Therapists in Maryville, TN

Photo of Leanne Potts, Clinical Social Work/Therapist in Maryville, TN
Leanne Potts
Clinical Social Work/Therapist, LMSW
Verified Verified
Maryville, TN 37801
My passion is to offer individualized, compassionate client care using a variety of methods. I work with adults, teens, and children. My clients range in age from five years old through adulthood, and they are usually having issues with adjustments, transitions, family, and relationships. They also may struggle with anxiety, depression, OCD, or substance use issues. I offer a non-judgmental and safe, healing space. I want to help clients meet their goals and offer hope where it may be lacking.
My passion is to offer individualized, compassionate client care using a variety of methods. I work with adults, teens, and children. My clients range in age from five years old through adulthood, and they are usually having issues with adjustments, transitions, family, and relationships. They also may struggle with anxiety, depression, OCD, or substance use issues. I offer a non-judgmental and safe, healing space. I want to help clients meet their goals and offer hope where it may be lacking.
(865) 328-9479 View (865) 328-9479
Photo of Benjamin Henckel, Pre-Licensed Professional in Maryville, TN
Benjamin Henckel
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Maryville, TN 37801
Life is oftentimes filled with ups and downs, trials and tribulations followed by strength and fortitude. I believe my clients have the ability to overcome the toughest of obstacles, despite feeling trapped and not knowing how to persevere. Life is comprised of several complexities, and it is my desire to assist clients in navigating them. I aspire to help clients develop a greater sense of hope, personal autonomy, and belief that they can achieve their goals.
Life is oftentimes filled with ups and downs, trials and tribulations followed by strength and fortitude. I believe my clients have the ability to overcome the toughest of obstacles, despite feeling trapped and not knowing how to persevere. Life is comprised of several complexities, and it is my desire to assist clients in navigating them. I aspire to help clients develop a greater sense of hope, personal autonomy, and belief that they can achieve their goals.
(865) 484-3893 View (865) 484-3893
Photo of Andy Schriver, Clinical Social Work/Therapist in Maryville, TN
Andy Schriver
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Maryville, TN 37801
I am sorry but I am not currently taking new client appointments. I encourage you to take a moment to think about what you are looking for and what you need. Maybe you know what needs to change or have no idea. My hope would be to help you figure that out. That might mean I work with you, your family or children.
I am sorry but I am not currently taking new client appointments. I encourage you to take a moment to think about what you are looking for and what you need. Maybe you know what needs to change or have no idea. My hope would be to help you figure that out. That might mean I work with you, your family or children.
(865) 302-3204 View (865) 302-3204
Photo of Samantha Ramsey, Clinical Social Work/Therapist in Maryville, TN
Samantha Ramsey
Clinical Social Work/Therapist, LMSW
Verified Verified
Maryville, TN 37803
Now accepting new clients! Do you want to deepen your existing relationships? Are you afraid to share your feelings with your loved ones? Do recent events leave you scared of the future? Do you want to reduce your anxiety and depression, and improve the lives of your family, children or community? A satisfying relationship could be the key to your mental and physical health. If you identify as a black sheep, creative, caregiver, helpless romantic, highly sensitive person, hippie, living with chronic pain or illness, people-pleaser, or perfectionist you will benefit most from a relational approach to therapy.
Now accepting new clients! Do you want to deepen your existing relationships? Are you afraid to share your feelings with your loved ones? Do recent events leave you scared of the future? Do you want to reduce your anxiety and depression, and improve the lives of your family, children or community? A satisfying relationship could be the key to your mental and physical health. If you identify as a black sheep, creative, caregiver, helpless romantic, highly sensitive person, hippie, living with chronic pain or illness, people-pleaser, or perfectionist you will benefit most from a relational approach to therapy.
(865) 213-9035 View (865) 213-9035
Photo of Meghan O'Nyon, Marriage & Family Therapist in Maryville, TN
Meghan O'Nyon
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Maryville, TN 37804
Not accepting new clients
You look around and ask yourself “Is this really my life right now?” Some days are okay, some are uncomfortable, and others are intolerable. In the tough moments, the things you've tried before don't seem to work. Treading water was fine for a while, but you’re ready to swim. Maybe someone you cared about died. Maybe that inner critic voice is louder or more persistent than it has been before. Maybe your child’s thoughts and feelings are too big for them to handle.
You look around and ask yourself “Is this really my life right now?” Some days are okay, some are uncomfortable, and others are intolerable. In the tough moments, the things you've tried before don't seem to work. Treading water was fine for a while, but you’re ready to swim. Maybe someone you cared about died. Maybe that inner critic voice is louder or more persistent than it has been before. Maybe your child’s thoughts and feelings are too big for them to handle.
(865) 344-2481 View (865) 344-2481
Photo of Kim M Donovan, Clinical Social Work/Therapist in Maryville, TN
Kim M Donovan
Clinical Social Work/Therapist, LCSW
Verified Verified
Maryville, TN 37801
For all the parents out there that start their day worrying about their child's future, concerned they might be missing something beyond "defiance" or "distractibility" when it's a struggle just to get them out the door for school; and for all the teens who have endured the consequences of virtual learning only to now deal with new insecurities around grade pressure or social acceptances, there is a place for you!
For all the parents out there that start their day worrying about their child's future, concerned they might be missing something beyond "defiance" or "distractibility" when it's a struggle just to get them out the door for school; and for all the teens who have endured the consequences of virtual learning only to now deal with new insecurities around grade pressure or social acceptances, there is a place for you!
(779) 243-5389 View (779) 243-5389
Photo of Kyle Moore-Price, Clinical Social Work/Therapist in Maryville, TN
Kyle Moore-Price
Clinical Social Work/Therapist, LMSW
Verified Verified
Maryville, TN 37801
Accepting new clients! Too often the strain we put on ourselves to "get it right", or "have it all together", leaves us feeling more pressured, confused, and defeated than we started. I believe in creating a space where you can better come to know yourself, and feel empowered to live the life you want. I relish in helping my clients develop self-esteem, employ coping skiLls, and authentically express themselves to find confidence in their own voice, and move towards goals and actions that align with the person they want to be. You can learn more about me at our website: https: www.ridethewavecounselingservices.com/about-kyle
Accepting new clients! Too often the strain we put on ourselves to "get it right", or "have it all together", leaves us feeling more pressured, confused, and defeated than we started. I believe in creating a space where you can better come to know yourself, and feel empowered to live the life you want. I relish in helping my clients develop self-esteem, employ coping skiLls, and authentically express themselves to find confidence in their own voice, and move towards goals and actions that align with the person they want to be. You can learn more about me at our website: https: www.ridethewavecounselingservices.com/about-kyle
(865) 217-0513 View (865) 217-0513
Photo of Shawn Helvey, Licensed Professional Counselor in Maryville, TN
Shawn Helvey
Licensed Professional Counselor, LPC, MHSP, MA, WFR
Verified Verified
Maryville, TN 37804
I work with men of all ages who are trying to find their path. Feeling lost, overwhelmed, depressed, or anxious in your day-to-day life can mean you are on the cusp of a life transition which can be a great opportunity. I help clients work through the areas where they struggle, whether they involve personal, school, relational, or career challenges. I believe that once you identify what you want and know what stands in your way and how to overcome it, you are more motivated to work toward your goals.
I work with men of all ages who are trying to find their path. Feeling lost, overwhelmed, depressed, or anxious in your day-to-day life can mean you are on the cusp of a life transition which can be a great opportunity. I help clients work through the areas where they struggle, whether they involve personal, school, relational, or career challenges. I believe that once you identify what you want and know what stands in your way and how to overcome it, you are more motivated to work toward your goals.
(865) 217-1548 View (865) 217-1548
Photo of Hannah Barnett, Marriage & Family Therapist in Maryville, TN
Hannah Barnett
Marriage & Family Therapist, MS, LMFT
Verified Verified
Maryville, TN 37804
Waitlist for new clients
I believe therapy is an invaluable tool that can bring healing and help you create meaning around your life experiences. Making the decision to seek extra support for you or your family is brave. I will prioritize your and your child’s comfort as we work towards your goals. I am compassionate and driven by an understanding of the sacred nature of personal struggles. I believe that your perspective and experience creates the framework for treatment and you can experience growth through increased understanding of your past experiences, freedom to express yourself utilizing creativity, and specific tools gained throughout therapy.
I believe therapy is an invaluable tool that can bring healing and help you create meaning around your life experiences. Making the decision to seek extra support for you or your family is brave. I will prioritize your and your child’s comfort as we work towards your goals. I am compassionate and driven by an understanding of the sacred nature of personal struggles. I believe that your perspective and experience creates the framework for treatment and you can experience growth through increased understanding of your past experiences, freedom to express yourself utilizing creativity, and specific tools gained throughout therapy.
(865) 217-0261 View (865) 217-0261
Photo of Megan MacNamara, Psychologist in Maryville, TN
Megan MacNamara
Psychologist, PhD
Verified Verified
1 Endorsed
Maryville, TN 37804
I help empower women to love themselves. You may be a struggling mom, creative, business owner, empath, or trauma survivor that is ready to get past survive and start to thrive. My speciality is trauma recovery. My experience as an EMDR therapist & DBT psychologist helps you to deal with anxiety and depression. My clients say they feel immediate relief, a deep connection, & I open up worlds they never thought was possible. New virtual women's empowerment group and mindset membership!
I help empower women to love themselves. You may be a struggling mom, creative, business owner, empath, or trauma survivor that is ready to get past survive and start to thrive. My speciality is trauma recovery. My experience as an EMDR therapist & DBT psychologist helps you to deal with anxiety and depression. My clients say they feel immediate relief, a deep connection, & I open up worlds they never thought was possible. New virtual women's empowerment group and mindset membership!
(865) 383-1322 View (865) 383-1322
Photo of Sharon Sitler, Licensed Professional Counselor in Maryville, TN
Sharon Sitler
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Maryville, TN 37803
I enjoy working with people from all walks of life, encouraging them and giving them hope. I believe in balanced living and looking at how issues are affecting us emotionally, mentally, physically and spiritually. I believe in looking at things from a Christian Worldview but work with people from all viewpoints. I used to work in the corporate world so can identify with people from all walks of life and many different life experiences. I started counseling individuals in Florida as an intern many years ago. Graduated in 1997 and am licensed both in Florida and Tennessee. My family moved to Tennessee 16 years ago, we love Tennessee.
I enjoy working with people from all walks of life, encouraging them and giving them hope. I believe in balanced living and looking at how issues are affecting us emotionally, mentally, physically and spiritually. I believe in looking at things from a Christian Worldview but work with people from all viewpoints. I used to work in the corporate world so can identify with people from all walks of life and many different life experiences. I started counseling individuals in Florida as an intern many years ago. Graduated in 1997 and am licensed both in Florida and Tennessee. My family moved to Tennessee 16 years ago, we love Tennessee.
(865) 409-1334 View (865) 409-1334
Photo of Angela Goins, Licensed Professional Counselor in Maryville, TN
Angela Goins
Licensed Professional Counselor, LPC-, MHSP
Verified Verified
Maryville, TN 37804  (Online Only)
I am accepting new clients and would love to talk more about how I can help you with whatever challenges you are facing. Life can be tough but having someone who is trained to help you navigate all of life’s twists and turns is invaluable. Whether you are struggling with seemingly small issues or larger life changing issues-if it matters to YOU it matters to ME.
I am accepting new clients and would love to talk more about how I can help you with whatever challenges you are facing. Life can be tough but having someone who is trained to help you navigate all of life’s twists and turns is invaluable. Whether you are struggling with seemingly small issues or larger life changing issues-if it matters to YOU it matters to ME.
(865) 505-8053 View (865) 505-8053
Photo of Taylor Booth in Maryville, TN
Taylor Booth
LMSW, RYT
Verified Verified
Maryville, TN 37801
Now accepting new clients! I am passionate about working with clients of all ages and walks of life. Whether you're a young person navigating the challenges of adolescence and young adulthood or an individual at a later stage of life I am here to support you on your journey. Creating a safe and welcoming environment is at the heart of my practice. I want each person who walks through my door to feel heard, understood, and supported, regardless of their age or life circumstances. Each stage of life brings its own unique experiences and struggles, and my goal is to help you navigate through them with grace and resilience.
Now accepting new clients! I am passionate about working with clients of all ages and walks of life. Whether you're a young person navigating the challenges of adolescence and young adulthood or an individual at a later stage of life I am here to support you on your journey. Creating a safe and welcoming environment is at the heart of my practice. I want each person who walks through my door to feel heard, understood, and supported, regardless of their age or life circumstances. Each stage of life brings its own unique experiences and struggles, and my goal is to help you navigate through them with grace and resilience.
(865) 737-1565 View (865) 737-1565
Photo of Alison Johnston Mistak, Clinical Social Work/Therapist in Maryville, TN
Alison Johnston Mistak
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Maryville, TN 37804
Not accepting new clients
I am currently unable to take new clients. Seeing a counselor doesn't mean you are "crazy" or weak. We all have times in our lives when we feel stuck and need help in getting ourselves or our family out of the patterns that aren't working for us. I strive to provide a personal, comfortable experience for my clients where they can learn to utilize their own strengths to develop the life and relationships they want. I hope to help people gain a better understanding of how their thoughts and experiences are influencing their emotions and provide practical feedback to guide you towards the life you want.
I am currently unable to take new clients. Seeing a counselor doesn't mean you are "crazy" or weak. We all have times in our lives when we feel stuck and need help in getting ourselves or our family out of the patterns that aren't working for us. I strive to provide a personal, comfortable experience for my clients where they can learn to utilize their own strengths to develop the life and relationships they want. I hope to help people gain a better understanding of how their thoughts and experiences are influencing their emotions and provide practical feedback to guide you towards the life you want.
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Photo of Shannon Brown, Clinical Social Work/Therapist in Maryville, TN
Shannon Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Maryville, TN 37801
We are a Queer-owned, LGBTQ+, QBIPOC, body positive, kink positive, & chronic illness safe & affirming practice. We provide a safe & protected space for our LGBTQ+ community members & their families. In compliance with state law, we DO NOT provide referrals for trans/non-binary gender affirming medical interventions for minors. Shannon has almost 20 years experience in trauma & queer mental health for all ages, family dynamics, & religious structures, is a Certified Emergency Responder & Public Safety Clinician for Queer LEOs, EMS, 911 Operators, Fire Fighters & Vets. Laila specializes in working with new mothers & postpartum issues
We are a Queer-owned, LGBTQ+, QBIPOC, body positive, kink positive, & chronic illness safe & affirming practice. We provide a safe & protected space for our LGBTQ+ community members & their families. In compliance with state law, we DO NOT provide referrals for trans/non-binary gender affirming medical interventions for minors. Shannon has almost 20 years experience in trauma & queer mental health for all ages, family dynamics, & religious structures, is a Certified Emergency Responder & Public Safety Clinician for Queer LEOs, EMS, 911 Operators, Fire Fighters & Vets. Laila specializes in working with new mothers & postpartum issues
(865) 590-8003 View (865) 590-8003
Photo of Katrise Thompson, Licensed Professional Counselor in Maryville, TN
Katrise Thompson
Licensed Professional Counselor, MEd, LPC, MHSP
Verified Verified
1 Endorsed
Maryville, TN 37801
Breaking the stigma of mental health begins by choosing to be healthy for yourself. Trusting someone is difficult, especially when struggling with mental health, because it makes us feel vulnerable. Please know vulnerability is not a weakness. My passion is helping, including creating a comfortable space that allows individuals to be their authentic selves. We all have a story that includes various experiences. I enjoy helping individuals to gain an understanding of their stories to provide them with clarity and empowerment. My experience includes domestic violence, trauma, anxiety, depression, and personality disorders.
Breaking the stigma of mental health begins by choosing to be healthy for yourself. Trusting someone is difficult, especially when struggling with mental health, because it makes us feel vulnerable. Please know vulnerability is not a weakness. My passion is helping, including creating a comfortable space that allows individuals to be their authentic selves. We all have a story that includes various experiences. I enjoy helping individuals to gain an understanding of their stories to provide them with clarity and empowerment. My experience includes domestic violence, trauma, anxiety, depression, and personality disorders.
(865) 217-2546 View (865) 217-2546
Photo of Shay L Groenewold, Psychologist in Maryville, TN
Shay L Groenewold
Psychologist, PhD
Verified Verified
Maryville, TN 37801  (Online Only)
Making the decision to seek therapy is not an easy one, and choosing the right therapist to meet your needs can be even more daunting! As a licensed clinical psychologist, I have had the great fortune of supporting individuals from all walks of life who are working to make peace with their past, to connect with their present, and to build hope about their future. I strive to provide tailored support for my clients as they address issues like anxiety, depression, addiction, past trauma, communication issues, anger management, symptoms of serious mental illness, adjustment and decision-making issues, and relationship problems.
Making the decision to seek therapy is not an easy one, and choosing the right therapist to meet your needs can be even more daunting! As a licensed clinical psychologist, I have had the great fortune of supporting individuals from all walks of life who are working to make peace with their past, to connect with their present, and to build hope about their future. I strive to provide tailored support for my clients as they address issues like anxiety, depression, addiction, past trauma, communication issues, anger management, symptoms of serious mental illness, adjustment and decision-making issues, and relationship problems.
(865) 269-6834 View (865) 269-6834
Photo of Kelsey Robins, Pre-Licensed Professional in Maryville, TN
Kelsey Robins
Pre-Licensed Professional, MEd
Verified Verified
Maryville, TN 37804
I am a pre-licensed professional working toward state licensure after obtaining my Master's of Education in Mental Health Counseling. I have experience working with kids, teens, and young adults.
I am a pre-licensed professional working toward state licensure after obtaining my Master's of Education in Mental Health Counseling. I have experience working with kids, teens, and young adults.
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Photo of Kendra Hart, Licensed Professional Counselor in Maryville, TN
Kendra Hart
Licensed Professional Counselor, MHSP, LADAC 2
Verified Verified
Maryville, TN 37804
Life has brought you here and I believe it is for a reason. Are you ready to start your journey towards healing? I think you are! You have been suffering long enough. Whether you have been tormented by your anxiety, oppressed by your depression, lost in your addiction or felt unsafe from your trauma, I am here to help. Is anger or other uncomfortable emotions controlling your life? Maybe it's the deep pain from the sadness of losing someone you love? Do you want help to stop those racing thoughts? Or maybe you just feel stuck and unmotivated? You are certainly not alone and there are ways to help overcome your struggles.
Life has brought you here and I believe it is for a reason. Are you ready to start your journey towards healing? I think you are! You have been suffering long enough. Whether you have been tormented by your anxiety, oppressed by your depression, lost in your addiction or felt unsafe from your trauma, I am here to help. Is anger or other uncomfortable emotions controlling your life? Maybe it's the deep pain from the sadness of losing someone you love? Do you want help to stop those racing thoughts? Or maybe you just feel stuck and unmotivated? You are certainly not alone and there are ways to help overcome your struggles.
(865) 217-2508 View (865) 217-2508
Photo of Wendy Pitts Reeves, Clinical Social Work/Therapist in Maryville, TN
Wendy Pitts Reeves
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Maryville, TN 37802
Hello! I'm glad you're here. I think it was John Lennon who said, "Life is what happens while we're making other plans." As a woman leader at mid-life, you may be coping with transitions that are harder than expected. A challenging career. A big move. Getting used to an empty nest or helping aging parents. Even managing success can be pretty tough - right? Sometimes, it gets to the best of us. We find ourselves overwhelmed, burned out or just a little lost. But know this: you can get help. You will find your footing again. And this is a good place to start.
Hello! I'm glad you're here. I think it was John Lennon who said, "Life is what happens while we're making other plans." As a woman leader at mid-life, you may be coping with transitions that are harder than expected. A challenging career. A big move. Getting used to an empty nest or helping aging parents. Even managing success can be pretty tough - right? Sometimes, it gets to the best of us. We find ourselves overwhelmed, burned out or just a little lost. But know this: you can get help. You will find your footing again. And this is a good place to start.
(865) 518-2692 View (865) 518-2692

How does your Therapist compare?

Number of Therapists in Maryville, TN

100+

Average cost per session

$125

Therapists in Maryville, TN who prioritize treating:

92% Anxiety
86% Depression
77% Relationship Issues
74% Self Esteem
73% Stress
71% Trauma and PTSD
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

77% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH
66% Aetna

How Therapists in Maryville, TN see their clients

93% In Person and Online
7% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Maryville?

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.