Therapists in Grand Rapids, MI

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Photo of Brianna M Watts, Clinical Social Work/Therapist in Grand Rapids, MI
Brianna M Watts
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Grand Rapids, MI 49525
Not accepting new clients
I am here to help guide you as you begin your therapeutic journey and investment in yourself. My goal is for you to learn and grow as we venture through and discuss your difficulties, while also making a point to highlight your strengths. I meet you where you are at in your mental health journey and provide a safe and accepting environment for you to navigate life's challenges. I firmly believe that you are the expert of your life, I am simply there to provide guidance along the way. My interest is in working with children, families, and adults as they navigate through unexpected life events and life's daily challenges.
I am here to help guide you as you begin your therapeutic journey and investment in yourself. My goal is for you to learn and grow as we venture through and discuss your difficulties, while also making a point to highlight your strengths. I meet you where you are at in your mental health journey and provide a safe and accepting environment for you to navigate life's challenges. I firmly believe that you are the expert of your life, I am simply there to provide guidance along the way. My interest is in working with children, families, and adults as they navigate through unexpected life events and life's daily challenges.
(616) 344-9858 View (616) 344-9858
Photo of Jeremey A. Wilder, Licensed Professional Counselor in Grand Rapids, MI
Jeremey A. Wilder
Licensed Professional Counselor, MA, LPC
Verified Verified
Grand Rapids, MI 49506
Now scheduling in-person sessions in Grand Rapids, as well as virtual sessions. I believe people have the ability to make significant changes to improve their quality of life. My personal experience with parenting, marriage, grief, and caregiving inform my approach to helping people heal and grow through, and beyond their own challenges.
Now scheduling in-person sessions in Grand Rapids, as well as virtual sessions. I believe people have the ability to make significant changes to improve their quality of life. My personal experience with parenting, marriage, grief, and caregiving inform my approach to helping people heal and grow through, and beyond their own challenges.
(616) 236-5769 View (616) 236-5769
Photo of Michelle Zomer, Clinical Social Work/Therapist in Grand Rapids, MI
Michelle Zomer
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49503
Your anxieties and worries are controlling too much of your life. That anxious inner voice won’t quiet down, and it’s just so convincing - you're frustrated that you listen to it, but you're scared not to. What if you ignore it and your worst fears come true? You know it’s irrational, but your anxiety just won’t let your brain believe the truth. You overthink so many things, and your inner dialog is exhausting you.
Your anxieties and worries are controlling too much of your life. That anxious inner voice won’t quiet down, and it’s just so convincing - you're frustrated that you listen to it, but you're scared not to. What if you ignore it and your worst fears come true? You know it’s irrational, but your anxiety just won’t let your brain believe the truth. You overthink so many things, and your inner dialog is exhausting you.
(616) 675-1547 View (616) 675-1547
Photo of Gary Watson, Clinical Social Work/Therapist in Grand Rapids, MI
Gary Watson
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49546
Sad, Worried, and Stubborn Teenagers; Rocky Relationships; Worried Parents; and Stressed Individuals. These are the people I help. You probably already know what the problem is and what you don’t want anymore. You don’t want to be sad, you don’t want to be in this rut, or you're tired of arguing with your teenager or spouse about the same things over and over. Trying to solve it yourself can be like trying to eat a huge pizza that hasn’t been cut into slices-- it's overwhelming and you don’t know where to start. My job is to help you break the solution into pieces so you can decide where to start and what your next steps are.
Sad, Worried, and Stubborn Teenagers; Rocky Relationships; Worried Parents; and Stressed Individuals. These are the people I help. You probably already know what the problem is and what you don’t want anymore. You don’t want to be sad, you don’t want to be in this rut, or you're tired of arguing with your teenager or spouse about the same things over and over. Trying to solve it yourself can be like trying to eat a huge pizza that hasn’t been cut into slices-- it's overwhelming and you don’t know where to start. My job is to help you break the solution into pieces so you can decide where to start and what your next steps are.
(616) 548-6138 View (616) 548-6138
Photo of Janice Twesten, Marriage & Family Therapist in Grand Rapids, MI
Janice Twesten
Marriage & Family Therapist, LMFT, LLMFT, LLPC
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
Anxiety can be overwhelming, affecting all aspects of your life. Together, we will uncover the underlying fears and triggers that contribute to your anxiety, allowing us to develop personalized strategies for managing and reducing its impact. By exploring the roots of your anxiety, we can cultivate self-awareness, develop healthy coping mechanisms, and empower you to regain control over your thoughts and emotions. Trauma can leave deep emotional scars, impacting your relationships, self-esteem, and overall well-being. We will work together to heal trauma. and help find recurring patterns that stem from our trauma.
Anxiety can be overwhelming, affecting all aspects of your life. Together, we will uncover the underlying fears and triggers that contribute to your anxiety, allowing us to develop personalized strategies for managing and reducing its impact. By exploring the roots of your anxiety, we can cultivate self-awareness, develop healthy coping mechanisms, and empower you to regain control over your thoughts and emotions. Trauma can leave deep emotional scars, impacting your relationships, self-esteem, and overall well-being. We will work together to heal trauma. and help find recurring patterns that stem from our trauma.
(616) 309-0737 View (616) 309-0737
Photo of Richard John Navis, Clinical Social Work/Therapist in Grand Rapids, MI
Richard John Navis
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49546
My ideal client is one who is looking to live their life again. They want to recover. They want to have peace of mind and a return to joy and fulfillment. They are the ones who are searching for more out of their life.
My ideal client is one who is looking to live their life again. They want to recover. They want to have peace of mind and a return to joy and fulfillment. They are the ones who are searching for more out of their life.
(616) 201-0753 View (616) 201-0753
Photo of Telebehavioral Health.US, Clinical Social Work/Therapist in Grand Rapids, MI
Telebehavioral Health.US
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
7 Endorsed
Grand Rapids, MI 49546  (Online Only)
We provide accessible, affordable and evidence-based behavioral health treatment to clients from the comfort of their home, Telebehavioral Health US provides outpatient psychotherapy using a using HIPAA compliant Video Conferencing Technology (VTC). To request an appointment go to www.telebehavioralhealth.us. Our staff will follow up with you to help you through the registration process. We look forward to working with you!
We provide accessible, affordable and evidence-based behavioral health treatment to clients from the comfort of their home, Telebehavioral Health US provides outpatient psychotherapy using a using HIPAA compliant Video Conferencing Technology (VTC). To request an appointment go to www.telebehavioralhealth.us. Our staff will follow up with you to help you through the registration process. We look forward to working with you!
(616) 253-6118 View (616) 253-6118
Photo of Olja Haglund, Clinical Social Work/Therapist in Grand Rapids, MI
Olja Haglund
Clinical Social Work/Therapist, LMSW, ACSW, CAADC
Verified Verified
Grand Rapids, MI 49546
Every day has the potential to present us with unexpected challenges or difficult situations, and there is only so much we can do on our own before we feel the need to ask for support. Luckily, I can help. My name is Olja Haglund and I am a therapist serving Grand Rapids, MI helping clients to find hope, peace, opportunities for growth, and the chance to lead a more satisfying life. Whether you’re struggling with a specific mental health diagnosis or just grappling with day-to-day stressors, I welcome you to join me in finding relief from distress, discovering greater purpose, and fostering the most fulfilled version of yourself.
Every day has the potential to present us with unexpected challenges or difficult situations, and there is only so much we can do on our own before we feel the need to ask for support. Luckily, I can help. My name is Olja Haglund and I am a therapist serving Grand Rapids, MI helping clients to find hope, peace, opportunities for growth, and the chance to lead a more satisfying life. Whether you’re struggling with a specific mental health diagnosis or just grappling with day-to-day stressors, I welcome you to join me in finding relief from distress, discovering greater purpose, and fostering the most fulfilled version of yourself.
(616) 326-2076 View (616) 326-2076
Photo of Katelyn Wysocki, Licensed Professional Counselor in Grand Rapids, MI
Katelyn Wysocki
Licensed Professional Counselor, MA, LPC
Verified Verified
Grand Rapids, MI 49503  (Online Only)
Counseling looks different for everyone-it is not one size fits all. I use methods that work for you in that moment and can vary by session. What you may need one day may not be what you will need the next. I aim to give you a safe, non-judgmental space to tell your story how and when you are ready. Together, we will have honest, sometimes uncomfortable but needed conversations. We will address barriers, examine boundaries, set goals, and work towards finding your voice.
Counseling looks different for everyone-it is not one size fits all. I use methods that work for you in that moment and can vary by session. What you may need one day may not be what you will need the next. I aim to give you a safe, non-judgmental space to tell your story how and when you are ready. Together, we will have honest, sometimes uncomfortable but needed conversations. We will address barriers, examine boundaries, set goals, and work towards finding your voice.
(616) 523-3420 View (616) 523-3420
Photo of Ellen M Sork, Clinical Social Work/Therapist in Grand Rapids, MI
Ellen M Sork
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
Welcome and I am so glad that you are here. Investing in your mental health is an investment in yourself and your quality of life. Life can bring joy but can also bring challenges that can be too difficult to maneuver alone. And you don’t have to. Engaging in therapy can be the start of unlearning old habits, changing your thinking patterns, and learning to find joy again. Whether you are being weighed down by past experiences, struggling with a recent life change, or just looking for a space to process day to day life, I can help you identify the root causes of these concerns and address them in a healthy and effective manner.
Welcome and I am so glad that you are here. Investing in your mental health is an investment in yourself and your quality of life. Life can bring joy but can also bring challenges that can be too difficult to maneuver alone. And you don’t have to. Engaging in therapy can be the start of unlearning old habits, changing your thinking patterns, and learning to find joy again. Whether you are being weighed down by past experiences, struggling with a recent life change, or just looking for a space to process day to day life, I can help you identify the root causes of these concerns and address them in a healthy and effective manner.
(616) 512-0774 View (616) 512-0774
Photo of Natalie Fischer, Counselor in Grand Rapids, MI
Natalie Fischer
Counselor, MS, LLPC
Verified Verified
Grand Rapids, MI 49525
Hi, my name is Natalie! My passion in the field lies with childhood traumatic experiences and how these take a physical toll on our bodies. Trauma can place heavy burden on the unconscious parts of our mind and manifest as physical sensations, certain thought patterns/habits, and self-fulfilling prophecies. In this way, it is important to call attention to these details of our lives, as they make profound differences in personal mental health. They also have a cyclical relationship with those in disadvantaged populations, leading to over-incarceration; medical neglect; stereotyping, prejudice, discrimination; etc.
Hi, my name is Natalie! My passion in the field lies with childhood traumatic experiences and how these take a physical toll on our bodies. Trauma can place heavy burden on the unconscious parts of our mind and manifest as physical sensations, certain thought patterns/habits, and self-fulfilling prophecies. In this way, it is important to call attention to these details of our lives, as they make profound differences in personal mental health. They also have a cyclical relationship with those in disadvantaged populations, leading to over-incarceration; medical neglect; stereotyping, prejudice, discrimination; etc.
(616) 300-2294 View (616) 300-2294
Photo of Rachael Mathiak, Clinical Social Work/Therapist in Grand Rapids, MI
Rachael Mathiak
Clinical Social Work/Therapist, LCSW, LMSW, LICSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
If you're struggling or feeling stuck in the endless loop of anxiety, stress, overwhelm, procrastination and perfectionism, I may be the right therapist for you. My passion is helping people understand their thoughts, emotions, and behavioral patterns that are keeping them from fully engaging in their life. I work with people to identify what personal growth, changes, and shifts they need to make in order to live a more fulfilling, satisfactory, and meaningful life - and then guide them towards achieving it. I believe everyone already has the inner knowledge and resiliency they need, and I' here to guide you to discovering it.
If you're struggling or feeling stuck in the endless loop of anxiety, stress, overwhelm, procrastination and perfectionism, I may be the right therapist for you. My passion is helping people understand their thoughts, emotions, and behavioral patterns that are keeping them from fully engaging in their life. I work with people to identify what personal growth, changes, and shifts they need to make in order to live a more fulfilling, satisfactory, and meaningful life - and then guide them towards achieving it. I believe everyone already has the inner knowledge and resiliency they need, and I' here to guide you to discovering it.
(616) 404-4322 View (616) 404-4322
Photo of Ben Holdredge, Counselor in Grand Rapids, MI
Ben Holdredge
Counselor, MA, LPC
Not Verified Not Verified
1 Endorsed
Grand Rapids, MI 49546
Everybody deals with relational challenges, whether it’s communication struggles with a loved one, wounds you experienced years ago or coming out to a family member. Some of these conversations can be especially challenging for people of faith or creed who feel like they are in conflict with their beliefs. Through counseling, you can figure out how to navigate challenging relationships and deal with the relational pain you’ve experienced throughout life.
Everybody deals with relational challenges, whether it’s communication struggles with a loved one, wounds you experienced years ago or coming out to a family member. Some of these conversations can be especially challenging for people of faith or creed who feel like they are in conflict with their beliefs. Through counseling, you can figure out how to navigate challenging relationships and deal with the relational pain you’ve experienced throughout life.
(616) 201-0725 View (616) 201-0725
Photo of Scott H. Glass, Psychologist in Grand Rapids, MI
Scott H. Glass
Psychologist, PhD, LP
Verified Verified
2 Endorsed
Grand Rapids, MI 49512
I thoughtfully use cognitive-behavior therapy (CBT) and a blend of other therapeutic approaches and your spiritual beliefs (when desired) to help you improve your thoughts, behaviors, emotions, relationships, and quality of life. I particularly enjoy working with health-related issues, along with anxiety, depression, and relationship concerns.
I thoughtfully use cognitive-behavior therapy (CBT) and a blend of other therapeutic approaches and your spiritual beliefs (when desired) to help you improve your thoughts, behaviors, emotions, relationships, and quality of life. I particularly enjoy working with health-related issues, along with anxiety, depression, and relationship concerns.
(616) 205-9807 x151 View (616) 205-9807 x151
Photo of Katelyn Britenriker, Clinical Social Work/Therapist in Grand Rapids, MI
Katelyn Britenriker
Clinical Social Work/Therapist, LISW, LMSW, LCSW
Verified Verified
4 Endorsed
Grand Rapids, MI 49546  (Online Only)
Struggling to find a sense of belonging, worth or purpose? Struggling with feelings of anxiety? Therapy is not a quick fix, it takes time, patience and strength to do the hard work. If you want to make changes in your life, you've come to the right spot. I am a Christian woman offering faith-based counseling that is rooted in scripture & Jesus. Alongside evidence-based practices for not only life, but heart change. I imagine a world someday where we can be confident in who we were created to be. I desire to walk alongside others as they face daily struggles and work towards being their best self yet.
Struggling to find a sense of belonging, worth or purpose? Struggling with feelings of anxiety? Therapy is not a quick fix, it takes time, patience and strength to do the hard work. If you want to make changes in your life, you've come to the right spot. I am a Christian woman offering faith-based counseling that is rooted in scripture & Jesus. Alongside evidence-based practices for not only life, but heart change. I imagine a world someday where we can be confident in who we were created to be. I desire to walk alongside others as they face daily struggles and work towards being their best self yet.
(616) 236-5514 View (616) 236-5514
Photo of Anu Allington, Clinical Social Work/Therapist in Grand Rapids, MI
Anu Allington
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49546
Reaching out for counseling takes courage, humility, and strength. Whether you are seeking support for a life stressor, recent loss, family disconnection, mental health challenges, or to address and navigate relationship difficulties, my goal is to collaborate with you to achieve lasting change and growth. Together, we will develop treatment goals, clarify personal values, strengthen coping strategies, and give you a safe and non-judgmental space to feel heard and validated. I specialize in Eating Disorders, Couples' Counseling, Family Therapy, ADHD, Anxiety, and those with chronic medical conditions.
Reaching out for counseling takes courage, humility, and strength. Whether you are seeking support for a life stressor, recent loss, family disconnection, mental health challenges, or to address and navigate relationship difficulties, my goal is to collaborate with you to achieve lasting change and growth. Together, we will develop treatment goals, clarify personal values, strengthen coping strategies, and give you a safe and non-judgmental space to feel heard and validated. I specialize in Eating Disorders, Couples' Counseling, Family Therapy, ADHD, Anxiety, and those with chronic medical conditions.
(616) 724-7299 View (616) 724-7299
Photo of Lexi Millering, Pre-Licensed Professional in Grand Rapids, MI
Lexi Millering
Pre-Licensed Professional
Verified Verified
1 Endorsed
Grand Rapids, MI 49505
You found yourself using substances to cope with intense feelings of depression, anxiety, and past trauma. You find that you no longer are doing the things you enjoy and don’t even recognize yourself anymore when you look in the mirror. You feel hopeless and trapped in this cycle of avoiding these feelings. You wonder if things will ever change. Therapy can help provide some hope. I believe change and healing happens through support, self discovery, and new habits.
You found yourself using substances to cope with intense feelings of depression, anxiety, and past trauma. You find that you no longer are doing the things you enjoy and don’t even recognize yourself anymore when you look in the mirror. You feel hopeless and trapped in this cycle of avoiding these feelings. You wonder if things will ever change. Therapy can help provide some hope. I believe change and healing happens through support, self discovery, and new habits.
(616) 737-0868 View (616) 737-0868
Photo of Ken Ford, Clinical Social Work/Therapist in Grand Rapids, MI
Ken Ford
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49503
Not accepting new clients
I believe therapy is about relationships. It's in our connection with others that growth and self-actualization can take place. If you're experiencing loneliness, depression, anxiety, grief and loss, a difficult transition, or want to improve your relationships, I offer a supportive and compassionate space for exploration.
I believe therapy is about relationships. It's in our connection with others that growth and self-actualization can take place. If you're experiencing loneliness, depression, anxiety, grief and loss, a difficult transition, or want to improve your relationships, I offer a supportive and compassionate space for exploration.
(616) 253-8870 View (616) 253-8870
Photo of Julie Holmes Markowski, Clinical Social Work/Therapist in Grand Rapids, MI
Julie Holmes Markowski
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
I work with individuals with a variety of concerns including anxiety, depression, coping skills, grief, relationship problems, and trauma. I work with both adults and children/adolescents. My specialty is in working with first responders and their families- including on duty and retired local and federal law enforcement, firefighters, paramedics/EMTs, dispatchers, and forensics personnel.
I work with individuals with a variety of concerns including anxiety, depression, coping skills, grief, relationship problems, and trauma. I work with both adults and children/adolescents. My specialty is in working with first responders and their families- including on duty and retired local and federal law enforcement, firefighters, paramedics/EMTs, dispatchers, and forensics personnel.
(616) 537-6910 View (616) 537-6910
Photo of Sarah Hunt, Clinical Social Work/Therapist in Grand Rapids, MI
Sarah Hunt
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Grand Rapids, MI 49525  (Online Only)
You're struggling with sexual or relationship anxiety. You wish you and your partner knew how to communicate about it without ending in a fight or disappointment. You are tired of feeling frustrated, but don't know what else to try. You're ready for support to find a better way. I specialize in helping individuals and couples develop clear and positive communication, increase their confidence, and deepen their intimacy and sexual satisfaction. I help you understand the root of what's going on and provide you with the tools to feel secure and connected.
You're struggling with sexual or relationship anxiety. You wish you and your partner knew how to communicate about it without ending in a fight or disappointment. You are tired of feeling frustrated, but don't know what else to try. You're ready for support to find a better way. I specialize in helping individuals and couples develop clear and positive communication, increase their confidence, and deepen their intimacy and sexual satisfaction. I help you understand the root of what's going on and provide you with the tools to feel secure and connected.
(616) 841-3012 View (616) 841-3012

See more therapy options for Grand Rapids

How does your Therapist compare?

Number of Therapists in Grand Rapids, MI

1,000+

Average cost per session

$150

Therapists in Grand Rapids, MI who prioritize treating:

92% Anxiety
89% Depression
77% Self Esteem
76% Relationship Issues
72% Trauma and PTSD
71% Coping Skills
70% Stress

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
69% Priority Health
63% Aetna

How Therapists in Grand Rapids, MI see their clients

73% In Person and Online
27% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Grand Rapids?

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.