Therapists in Saint Charles, MO

Photo of Jaime Nolle, Licensed Professional Counselor in Saint Charles, MO
Jaime Nolle
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63303
I have a passion for helping people find their way. I have been a therapist for over a decade, helped hundreds of individuals and their families, but I have a particular interest in supporting those that are in the "odyssey years". That period of searching and wandering that often starts in late adolescence and for many, lasts upwards of around a decade. Trying to figure out who you are and how that relates to or is impacted by your family, your friends, your job/career, and your life aspirations can be simultaneously exhilarating and overwhelming. You are in the driver's seat, I can just help you navigate the twists and turns.
I have a passion for helping people find their way. I have been a therapist for over a decade, helped hundreds of individuals and their families, but I have a particular interest in supporting those that are in the "odyssey years". That period of searching and wandering that often starts in late adolescence and for many, lasts upwards of around a decade. Trying to figure out who you are and how that relates to or is impacted by your family, your friends, your job/career, and your life aspirations can be simultaneously exhilarating and overwhelming. You are in the driver's seat, I can just help you navigate the twists and turns.
(636) 337-2845 View (636) 337-2845
Photo of Kate (Kruse) Schwenke, Licensed Professional Counselor in Saint Charles, MO
Kate (Kruse) Schwenke
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Do you desire healing? I believe we all possess the skills we need to live a happy, fulfilled life, but sometimes need assistance to change the patterns of thoughts and behaviors standing in our way. I will help you identify unhealthy patterns, and work with you to achieve a more well balanced, healthy life. My areas of focus are working with individuals who struggle with anxiety, depression, trauma, addictions women's issues and couples counseling. Relationships are hard! In my work with couples I focus on identifying challenges, strengths between the couple and building the lines of communication.
Do you desire healing? I believe we all possess the skills we need to live a happy, fulfilled life, but sometimes need assistance to change the patterns of thoughts and behaviors standing in our way. I will help you identify unhealthy patterns, and work with you to achieve a more well balanced, healthy life. My areas of focus are working with individuals who struggle with anxiety, depression, trauma, addictions women's issues and couples counseling. Relationships are hard! In my work with couples I focus on identifying challenges, strengths between the couple and building the lines of communication.
(636) 337-3224 View (636) 337-3224
Photo of Kristin Oparaji, Licensed Professional Counselor in Saint Charles, MO
Kristin Oparaji
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63304  (Online Only)
My ideal client is working through a tough time in their life, possibly trauma, anxiety, or life transitions. They want to find their inner strengths and learn/relearn what makes them happy in life. We can also process through life events, practice conversation strategies, learn the importance of positive self talk, explore new self care strategies, discuss what causes anxiety/depression, and much more!
My ideal client is working through a tough time in their life, possibly trauma, anxiety, or life transitions. They want to find their inner strengths and learn/relearn what makes them happy in life. We can also process through life events, practice conversation strategies, learn the importance of positive self talk, explore new self care strategies, discuss what causes anxiety/depression, and much more!
(636) 205-8047 View (636) 205-8047
Photo of Julie A Atkinson, Licensed Professional Counselor in Saint Charles, MO
Julie A Atkinson
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Saint Charles, MO 63301
Therapy isn't just for those in crisis. It's a powerful experience for anyone looking to navigate life's ups and downs more effectively. Think of therapy as a personal investment in your mental health and overall growth. It's a chance to gain valuable insights, awareness and develop a deeper understanding of yourself. Plus, with the support of a trained professional, you don't have to face your challenges alone.
Therapy isn't just for those in crisis. It's a powerful experience for anyone looking to navigate life's ups and downs more effectively. Think of therapy as a personal investment in your mental health and overall growth. It's a chance to gain valuable insights, awareness and develop a deeper understanding of yourself. Plus, with the support of a trained professional, you don't have to face your challenges alone.
(314) 551-9252 View (314) 551-9252
Photo of Lori Grelle, Pre-Licensed Professional in Saint Charles, MO
Lori Grelle
Pre-Licensed Professional, MA, CIT
Verified Verified
Saint Charles, MO 63301  (Online Only)
Are you feeling emotionally drained? Many life circumstances, including living with anxiety, depressed moods, self-esteem and confidence issues, or perhaps all of the above, can lead to feelings of overwhelm and exhaustion. You might feel like you can only do the bare minimum, or maybe you find you're self-isolating because even relationships with family, friends or colleagues may feel difficult. If you need help navigating through your feelings, thoughts or even dealing with what seems like complicated interactions with others, let me help you.
Are you feeling emotionally drained? Many life circumstances, including living with anxiety, depressed moods, self-esteem and confidence issues, or perhaps all of the above, can lead to feelings of overwhelm and exhaustion. You might feel like you can only do the bare minimum, or maybe you find you're self-isolating because even relationships with family, friends or colleagues may feel difficult. If you need help navigating through your feelings, thoughts or even dealing with what seems like complicated interactions with others, let me help you.
(636) 434-2014 View (636) 434-2014
Photo of Heather Nudelman, Pre-Licensed Professional in Saint Charles, MO
Heather Nudelman
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Saint Charles, MO 63301
Do you feel overwhelmed, anxious, or depressed? Do you feel like there is no one to talk to that would possibly understand your unique situation? I provide a judgement-free zone for clients to learn and try new skills, as well as processing things that they have been through. I genuinely enjoy seeing clients make progress and am there to encourage them through successes and hardships.
Do you feel overwhelmed, anxious, or depressed? Do you feel like there is no one to talk to that would possibly understand your unique situation? I provide a judgement-free zone for clients to learn and try new skills, as well as processing things that they have been through. I genuinely enjoy seeing clients make progress and am there to encourage them through successes and hardships.
(636) 339-4797 View (636) 339-4797
Photo of Mandy Hicks, Licensed Professional Counselor in Saint Charles, MO
Mandy Hicks
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63301
Does life just suck right now? If just one of your problems went away what would that feel like? Would it feel like you could breathe again, maybe all of your anxiety or sadness is gone, or perhaps you are FINALLY getting the help you need from your loved ones. Trying to figure all of this out by yourself can be overwhelming, throw a life event in there such as relationship issues, divorce, or a change in employment, and you can lose your sense of self. I won't let that happen.
Does life just suck right now? If just one of your problems went away what would that feel like? Would it feel like you could breathe again, maybe all of your anxiety or sadness is gone, or perhaps you are FINALLY getting the help you need from your loved ones. Trying to figure all of this out by yourself can be overwhelming, throw a life event in there such as relationship issues, divorce, or a change in employment, and you can lose your sense of self. I won't let that happen.
(314) 328-8278 View (314) 328-8278
Photo of Lia A Roth, Clinical Social Work/Therapist in Saint Charles, MO
Lia A Roth
Clinical Social Work/Therapist, PsyaD, LCSW, CRAADC
Verified Verified
Saint Charles, MO 63303
Hello, my name is Dr. Lia A. Roth. I was born in Argentina, and later moved to St. Louis, MO. I have experience working in multicultural environments. I have helped individuals and families overcome judgmental attitudes that can result in concerns about not being fit to fit in. Individuals that often feel isolated, confused, or ashamed. In addition to my psychotherapy practice, many times I have provided professional support during legal procedures regarding immigration, family, and injury.
Hello, my name is Dr. Lia A. Roth. I was born in Argentina, and later moved to St. Louis, MO. I have experience working in multicultural environments. I have helped individuals and families overcome judgmental attitudes that can result in concerns about not being fit to fit in. Individuals that often feel isolated, confused, or ashamed. In addition to my psychotherapy practice, many times I have provided professional support during legal procedures regarding immigration, family, and injury.
(636) 202-0850 View (636) 202-0850
Photo of Jamie Fitterer, Licensed Professional Counselor in Saint Charles, MO
Jamie Fitterer
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63303
I enjoy working with adults experiencing anxiety and phase of life issues/transitions. I help clients identify early life messages and behavior patterns that create self-doubt, anxiety, guilt, and shame, and work to create a safe place to process trauma. I'm passionate about empowering women and mothers to recognize their strengths and abilities while providing support and insight. I want to support my clients in their journey to grow in their confidence and understanding of themselves while developing skills that assist them in their daily lives, creating healthier relationships with themselves and others.
I enjoy working with adults experiencing anxiety and phase of life issues/transitions. I help clients identify early life messages and behavior patterns that create self-doubt, anxiety, guilt, and shame, and work to create a safe place to process trauma. I'm passionate about empowering women and mothers to recognize their strengths and abilities while providing support and insight. I want to support my clients in their journey to grow in their confidence and understanding of themselves while developing skills that assist them in their daily lives, creating healthier relationships with themselves and others.
(636) 339-4882 View (636) 339-4882
Photo of Perry Dodge, Licensed Professional Counselor in Saint Charles, MO
Perry Dodge
Licensed Professional Counselor, MS, MA, LPC, CPC
Verified Verified
Saint Charles, MO 63303
Are you experiencing stress in your life? Do you want to improve your marriage or family relationships? Are you going through a major life transition? Individuals, couples and families that work with me often experience greater peace, energy, and joy in life and more harmony in their key relationships. My specialties include strengthening marriages, overcoming stress, men's challenges and Christian Counseling. My work has been featured on NBC KSDK NewsChannel 5's Today in St. Louis, Bott Radio Network and St. Louis Woman Magazine, and I am the author of the book The Married Man's Field Manual: 30 Rules of Engagement.
Are you experiencing stress in your life? Do you want to improve your marriage or family relationships? Are you going through a major life transition? Individuals, couples and families that work with me often experience greater peace, energy, and joy in life and more harmony in their key relationships. My specialties include strengthening marriages, overcoming stress, men's challenges and Christian Counseling. My work has been featured on NBC KSDK NewsChannel 5's Today in St. Louis, Bott Radio Network and St. Louis Woman Magazine, and I am the author of the book The Married Man's Field Manual: 30 Rules of Engagement.
(314) 596-2982 View (314) 596-2982
Photo of Molly Hartigan, Counselor in Saint Charles, MO
Molly Hartigan
Counselor, MA, LPC, NCC
Verified Verified
Saint Charles, MO 63301
You might be navigating life transitions, struggling with a specific issue or seeking support in general right now. Together, we can work to achieve your goals. My approach is collaborative, LGBTQIA+ informed and affirming, client centered, and tailored to each person’s unique needs. I am a member of the World Professional Association for Transgender Health (WPATH) and the American Association of Suicidology, and have conducted numerous trainings related to LGBTQIA+ issues and suicide prevention.
You might be navigating life transitions, struggling with a specific issue or seeking support in general right now. Together, we can work to achieve your goals. My approach is collaborative, LGBTQIA+ informed and affirming, client centered, and tailored to each person’s unique needs. I am a member of the World Professional Association for Transgender Health (WPATH) and the American Association of Suicidology, and have conducted numerous trainings related to LGBTQIA+ issues and suicide prevention.
(314) 907-2840 View (314) 907-2840
Photo of Bianca Mehegan, Clinical Social Work/Therapist in Saint Charles, MO
Bianca Mehegan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Charles, MO 63301  (Online Only)
Are you a new parent? Or did you recently have a life transition such as new city, new job, new relationship? Do you struggle with managing your mood or anxiety during this life transition? Are you ready for a change in your day-to-day life? By partnering with me, as your therapist, we will focus on learning how to engage in healthy coping strategies during this vulnerable time, how to manage our mood throughout our new circumstances, and build healthy relationships with our support system. Through a strength-based approach, I will empower you to navigate these changes and have improved satisfaction in the circumstances of life.
Are you a new parent? Or did you recently have a life transition such as new city, new job, new relationship? Do you struggle with managing your mood or anxiety during this life transition? Are you ready for a change in your day-to-day life? By partnering with me, as your therapist, we will focus on learning how to engage in healthy coping strategies during this vulnerable time, how to manage our mood throughout our new circumstances, and build healthy relationships with our support system. Through a strength-based approach, I will empower you to navigate these changes and have improved satisfaction in the circumstances of life.
(636) 782-3437 View (636) 782-3437
Photo of Counseling and Mindfulness, LLC, Licensed Professional Counselor in Saint Charles, MO
Counseling and Mindfulness, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63303
Hello! My name is Courtney Mills. I have been a licensed professional counselor, in the state of Missouri, since 2011, as well as a school counselor since 2010. I have dedicated my career to supporting children in their journey toward social emotional growth and wellbeing. Educating children through a strength-based and mindful approach, I have worked with children through individual and group counseling support. Advocating for children's needs and helping them develop and grow into their own, self-confident individuals is the true passion and drive behind what I do every day.
Hello! My name is Courtney Mills. I have been a licensed professional counselor, in the state of Missouri, since 2011, as well as a school counselor since 2010. I have dedicated my career to supporting children in their journey toward social emotional growth and wellbeing. Educating children through a strength-based and mindful approach, I have worked with children through individual and group counseling support. Advocating for children's needs and helping them develop and grow into their own, self-confident individuals is the true passion and drive behind what I do every day.
(636) 428-2120 View (636) 428-2120
Photo of Maria Rupprecht, Pre-Licensed Professional in Saint Charles, MO
Maria Rupprecht
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
As a therapist, I look forward to walking with you through this journey to reach your healing and mental health goals. I currently work with children, adolescents and adults. I am trauma focused and recognize the importance of creating a safe space for my clients to process what they have experienced. Some of my focus areas include: emotional eating, eating disorders, trauma/PTSD, self-harm, substance abuse, depression, anxiety, panic disorders, family and relationship struggles, and infertility.
As a therapist, I look forward to walking with you through this journey to reach your healing and mental health goals. I currently work with children, adolescents and adults. I am trauma focused and recognize the importance of creating a safe space for my clients to process what they have experienced. Some of my focus areas include: emotional eating, eating disorders, trauma/PTSD, self-harm, substance abuse, depression, anxiety, panic disorders, family and relationship struggles, and infertility.
(636) 428-3055 View (636) 428-3055
Photo of Tim Beauparlant, Clinical Social Work/Therapist in Saint Charles, MO
Tim Beauparlant
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Charles, MO 63301
My client is likely in crisis, is in severe emotional pain or is facing a dilemma. This person is needing guidance, emotional support and a safe place to explore their struggles. My client wants to learn more about himself or herself and seeks to travel along their own journey and, along the way, discover his/her own strengths and inner resources. People learn more by discovering something themselves (internally) than by someone telling him what he or she should do (externally).
My client is likely in crisis, is in severe emotional pain or is facing a dilemma. This person is needing guidance, emotional support and a safe place to explore their struggles. My client wants to learn more about himself or herself and seeks to travel along their own journey and, along the way, discover his/her own strengths and inner resources. People learn more by discovering something themselves (internally) than by someone telling him what he or she should do (externally).
(636) 249-2499 View (636) 249-2499
Photo of Becky Coulson, Licensed Professional Counselor in Saint Charles, MO
Becky Coulson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Starting the search for a therapist is an act of bravery. As if life isn't tricky enough on its own, then we throw in anxiety, depression or trauma and it can feel even heavier. Self esteem struggles? Not sure what path to take? Feel like you just can't handle what life keeps throwing at you? I'm here for all of it. Are you a parent that needs strategies to help your child? I'm here to support you as well.
Starting the search for a therapist is an act of bravery. As if life isn't tricky enough on its own, then we throw in anxiety, depression or trauma and it can feel even heavier. Self esteem struggles? Not sure what path to take? Feel like you just can't handle what life keeps throwing at you? I'm here for all of it. Are you a parent that needs strategies to help your child? I'm here to support you as well.
(636) 202-1428 View (636) 202-1428
Photo of Garland Counseling Services LLC , Licensed Professional Counselor in Saint Charles, MO
Garland Counseling Services LLC
Licensed Professional Counselor, MEd , LPC, NCC
Verified Verified
Saint Charles, MO 63303
Suffering is a part of life that even the most perfect lives must endure. So, how do we make the most of our pain and suffering? How do we get through these difficult times, without coming out empty handed? Let me help you navigate and understand the meaning behind your pain and suffering, even if you believe that there couldn't possibly be meaning. Alone, you are left questioning yourself, wandering through the dark. Together we can try to find the light and explore how to transform your pain into strength and wisdom.
Suffering is a part of life that even the most perfect lives must endure. So, how do we make the most of our pain and suffering? How do we get through these difficult times, without coming out empty handed? Let me help you navigate and understand the meaning behind your pain and suffering, even if you believe that there couldn't possibly be meaning. Alone, you are left questioning yourself, wandering through the dark. Together we can try to find the light and explore how to transform your pain into strength and wisdom.
(314) 722-6540 View (314) 722-6540
Photo of Denise Stoesz, Licensed Professional Counselor in Saint Charles, MO
Denise Stoesz
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63304
I have dedicated my practice to work compassionately and collabratively with you in a non-judgemental environment to meet your needs. Reaching out for support can often times feel overhwelming, however everyone deserves the chance to explore underlying struggles that may be impacting daily living, contentment, and happiness.
I have dedicated my practice to work compassionately and collabratively with you in a non-judgemental environment to meet your needs. Reaching out for support can often times feel overhwelming, however everyone deserves the chance to explore underlying struggles that may be impacting daily living, contentment, and happiness.
(636) 779-4091 View (636) 779-4091
Photo of Diana Loewen, Licensed Professional Counselor in Saint Charles, MO
Diana Loewen
Licensed Professional Counselor, MA, LPC, CRAADC
Verified Verified
1 Endorsed
Saint Charles, MO 63304
Hi, I'm so glad you found your way here. If this is your first time reaching out for help, congratulations! You're making a bold statement to yourself that you're worth it! My primary goal as a therapist is to help facilitate healing and transformational growth in a caring and compassionate way. I have over 14 years of experience, specializing in addictions of all kinds, trauma, chronic pain/illness, autoimmune disease, infertility and anxiety. I utilize a holistic approach in counseling that includes conventional and non-conventional therapeutic methods such as CBT, biofeedback, mindfulness, EMDR and Audio-Visual Entrainment.
Hi, I'm so glad you found your way here. If this is your first time reaching out for help, congratulations! You're making a bold statement to yourself that you're worth it! My primary goal as a therapist is to help facilitate healing and transformational growth in a caring and compassionate way. I have over 14 years of experience, specializing in addictions of all kinds, trauma, chronic pain/illness, autoimmune disease, infertility and anxiety. I utilize a holistic approach in counseling that includes conventional and non-conventional therapeutic methods such as CBT, biofeedback, mindfulness, EMDR and Audio-Visual Entrainment.
(636) 306-4120 View (636) 306-4120
Photo of Lawonda Davis, Licensed Professional Counselor in Saint Charles, MO
Lawonda Davis
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Charles, MO 63301  (Online Only)
Hi, you have made the first step in finding peace! Are you looking to transition to your best self? Do you feel like your anxiety, depression or trauma (Little T or Big T) has made it hard for you to see the beauty in life? Do you struggle with low self-worth, questionable self-esteem? Do you continue to embrace relationships and choices that are not healthy and supporting of the life you really want? Do you struggle with setting boundaries and putting your life values first? I can help you release those old habits and learn how to uncover the peace that you deserve and crave in your life.
Hi, you have made the first step in finding peace! Are you looking to transition to your best self? Do you feel like your anxiety, depression or trauma (Little T or Big T) has made it hard for you to see the beauty in life? Do you struggle with low self-worth, questionable self-esteem? Do you continue to embrace relationships and choices that are not healthy and supporting of the life you really want? Do you struggle with setting boundaries and putting your life values first? I can help you release those old habits and learn how to uncover the peace that you deserve and crave in your life.
(636) 538-5168 View (636) 538-5168

See more therapy options for Saint Charles

How does your Therapist compare?

Number of Therapists in Saint Charles, MO

200+

Average cost per session

$120

Therapists in Saint Charles, MO who prioritize treating:

89% Anxiety
83% Depression
74% Relationship Issues
74% Self Esteem
69% Trauma and PTSD
69% Coping Skills
63% Grief

Average years in practice

11 Years

Top 3 insurances accepted

80% UnitedHealthcare UHC | UBH
76% Aetna
74% Cigna and Evernorth

How Therapists in Saint Charles, MO see their clients

79% In Person and Online
21% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Charles?

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.