to offer that to each individual I see. Although I work with all individuals, I find my niche to be teenagers, adults and couples that are primarily dealing with anxiety, depression, trauma, infertility, and family of origin difficulties. I welcome and work with all individuals regardless of race
(314) 970-5359 View (314) 970-5359
Photo of Tonya Powell, Licensed Professional Counselor
Tonya Powell
Licensed Professional Counselor
Verified Verified
Online Only
She is a Licensed Professional Counselor dedicated to providing exceptional care and promoting healing and wholeness. She received her Masters degree in Professional Mental Health Counseling from Webster University. Since then, she has had extensive training and experience working with a diverse group of people, including residential care working with children and adolescents struggling with trauma induced behaviors, maladaptive coping skills, and problematic sexualized behaviors. In addition she has worked closely with victims of domestic and/or sexual violence,
She is a Licensed Professional Counselor dedicated to providing exceptional care and promoting healing and wholeness. She received her Masters degree in Professional Mental Health Counseling from Webster University. Since then, she has had extensive training and experience working with a diverse group of people, including residential care working with children and adolescents struggling with trauma induced behaviors, maladaptive coping skills, and problematic sexualized behaviors. In addition she has worked closely with victims of domestic and/or sexual violence,
(816) 846-3166 View (816) 846-3166
Photo of Elizabeth Walters, Licensed Professional Counselor
Elizabeth Walters
Licensed Professional Counselor
Verified Verified
Online Only
Remember being little and wanting to grow up? To have your own life and make your own choices? But now it’s a bit more overwhelming than you thought it would be and maybe not nearly as much fun? Adulting is hard. And maybe you still feel like that little kid inside that doesn't have a clue. Perhaps you are struggling with symptoms of anxiety, depression, toxic stress, or trying to cope with immense grief and loss. Maybe you feel like you are carrying the bad habits and toxic traits you were taught when you were young into the rest of your life.
Remember being little and wanting to grow up? To have your own life and make your own choices? But now it’s a bit more overwhelming than you thought it would be and maybe not nearly as much fun? Adulting is hard. And maybe you still feel like that little kid inside that doesn't have a clue. Perhaps you are struggling with symptoms of anxiety, depression, toxic stress, or trying to cope with immense grief and loss. Maybe you feel like you are carrying the bad habits and toxic traits you were taught when you were young into the rest of your life.
(573) 685-3785 View (573) 685-3785
Photo of Taneshia Carey, Licensed Professional Counselor, MA, LPC
Taneshia Carey
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63111
Life can feel overwhelming, but you don’t have to face it alone. I’m here to provide a compassionate, supportive space where you feel seen, heard, and empowered. Together, we’ll uncover patterns, process emotions, and create practical solutions to help you regain balance and confidence. My approach is down-to-earth and tailored to meet you where you are, offering guidance at a pace that feels right for you. Healing is a journey, and I’d be honored to walk alongside you as we work toward the life you deserve.
Life can feel overwhelming, but you don’t have to face it alone. I’m here to provide a compassionate, supportive space where you feel seen, heard, and empowered. Together, we’ll uncover patterns, process emotions, and create practical solutions to help you regain balance and confidence. My approach is down-to-earth and tailored to meet you where you are, offering guidance at a pace that feels right for you. Healing is a journey, and I’d be honored to walk alongside you as we work toward the life you deserve.
(314) 501-6747 View (314) 501-6747
Photo of Alyssa Cline Spencer, Clinical Social Work/Therapist, LCSW
Alyssa Cline Spencer
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Are you looking for someone that feels a sense of alignment with a strength-based and person-centered approach when it comes to therapy? I want clients to be in the driver's seat of their therapy plan, while we explore healing together. When working with children, I like to take a lot of input from their families and work together as a team to help the family unit thrive. I thoroughly enjoy working with children and families and have been teaching parenting education to families for 4 years, working on strengthening family bonds and healing from trauma. This includes helping adults heal from childhood traumas.
Are you looking for someone that feels a sense of alignment with a strength-based and person-centered approach when it comes to therapy? I want clients to be in the driver's seat of their therapy plan, while we explore healing together. When working with children, I like to take a lot of input from their families and work together as a team to help the family unit thrive. I thoroughly enjoy working with children and families and have been teaching parenting education to families for 4 years, working on strengthening family bonds and healing from trauma. This includes helping adults heal from childhood traumas.
(314) 860-7255 View (314) 860-7255
Photo of Marcus Brown, Clinical Social Work/Therapist
Marcus Brown
Clinical Social Work/Therapist
Verified Verified
Online Only
Hello! And welcome! Here, you will learn more about my professional experiences and understand how I view and approach therapy. So, if you think it’s a good match, please feel free to contact me. I have twelve years of experience in the social work profession, where I served in various social work roles in inpatient and outpatient mental health settings. I enjoy working with adults. My approach to therapy is person-centered. This means I take a collaborative approach to ensure that your therapy goals are met while making sure you get optimal treatment.
Hello! And welcome! Here, you will learn more about my professional experiences and understand how I view and approach therapy. So, if you think it’s a good match, please feel free to contact me. I have twelve years of experience in the social work profession, where I served in various social work roles in inpatient and outpatient mental health settings. I enjoy working with adults. My approach to therapy is person-centered. This means I take a collaborative approach to ensure that your therapy goals are met while making sure you get optimal treatment.
(816) 693-3151 View (816) 693-3151
Photo of Susan Matheis, Licensed Professional Counselor, MSEd, LPC
Susan Matheis
Licensed Professional Counselor, MSEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63111
Hi there! Thanks for taking the time to reach out for support. I know it's not easy. I’d love to connect with you to help you learn to manage your emotions and identify coping skills that work for you. I’m an unbiased space that gives your room to explore, process emotions and challenges. Together we can figure out what’s not working and what can help you feel better. I want to see you improve and help you feel like yourself again. I treat therapy as a conversation and discussion regarding your anxieties, worries, stress and other topics. This can help to untangle, reorganize and make sense of your thoughts.
Hi there! Thanks for taking the time to reach out for support. I know it's not easy. I’d love to connect with you to help you learn to manage your emotions and identify coping skills that work for you. I’m an unbiased space that gives your room to explore, process emotions and challenges. Together we can figure out what’s not working and what can help you feel better. I want to see you improve and help you feel like yourself again. I treat therapy as a conversation and discussion regarding your anxieties, worries, stress and other topics. This can help to untangle, reorganize and make sense of your thoughts.
(314) 582-0364 View (314) 582-0364
Photo of Laura McClure, Clinical Social Work/Therapist
Laura McClure
Clinical Social Work/Therapist
Verified Verified
Online Only
She has been providing mental health services to children, adults, and families for 4 years, and has been a professional Social Worker for the past 13 years. After graduating from Saint Louis University in 2017 with her Master's of Social Work degree she immediately began pursuing her dreams of providing evidence-based therapy for individuals who have experienced traumatic events. Having spent the early years of her career working with families involved with the foster care system, she has experience working with diverse populations and situations.
She has been providing mental health services to children, adults, and families for 4 years, and has been a professional Social Worker for the past 13 years. After graduating from Saint Louis University in 2017 with her Master's of Social Work degree she immediately began pursuing her dreams of providing evidence-based therapy for individuals who have experienced traumatic events. Having spent the early years of her career working with families involved with the foster care system, she has experience working with diverse populations and situations.
(417) 670-2071 View (417) 670-2071
Photo of Kerry Hogan, Licensed Professional Counselor, M Ed, LPC, NCC
Kerry Hogan
Licensed Professional Counselor, M Ed, LPC, NCC
Verified Verified
2 Endorsed
Serves Area
Hello! As someone who values sincerity, I feel as though the best work happens when clients feel very deeply seen, heard, and known. Authenticity and vulnerability are the cornerstones of my practice. I believe that the ultimate driving factor in life is secure attachment. I also believe in building a therapeutic practice that mirrors my own principles. Therefore, you can expect warmth, informality, passion, and a playful spirit permeating throughout my work.
Hello! As someone who values sincerity, I feel as though the best work happens when clients feel very deeply seen, heard, and known. Authenticity and vulnerability are the cornerstones of my practice. I believe that the ultimate driving factor in life is secure attachment. I also believe in building a therapeutic practice that mirrors my own principles. Therefore, you can expect warmth, informality, passion, and a playful spirit permeating throughout my work.
View
Photo of Sheri Orchard Sloan, Licensed Professional Counselor, MS, LPC, NBCC
Sheri Orchard Sloan
Licensed Professional Counselor, MS, LPC, NBCC
Verified Verified
1 Endorsed
Online Only
Dealing with trauma is draining and exhausting. The painful experiences have brought you depression and grief. The anxiety has turned into insomnia and fatigue. Not only have you been enduring this alone, but you have also been undervalued and criticized by your loved ones. It’s been so hard to receive such negative feedback that it has inflicted tension and pain on your body. Intrusive thoughts have taken over your mind. “I can’t stand this anymore! What am I doing wrong? I am so frustrated I can't think straight!" Your relationships have been struggling. People have lost trust in you. You’ve lost trust in people.
Dealing with trauma is draining and exhausting. The painful experiences have brought you depression and grief. The anxiety has turned into insomnia and fatigue. Not only have you been enduring this alone, but you have also been undervalued and criticized by your loved ones. It’s been so hard to receive such negative feedback that it has inflicted tension and pain on your body. Intrusive thoughts have taken over your mind. “I can’t stand this anymore! What am I doing wrong? I am so frustrated I can't think straight!" Your relationships have been struggling. People have lost trust in you. You’ve lost trust in people.
(417) 754-4043 View (417) 754-4043
Photo of David R Robb, Licensed Professional Counselor, LPC
David R Robb
Licensed Professional Counselor, LPC
Verified Verified
Serves Area
I've dedicated my life to helping others. I believe that therapy is a collaborative process where we work together to manage your concerns and foster personal growth in productive and efficient ways. My goal is to assist you in reaching the milestones you've been striving for while addressing any concerns that may hinder your progress. Whether you're dealing with anger management, anxiety, depression, family relationships, grief, life transitions, military support, PTSD, intimate relationships, stress, or trauma, I'm here to help.
I've dedicated my life to helping others. I believe that therapy is a collaborative process where we work together to manage your concerns and foster personal growth in productive and efficient ways. My goal is to assist you in reaching the milestones you've been striving for while addressing any concerns that may hinder your progress. Whether you're dealing with anger management, anxiety, depression, family relationships, grief, life transitions, military support, PTSD, intimate relationships, stress, or trauma, I'm here to help.
(573) 880-4661 View (573) 880-4661
Photo of Sarah Middleton, Licensed Professional Counselor, LPC
Sarah Middleton
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Online Only
I offer Telehealth services for youth and adults throughout the state of Missouri. I am trained in several modalities, with specific competency training in working with queer and transgender individuals, neurodivergence and autism, disability, trauma and acute crisis, as well as caregivers wanting to better support their children. I am passionate about working with young adults going through transitions as well as supporting families in times of need.
I offer Telehealth services for youth and adults throughout the state of Missouri. I am trained in several modalities, with specific competency training in working with queer and transgender individuals, neurodivergence and autism, disability, trauma and acute crisis, as well as caregivers wanting to better support their children. I am passionate about working with young adults going through transitions as well as supporting families in times of need.
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More Therapists Nearby

Photo of Kylie Pottenger, Psychologist, PsyD, PMHC
Kylie Pottenger
Psychologist, PsyD, PMHC
Verified Verified
1 Endorsed
Online Only
Hello, I'm Dr. Kylie Pottenger. With over 15 years of experience and more than a decade as a licensed psychologist, I have been refining the art and science of therapy for a long time! I use a client-centered and collaborative approach to identify and build on your strengths with the goals of healing, personal growth, and increased overall wellness. My clinical passions are infertility, perinatal mental health, trauma, OCD, grief and loss, major life transitions, and issues related to spirituality, such as: religious trauma, deconstructing fundamentalist views, religious doubt or shame, or changes in faith or religious beliefs.
Hello, I'm Dr. Kylie Pottenger. With over 15 years of experience and more than a decade as a licensed psychologist, I have been refining the art and science of therapy for a long time! I use a client-centered and collaborative approach to identify and build on your strengths with the goals of healing, personal growth, and increased overall wellness. My clinical passions are infertility, perinatal mental health, trauma, OCD, grief and loss, major life transitions, and issues related to spirituality, such as: religious trauma, deconstructing fundamentalist views, religious doubt or shame, or changes in faith or religious beliefs.
(417) 665-5560 View (417) 665-5560
Photo of Lydia Baer, Pre-Licensed Professional
Lydia Baer
Pre-Licensed Professional
Verified Verified
Saint Louis, MO 63132
Navigating life’s challenges can feel overwhelming, but you don’t have to do it alone. I provide a compassionate, collaborative, and evidence-based approach to therapy, helping children, adolescents, young adults, couples, and families gain the tools they need to thrive. My goal is to create a supportive space where you feel heard, understood, and empowered to make meaningful changes in your life and relationships.
Navigating life’s challenges can feel overwhelming, but you don’t have to do it alone. I provide a compassionate, collaborative, and evidence-based approach to therapy, helping children, adolescents, young adults, couples, and families gain the tools they need to thrive. My goal is to create a supportive space where you feel heard, understood, and empowered to make meaningful changes in your life and relationships.
(314) 557-8854 x715 View (314) 557-8854 x715
Photo of Steven Hahne, Licensed Professional Counselor, LPC
Steven Hahne
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122
My goal is to help an individual or family get past the feelings of anxiety, depression, frustration, aggravation, and the complexities in life that are holding them back from living longer and more meaningful lives. This could be accomplished by either resolving the problem or issue that is tormenting the person or family, or finding out better ways to live with it. Although there cannot always be total resolution over life’s problems or issues, given the right treatment plan we have worked on together, inner peace can be achieved.
My goal is to help an individual or family get past the feelings of anxiety, depression, frustration, aggravation, and the complexities in life that are holding them back from living longer and more meaningful lives. This could be accomplished by either resolving the problem or issue that is tormenting the person or family, or finding out better ways to live with it. Although there cannot always be total resolution over life’s problems or issues, given the right treatment plan we have worked on together, inner peace can be achieved.
(314) 226-1817 View (314) 226-1817
Photo of Dexter J Jefferson, Clinical Social Work/Therapist, LCSW
Dexter J Jefferson
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Yesterday’s experiences can influence today’s thoughts, and your current thoughts will dictate how you behave and feel. Are you in an uncertain place in life and find yourself desiring peace and happiness? Do you fear the unknown or constantly worry? Do you experience bouts of sadness or anger that appear to be intensifying? Have you tried everything to fix these things, but nothing has worked? Well, there is hope. Regardless of your struggles, the right therapist can help you begin the healing process. I believe that I am the right therapist for you. I specialize in treating anxiety and depression and I am here to help.
Yesterday’s experiences can influence today’s thoughts, and your current thoughts will dictate how you behave and feel. Are you in an uncertain place in life and find yourself desiring peace and happiness? Do you fear the unknown or constantly worry? Do you experience bouts of sadness or anger that appear to be intensifying? Have you tried everything to fix these things, but nothing has worked? Well, there is hope. Regardless of your struggles, the right therapist can help you begin the healing process. I believe that I am the right therapist for you. I specialize in treating anxiety and depression and I am here to help.
(816) 203-1202 View (816) 203-1202
Photo of Manar Aboul-Nour, Pre-Licensed Professional, MA, LLPC, PLPC
Manar Aboul-Nour
Pre-Licensed Professional, MA, LLPC, PLPC
Verified Verified
O Fallon, MO 63366
As a therapist, I'm deeply committed to assisting individuals and families in navigating life's complexities. With expertise in working with diverse groups, I customize my approach to suit each client's specific requirements. My philosophy centers on the idea that every individual's journey is unique, necessitating a tailored therapeutic approach. I draw from a diverse range of therapeutic models to create a safe and supportive environment. My goal is to find the most effective therapeutic modality for each client, ensuring that they receive the support and guidance they need to overcome challenges and achieve their goals.
As a therapist, I'm deeply committed to assisting individuals and families in navigating life's complexities. With expertise in working with diverse groups, I customize my approach to suit each client's specific requirements. My philosophy centers on the idea that every individual's journey is unique, necessitating a tailored therapeutic approach. I draw from a diverse range of therapeutic models to create a safe and supportive environment. My goal is to find the most effective therapeutic modality for each client, ensuring that they receive the support and guidance they need to overcome challenges and achieve their goals.
(636) 452-5762 x1044 View (636) 452-5762 x1044

See more therapy options for 63111

How does your Therapist compare?

Number of Therapists in 63111

10+

Average cost per session

$105

Therapists in 63111 who prioritize treating:

100% Anxiety
93% Depression
93% Trauma and PTSD
80% Stress
67% Grief
67% Life Transitions
53% Self Esteem

Average years in practice

7 Years

Top 3 insurances accepted

87% Aetna
87% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in 63111 see their clients

66% Online Only
34% In Person and Online

Gender breakdown

80% Female
10% Male
10% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63111?

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.