Photo of Sara Colorosa - The Engagement Catalyst, PhD
The Engagement Catalyst
PhD
Verified Verified
Fort Collins, CO 80523
Together with clients we set goals and work towards goals - together! I am here every step of the way so that clients walk away with action items that work for them.
Together with clients we set goals and work towards goals - together! I am here every step of the way so that clients walk away with action items that work for them.
(970) 514-6533 View (970) 514-6533
Photo of Hannah Osmanski, MA, LPC, Licensed Professional Counselor
Hannah Osmanski
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Collins, CO 80523  (Online Only)
You did it! You took the first step, you opened your browser and asked for help. Whatever may have lead you to this page, whether it be increased anxiety, depression, relationship or work stress, I'm glad you are here. Starting counseling can be an intimidating unknown. I want to help take some of the unknown out of this process! If you choose to work with me we will focus on identifying the barriers that may be preventing you from healing from past trauma, improving your relationships, and achieving the quality of life that you desire. Together we will work towards removing those barriers within a safe and supportive environment.
You did it! You took the first step, you opened your browser and asked for help. Whatever may have lead you to this page, whether it be increased anxiety, depression, relationship or work stress, I'm glad you are here. Starting counseling can be an intimidating unknown. I want to help take some of the unknown out of this process! If you choose to work with me we will focus on identifying the barriers that may be preventing you from healing from past trauma, improving your relationships, and achieving the quality of life that you desire. Together we will work towards removing those barriers within a safe and supportive environment.
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Photo of Joanne Baum, PhD, LCSW, CAS, Clinical Social Work/Therapist
Joanne Baum
Clinical Social Work/Therapist, PhD, LCSW, CAS
Verified Verified
Fort Collins, CO 80523  (Online Only)
As a therapist, I partner with the person I am working with and we collaboratively explore options that may fit your needs and bring you where you want to be, and how you want to be in your life. I am available for TeleHealth Sessions throughout Colorado. If you are wanting to tackle issues such as Addiction, Codependency, Trauma, Sexuality, Unmanageable Stress and Anxiety, Gambling, ADD, Feeling Intimidated by a Life Transition ("What is next?") or Feeling Stuck and wanting to make Personal or Career Changes we may want to meet. I use Brainspotting, talk therapies, and a variety of other treatment methods like CBT, MI, & DBT.
As a therapist, I partner with the person I am working with and we collaboratively explore options that may fit your needs and bring you where you want to be, and how you want to be in your life. I am available for TeleHealth Sessions throughout Colorado. If you are wanting to tackle issues such as Addiction, Codependency, Trauma, Sexuality, Unmanageable Stress and Anxiety, Gambling, ADD, Feeling Intimidated by a Life Transition ("What is next?") or Feeling Stuck and wanting to make Personal or Career Changes we may want to meet. I use Brainspotting, talk therapies, and a variety of other treatment methods like CBT, MI, & DBT.
(720) 744-3597 View (720) 744-3597
Photo of Christina Vanderbeek, MA, LPC, NCC, Licensed Professional Counselor
Christina Vanderbeek
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Fort Collins, CO 80523  (Online Only)
Hi there! I am a Licensed Professional Counselor and have been working in the field of mental health since 2010. I have great skills in guiding people through significant life events that cause significant shifts for them. Everyone experiences different things in life that can cause us to look at the world and people around us differently. I enjoy working with people to rediscover how they want their life to look moving forward.
Hi there! I am a Licensed Professional Counselor and have been working in the field of mental health since 2010. I have great skills in guiding people through significant life events that cause significant shifts for them. Everyone experiences different things in life that can cause us to look at the world and people around us differently. I enjoy working with people to rediscover how they want their life to look moving forward.
(830) 396-4505 View (830) 396-4505
Photo of Joni Handran, PhD, LCSW, LAC, Clinical Social Work/Therapist
Joni Handran
Clinical Social Work/Therapist, PhD, LCSW, LAC
Verified Verified
1 Endorsed
Fort Collins, CO 80523
Hi! My name is Joni. I am a compassionate, down-to-earth individual who has over 20 years working with individuals facing stressful life events. People come to see me because they are having troubles dealing with histories of abuse, neglect, or trauma, overwhelming anxiety, sadness, grief, or low self-esteem, and/or relationship issues. Please email me if you would like to schedule a time to connect!
Hi! My name is Joni. I am a compassionate, down-to-earth individual who has over 20 years working with individuals facing stressful life events. People come to see me because they are having troubles dealing with histories of abuse, neglect, or trauma, overwhelming anxiety, sadness, grief, or low self-esteem, and/or relationship issues. Please email me if you would like to schedule a time to connect!
(720) 457-6564 View (720) 457-6564
Photo of Amanda Haygood, MA, LMFT, LPC, Marriage & Family Therapist
Amanda Haygood
Marriage & Family Therapist, MA, LMFT, LPC
Verified Verified
Fort Collins, CO 80523
I believe our unique relationships, beliefs and experiences shape who we are as individuals and provide the content for our personal stories. It is not uncommon to become stuck or feel hopeless; however, there is no one-size-fits-all solution to our unique challenges. Although you may be feeling disconnected, overwhelmed, exhausted, or plagued with worry, you have the ability and the inner resources to take the steps necessary to feel more fulfilled and at greater peace. I provide a space for my clients to tell their story while gaining insight and clarity for making the changes they want to make for healing and deeper connection.
I believe our unique relationships, beliefs and experiences shape who we are as individuals and provide the content for our personal stories. It is not uncommon to become stuck or feel hopeless; however, there is no one-size-fits-all solution to our unique challenges. Although you may be feeling disconnected, overwhelmed, exhausted, or plagued with worry, you have the ability and the inner resources to take the steps necessary to feel more fulfilled and at greater peace. I provide a space for my clients to tell their story while gaining insight and clarity for making the changes they want to make for healing and deeper connection.
(970) 436-5725 View (970) 436-5725
Photo of Stephanie Mora DeRosby, LPC, LAC, Licensed Professional Counselor
Stephanie Mora DeRosby
Licensed Professional Counselor, LPC, LAC
Verified Verified
5 Endorsed
Fort Collins, CO 80523
Waitlist for new clients
I have been trained by Pia Mellody at the Meadows. I have over 3 decades of experience with individuals who are experiencing distress and shame because of addiction, codependency, and difficult relationships. I work to individualize the treatment according to your goals and what you want from therapy. I work to help understand and respect your world view and what might be getting in the way of your change. I have learned over the years to hear the stories of my clients and to work to understand them and the difficulty they are facing.
I have been trained by Pia Mellody at the Meadows. I have over 3 decades of experience with individuals who are experiencing distress and shame because of addiction, codependency, and difficult relationships. I work to individualize the treatment according to your goals and what you want from therapy. I work to help understand and respect your world view and what might be getting in the way of your change. I have learned over the years to hear the stories of my clients and to work to understand them and the difficulty they are facing.
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Photo of Hannah J. Kleinhans, MS, LPC, LAC, Licensed Professional Counselor
Hannah J. Kleinhans
Licensed Professional Counselor, MS, LPC, LAC
Verified Verified
Fort Collins, CO 80523  (Online Only)
As humans, we are constantly growing and changing throughout our life span. While this can feel overwhelming and anxiety provoking, learning how to navigate that process while aligning with your most authentic self can lead to fulfillment and peace. I am passionate about supporting clients to make and maintain positive changes in their lives. I love helping clients find the tools and skills that work for them to live with more joy and the ability to overcome life's challenges.
As humans, we are constantly growing and changing throughout our life span. While this can feel overwhelming and anxiety provoking, learning how to navigate that process while aligning with your most authentic self can lead to fulfillment and peace. I am passionate about supporting clients to make and maintain positive changes in their lives. I love helping clients find the tools and skills that work for them to live with more joy and the ability to overcome life's challenges.
(970) 665-4902 View (970) 665-4902
Photo of Jim Salico-Diehl, LCSW, Clinical Social Work/Therapist
Jim Salico-Diehl
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Collins, CO 80523
Waitlist for new clients
Jim Salico-Diehl is a Licensed Clinical Social Worker with more than 20 years of experience. Jim works in Fort Collins, Colorado with people who struggle with mood and anxiety disorders, relationship challenges, grief and loss, anger management, personality disorders, addictions, post-traumatic stress disorder and developmental injury. Jim also works with families and couples to strengthen their connections.
Jim Salico-Diehl is a Licensed Clinical Social Worker with more than 20 years of experience. Jim works in Fort Collins, Colorado with people who struggle with mood and anxiety disorders, relationship challenges, grief and loss, anger management, personality disorders, addictions, post-traumatic stress disorder and developmental injury. Jim also works with families and couples to strengthen their connections.
(970) 533-3015 View (970) 533-3015
Photo of Jenny Kelley, MA, NCC, LPC, Licensed Professional Counselor
Jenny Kelley
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Fort Collins, CO 80523
I enjoy working with clients who are looking for help making deeper connections with important people in their lives. I work with clients who struggle with anxiety, self-esteem, conflict, and attachment injuries that get in the way of connecting with others. If you have struggled with friendships, romantic relationships, or coworkers in the past and just want to learn how to connect with people on a deeper level, I can help. As a former high school math teacher, I have lots of experience, and work well, with teens, specifically those struggling with issues related to anxiety, self-esteem, or identity concerns.
I enjoy working with clients who are looking for help making deeper connections with important people in their lives. I work with clients who struggle with anxiety, self-esteem, conflict, and attachment injuries that get in the way of connecting with others. If you have struggled with friendships, romantic relationships, or coworkers in the past and just want to learn how to connect with people on a deeper level, I can help. As a former high school math teacher, I have lots of experience, and work well, with teens, specifically those struggling with issues related to anxiety, self-esteem, or identity concerns.
(970) 670-8560 View (970) 670-8560
Photo of Jennifer Nash, MA, LMFT, CCCA, CSTIP, SBCT I, Marriage & Family Therapist
Jennifer Nash
Marriage & Family Therapist, MA, LMFT, CCCA, CSTIP, SBCT I
Verified Verified
2 Endorsed
Fort Collins, CO 80523
Not accepting new clients
Anxious, overwhelmed, or depressed? Do you carry these feelings alone or are they related to stress in your relationships? I’m here to assist. I strive to build partnerships focused on holistic care and relational growth. Building upon this foundation, I collaborate with clients to foster development of fresh perspectives and new viewpoints within their relationships. These transformations influence how people see and interact with themselves and others to shift from harmful to supportive ways of being. Growth and change are possible. I’m ready to connect as you explore your possibilities.
Anxious, overwhelmed, or depressed? Do you carry these feelings alone or are they related to stress in your relationships? I’m here to assist. I strive to build partnerships focused on holistic care and relational growth. Building upon this foundation, I collaborate with clients to foster development of fresh perspectives and new viewpoints within their relationships. These transformations influence how people see and interact with themselves and others to shift from harmful to supportive ways of being. Growth and change are possible. I’m ready to connect as you explore your possibilities.
(970) 408-0363 View (970) 408-0363
Photo of Bergen Pierson, MSW, LSW, Clinical Social Work/Therapist
Bergen Pierson
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Fort Collins, CO 80523  (Online Only)
Our work together is collaborative. Perhaps a change in your life is on the horizon or you are experiencing difficulties in your relationships. Maybe you feel stuck in familiar limiting patterns. Illness might be visiting your life and dashing your hopes for the future. We will find our way out of these stuck places together. It’s your journey and I am here to support you in creating an authentic life with healthy connections to others.
Our work together is collaborative. Perhaps a change in your life is on the horizon or you are experiencing difficulties in your relationships. Maybe you feel stuck in familiar limiting patterns. Illness might be visiting your life and dashing your hopes for the future. We will find our way out of these stuck places together. It’s your journey and I am here to support you in creating an authentic life with healthy connections to others.
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Photo of Jessica Shiveley, MSW, LCSW, Clinical Social Work/Therapist
Jessica Shiveley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Fort Collins, CO 80523  (Online Only)
As a mental health therapist with a holistic approach, I am committed to your healing journey. I prioritize your needs, fostering a collaborative and non-judgmental space where you are heard and understood. Self-love and authenticity are essential, and we'll work on developing a compassionate relationship with yourself. Your privacy is paramount, and I adhere to strict confidentiality and ethical standards. I continuously update my knowledge to provide you with the most effective interventions. Together, we will uncover insights and tools for personal transformation, empowering you to lead a fulfilling and authentic life.
As a mental health therapist with a holistic approach, I am committed to your healing journey. I prioritize your needs, fostering a collaborative and non-judgmental space where you are heard and understood. Self-love and authenticity are essential, and we'll work on developing a compassionate relationship with yourself. Your privacy is paramount, and I adhere to strict confidentiality and ethical standards. I continuously update my knowledge to provide you with the most effective interventions. Together, we will uncover insights and tools for personal transformation, empowering you to lead a fulfilling and authentic life.
(970) 548-0390 View (970) 548-0390
Photo of Aaron Hill, LCSW, LAC, CCTP, Clinical Social Work/Therapist
Aaron Hill
Clinical Social Work/Therapist, LCSW, LAC, CCTP
Verified Verified
Fort Collins, CO 80523
I help clients that are struggling with addiction, trauma and symptoms of trauma, relationship issues, men's issues, anxiety, depression, and self-esteem. There can be a variety of reasons to make a change and that change can only happen when we recognize that we want to improve our life. Generally people that are successful in accomplishing their goals are motivated to participate in the process and tend to view therapy as a supportive piece of that journey. There are no quick solutions to making a change, but if you choose to work with me, you will begin to see your life transform and I will be beside you along the way.
I help clients that are struggling with addiction, trauma and symptoms of trauma, relationship issues, men's issues, anxiety, depression, and self-esteem. There can be a variety of reasons to make a change and that change can only happen when we recognize that we want to improve our life. Generally people that are successful in accomplishing their goals are motivated to participate in the process and tend to view therapy as a supportive piece of that journey. There are no quick solutions to making a change, but if you choose to work with me, you will begin to see your life transform and I will be beside you along the way.
(970) 516-3627 View (970) 516-3627
Photo of Kayla Helland - Higher Sights - Therapy, EMDR, & Med Managment, LCSW, LPC, LAC, MFTC, PMHNP, Clinical Social Work/Therapist
Higher Sights - Therapy, EMDR, & Med Managment
Clinical Social Work/Therapist, LCSW, LPC, LAC, MFTC, PMHNP
Verified Verified
1 Endorsed
Fort Collins, CO 80523
Accepting New Clients! Immediate openings > book instantly through our website! At We understand that being stuck and feeling like everything you have tried has left you hopeless is one of the most painful experiences. We help our clients feel empowered by helping them to see their own strengths and by teaching them new research-based tools to help focus and guide them for lasting change. We believe that therapy is a starting point to healing and changing patterns that have not been working. We work to help each unique client develop a new way to feel confident in approaching life matter what comes their way.
Accepting New Clients! Immediate openings > book instantly through our website! At We understand that being stuck and feeling like everything you have tried has left you hopeless is one of the most painful experiences. We help our clients feel empowered by helping them to see their own strengths and by teaching them new research-based tools to help focus and guide them for lasting change. We believe that therapy is a starting point to healing and changing patterns that have not been working. We work to help each unique client develop a new way to feel confident in approaching life matter what comes their way.
(720) 730-7261 View (720) 730-7261
Photo of Hayden Winslow, MA, LPC, Licensed Professional Counselor
Hayden Winslow
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Collins, CO 80523  (Online Only)
I aim to curate a safe space for my clients to be authentically themselves and fully human. As a therapist, I believe in the power of each individual to find the answers within themselves. In this way, therapy can be a mirror. I am passionate about working with individuals who are navigating disordered eating, body image, embodiment, gender identity, sexuality, shame, self-worth, spirituality and meaning, trauma, and grief. I enjoy using strength-based, somatic, and emotion-focused approaches.
I aim to curate a safe space for my clients to be authentically themselves and fully human. As a therapist, I believe in the power of each individual to find the answers within themselves. In this way, therapy can be a mirror. I am passionate about working with individuals who are navigating disordered eating, body image, embodiment, gender identity, sexuality, shame, self-worth, spirituality and meaning, trauma, and grief. I enjoy using strength-based, somatic, and emotion-focused approaches.
(720) 797-8214 View (720) 797-8214
Photo of Lindsay Wortham, LPC, LAC, Counselor
Lindsay Wortham
Counselor, LPC, LAC
Verified Verified
3 Endorsed
Fort Collins, CO 80523
Waitlist for new clients
I believe in healing through therapeutic relationship. Establishing trust creates a safe container in which to experience change. I identify as an able-bodied, white woman and I continue to work on my education and awareness of how my privilege in these identities impacts others. My graduate work was at Naropa University, where I deeply connected with the Buddhist roots of my education. I welcome people from all religions and backgrounds.
I believe in healing through therapeutic relationship. Establishing trust creates a safe container in which to experience change. I identify as an able-bodied, white woman and I continue to work on my education and awareness of how my privilege in these identities impacts others. My graduate work was at Naropa University, where I deeply connected with the Buddhist roots of my education. I welcome people from all religions and backgrounds.
(307) 227-4160 View (307) 227-4160
Photo of Catherine Weldon, LPC, Licensed Professional Counselor
Catherine Weldon
Licensed Professional Counselor, LPC
Verified Verified
Fort Collins, CO 80523  (Online Only)
My clients are generally students (GED to PhD) who wish to maximize their academic experience so they may boldly go where their heart takes them with confidence and enthusiasm. Students and researchers often struggle with mental health and academic performance in isolation - rarely reaching out for support. I help students identify and work through their challenges, build strategies for success, find their path, and thrive!
My clients are generally students (GED to PhD) who wish to maximize their academic experience so they may boldly go where their heart takes them with confidence and enthusiasm. Students and researchers often struggle with mental health and academic performance in isolation - rarely reaching out for support. I help students identify and work through their challenges, build strategies for success, find their path, and thrive!
(720) 615-0766 View (720) 615-0766
Photo of Jennifer Moore, LPC, Intern, MC, LPC Intern
Jennifer Moore
LPC Intern, LPC, Intern, MC
Verified Verified
Fort Collins, CO 80523  (Online Only)
Often times in life we go through painful experiences which can lead to grief, trauma, anxiety, depression, and many others. These experiences can make you feel stuck and unable to find joy and my belief is that you always have a basic wisdom and worth. You may feel that life’s struggles have caused you to feel disconnected from your basic nature of health, joy, and growth. Therapy can help you understand and uncover parts of yourself that you may have become disconnected from. You have many gifts, and the world is waiting to meet you! Are you ready to meet yourself?
Often times in life we go through painful experiences which can lead to grief, trauma, anxiety, depression, and many others. These experiences can make you feel stuck and unable to find joy and my belief is that you always have a basic wisdom and worth. You may feel that life’s struggles have caused you to feel disconnected from your basic nature of health, joy, and growth. Therapy can help you understand and uncover parts of yourself that you may have become disconnected from. You have many gifts, and the world is waiting to meet you! Are you ready to meet yourself?
(720) 796-9373 View (720) 796-9373
Photo of Maggie Dungan, MS, MFTC, Marriage & Family Therapist
Maggie Dungan
Marriage & Family Therapist, MS, MFTC
Verified Verified
2 Endorsed
Fort Collins, CO 80523
I have openings for individual, couple, and family clients! I work to create a space where it is safe to drop into vulnerable emotions and uncertainty to explore your deepest needs in life and relationships. I practice a type of therapy called IFS (Internal Family Systems), which means my work is focused on building relationships with all parts of you (e.g., depression, self-criticism, anxiety, etc), seeking to understand their purpose through a compassionate lens, and allowing us to work with them to create greater self-attunement.
I have openings for individual, couple, and family clients! I work to create a space where it is safe to drop into vulnerable emotions and uncertainty to explore your deepest needs in life and relationships. I practice a type of therapy called IFS (Internal Family Systems), which means my work is focused on building relationships with all parts of you (e.g., depression, self-criticism, anxiety, etc), seeking to understand their purpose through a compassionate lens, and allowing us to work with them to create greater self-attunement.
(970) 866-1365 View (970) 866-1365
1

How does your Therapist compare?

Number of Therapists in 80523

50+

Average cost per session

$130

Therapists in 80523 who prioritize treating:

91% Anxiety
85% Depression
83% Self Esteem
78% Trauma and PTSD
78% Coping Skills
74% Relationship Issues
74% Stress

Average years in practice

8 Years

Top 3 insurances accepted

79% Aetna
68% Cigna and Evernorth
61% UnitedHealthcare UHC | UBH

How Therapists in 80523 see their clients

52% In Person and Online
48% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 80523?

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.