Therapists in Madison, WI
Abby Luedtke
Counselor, MS, LPC
Verified Verified
1 Endorsed
Madison, WI 53705
Waitlist for new clients
Hello! I'm Abby. My counseling experience includes providing individual and group counseling for clients with depressive and/or anxious symptoms due to past trauma or current stressful situations and relationships. I enjoy working with individuals who seek ways to feel safe in their bodies and be empowered in their personal and professional relationships. My client focus includes adults and adolescents, LGTBQ+ identity related issues, mood disorders, substance use, developmental trauma, sexual trauma, polyamory, and kink relationships.
Hello! I'm Abby. My counseling experience includes providing individual and group counseling for clients with depressive and/or anxious symptoms due to past trauma or current stressful situations and relationships. I enjoy working with individuals who seek ways to feel safe in their bodies and be empowered in their personal and professional relationships. My client focus includes adults and adolescents, LGTBQ+ identity related issues, mood disorders, substance use, developmental trauma, sexual trauma, polyamory, and kink relationships.
Tim Fredrickson
Counselor, MS, MA, LPC-IT
Verified Verified
2 Endorsed
Madison, WI 53703
We don’t have to have something “wrong” with us to come to therapy; instead, we can explore ways for you to live a more fulfilling and meaningful life. Sometimes we just need space to show up as ourselves and have the support to explore some of life’s difficulties. I take time to understand your unique experiences, identities, and life context. I approach our relationship with an open and accepting mindset, understanding that your feeling of comfort and safety in the therapy room is essential to creating a trusting bond and healing atmosphere.
We don’t have to have something “wrong” with us to come to therapy; instead, we can explore ways for you to live a more fulfilling and meaningful life. Sometimes we just need space to show up as ourselves and have the support to explore some of life’s difficulties. I take time to understand your unique experiences, identities, and life context. I approach our relationship with an open and accepting mindset, understanding that your feeling of comfort and safety in the therapy room is essential to creating a trusting bond and healing atmosphere.
Kal Wogahn
Counselor, MA, LPC-IT
Verified Verified
4 Endorsed
Madison, WI 53704 (Online Only)
Do you feel overwhelmed by emotions or physical symptoms, such as hopelessness, pain, or panic? Does the thought of being present with your body feel uncomfortable or even scary? In my work, I help folks of all backgrounds find a sense of safety in their body after experiences of trauma, chronic pain, and body-based oppression (transphobia, anti-fat bias, ableism, racism, etc.). We’ll work together to understand and befriend your nervous system and build upon experiences of safety and connection to promote healing and emotional well-being.
Do you feel overwhelmed by emotions or physical symptoms, such as hopelessness, pain, or panic? Does the thought of being present with your body feel uncomfortable or even scary? In my work, I help folks of all backgrounds find a sense of safety in their body after experiences of trauma, chronic pain, and body-based oppression (transphobia, anti-fat bias, ableism, racism, etc.). We’ll work together to understand and befriend your nervous system and build upon experiences of safety and connection to promote healing and emotional well-being.
Ashley Cook
Licensed Professional Counselor, PhD, MS, LPC
Verified Verified
Madison, WI 53704
You are the expert on your life and your own experiences. Together, we will create space for you to heal. Although at times you may feel broken, you aren’t in need of fixing; you are navigating systems that are unsatisfactory, which can leave anyone feeling fragmented. Support is the driving factor for change, and I aim to support you through whatever changes present themselves on your path to feeling whole. My clients begin to feel a sense of wholeness that comes from accepting their thoughts and feelings as valid parts of a human experience. These moments of connection in therapy extend into relationships with others and yourself.
You are the expert on your life and your own experiences. Together, we will create space for you to heal. Although at times you may feel broken, you aren’t in need of fixing; you are navigating systems that are unsatisfactory, which can leave anyone feeling fragmented. Support is the driving factor for change, and I aim to support you through whatever changes present themselves on your path to feeling whole. My clients begin to feel a sense of wholeness that comes from accepting their thoughts and feelings as valid parts of a human experience. These moments of connection in therapy extend into relationships with others and yourself.
Mary P Moskoff
Clinical Social Work/Therapist, PhD, DMin, LCSW
Verified Verified
Madison, WI 53705
Mary works with individuals, couples and children with goal of building coping skills, emotional intelligence and self empowerment. Her specialties include, grief and trauma counseling, divorce adjustment for adults and children. She is a trained mediator and offers collaborative divorce services. She is trained in EMDR,DBT and offers clinical supervision to therapists. Her training in spiritual traditions, mindfulness and walking meditation brings high levels of empathy and insight to her clients. She has been practicing for many years and is able to offer tele health sessions as we'll as in person.
Mary works with individuals, couples and children with goal of building coping skills, emotional intelligence and self empowerment. Her specialties include, grief and trauma counseling, divorce adjustment for adults and children. She is a trained mediator and offers collaborative divorce services. She is trained in EMDR,DBT and offers clinical supervision to therapists. Her training in spiritual traditions, mindfulness and walking meditation brings high levels of empathy and insight to her clients. She has been practicing for many years and is able to offer tele health sessions as we'll as in person.
William Hutter
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Madison, WI 53703 (Online Only)
Not accepting new clients
I enjoy working with persons of all ages, on a variety of topics. My work includes individual, couples, consensual/ethical non-monogamous relationships and families. I am part of the queer community and work extensively with issues involving the LGBTQ+ community. Another area of interest in my work has been with perpetrators of sexual abuse/assault and persons struggling with sexual/sexuality and gender issues. I have lived abroad and enjoy working with persons from a variety of ethnic and cultural backgrounds now residing in the US.
I enjoy working with persons of all ages, on a variety of topics. My work includes individual, couples, consensual/ethical non-monogamous relationships and families. I am part of the queer community and work extensively with issues involving the LGBTQ+ community. Another area of interest in my work has been with perpetrators of sexual abuse/assault and persons struggling with sexual/sexuality and gender issues. I have lived abroad and enjoy working with persons from a variety of ethnic and cultural backgrounds now residing in the US.
Golshan Motamedi
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Madison, WI 53713
Not accepting new clients
Have you ever wished there was a road map to parenting? Are challenges around school becoming increasingly harder to manage for you & your child? Maybe family relationships are feeling unpredictable or explosive. Between social relationships, academic pressures, screen-time, social media and general global unrest, you may often find yourself thinking, “how do I continue to support my child through all of this?” As a team, we will work to answer this.
Have you ever wished there was a road map to parenting? Are challenges around school becoming increasingly harder to manage for you & your child? Maybe family relationships are feeling unpredictable or explosive. Between social relationships, academic pressures, screen-time, social media and general global unrest, you may often find yourself thinking, “how do I continue to support my child through all of this?” As a team, we will work to answer this.
Patti Bee
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Madison, WI 53704 (Online Only)
Patti Bee, LPC is a seasoned IFS Therapist with 10+ years of experience, using the Internal Family Systems Therapy Model. Patti works with adults who sense something unresolved from childhood. You may suspect something inside feels a bit damaged or broken and you are left feeling baffled on how to access that, what exactly it is. Or, you clearly know what it is but don't know how to repair it. Patti has specialized expertise to access those elusive places deep in the subconscious mind, & gently assists you in finding real results, that repair issues that other therapy could to seem to reach. Call Patti Today!
Patti Bee, LPC is a seasoned IFS Therapist with 10+ years of experience, using the Internal Family Systems Therapy Model. Patti works with adults who sense something unresolved from childhood. You may suspect something inside feels a bit damaged or broken and you are left feeling baffled on how to access that, what exactly it is. Or, you clearly know what it is but don't know how to repair it. Patti has specialized expertise to access those elusive places deep in the subconscious mind, & gently assists you in finding real results, that repair issues that other therapy could to seem to reach. Call Patti Today!
Shannon Adamczyk
Licensed Professional Counselor, LPC, CSAC
Verified Verified
2 Endorsed
Madison, WI 53719
Shannon is dually licensed to provide services for those struggling with mental health and/or substance use disorders and has been practicing in the field since 2013. Her areas of clinical specialization and experience include working with addictive behaviors/misuse; mood and anxiety disorders; personality disorders; trauma and PTSD; CODA/enmeshment struggles; life transitions; college/young adult struggles; and the athlete population. Far too often, our past trauma has trained us to mask our core selves. Shannon helps her clients to recognize, explore, and find compassion for these masks to connect with one's true self.
Shannon is dually licensed to provide services for those struggling with mental health and/or substance use disorders and has been practicing in the field since 2013. Her areas of clinical specialization and experience include working with addictive behaviors/misuse; mood and anxiety disorders; personality disorders; trauma and PTSD; CODA/enmeshment struggles; life transitions; college/young adult struggles; and the athlete population. Far too often, our past trauma has trained us to mask our core selves. Shannon helps her clients to recognize, explore, and find compassion for these masks to connect with one's true self.
Nora Burnham
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Madison, WI 53711
Are you overwhelmed and burned out? Do you feel disconnected from yourself, others, and the world? Are you trying to manage uncertainty, emotional discomfort, and distressing events all on your own? I work with adolescents and adults that are seeking support while they navigate difficult life transitions, healing from trauma, identity and gender exploration, anxiety, depression, and family conflict among other challenges. we can work together to identify patterns in your life that no longer serve you, build on your positive values, discover your existing skills, and learn new techniques to work through life’s challenges.
Are you overwhelmed and burned out? Do you feel disconnected from yourself, others, and the world? Are you trying to manage uncertainty, emotional discomfort, and distressing events all on your own? I work with adolescents and adults that are seeking support while they navigate difficult life transitions, healing from trauma, identity and gender exploration, anxiety, depression, and family conflict among other challenges. we can work together to identify patterns in your life that no longer serve you, build on your positive values, discover your existing skills, and learn new techniques to work through life’s challenges.
Elephant in the Room Counseling LLC w Kelsey Card
Marriage & Family Therapist, MS-LMFT
Verified Verified
Madison, WI 53705
Intimacy is often a difficult topic to talk about, but one that affects many individuals and relationships. My role is to help you bridge the gap between where you are and where you want to be. Together we will collaborate to create realistic, attainable goals and a therapy plan that is the best fit for you. Being a systemically trained therapist means that I look not only at who is sitting in front of me, but all of the things affecting you, and how those impact your experiences and interactions. I am also a Prepare and Enrich Certified Facilitator as well as have an Opioid Training Certificate. Evening appointments available.
Intimacy is often a difficult topic to talk about, but one that affects many individuals and relationships. My role is to help you bridge the gap between where you are and where you want to be. Together we will collaborate to create realistic, attainable goals and a therapy plan that is the best fit for you. Being a systemically trained therapist means that I look not only at who is sitting in front of me, but all of the things affecting you, and how those impact your experiences and interactions. I am also a Prepare and Enrich Certified Facilitator as well as have an Opioid Training Certificate. Evening appointments available.
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Vivian Tamkin
Psychologist, LP
Verified Verified
Madison, WI 53711
Vivian L. Tamkin, PhD is a licensed psychologist (CA and WI), who has been practicing child and family psychotherapy since 2002. Dr. Tamkin has a PhD in Counseling Psychology, with a minor in Child Clinical Psychology, from Southern Illinois University, Carbondale, and an MA degree in Marriage and Family Therapy from Pacific Oaks College and Children's School. Dr. Tamkin also has a BA degree in Child Development, with an emphasis in Child Mental Health from California State University, Northridge. Go Matadors! Dr. Tamkin's theoretical approach to clinical practice is rooted in a relational, life course lens.
Vivian L. Tamkin, PhD is a licensed psychologist (CA and WI), who has been practicing child and family psychotherapy since 2002. Dr. Tamkin has a PhD in Counseling Psychology, with a minor in Child Clinical Psychology, from Southern Illinois University, Carbondale, and an MA degree in Marriage and Family Therapy from Pacific Oaks College and Children's School. Dr. Tamkin also has a BA degree in Child Development, with an emphasis in Child Mental Health from California State University, Northridge. Go Matadors! Dr. Tamkin's theoretical approach to clinical practice is rooted in a relational, life course lens.
Sarah Byer
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Madison, WI 53719
Everyone is met with challenges at times, and life can throw us curveballs that are unpredictable and difficult to manage on our own. I work with individuals and couples dealing with anxiety, parenthood, life transitions, grief, long term illness, and relationship and family issues. Therapy is collaborative, and together we will build a safe and compassionate space to explore and learn more about yourself. If you've never been in therapy before, or haven't found the right person for you, I will work with you to make sure it feels like a good fit, and a place you feel comfortable sharing your truth.
Everyone is met with challenges at times, and life can throw us curveballs that are unpredictable and difficult to manage on our own. I work with individuals and couples dealing with anxiety, parenthood, life transitions, grief, long term illness, and relationship and family issues. Therapy is collaborative, and together we will build a safe and compassionate space to explore and learn more about yourself. If you've never been in therapy before, or haven't found the right person for you, I will work with you to make sure it feels like a good fit, and a place you feel comfortable sharing your truth.
Pauquette Center for Psychological Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Madison, WI 53704 (Online Only)
The Pauquette Center for Psychological Services is a group of experienced outpatient mental health clinicians who provide services for children, adolescents, adults, families, couples and groups in Wisconsin. We serve a wide variety of patients including individuals with high risk behaviors, adjustment difficulties, grief and loss, chronic mental health concerns, traumatic experiences, and behavioral difficulties.
The Pauquette Center for Psychological Services is a group of experienced outpatient mental health clinicians who provide services for children, adolescents, adults, families, couples and groups in Wisconsin. We serve a wide variety of patients including individuals with high risk behaviors, adjustment difficulties, grief and loss, chronic mental health concerns, traumatic experiences, and behavioral difficulties.
Alizah Qadri
Pre-Licensed Professional, BSW
Verified Verified
1 Endorsed
Madison, WI 53705
Alizah Qadri, a Clinical Intern at Roots Work Therapy, is pursuing her graduate degree at the University of Wisconsin-Madison’s Master of Social Work Advanced Standing Program with a focus on mental health. Alizah has the motivation and dedication to learn and implement clinical skills and experiences from past internships to her current role at Roots Work Therapy.
Alizah Qadri, a Clinical Intern at Roots Work Therapy, is pursuing her graduate degree at the University of Wisconsin-Madison’s Master of Social Work Advanced Standing Program with a focus on mental health. Alizah has the motivation and dedication to learn and implement clinical skills and experiences from past internships to her current role at Roots Work Therapy.
Vanessa Verran
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53718
Vanessa is a Masters Level licensed Marriage and Family Therapist. She earned her undergraduate degree from the University of Minnesota- Twin Cities and her Graduate Degree from Edgewood College. Vanessa provides services to adolescents, adults, couples, and families. She has worked with anxiety, mood disorders, personality disorders, trauma disorders, adjustment disorders, and relational disorders. Vanessa specifically enjoys working with couples and individuals diagnosed with bipolar disorder and/or borderline personality disorder.
Vanessa is a Masters Level licensed Marriage and Family Therapist. She earned her undergraduate degree from the University of Minnesota- Twin Cities and her Graduate Degree from Edgewood College. Vanessa provides services to adolescents, adults, couples, and families. She has worked with anxiety, mood disorders, personality disorders, trauma disorders, adjustment disorders, and relational disorders. Vanessa specifically enjoys working with couples and individuals diagnosed with bipolar disorder and/or borderline personality disorder.
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.
Devin J Coogan
Clinical Social Work/Therapist, LCSW, SAC-IT
Verified Verified
Madison, WI 53715
Not accepting new clients
Our minds condition the quality of every moment of our lives—therapy is uniquely suited to positively engaging with our minds. And of course, our minds are not just our minds; they are our bodies, our relationships, our cultures, our society, our work, our past, our future, our imagination, as well as our thoughts and feelings. Therapy can interface with all of these parts of us, and help us to integrate them, nourishing our life.
Our minds condition the quality of every moment of our lives—therapy is uniquely suited to positively engaging with our minds. And of course, our minds are not just our minds; they are our bodies, our relationships, our cultures, our society, our work, our past, our future, our imagination, as well as our thoughts and feelings. Therapy can interface with all of these parts of us, and help us to integrate them, nourishing our life.
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.
Elaina Meier
Licensed Professional Counselor, LPC, NCC
Verified Verified
Madison, WI 53719
I enjoy working with individuals who are interested in experiencing a change in their life. Perhaps you want to have greater insight and understanding or perhaps you want to make some really focused changes in your life; I would love to join you in that process and offer support in the journey. I also recognize that pretty much everyone right now is working hard to stay afloat so I am eager to offer a wide array of hours including evenings and weekends as well as telehealth services.
I enjoy working with individuals who are interested in experiencing a change in their life. Perhaps you want to have greater insight and understanding or perhaps you want to make some really focused changes in your life; I would love to join you in that process and offer support in the journey. I also recognize that pretty much everyone right now is working hard to stay afloat so I am eager to offer a wide array of hours including evenings and weekends as well as telehealth services.
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Nearby Searches for Madison
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 |
74% | 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
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.
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.
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.