Photo of Caleb Abrams, CSAT, CCTP, CAIMHP, CASDCS, CCATP
Caleb Abrams
CSAT, CCTP, CAIMHP, CASDCS, CCATP
Not Verified Not Verified
Online Only
Caleb is Christian Counselor, a Certified Sex Addiction Counselor (CSAT), Certified Clinical Trauma Professional (CCTP), Certified Addictions-Informed Mental Health Professional (CAIMHP), Certified Autism Spectrum Disorder Clinical Specialist (CASDCS), and Certified Clinical Anxiety Treatment Professional (CCATP). Caleb specializes in helping men work through addiction recovery, anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
Caleb is Christian Counselor, a Certified Sex Addiction Counselor (CSAT), Certified Clinical Trauma Professional (CCTP), Certified Addictions-Informed Mental Health Professional (CAIMHP), Certified Autism Spectrum Disorder Clinical Specialist (CASDCS), and Certified Clinical Anxiety Treatment Professional (CCATP). Caleb specializes in helping men work through addiction recovery, anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
(316) 800-5819 View (316) 800-5819
Photo of Jill S Macon - Jill S Macon Clinical Mental Health Counseling , LCPC, Licensed Professional Counselor
Jill S Macon Clinical Mental Health Counseling
Licensed Professional Counselor, LCPC
Verified Verified
2 Endorsed
Online Only
If you are neurodivergent (Autistic, ADHD, OCD, DID, etc.), or gender diverse (transgender, non-binary, gender-queer, etc.), LGBTQIA+, relationship diverse (polyamory, non-monogamus, etc.), people of marginalized communities (non-white, PoC, multicultured, etc.) look no further. I believe in humanity and the human experience, and understand existing in a world that is  not open to diversity and accpetance and how this leads to mental health overload. I will honor your unique culture or experience and provide you with ethical therapeutic treatment that meets your needs and culture.
If you are neurodivergent (Autistic, ADHD, OCD, DID, etc.), or gender diverse (transgender, non-binary, gender-queer, etc.), LGBTQIA+, relationship diverse (polyamory, non-monogamus, etc.), people of marginalized communities (non-white, PoC, multicultured, etc.) look no further. I believe in humanity and the human experience, and understand existing in a world that is  not open to diversity and accpetance and how this leads to mental health overload. I will honor your unique culture or experience and provide you with ethical therapeutic treatment that meets your needs and culture.
(316) 333-6813 View (316) 333-6813
Photo of Luke E Carter, MA, PsyD, LP, Psychologist
Luke E Carter
Psychologist, MA, PsyD, LP
Verified Verified
1 Endorsed
Wichita, KS 67201
Not accepting new clients
Hello I'm Luke Carter. I'm a Licensed Clinical Psychologist in Wichita, KS. I'm experienced in working with anger-management, depression, anxiety disorders, and grief issues. I help individuals, couples, and families overcome life situations that bring on anger, anxiety, depression, and grief. I also help my clients overcome many other types of life issues. I specialize in anger management. Your anger can be fairly quickly resolved if you are motivated for change.
Hello I'm Luke Carter. I'm a Licensed Clinical Psychologist in Wichita, KS. I'm experienced in working with anger-management, depression, anxiety disorders, and grief issues. I help individuals, couples, and families overcome life situations that bring on anger, anxiety, depression, and grief. I also help my clients overcome many other types of life issues. I specialize in anger management. Your anger can be fairly quickly resolved if you are motivated for change.
(316) 842-4398 View (316) 842-4398
Photo of Sue Ann Osterhout-Montgomery, PhD, LCMF, LCAC, Marriage & Family Therapist
Sue Ann Osterhout-Montgomery
Marriage & Family Therapist, PhD, LCMF, LCAC
Verified Verified
Wichita, KS 67201
Hi! I am a professional who likes to listen. Therapy for Healthy Living has been established here in Hutchinson, Kansas for over 18 years working with people from many ages, cultures, and perspectives. As both a licensed clinical family therapist and a licensed clinical addiction counselor, I have been lucky to have met some very fascinating and interesting people along the way. I am a systems therapist which simply put means that I am interested in the total you - your background, your family, your current situation, and your hopes for the future.
Hi! I am a professional who likes to listen. Therapy for Healthy Living has been established here in Hutchinson, Kansas for over 18 years working with people from many ages, cultures, and perspectives. As both a licensed clinical family therapist and a licensed clinical addiction counselor, I have been lucky to have met some very fascinating and interesting people along the way. I am a systems therapist which simply put means that I am interested in the total you - your background, your family, your current situation, and your hopes for the future.
(620) 628-0941 View (620) 628-0941
Photo of Julie D Alexander, MS, LCMFT, LMAC, Marriage & Family Therapist
Julie D Alexander
Marriage & Family Therapist, MS, LCMFT, LMAC
Verified Verified
1 Endorsed
Wichita, KS 67201
The therapist-client relationship is unique and powerful, carrying with it the potential for profound meaning and change. I am continually humbled and inspired by the strength and resiliency of my clients. It is my goal as a therapist to meet you where you are at in life, join you in your healing process and help you experience a new relationship to yourself and to those in your life.
The therapist-client relationship is unique and powerful, carrying with it the potential for profound meaning and change. I am continually humbled and inspired by the strength and resiliency of my clients. It is my goal as a therapist to meet you where you are at in life, join you in your healing process and help you experience a new relationship to yourself and to those in your life.
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Photo of Micheal (Mac) McKenzie, MS, LCMFT, Marriage & Family Therapist
Micheal (Mac) McKenzie
Marriage & Family Therapist, MS, LCMFT
Verified Verified
Wichita, KS 67201
Mac graduated from Friends University with a Masters in Marriage and Family Therapy. A Wichita native, he has served the community in various social-service and clinical roles. Currently, Mac offers brief solution focus, narrative, cognitive behavioral, and EMDR treatment approaches. Mac also offers play therapy to ages four and above. He is currently providing services for individuals, couples, families, adolescent issues, marital issues, parent training, co-parent training, and court related issues. Mac also offers a 6 week intensive premarital counseling program. Call our office to see how Mac might be able to assist you.
Mac graduated from Friends University with a Masters in Marriage and Family Therapy. A Wichita native, he has served the community in various social-service and clinical roles. Currently, Mac offers brief solution focus, narrative, cognitive behavioral, and EMDR treatment approaches. Mac also offers play therapy to ages four and above. He is currently providing services for individuals, couples, families, adolescent issues, marital issues, parent training, co-parent training, and court related issues. Mac also offers a 6 week intensive premarital counseling program. Call our office to see how Mac might be able to assist you.
(316) 281-7998 View (316) 281-7998
Photo of Mark D Glover, DMin, LCMFT, LCAC, CSAT, CMAT, Marriage & Family Therapist
Mark D Glover
Marriage & Family Therapist, DMin, LCMFT, LCAC, CSAT, CMAT
Verified Verified
Wichita, KS 67201
Dr. Mark Glover is a Certified Addiction Sexual Therapist/Partner therapist who walks families and partners through their crises—trained and certified/licensed with EMDR and Sexual Addictions. He works in a trauma-based perspective with the whole family. His training in DBT (Dialectic Behavioral Therapy), family systems, and solution-focused brief therapeutic methods offers a variety of effective skills. Treatment plans are offered and clients find struggle hope. Clients are guided to find new valuable insights about themselves and find healthy balanced success afterward.
Dr. Mark Glover is a Certified Addiction Sexual Therapist/Partner therapist who walks families and partners through their crises—trained and certified/licensed with EMDR and Sexual Addictions. He works in a trauma-based perspective with the whole family. His training in DBT (Dialectic Behavioral Therapy), family systems, and solution-focused brief therapeutic methods offers a variety of effective skills. Treatment plans are offered and clients find struggle hope. Clients are guided to find new valuable insights about themselves and find healthy balanced success afterward.
(620) 542-0263 View (620) 542-0263
Photo of Brannon S La Force - Brannon La Force, LPC & Associates, MS, LPCC, LPC, LCPC, Licensed Professional Counselor
Brannon La Force, LPC & Associates
Licensed Professional Counselor, MS, LPCC, LPC, LCPC
Verified Verified
Online Only
I have been a counselor for more than 30 years. I remain passionate about making a difference in the lives of others and believe that genuine caring is an essential element to an effective counseling relationship. Over the years I have worked with clients with significant trauma and loss. I consider it a privilege to stand with another individual as he or she resolves great pain. I am currently seeing clients exclusively via telemedicine (secure video platform). I am able to see clients in Texas, Kansas, Alabama, and California.
I have been a counselor for more than 30 years. I remain passionate about making a difference in the lives of others and believe that genuine caring is an essential element to an effective counseling relationship. Over the years I have worked with clients with significant trauma and loss. I consider it a privilege to stand with another individual as he or she resolves great pain. I am currently seeing clients exclusively via telemedicine (secure video platform). I am able to see clients in Texas, Kansas, Alabama, and California.
(469) 804-6044 View (469) 804-6044
Photo of Lisa Berry (Trees Of Green Counseling), LPC, Licensed Professional Counselor
Lisa Berry (Trees Of Green Counseling)
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Together, we will identify strengths, challenge unhealthy thoughts and reactions, and encourage a life of change. Centered on an approach that embodies the mind and neurological system connection, I am here to help you identify what is challenging in your life and help you take back the control. Through the process, our goal will be to help you begin living life to the fullest instead of just existing. This is your journey; my goal is to help you achieve whatever goals you set for yourself, using mindfulness based and grounding techniques tailored to you.
Together, we will identify strengths, challenge unhealthy thoughts and reactions, and encourage a life of change. Centered on an approach that embodies the mind and neurological system connection, I am here to help you identify what is challenging in your life and help you take back the control. Through the process, our goal will be to help you begin living life to the fullest instead of just existing. This is your journey; my goal is to help you achieve whatever goals you set for yourself, using mindfulness based and grounding techniques tailored to you.
(913) 308-3455 View (913) 308-3455
Photo of Norbi Alexandra Forero - Drug Treatment Center in Kansas City , Licensed Professional Counselor
Drug Treatment Center in Kansas City
Licensed Professional Counselor
Verified Verified
Wichita, KS 67201
You’ve taken the first steps, let us take you further. Arista Recovery is committed to ensuring that individuals and families impacted by substance use receive best in class care.
You’ve taken the first steps, let us take you further. Arista Recovery is committed to ensuring that individuals and families impacted by substance use receive best in class care.
(913) 349-6031 View (913) 349-6031
Photo of Kelly Lane, LCPC
Kelly Lane
License Clinical Professional Counselor, LCPC
Verified Verified
Online Only
When life becomes stressful we go to our comforts in hopes to fix the problems. At times, we realize the skills that serve us to overcome the unmanageable are no longer healthy or helpful. Life throws us many different directions and can be hard to navigate, through these transitions and stressful experiences, therapy can assist in finding new ways to serve you and follow your directions.
When life becomes stressful we go to our comforts in hopes to fix the problems. At times, we realize the skills that serve us to overcome the unmanageable are no longer healthy or helpful. Life throws us many different directions and can be hard to navigate, through these transitions and stressful experiences, therapy can assist in finding new ways to serve you and follow your directions.
(316) 800-5897 View (316) 800-5897
Photo of Mia Kells, LMFT-T, Marriage & Family Therapist
Mia Kells
Marriage & Family Therapist, LMFT-T
Verified Verified
Wichita, KS 67201
I have a passion for working with the LGBTQ+ community! As a member of the community myself, I know how difficult it can be to feel safe and understood by even a well-intentioned cis/het therapist. That being said, I believe life is best when we are living as our most authentic selves. You are worth building the life you have always wanted to live- and therapy can help! Whether it be learning healthy coping skills, gaining more clarity and ownership of your identity, processing past trauma to be more present, or building healthy relationships- whatever your mental health goals are, I would love to help.
I have a passion for working with the LGBTQ+ community! As a member of the community myself, I know how difficult it can be to feel safe and understood by even a well-intentioned cis/het therapist. That being said, I believe life is best when we are living as our most authentic selves. You are worth building the life you have always wanted to live- and therapy can help! Whether it be learning healthy coping skills, gaining more clarity and ownership of your identity, processing past trauma to be more present, or building healthy relationships- whatever your mental health goals are, I would love to help.
(316) 374-5899 View (316) 374-5899
Photo of Emily Reimer, MS, LPC, Licensed Professional Counselor
Emily Reimer
Licensed Professional Counselor, MS, LPC
Verified Verified
Online Only
Waitlist for new clients
Oscar Wilde said, "To live is the rarest thing in the world. Most people just exist." I enjoy working with young to middle-aged adults who are going through new phases in life, such as leaving home, moving, giving birth/adopting, facing the empty nest, or losing a loved one. There are many kinds of losses. With such changes, there can be uncertainty, causing a range of emotions.
Oscar Wilde said, "To live is the rarest thing in the world. Most people just exist." I enjoy working with young to middle-aged adults who are going through new phases in life, such as leaving home, moving, giving birth/adopting, facing the empty nest, or losing a loved one. There are many kinds of losses. With such changes, there can be uncertainty, causing a range of emotions.
(785) 367-4798 View (785) 367-4798
Photo of Liz Fletcher, MSW, LCSW, Clinical Social Work/Therapist
Liz Fletcher
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Online Only
Are you feeling depressed or disillusioned to the point of despair about the state of the world and the future? Do you still feel anxious despite all you've achieved? You're in the right place. I work with high-achieving adults to help them prevent and recover from burnout and to develop resilience and wisdom. Together, we can explore the ways your past has shaped you into who you are today. You can become the person you want to be. I can help.
Are you feeling depressed or disillusioned to the point of despair about the state of the world and the future? Do you still feel anxious despite all you've achieved? You're in the right place. I work with high-achieving adults to help them prevent and recover from burnout and to develop resilience and wisdom. Together, we can explore the ways your past has shaped you into who you are today. You can become the person you want to be. I can help.
(405) 703-6196 View (405) 703-6196
Photo of Kristen Smith Williamson, LPC, Licensed Professional Counselor
Kristen Smith Williamson
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Online Only
Adulting is hard. Stress sucks. Anxiety and Depression seem to be passengers in the trip through life. The plague, Covid, has made these even more amplified....and being asked to go back into the office?! Seriously?! Have you ever felt like an outsider? Like, there can be a group of people talking and you are not part of the conversation. Are you part of the Neurodiverse/neurospicy community? Do you align with the LGBTQIA? Do you ever go to parties and hang out with the Cat? Dog? Well, then we might get along.
Adulting is hard. Stress sucks. Anxiety and Depression seem to be passengers in the trip through life. The plague, Covid, has made these even more amplified....and being asked to go back into the office?! Seriously?! Have you ever felt like an outsider? Like, there can be a group of people talking and you are not part of the conversation. Are you part of the Neurodiverse/neurospicy community? Do you align with the LGBTQIA? Do you ever go to parties and hang out with the Cat? Dog? Well, then we might get along.
(469) 535-7308 View (469) 535-7308
Photo of Cassie Koehn, MSW, LSCSW, Clinical Social Work/Therapist
Cassie Koehn
Clinical Social Work/Therapist, MSW, LSCSW
Verified Verified
Wichita, KS 67201
Positive Changes Inspire Future Growth! I'm very passionate about my line of work and helping others achieve goals, make progress, and improve overall functioning. Life can be unpredictable and difficult at times... I'm here to help empower you through it and encourage personal growth!
Positive Changes Inspire Future Growth! I'm very passionate about my line of work and helping others achieve goals, make progress, and improve overall functioning. Life can be unpredictable and difficult at times... I'm here to help empower you through it and encourage personal growth!
(316) 364-7980 View (316) 364-7980
Photo of Michelle R Kelley, MA, Licensed Professional Counselor
Michelle R Kelley
Licensed Professional Counselor, MA
Verified Verified
Wichita, KS 67201
Women who have "lost" themselves due to community commitments, busyness of motherhood, career & marriage. Women who struggle with eating disorders, body image, self-love, depression, anxiety & autoimmune conditions. Women want to be accepted, to be empowered, to offer unconditional love to their family & loved ones, yet they must fill their own cup first & foremost, because we cannot "pour from an empty cup". I have an inexhaustible belief in the human spirit's ability to grow & change & that we are each able to awaken our truest & healthiest self. I provide an honest, kind ear & create safe container for healing.
Women who have "lost" themselves due to community commitments, busyness of motherhood, career & marriage. Women who struggle with eating disorders, body image, self-love, depression, anxiety & autoimmune conditions. Women want to be accepted, to be empowered, to offer unconditional love to their family & loved ones, yet they must fill their own cup first & foremost, because we cannot "pour from an empty cup". I have an inexhaustible belief in the human spirit's ability to grow & change & that we are each able to awaken our truest & healthiest self. I provide an honest, kind ear & create safe container for healing.
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Photo of Brady Eisert, PhD, Marriage & Family Therapist
Brady Eisert
Marriage & Family Therapist, PhD
Verified Verified
Online Only
Getting stuck in cycles of conflict, anxiety, and depression can leave us feeling hopeless. Sometimes it’s hard to see any path forward. It can be easy to lose ourselves in the day-to-day so long that we forget what we want and who we are. How do I know this? I’ve been there myself. Self-esteem, motivation, and flourishing relationships require psychological nutrients and skills that some environments didn’t provide us. My trauma-informed therapeutic approach uses mindfulness, compassion, curiosity, and humor to help you learn how to build a life and relationships that thrive. I am an affirming, sex-positive therapist.
Getting stuck in cycles of conflict, anxiety, and depression can leave us feeling hopeless. Sometimes it’s hard to see any path forward. It can be easy to lose ourselves in the day-to-day so long that we forget what we want and who we are. How do I know this? I’ve been there myself. Self-esteem, motivation, and flourishing relationships require psychological nutrients and skills that some environments didn’t provide us. My trauma-informed therapeutic approach uses mindfulness, compassion, curiosity, and humor to help you learn how to build a life and relationships that thrive. I am an affirming, sex-positive therapist.
(913) 557-8445 View (913) 557-8445
Photo of Mary Shouse - CBIT Therapy for Tics & Tourette - Help For Tics, MS, OTR/L, Occupational Therapist
CBIT Therapy for Tics & Tourette - Help For Tics
Occupational Therapist, MS, OTR/L
Verified Verified
Online Only
Are you tired of struggling with your tics? Are you avoiding activities because of your tics? Watching your child ride a rollercoaster of waxing and waning tics, and feeling helpless? I help families, children and adults learn better ways to cope with their tics, and they end their sessions with me feeling more empowered, and having new tools in their toolbelt that REALLY work! Beyond helping you with your tics, I provide IEP/504 advocacy and support, so that you can go into your next meeting feeling confident and supported.
Are you tired of struggling with your tics? Are you avoiding activities because of your tics? Watching your child ride a rollercoaster of waxing and waning tics, and feeling helpless? I help families, children and adults learn better ways to cope with their tics, and they end their sessions with me feeling more empowered, and having new tools in their toolbelt that REALLY work! Beyond helping you with your tics, I provide IEP/504 advocacy and support, so that you can go into your next meeting feeling confident and supported.
(623) 254-4561 View (623) 254-4561
Photo of Lily Siebert, MA, LPC, Counselor
Lily Siebert
Counselor, MA, LPC
Verified Verified
2 Endorsed
Wichita, KS 67201
If you are a human person looking to improve and understand your experiences with living, I am here to help. Whether this is your first experience with counseling or you are well-seasoned in the ways of talk therapy, I'm glad you are exploring the idea. Counseling can and will help work through things like depression, anxiety, trauma, body image issues, relationship concerns, general dissatisfaction with life, and numerous other bumps in the road.
If you are a human person looking to improve and understand your experiences with living, I am here to help. Whether this is your first experience with counseling or you are well-seasoned in the ways of talk therapy, I'm glad you are exploring the idea. Counseling can and will help work through things like depression, anxiety, trauma, body image issues, relationship concerns, general dissatisfaction with life, and numerous other bumps in the road.
(816) 239-3020 View (816) 239-3020
1

See more therapy options for 67201

How does your Therapist compare?

Number of Therapists in 67201

30+

Average cost per session

$140

Therapists in 67201 who prioritize treating:

89% Anxiety
86% Depression
73% Relationship Issues
70% Stress
68% Trauma and PTSD
68% Self Esteem
65% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

74% Aetna
74% BlueCross and BlueShield
52% UnitedHealthcare UHC | UBH

How Therapists in 67201 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

77% Female
18% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 67201?

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.