Therapists in Saint Louis, MO

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Photo of Jordan Langley, Pre-Licensed Professional in Saint Louis, MO
Jordan Langley
Pre-Licensed Professional, BS
Verified Verified
1 Endorsed
Saint Louis, MO 63109  (Online Only)
I approach therapy with intersectionality and diversity in the forefront of my mind. The therapy models that I gravitate toward are solution-focused and strength-based approaches. Both of these models allow me to serve all types of families and individuals through client led sessions to meet the therapy goals that we create together. I look forward to meeting with you and your family to navigate adversities together in a safe, welcoming and affirming space.
I approach therapy with intersectionality and diversity in the forefront of my mind. The therapy models that I gravitate toward are solution-focused and strength-based approaches. Both of these models allow me to serve all types of families and individuals through client led sessions to meet the therapy goals that we create together. I look forward to meeting with you and your family to navigate adversities together in a safe, welcoming and affirming space.
(314) 350-7482 View (314) 350-7482
Photo of Dr. Ryan Liberati, Licensed Professional Counselor in Saint Louis, MO
Dr. Ryan Liberati
Licensed Professional Counselor, PhD, LPC, RPT-S, M-RAS, LCPC
Verified Verified
1 Endorsed
Saint Louis, MO 63118
Thank you for your interest. My ideal client is motivated for change and open to exploring more about themselves. I use a more direct style of counseling that heavily incorporates aspects of choice theory, reality therapy, and cognitive behavioral therapy to help my adult clients make real changes in their lives. For children, I utilize evidence-based directive and non-directive play therapy approaches, depending upon the child's unique psychosocial needs.
Thank you for your interest. My ideal client is motivated for change and open to exploring more about themselves. I use a more direct style of counseling that heavily incorporates aspects of choice theory, reality therapy, and cognitive behavioral therapy to help my adult clients make real changes in their lives. For children, I utilize evidence-based directive and non-directive play therapy approaches, depending upon the child's unique psychosocial needs.
(314) 669-3653 View (314) 669-3653
Photo of Sarah F Coffman, Clinical Social Work/Therapist in Saint Louis, MO
Sarah F Coffman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63143
Focused on women and female youth, Sarah's practice offers therapy for individuals, families and groups, within a safe and nurturing environment. This strong therapeutic alliance affords clients the comfort in which to develop greater self-awareness, heal from past traumas, and learn to cope with present difficulties. Along with her full-time private practice, Sarah is an Adjunct Professor at Washington University Brown School, where she received her graduate degree, and maintains an active presence in the community as a private doula and as the Missouri Co-Coordinator for Postpartum Support International.
Focused on women and female youth, Sarah's practice offers therapy for individuals, families and groups, within a safe and nurturing environment. This strong therapeutic alliance affords clients the comfort in which to develop greater self-awareness, heal from past traumas, and learn to cope with present difficulties. Along with her full-time private practice, Sarah is an Adjunct Professor at Washington University Brown School, where she received her graduate degree, and maintains an active presence in the community as a private doula and as the Missouri Co-Coordinator for Postpartum Support International.
(314) 527-3084 View (314) 527-3084
Photo of Quantum Consulting Group LLC in Saint Louis, MO
Quantum Consulting Group LLC
EdD
Verified Verified
Saint Louis, MO 63101
2023 is your game changer year! In this world, Black and Brown people experience trauma and oppression daily. This constant stress impacts the way you feel and causes anxiety or depression. You need support from someone who understands your cultural experiences. Now, you can have support from someone who appreciates your pain and suffering because they have had their own struggles to overcome. Well, you do not have to look any further. We would love to provide you the mental health support you need. Remember, we are providing services in Missouri, Illinois, Tennessee, and Texas. You belong here!
2023 is your game changer year! In this world, Black and Brown people experience trauma and oppression daily. This constant stress impacts the way you feel and causes anxiety or depression. You need support from someone who understands your cultural experiences. Now, you can have support from someone who appreciates your pain and suffering because they have had their own struggles to overcome. Well, you do not have to look any further. We would love to provide you the mental health support you need. Remember, we are providing services in Missouri, Illinois, Tennessee, and Texas. You belong here!
(314) 208-2320 View (314) 208-2320
Photo of Sidreta Zuko, Pre-Licensed Professional in Saint Louis, MO
Sidreta Zuko
Pre-Licensed Professional, MSW, LMSW
Verified Verified
Saint Louis, MO 63118
My approach to therapy is genuine and compassionate. My intention during our time together is to make you feel supported and to help you feel more connected with yourself, and guide you, without judgement, through whatever self-discovery journey you may be on. I believe in creating a space where you feel free to come as you are and feel supported...
My approach to therapy is genuine and compassionate. My intention during our time together is to make you feel supported and to help you feel more connected with yourself, and guide you, without judgement, through whatever self-discovery journey you may be on. I believe in creating a space where you feel free to come as you are and feel supported...
(314) 671-0417 View (314) 671-0417
Photo of Maria Kuhn, Licensed Professional Counselor in Saint Louis, MO
Maria Kuhn
Licensed Professional Counselor, MEd, LPC, RSAP
Verified Verified
Saint Louis, MO 63105
I started to work in the Psychology field in 1989. I have experience in counseling many different clients from several different backgrounds. I provided personal counseling for employees, individual and group counseling for adolescents an adults. Currently, I provide Couples/Marriage Counseling and Individual Counseling for adults. I hold a BA in Psychology, and earned my Masters degree in Community Counseling from the University of Missouri-St.Louis.
I started to work in the Psychology field in 1989. I have experience in counseling many different clients from several different backgrounds. I provided personal counseling for employees, individual and group counseling for adolescents an adults. Currently, I provide Couples/Marriage Counseling and Individual Counseling for adults. I hold a BA in Psychology, and earned my Masters degree in Community Counseling from the University of Missouri-St.Louis.
(636) 486-3608 View (636) 486-3608
Photo of Ashley Bonner, Clinical Social Work/Therapist in Saint Louis, MO
Ashley Bonner
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
2 Endorsed
Saint Louis, MO 63108  (Online Only)
Not accepting new clients
I’m Ashley, a trauma-informed therapist in St. Louis, Missouri, with a passion for supporting individuals and families. I earned my Master of Social Work degree from Washington University in St. Louis’ George Warren Brown School of Social Work, where my concentration was children, youth and families. My therapeutic methods include Motivational Interviewing, Cognitive Behavioral Therapy, mindfulness practices and relaxation skills. I’m also working toward play therapy certification. I believe every human being has the power within to overcome fear, anxiety and other obstacles preventing us from reaching our full potential.
I’m Ashley, a trauma-informed therapist in St. Louis, Missouri, with a passion for supporting individuals and families. I earned my Master of Social Work degree from Washington University in St. Louis’ George Warren Brown School of Social Work, where my concentration was children, youth and families. My therapeutic methods include Motivational Interviewing, Cognitive Behavioral Therapy, mindfulness practices and relaxation skills. I’m also working toward play therapy certification. I believe every human being has the power within to overcome fear, anxiety and other obstacles preventing us from reaching our full potential.
(314) 804-1817 View (314) 804-1817
Photo of Emily Lombardo, Clinical Social Work/Therapist in Saint Louis, MO
Emily Lombardo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63108
Waitlist for new clients
Young adulthood is an exciting journey of SELF discovery- so why is it so easy to obsess about the approval of OTHERS? Whether it’s food & body image, academics, or relationships, the pressure to compete & compare is not only overwhelming, it implies personal failure when we fall short of unrealistic standards. Imagine the possibilities if we all felt empowered to embrace uncertainty & authenticity- rejoicing in the knowledge that we don’t owe anyone perfection at the expense of being ourselves.
Young adulthood is an exciting journey of SELF discovery- so why is it so easy to obsess about the approval of OTHERS? Whether it’s food & body image, academics, or relationships, the pressure to compete & compare is not only overwhelming, it implies personal failure when we fall short of unrealistic standards. Imagine the possibilities if we all felt empowered to embrace uncertainty & authenticity- rejoicing in the knowledge that we don’t owe anyone perfection at the expense of being ourselves.
(314) 671-0603 View (314) 671-0603
Photo of Paige Lynch, Licensed Professional Counselor in Saint Louis, MO
Paige Lynch
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
I work with those who struggle with trauma, relationship problems, and not taking care of oneself first. I have experience working with those who have sexual abuse or assault histories, trauma within problematic relationships, and compassion fatigue. Trauma comes in all sizes and from a variety of experiences, so do not discount what you have lived through. No matter the circumstances that bring you into therapy, we will spend time healing your wounds to help you grow into the person you wish to be, with a stronger sense of safety.
I work with those who struggle with trauma, relationship problems, and not taking care of oneself first. I have experience working with those who have sexual abuse or assault histories, trauma within problematic relationships, and compassion fatigue. Trauma comes in all sizes and from a variety of experiences, so do not discount what you have lived through. No matter the circumstances that bring you into therapy, we will spend time healing your wounds to help you grow into the person you wish to be, with a stronger sense of safety.
(314) 328-7597 View (314) 328-7597
Photo of Yasmira Emofor, Licensed Professional Counselor in Saint Louis, MO
Yasmira Emofor
Licensed Professional Counselor, LPC, CCDP-D
Verified Verified
Saint Louis, MO 63108
Have you felt like you are missing out on life? Have you felt like you are in a slump that you can’t dig yourself out off? Like you been struggling for so long without a break from the stress of it all? Whether your struggle is depression, anxiety, phobias or trauma, I am here to offer a safe space for you. What you want to feel is empowered, capable and resilient to handle the challenge; or ready to face down any fear. I've helped countless individuals! Let me help you reclaim your resiliency today!
Have you felt like you are missing out on life? Have you felt like you are in a slump that you can’t dig yourself out off? Like you been struggling for so long without a break from the stress of it all? Whether your struggle is depression, anxiety, phobias or trauma, I am here to offer a safe space for you. What you want to feel is empowered, capable and resilient to handle the challenge; or ready to face down any fear. I've helped countless individuals! Let me help you reclaim your resiliency today!
(314) 742-8208 View (314) 742-8208
Photo of Erin McDyer - Sandhill Counseling, Pre-Licensed Professional in Saint Louis, MO
Erin McDyer - Sandhill Counseling
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63128
Everyone has different feelings about therapy. Some people are excited about it and jump at the opportunity to dive into the deepest parts of themselves, but some might find it nerve-racking, scary, or just straight up unpleasant. Maybe you’re nervous you’ll be told nothing is wrong with you or that you will be dismissed. Regardless of your feelings coming into therapy, my goal is the same: to create a space where you feel truly comfortable to express yourself, to be vulnerable, and where you feel heard and valued.
Everyone has different feelings about therapy. Some people are excited about it and jump at the opportunity to dive into the deepest parts of themselves, but some might find it nerve-racking, scary, or just straight up unpleasant. Maybe you’re nervous you’ll be told nothing is wrong with you or that you will be dismissed. Regardless of your feelings coming into therapy, my goal is the same: to create a space where you feel truly comfortable to express yourself, to be vulnerable, and where you feel heard and valued.
(636) 422-5791 x1029 View (636) 422-5791 x1029
Photo of Kathryn Stinson, Licensed Professional Counselor in Saint Louis, MO
Kathryn Stinson
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63143
You're living a different story. Maybe you always knew you would, because something about you has always been unusual. Maybe you planned to travel a well known path, but something happened, and you can't just go back to the way things were. Maybe you're burned out because something that was working for a long time just doesn't work anymore. Maybe you feel anxiety or depression or trauma is holding you back. You want to talk to someone comfortable with unconventional terrain, someone who doesn't insist that returning to the paved road is the answer but joins with you in the difficult work of mapping out new territory together.
You're living a different story. Maybe you always knew you would, because something about you has always been unusual. Maybe you planned to travel a well known path, but something happened, and you can't just go back to the way things were. Maybe you're burned out because something that was working for a long time just doesn't work anymore. Maybe you feel anxiety or depression or trauma is holding you back. You want to talk to someone comfortable with unconventional terrain, someone who doesn't insist that returning to the paved road is the answer but joins with you in the difficult work of mapping out new territory together.
(314) 827-6803 View (314) 827-6803
Photo of Carington McGowan, Clinical Social Work/Therapist in Saint Louis, MO
Carington McGowan
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63112  (Online Only)
Traumatic experiences can change the way that we relate to ourselves as well as the rest of the world. We can be left feeling depressed, on edge, or not like ourselves. As a Licensed Master Social Worker, specializing in trauma, PTSD, and anxiety, my passion is helping teens and adults who have experienced trauma feel safe within themselves again.
Traumatic experiences can change the way that we relate to ourselves as well as the rest of the world. We can be left feeling depressed, on edge, or not like ourselves. As a Licensed Master Social Worker, specializing in trauma, PTSD, and anxiety, my passion is helping teens and adults who have experienced trauma feel safe within themselves again.
(314) 936-4918 View (314) 936-4918
Photo of Matthew Morgan Henderson Counseling LLC, Clinical Social Work/Therapist in Saint Louis, MO
Matthew Morgan Henderson Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63110
My ideal client presents with symptoms of anxiety/ depression/ trauma/ addiction. They have developed coping strategies that now create more problems than they solve. They would like to learn more effective coping strategies They seek symptom-relief and increased life satisfaction. They desire healthier relationships and improved self-esteem. They're motivated to change, open to exploring underlying issues, and committed to therapy. Their goal is to achieve mental well-being, emotional resilience, and a fulfilling life.
My ideal client presents with symptoms of anxiety/ depression/ trauma/ addiction. They have developed coping strategies that now create more problems than they solve. They would like to learn more effective coping strategies They seek symptom-relief and increased life satisfaction. They desire healthier relationships and improved self-esteem. They're motivated to change, open to exploring underlying issues, and committed to therapy. Their goal is to achieve mental well-being, emotional resilience, and a fulfilling life.
(314) 668-9198 View (314) 668-9198
Photo of Ilana R Luft-Barrett, Psychologist in Saint Louis, MO
Ilana R Luft-Barrett
Psychologist, PhD
Verified Verified
Saint Louis, MO 63116  (Online Only)
Not accepting new clients
I am a Clinical Psychologist licensed to treat clients in Missouri and New York State, and Authorized to Practice Interjurisdictional Telepsychology in all PSYPACT states. Therapy is a collaboration between therapist and client. My goal is to understand where you are at this moment in your life, help you to identify your goals and work with you, as a partner, to attain them. I use evidence-based approaches that assist you in changing unhelpful thinking and behaviors, improve awareness and control over emotions, increase tolerance of difficult emotions, and enhance your ability to live mindfully in the present moment.
I am a Clinical Psychologist licensed to treat clients in Missouri and New York State, and Authorized to Practice Interjurisdictional Telepsychology in all PSYPACT states. Therapy is a collaboration between therapist and client. My goal is to understand where you are at this moment in your life, help you to identify your goals and work with you, as a partner, to attain them. I use evidence-based approaches that assist you in changing unhelpful thinking and behaviors, improve awareness and control over emotions, increase tolerance of difficult emotions, and enhance your ability to live mindfully in the present moment.
(314) 858-5660 View (314) 858-5660
Photo of Erick Kenneth French, Clinical Social Work/Therapist in Saint Louis, MO
Erick Kenneth French
Clinical Social Work/Therapist, MSW, LCSW, ACHT
Verified Verified
Saint Louis, MO 63123
I like to work with people who are internally motivated to learn and grow and desire to live meaningful and fulfilling lives. Whatever challenges they are facing I want them to know that working with me will at some point mean paying attention to and allowing themselves to feel their feelings. A conscious relationship with self is had through attending to the feelings we have about ourselves. Understanding feelings will be essential in generating improved self-awareness and a sense of personal integrity.
I like to work with people who are internally motivated to learn and grow and desire to live meaningful and fulfilling lives. Whatever challenges they are facing I want them to know that working with me will at some point mean paying attention to and allowing themselves to feel their feelings. A conscious relationship with self is had through attending to the feelings we have about ourselves. Understanding feelings will be essential in generating improved self-awareness and a sense of personal integrity.
(314) 310-8414 View (314) 310-8414
Photo of Camilla Collins, Clinical Social Work/Therapist in Saint Louis, MO
Camilla Collins
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63141
Are you experiencing feelings of overwhelm, anxiety, loneliness, or hopelessness in your life? Do you find your emotions and worries often taking over? I have immediate openings for adults looking to make changes and feel better. My passion is helping people learn to navigate their emotions, build resilience, and learn skills to handle change. We will explore ways to handle anxiety, depression, stress, and relationship issues. Together, we can identify and learn to manage the obstacles that are hindering your sense of well-being and fulfillment. Together we can create a plan for healing.
Are you experiencing feelings of overwhelm, anxiety, loneliness, or hopelessness in your life? Do you find your emotions and worries often taking over? I have immediate openings for adults looking to make changes and feel better. My passion is helping people learn to navigate their emotions, build resilience, and learn skills to handle change. We will explore ways to handle anxiety, depression, stress, and relationship issues. Together, we can identify and learn to manage the obstacles that are hindering your sense of well-being and fulfillment. Together we can create a plan for healing.
(636) 442-4238 View (636) 442-4238
Photo of Jennifer Morgan, Licensed Professional Counselor in Saint Louis, MO
Jennifer Morgan
Licensed Professional Counselor, MA, LPC, BCPCC
Verified Verified
Saint Louis, MO 63123
My focus is developing a relationship with my clients that becomes the foundation for transformation. My work is guided by the belief that much in life is related to the core need of knowing and being known. After addressing physical needs & causes, I often lean into the idea that our thoughts are part of what cause our feelings and behaviors. If we are able to change the way we think about the world, we will be able to change the way we feel and act. Most importantly, having someone who cares walk along side you can make all the difference in the world. Change isn't easy, but seeking help means you don't have to do it alone.
My focus is developing a relationship with my clients that becomes the foundation for transformation. My work is guided by the belief that much in life is related to the core need of knowing and being known. After addressing physical needs & causes, I often lean into the idea that our thoughts are part of what cause our feelings and behaviors. If we are able to change the way we think about the world, we will be able to change the way we feel and act. Most importantly, having someone who cares walk along side you can make all the difference in the world. Change isn't easy, but seeking help means you don't have to do it alone.
(314) 828-1408 View (314) 828-1408
Photo of Karen Grayson, Licensed Professional Counselor in Saint Louis, MO
Karen Grayson
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63141
I work exclusively with therapists and coaches who want to bring Internal Family Systems (IFS) more fully into their lives and professional work. Heal your own trauma. Live more effectively from your best Self. Help your clients gain insight and transform their lives. The more Self-led, grounded, and confident you are as a practitioner, the more your clients will heal and the more joy you'll feel in your life and work.
I work exclusively with therapists and coaches who want to bring Internal Family Systems (IFS) more fully into their lives and professional work. Heal your own trauma. Live more effectively from your best Self. Help your clients gain insight and transform their lives. The more Self-led, grounded, and confident you are as a practitioner, the more your clients will heal and the more joy you'll feel in your life and work.
(314) 714-4233 View (314) 714-4233
Photo of Mark Joiner, Licensed Professional Counselor in Saint Louis, MO
Mark Joiner
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63119
My hope is to be a first step in overcoming feelings of isolation and loneliness. If your world has been turned upside-down, either from the loss of a loved one or life's hardships, let's connect. Learning how to trust and practice new life skills are foundational in moving forward in relationships.
My hope is to be a first step in overcoming feelings of isolation and loneliness. If your world has been turned upside-down, either from the loss of a loved one or life's hardships, let's connect. Learning how to trust and practice new life skills are foundational in moving forward in relationships.
(314) 310-8319 View (314) 310-8319

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

91% Anxiety
86% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
71% Aetna
71% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

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.