Therapists in Madison, WI

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Photo of Lexi Bonilla, Clinical Social Work/Therapist in Madison, WI
Lexi Bonilla
Clinical Social Work/Therapist, MSW, APSW
Verified Verified
Madison, WI 53705
Are you ready to embark on a journey of self-discovery & empowerment? It takes courage to confront the stories that have shaped our lives and rewrite them into narratives that uplift and inspire. If you find yourself trapped in a cycle of negative thoughts or behaviors, know that you're not alone. Taking the first step towards change is monumental, and it's a step you don't have to take alone. In therapy, we'll work together to unravel the patterns that hold you back and discover the strength within you. My approach is rooted in collaboration, drawing on your unique strengths while compassionately exploring the challenges you face.
Are you ready to embark on a journey of self-discovery & empowerment? It takes courage to confront the stories that have shaped our lives and rewrite them into narratives that uplift and inspire. If you find yourself trapped in a cycle of negative thoughts or behaviors, know that you're not alone. Taking the first step towards change is monumental, and it's a step you don't have to take alone. In therapy, we'll work together to unravel the patterns that hold you back and discover the strength within you. My approach is rooted in collaboration, drawing on your unique strengths while compassionately exploring the challenges you face.
(608) 420-5866 View (608) 420-5866
Photo of Megan Horvath, Pre-Licensed Professional in Madison, WI
Megan Horvath
Pre-Licensed Professional, BA
Verified Verified
Madison, WI 53703
Hello! My name is Megan. As a lesbian and AuDHD therapist at LP, providing queer-affirming and neurodivergent-affirming care is a priority to me. While we work together to help you process difficult situations and achieve your goals, I will do my part to ensure that our sessions are a safe and validating space for you to show up with all of your parts. My role is meeting you exactly where you’re at on your healing journey to support and empower you along the way.
Hello! My name is Megan. As a lesbian and AuDHD therapist at LP, providing queer-affirming and neurodivergent-affirming care is a priority to me. While we work together to help you process difficult situations and achieve your goals, I will do my part to ensure that our sessions are a safe and validating space for you to show up with all of your parts. My role is meeting you exactly where you’re at on your healing journey to support and empower you along the way.
(608) 465-4215 View (608) 465-4215
Photo of Richard Goldberg, Clinical Social Work/Therapist in Madison, WI
Richard Goldberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, WI 53711
Career shift to therapist after early entrepreneurial success to add another level of meaning to my life. Public radio and TV host along the way. Therapist for 40 years. Special interest in building skills to enrich relationships for individuals and couples. Interest in life transitions life meaning and men's issues.
Career shift to therapist after early entrepreneurial success to add another level of meaning to my life. Public radio and TV host along the way. Therapist for 40 years. Special interest in building skills to enrich relationships for individuals and couples. Interest in life transitions life meaning and men's issues.
(608) 407-7419 View (608) 407-7419
Photo of Carrie Klein- Therapy for OCD/Anxiety, Clinical Social Work/Therapist in Madison, WI
Carrie Klein- Therapy for OCD/Anxiety
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Madison, WI 53717
Do you wonder if your worries or behaviors are normal? Do you find yourself doing the same thing over and over again because it doesn't feel just right? Is anxiety interfering with your relationships, work, or school performance? If you would like to feel better by making some changes in your life, you are at the right place. Anxiety is treatable using researched-based therapy, techniques, and interventions. Equipped with a new set of skills and techniques learned in therapy, you will have the necessary strategies to cope with your anxious feelings, thoughts, and unhelpful behaviors.
Do you wonder if your worries or behaviors are normal? Do you find yourself doing the same thing over and over again because it doesn't feel just right? Is anxiety interfering with your relationships, work, or school performance? If you would like to feel better by making some changes in your life, you are at the right place. Anxiety is treatable using researched-based therapy, techniques, and interventions. Equipped with a new set of skills and techniques learned in therapy, you will have the necessary strategies to cope with your anxious feelings, thoughts, and unhelpful behaviors.
(608) 447-6219 View (608) 447-6219
Judith A. Cresson
Licensed Professional Counselor, MS, LPC, CSAC
Verified Verified
Madison, WI 53719
My goal as a therapist is not to tell a client what they need to do but instead to help them problem-solve their situation and come up with their own solution. I am then able to provide the client with the assistance, guidance and support necessary in order for them to achieve their self-designed successful outcome.
My goal as a therapist is not to tell a client what they need to do but instead to help them problem-solve their situation and come up with their own solution. I am then able to provide the client with the assistance, guidance and support necessary in order for them to achieve their self-designed successful outcome.
(608) 440-8137 View (608) 440-8137
Photo of Peace of Mind Therapy, Marriage & Family Therapist in Madison, WI
Peace of Mind Therapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
Madison, WI 53719
Waitlist for new clients
Welcome to my profile and Peace of Mind Therapy. Reaching out to a therapist can be a huge first step if you have never sought support before. Ultimately, therapy is about capturing one's strengths and helping to empower through personal growth and change.Clients seek my help because of divorce, family and relationship problems, significant loss and illness, trauma, personal choices, life transitions, depression, anxiety, and other problems. Finding peace of mind begins when you choose to start the journey. As your therapist, it will be my privilege to be your guide during this significant time in your life.
Welcome to my profile and Peace of Mind Therapy. Reaching out to a therapist can be a huge first step if you have never sought support before. Ultimately, therapy is about capturing one's strengths and helping to empower through personal growth and change.Clients seek my help because of divorce, family and relationship problems, significant loss and illness, trauma, personal choices, life transitions, depression, anxiety, and other problems. Finding peace of mind begins when you choose to start the journey. As your therapist, it will be my privilege to be your guide during this significant time in your life.
(608) 729-7828 View (608) 729-7828
Photo of Anastasia Coppola, Clinical Social Work/Therapist in Madison, WI
Anastasia Coppola
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, WI 53704
Waitlist for new clients
My approach centers on the mind-body connection. My goal is to facilitate deep healing with psychosomatic therapy. Through interpersonal and systemic traumas, unmet needs throughout life, and generally overwhelming situations, disconnection and an inability to cope can arise. Using approaches, like IFS and Brainspotting, we will work together to process emotions and distress and increase your ability to be present in your life. Through an attuned presence and your mindful awareness in therapy, you can engage in healing and connection to yourself and the world around you.
My approach centers on the mind-body connection. My goal is to facilitate deep healing with psychosomatic therapy. Through interpersonal and systemic traumas, unmet needs throughout life, and generally overwhelming situations, disconnection and an inability to cope can arise. Using approaches, like IFS and Brainspotting, we will work together to process emotions and distress and increase your ability to be present in your life. Through an attuned presence and your mindful awareness in therapy, you can engage in healing and connection to yourself and the world around you.
(608) 535-6532 View (608) 535-6532
Photo of Stacy L Killinger, Psychologist in Madison, WI
Stacy L Killinger
Psychologist, PhD
Verified Verified
Madison, WI 53719
I have been working in various capacities with clients for over 25 years. People often come to see me for concerns about depression, anxiety, relationships, career concerns, stress, identity or grief. I work with adults ages 18-60. In addition to mood disorders, anxiety, anger, and issues of adjustment, I often work with individuals who have experienced trauma or those who may have difficulty verbalizing their experiences.
I have been working in various capacities with clients for over 25 years. People often come to see me for concerns about depression, anxiety, relationships, career concerns, stress, identity or grief. I work with adults ages 18-60. In addition to mood disorders, anxiety, anger, and issues of adjustment, I often work with individuals who have experienced trauma or those who may have difficulty verbalizing their experiences.
(608) 602-8617 View (608) 602-8617
Photo of Sara Beth Austin, Counselor in Madison, WI
Sara Beth Austin
Counselor, MA, MA, NCC, DARTT, RYT
Verified Verified
2 Endorsed
Madison, WI 53705
Are your own high standards wearing you down? Tired of constantly striving, but unable to relax? Too much self-control, or overcontrol, makes it hard to enjoy life and connect meaningfully with others. It’s exhausting to feel like you’re always ‘on’, performing, or wearing a mask. Overcontrol can lead to problems like anxiety, depression, disordered eating, obsessive-compulsive behaviors, and intimacy avoidance. You don’t have to struggle alone–I’ve been a therapist working with LGBTQIA+, BIPOC, and other overcontrolled folks for over 10 years. Together, we can help you become more flexible, spontaneous, and authentic.
Are your own high standards wearing you down? Tired of constantly striving, but unable to relax? Too much self-control, or overcontrol, makes it hard to enjoy life and connect meaningfully with others. It’s exhausting to feel like you’re always ‘on’, performing, or wearing a mask. Overcontrol can lead to problems like anxiety, depression, disordered eating, obsessive-compulsive behaviors, and intimacy avoidance. You don’t have to struggle alone–I’ve been a therapist working with LGBTQIA+, BIPOC, and other overcontrolled folks for over 10 years. Together, we can help you become more flexible, spontaneous, and authentic.
(608) 564-5961 View (608) 564-5961
Photo of Rhonda Reinholtz, Psychologist in Madison, WI
Rhonda Reinholtz
Psychologist, PhD
Verified Verified
Madison, WI 53705
I focus on helping clients strengthen meaningful relationships, establish a sense of meaning and purpose, and foster connection in their lives. I help clients move forward using practical solutions while also developing an understanding of the underlying issues that contribute to their struggles. Coming to therapy gives you a place where someone will listen without judging you and offer new ways of thinking about yourself and your problems, and I welcome the opportunity to help you create the life you want to be living.
I focus on helping clients strengthen meaningful relationships, establish a sense of meaning and purpose, and foster connection in their lives. I help clients move forward using practical solutions while also developing an understanding of the underlying issues that contribute to their struggles. Coming to therapy gives you a place where someone will listen without judging you and offer new ways of thinking about yourself and your problems, and I welcome the opportunity to help you create the life you want to be living.
(608) 440-9976 View (608) 440-9976
Photo of Nathaniel Aymaar Willkomm, Licensed Professional Counselor in Madison, WI
Nathaniel Aymaar Willkomm
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Madison, WI 53713
Your teen doesn’t know what they want, and neither do you. At home, the conflicts seem constant—you’re always butting heads and they never seem happy, no matter what you do. You feel defeated. Teenagers are looking for a sense of belonging and it’s often hard for them to feel confident and explain their internal world to others when life is throwing so much at them. They need a space for someone to listen and validate their feelings, without fear of judgment. Understanding their behavior can be confusing and frustrating, but I’m here to tell you there is hope.
Your teen doesn’t know what they want, and neither do you. At home, the conflicts seem constant—you’re always butting heads and they never seem happy, no matter what you do. You feel defeated. Teenagers are looking for a sense of belonging and it’s often hard for them to feel confident and explain their internal world to others when life is throwing so much at them. They need a space for someone to listen and validate their feelings, without fear of judgment. Understanding their behavior can be confusing and frustrating, but I’m here to tell you there is hope.
(608) 496-9797 View (608) 496-9797
Photo of Shannon Juniper Neimeko, Licensed Professional Counselor in Madison, WI
Shannon Juniper Neimeko
Licensed Professional Counselor, MAAT, LPC
Verified Verified
Madison, WI 53703
Licensed in Minnesota & Wisconsin! ​Queer and Trans folx in distress deserve skilled clinicians who understand their lived experiences and identities. We are queer and trans clinicians who have expertise in supporting those recovering from trauma, management of anxious and depressive symptoms, exploration of ways to make relationships work for you, and finding joy in authenticity. I aspire to support you in building resilience, in crafting and owning your narratives in ways that honor your strengths and knowledge, and in partnering with you in the service of your therapeutic goals.
Licensed in Minnesota & Wisconsin! ​Queer and Trans folx in distress deserve skilled clinicians who understand their lived experiences and identities. We are queer and trans clinicians who have expertise in supporting those recovering from trauma, management of anxious and depressive symptoms, exploration of ways to make relationships work for you, and finding joy in authenticity. I aspire to support you in building resilience, in crafting and owning your narratives in ways that honor your strengths and knowledge, and in partnering with you in the service of your therapeutic goals.
(608) 765-5238 View (608) 765-5238
Photo of Andrea Vogel Counseling LLC, Licensed Professional Counselor in Madison, WI
Andrea Vogel Counseling LLC
Licensed Professional Counselor, PhD, MEd, LPC
Verified Verified
3 Endorsed
Madison, WI 53719
My clinical focus addresses the needs of people of all ages experiencing eating disorders, depression, anxiety and self harm/NSSI representing diverse cultural and socioeconomic backgrounds. I work in tandem with my clients toward an enhanced understanding of the ways in which our constructions of experience impact the way we think and feel and our subsequent actions and behaviors.
My clinical focus addresses the needs of people of all ages experiencing eating disorders, depression, anxiety and self harm/NSSI representing diverse cultural and socioeconomic backgrounds. I work in tandem with my clients toward an enhanced understanding of the ways in which our constructions of experience impact the way we think and feel and our subsequent actions and behaviors.
(608) 729-4072 View (608) 729-4072
Photo of Ginko Counseling Services, LLC, Counselor in Madison, WI
Ginko Counseling Services, LLC
Counselor, MA, LPC
Verified Verified
Madison, WI 53704
* You can be happy * loving and effective counseling for individuals (adults, youth & children), couples (pre-marital, new parent couples, partnership, marriage, divorce, separation and co-parenting) and families (house calls available). Call to set up a free phone consultation to see if we are a match to help you and/ or your loved ones on a healing path. Fear is the greatest obstacle to healing: fear of pain, fear of being alone, fear of the truth, fear of the mess change would require. The antidote to fear is courage.
* You can be happy * loving and effective counseling for individuals (adults, youth & children), couples (pre-marital, new parent couples, partnership, marriage, divorce, separation and co-parenting) and families (house calls available). Call to set up a free phone consultation to see if we are a match to help you and/ or your loved ones on a healing path. Fear is the greatest obstacle to healing: fear of pain, fear of being alone, fear of the truth, fear of the mess change would require. The antidote to fear is courage.
(608) 478-0334 View (608) 478-0334
Photo of Kiki Engle, Clinical Social Work/Therapist in Madison, WI
Kiki Engle
Clinical Social Work/Therapist, LCSW, LMSW-C, EXAT-IT
Verified Verified
Madison, WI 53703
Welcome! You deserve good things from life. To feel better when you're hurting. To turn mistakes into growth, not self-hate. To find people who accept you as you are. To become who you truly want to be. Sometimes these things may feel impossible. I'll help you find what you seek, whether it's your path, your people or your passion. I can also help you discover your unique strengths and turn them into superpowers.
Welcome! You deserve good things from life. To feel better when you're hurting. To turn mistakes into growth, not self-hate. To find people who accept you as you are. To become who you truly want to be. Sometimes these things may feel impossible. I'll help you find what you seek, whether it's your path, your people or your passion. I can also help you discover your unique strengths and turn them into superpowers.
(608) 602-3331 View (608) 602-3331
Photo of Deseree Nehrkorn, Licensed Professional Counselor in Madison, WI
Deseree Nehrkorn
Licensed Professional Counselor, LPC
Verified Verified
Madison, WI 53718
Deseree Nehrkorn is a Licensed Professional Counselor in WI. She received her Master's in Clinical Mental Health Counseling from Capella University and her Bachelor's in Clinical Psychology from the University of Wisconsin-Stevens Point. Deseree creates a safe, inclusive space free from judgment or shame to provide quality, strength based treatment. She effectively collaborates with clients to identify their specific goals to empower each person to live their best life.
Deseree Nehrkorn is a Licensed Professional Counselor in WI. She received her Master's in Clinical Mental Health Counseling from Capella University and her Bachelor's in Clinical Psychology from the University of Wisconsin-Stevens Point. Deseree creates a safe, inclusive space free from judgment or shame to provide quality, strength based treatment. She effectively collaborates with clients to identify their specific goals to empower each person to live their best life.
(608) 597-6335 View (608) 597-6335
Photo of Julia Cosgrove, Marriage & Family Therapist in Madison, WI
Julia Cosgrove
Marriage & Family Therapist, MS, LMFT
Verified Verified
Madison, WI 53704
If you feel like things could be better, you're probably right. Maybe you're struggling in your relationship — you keep having the same fight, and feel unheard and stuck. (Or you're not fighting, because you're more like roommates than romantic partners.) Or maybe you've always held it together pretty well, but you're finally realizing how anxiety, trauma, or that unkind inner critic has been subtly (and not so subtly) affecting you, keeping you from getting the most out of life. Whether it's been weeks, months, or years, you know don't want want to feel this way forever.
If you feel like things could be better, you're probably right. Maybe you're struggling in your relationship — you keep having the same fight, and feel unheard and stuck. (Or you're not fighting, because you're more like roommates than romantic partners.) Or maybe you've always held it together pretty well, but you're finally realizing how anxiety, trauma, or that unkind inner critic has been subtly (and not so subtly) affecting you, keeping you from getting the most out of life. Whether it's been weeks, months, or years, you know don't want want to feel this way forever.
(608) 305-8215 View (608) 305-8215
Photo of Abigail Heuring, Marriage & Family Therapist in Madison, WI
Abigail Heuring
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53713
Abigail Heuring is a Licensed Marriage and Family Therapist, who has been practicing since 2019. She graduated from Edgewood College with a degree in Marriage and Family Therapy. She believes in a collaborative approach and is drawn to helping people develop their own resources and learn to harness their own strengths and wisdom to effect change. Her main areas of focus include Systemic Therapy, Couples Work, Grief and Post-Partum Depression and Anxiety. In her spare time, Abby enjoys spending time with her friends and family, going on walks with her dog, and enjoying the outdoors.
Abigail Heuring is a Licensed Marriage and Family Therapist, who has been practicing since 2019. She graduated from Edgewood College with a degree in Marriage and Family Therapy. She believes in a collaborative approach and is drawn to helping people develop their own resources and learn to harness their own strengths and wisdom to effect change. Her main areas of focus include Systemic Therapy, Couples Work, Grief and Post-Partum Depression and Anxiety. In her spare time, Abby enjoys spending time with her friends and family, going on walks with her dog, and enjoying the outdoors.
(608) 602-2742 View (608) 602-2742
Photo of Margaret A Lambert, Clinical Social Work/Therapist in Madison, WI
Margaret A Lambert
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Madison, WI 53719
Margaret Lambert, MSW, LCSW, is a psychotherapist, teacher and author. She specializes in all areas of adult relationships. Her approach is eclectic in nature but has a strong foundation in Family Systems Theory, with a Cognitive-Behavioral and Mindfulness approach. Margaret has training and experience in a variety of areas including grief and loss, marital issues, divorce recovery, anxiety, depression, and self-esteem . She is currently teaching the following classes: Rebuilding When Your Relationship Ends, Dating Dementia: Keeping Your Brain in the Dating Game, Women's Self-Esteem & Relationships and Men's Self-Esteem and Relationships.
Margaret Lambert, MSW, LCSW, is a psychotherapist, teacher and author. She specializes in all areas of adult relationships. Her approach is eclectic in nature but has a strong foundation in Family Systems Theory, with a Cognitive-Behavioral and Mindfulness approach. Margaret has training and experience in a variety of areas including grief and loss, marital issues, divorce recovery, anxiety, depression, and self-esteem . She is currently teaching the following classes: Rebuilding When Your Relationship Ends, Dating Dementia: Keeping Your Brain in the Dating Game, Women's Self-Esteem & Relationships and Men's Self-Esteem and Relationships.
(608) 433-9346 x1 View (608) 433-9346 x1
Photo of Bethe Bonk, Licensed Professional Counselor in Madison, WI
Bethe Bonk
Licensed Professional Counselor, MA, LPC
Verified Verified
Madison, WI 53719
Waitlist for new clients
It can be hard to ask for help especially if you are struggling. I believe that no one succeeds in life without help from others. I am a person centered therapist; I am here to get to know you so we can work together to create a supportive healing environment. I will work to assess what you need and use the therapeutic tools and techniques that are the best fit for you so you get the best treatment possible.
It can be hard to ask for help especially if you are struggling. I believe that no one succeeds in life without help from others. I am a person centered therapist; I am here to get to know you so we can work together to create a supportive healing environment. I will work to assess what you need and use the therapeutic tools and techniques that are the best fit for you so you get the best treatment possible.
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How does your Therapist compare?

Number of Therapists in Madison, WI

700+

Average cost per session

$150

Therapists in Madison, WI who prioritize treating:

91% Anxiety
84% Depression
75% Relationship Issues
70% Trauma and PTSD
70% Self Esteem
65% Stress
65% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

53% Quartz
51% Other
50% BlueCross and BlueShield

How Therapists in Madison, WI see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Madison?

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.