Therapists in Saint Louis, MO
SkiWise Health & Wellness Services
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Louis, MO 63108
Alicia Buck - Hall is passionate about providing informed and practical guidance / recommendations for improving social-emotional outcomes for all experiencing behavioral health challenges. Functioning from a culturally relevant lens, the goal is to reduce the stigmas surrounding mental health that will lead to a more informed and relevant practice of addressing problematic concerns from a clinically informed perspective. Focus is placed on attending to social emotional needs while learning to build healthy supportive relationships, encouraging early intervention, being able to adapt, self-regulate, and develop resilience.
Alicia Buck - Hall is passionate about providing informed and practical guidance / recommendations for improving social-emotional outcomes for all experiencing behavioral health challenges. Functioning from a culturally relevant lens, the goal is to reduce the stigmas surrounding mental health that will lead to a more informed and relevant practice of addressing problematic concerns from a clinically informed perspective. Focus is placed on attending to social emotional needs while learning to build healthy supportive relationships, encouraging early intervention, being able to adapt, self-regulate, and develop resilience.
Katie L Arnold
Licensed Professional Counselor, MA, ATR, LPC
Verified Verified
3 Endorsed
Saint Louis, MO 63139
I have a diverse background in the evidence-based treatment of persons with trauma, eating disorders, co-occurring disorders, anxiety, mood disorders, LGBTQIA+ challenges and gender dysphoria. For clients with PTSD and other trauma, common goals include symptom reduction, coping, exploration and healing. With eating disorders, my practice is most appropriate for clients who have attended a higher level of care (e.g. Intensive Outpatient, Residential, PHP) and are looking to confront issues underlying the eating disorder. Clients seeking gender affirming care will find support with expression, transition, relationships and more.
I have a diverse background in the evidence-based treatment of persons with trauma, eating disorders, co-occurring disorders, anxiety, mood disorders, LGBTQIA+ challenges and gender dysphoria. For clients with PTSD and other trauma, common goals include symptom reduction, coping, exploration and healing. With eating disorders, my practice is most appropriate for clients who have attended a higher level of care (e.g. Intensive Outpatient, Residential, PHP) and are looking to confront issues underlying the eating disorder. Clients seeking gender affirming care will find support with expression, transition, relationships and more.
Jeanna Knight PhD
Licensed Professional Counselor, LMFT
Verified Verified
2 Endorsed
Saint Louis, MO 63146 (Online Only)
A medical diagnosis can be life altering. Do you want to be heard, understood, and supported as you try to make sense of this part of your life? Seeing an experienced and empathic therapist can provide a positive transformation that's refreshing and liberating!
A medical diagnosis can be life altering. Do you want to be heard, understood, and supported as you try to make sense of this part of your life? Seeing an experienced and empathic therapist can provide a positive transformation that's refreshing and liberating!
Kari Wilson
Licensed Professional Counselor, MA, LPC, CYT200
Verified Verified
1 Endorsed
Saint Louis, MO 63119
What I have found that brings people to therapy is a tension between two things, which is often an internal feeling and something that is happening in life. Sometimes this becomes so overwhelming that it feels as though we are drowning in decisions and feelings. Often it is our unconscious complexes and attachments that constellate this type of energy. I practice in-depth psychotherapy with a Jungian influence. This type of therapy is unstructured and long-term, which allows for space and flexibility for the healing process to occur.
What I have found that brings people to therapy is a tension between two things, which is often an internal feeling and something that is happening in life. Sometimes this becomes so overwhelming that it feels as though we are drowning in decisions and feelings. Often it is our unconscious complexes and attachments that constellate this type of energy. I practice in-depth psychotherapy with a Jungian influence. This type of therapy is unstructured and long-term, which allows for space and flexibility for the healing process to occur.
Evan Dir
LPC Intern
Verified Verified
Saint Louis, MO 63104
As a clinical social worker, I bring a strengths-based, empowerment-based, and relational focus into the therapy room. Utilizing a holistic approach that considers our past and present experiences, environments, relationships, cultural influences, beliefs, values, and identities, I work with clients to build a deeper understanding of themselves, their world, and their desires. This kind of understanding ultimately helps us make meaningful connections, reconnect with our inherent power, and take control of our lives.
As a clinical social worker, I bring a strengths-based, empowerment-based, and relational focus into the therapy room. Utilizing a holistic approach that considers our past and present experiences, environments, relationships, cultural influences, beliefs, values, and identities, I work with clients to build a deeper understanding of themselves, their world, and their desires. This kind of understanding ultimately helps us make meaningful connections, reconnect with our inherent power, and take control of our lives.
Michelle Salois
Clinical Social Work/Therapist, LCSW, RN, AAMFT
Verified Verified
3 Endorsed
Saint Louis, MO 63104
Not accepting new clients
Michelle enjoys working with Couples in distress, Individuals who are wanting to resolve problems expressing as depression, anxiety or problematic behaviors and Parent Guidance for children's problems within Family therapy. With past experience in Nursing and an undergraduate degree in Theology; Michelle approaches counseling with a broad understanding of what in a person's life and relationships might need a new kind of balance or understanding so that emotions can be healed, behaviors changed and relationships renewed. Michelle strives to combine a tender supportiveness with confident guidance to help people move actively towards their goals.
Michelle enjoys working with Couples in distress, Individuals who are wanting to resolve problems expressing as depression, anxiety or problematic behaviors and Parent Guidance for children's problems within Family therapy. With past experience in Nursing and an undergraduate degree in Theology; Michelle approaches counseling with a broad understanding of what in a person's life and relationships might need a new kind of balance or understanding so that emotions can be healed, behaviors changed and relationships renewed. Michelle strives to combine a tender supportiveness with confident guidance to help people move actively towards their goals.
Lisa Mottola Ernst
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63127
My goal is meet you in your struggle. Whether it’s grief, anxiety, loss, life transitions or relationship issues, we can work to navigate these difficult times together. The path can be windy often giving us unexpected challenges with little warning or preparation. Your thoughts, feelings, fears and hopes can be shared aloud in a safe space.
My goal is meet you in your struggle. Whether it’s grief, anxiety, loss, life transitions or relationship issues, we can work to navigate these difficult times together. The path can be windy often giving us unexpected challenges with little warning or preparation. Your thoughts, feelings, fears and hopes can be shared aloud in a safe space.
Understanding Minds Psychological Services
Psychologist
Verified Verified
Saint Louis, MO 63123
Understanding Minds provides trusted, confidential, and comprehensive mental health services. Our supportive team of providers take a proactive approach with assessment, collaborative treatment planning, progress review, and validated approaches to make progress achievable. Your needs are important to us, and we strive to offer the best possible experience in mental healthcare. This is why we have administrative staff available to assist you 5 days a week and we request feedback from you about your experience and fit with your provider.
Understanding Minds provides trusted, confidential, and comprehensive mental health services. Our supportive team of providers take a proactive approach with assessment, collaborative treatment planning, progress review, and validated approaches to make progress achievable. Your needs are important to us, and we strive to offer the best possible experience in mental healthcare. This is why we have administrative staff available to assist you 5 days a week and we request feedback from you about your experience and fit with your provider.
Creative Counseling 4 Kids and Teens
Clinical Social Work/Therapist, MSW, LCSW, RPT
Verified Verified
Saint Louis, MO 63144
I believe that every child has the right to feel loved, safe and heard. Working in the Counseling/ Social Work profession for 21 years, I have gained great insight in what helps children develop self-acceptance, self-awareness, self-regulation and many more essential qualities. As a Licensed Clinical Social Worker, I engage children in play and art therapy to assist them with having their voices heard.
I believe that every child has the right to feel loved, safe and heard. Working in the Counseling/ Social Work profession for 21 years, I have gained great insight in what helps children develop self-acceptance, self-awareness, self-regulation and many more essential qualities. As a Licensed Clinical Social Worker, I engage children in play and art therapy to assist them with having their voices heard.
Rosette M Signorelli
Clinical Social Work/Therapist, MSW, ACSW, LCSW, CGT
Verified Verified
Saint Louis, MO 63117
In Rosette Signorelli's private general practice, her mission is to compassionately collaborate with her client to attain peace of mind and heart, build self-confidence and self-esteem, discover core issues, and use gentle realignment processes to inspire a spiritual journey toward a passionate life.
In Rosette Signorelli's private general practice, her mission is to compassionately collaborate with her client to attain peace of mind and heart, build self-confidence and self-esteem, discover core issues, and use gentle realignment processes to inspire a spiritual journey toward a passionate life.
iHeal Wellness Therapy and Consulting, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63105
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
15 Second Videos
KEYte to Change EMDR, LLC
A R Therapy & Consulting LLC
Kimberly Vest
McKayla Kagie
Brittany N. Murphy
Garrett LCSW & Consulting, L.L.C.
Meghan Briestansky
Healing Exchange LLC
L. Charlie Janski-Ogunfidodo
Quantum Consulting Group LLC
Open Arms Wellness Therapy and Counseling
San Mueller
Debbie Pullin
Elizabeth Pope
Doris Wild Helmering
Conscious Momma Therapy
Aya B Kawasaki
Leah Polk
Amy Yeskie
Lori L Soli
Eric Gregory
Sam Hackett
Ellie Mental Health - Hampton Ave
Megan J Adamo
Melanie Maria Smith
Nicole Schwarz
Megan Barken
Chris Scarberry
Paige Elizabeth Schmittling
Krystal Schuette
Dustin B Adamo
Megan R Garza
Jessica Heitman
Raber Hamad
Dominique Begnaud
Emily Lombardo
William Arrington
Krissi Franzen
La Juana Walker McGill
Kathy V Guerra
Gianna R Shockley
Patricia M Bitter
Adrienne Skarin
Michelle Rubin
Carolyn Catchings
Greg Tissi
Kimberly Davis
Intentional Services, LLC
Rachell Nord-Roseau
Beth Koritz
Alongside Counseling, Incorporated
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63146
I am president of Alongside Counseling, Inc., a Licensed Professional Counselor engaged in private practice. I have been licensed since 2008 and approved to supervise counselors since 2014 by the state of Missouri; certified by the National Board for Certified Counselors; trained in Eye Movement Desensitization Reprocessing therapy [EMDR], Emotional Freedom Technique and/or Energy Therapy [EFT] and Dialectical Behavior Therapy [DBT]. I earned Masters of Arts degrees from both Lindenwood University and Covenant Theological Seminary.
I am president of Alongside Counseling, Inc., a Licensed Professional Counselor engaged in private practice. I have been licensed since 2008 and approved to supervise counselors since 2014 by the state of Missouri; certified by the National Board for Certified Counselors; trained in Eye Movement Desensitization Reprocessing therapy [EMDR], Emotional Freedom Technique and/or Energy Therapy [EFT] and Dialectical Behavior Therapy [DBT]. I earned Masters of Arts degrees from both Lindenwood University and Covenant Theological Seminary.
Nicholas Maio-Aether
MAMFT, MSPSY, LBA, CSC, BCBA
Verified Verified
Saint Louis, MO 63139 (Online Only)
Utilizing systemic principles and effective methodology, I work with clients of all backgrounds, sexualities, genders, and relationship dynamics. Clients come to me to work on sexual and/or sociosexual concerns, including low desire, infidelity, lack of partnership skills, poor impulsivity control, coming out, inner shame, exploring new dynamics and/or kinks, and also for vaginal pain and erectile dysfunction.
Utilizing systemic principles and effective methodology, I work with clients of all backgrounds, sexualities, genders, and relationship dynamics. Clients come to me to work on sexual and/or sociosexual concerns, including low desire, infidelity, lack of partnership skills, poor impulsivity control, coming out, inner shame, exploring new dynamics and/or kinks, and also for vaginal pain and erectile dysfunction.
Daeton DeGrant
Licensed Professional Counselor, MA, MS, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63103 (Online Only)
The journey to wellness starts with the choice to hope that there is the possibility for tomorrow to be a better day. Our mission is to assist others in finding hope on their journey to wellness by providing practical solution focused options, including therapy, psychological assessment, life coaching, education, information, professional development trainings and more.
The journey to wellness starts with the choice to hope that there is the possibility for tomorrow to be a better day. Our mission is to assist others in finding hope on their journey to wellness by providing practical solution focused options, including therapy, psychological assessment, life coaching, education, information, professional development trainings and more.
Brooke Hogrefe
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63123 (Online Only)
Not accepting new clients
Hey! Welcome. You don’t have to do this alone, and were never meant to. I believe connection, authenticity, and vulnerability lead to deep healing. My approach is direct, relatable, and compassionate. It is a joy for me to create a warm, safe, environment for you to show up exactly as you are. We might be a good match if you: want a stronger sense of identity; struggle with people pleasing or connecting with your true wants and needs; are tired of navigating the scary, oppressive life experiences without support; feel burdened by painful past experiences; want to strengthen your intuition; or make peace with food and your body.
Hey! Welcome. You don’t have to do this alone, and were never meant to. I believe connection, authenticity, and vulnerability lead to deep healing. My approach is direct, relatable, and compassionate. It is a joy for me to create a warm, safe, environment for you to show up exactly as you are. We might be a good match if you: want a stronger sense of identity; struggle with people pleasing or connecting with your true wants and needs; are tired of navigating the scary, oppressive life experiences without support; feel burdened by painful past experiences; want to strengthen your intuition; or make peace with food and your body.
KEYte to Change EMDR, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63118
Have you experienced trauma in your life and seem to struggle with the same situations over and over, not knowing how to stop the vicious cycle. Are your emotions problematic, do you repeat unhealthy behaviors, relationships, have an onslaught of negative thoughts and no matter how successful you have become, you feel like a fake, insecure and if people really knew? How many times have you promised that you will stop, alcohol, drugs and really mean it, want it, yet once again fall short. As a veteran, were you in combat, was your military experience depleting, anxiety provoking and your life never the same? What keeps you stuck?
Have you experienced trauma in your life and seem to struggle with the same situations over and over, not knowing how to stop the vicious cycle. Are your emotions problematic, do you repeat unhealthy behaviors, relationships, have an onslaught of negative thoughts and no matter how successful you have become, you feel like a fake, insecure and if people really knew? How many times have you promised that you will stop, alcohol, drugs and really mean it, want it, yet once again fall short. As a veteran, were you in combat, was your military experience depleting, anxiety provoking and your life never the same? What keeps you stuck?
A R Therapy & Consulting LLC
Licensed Professional Counselor, MA, LPC, CAMS-I, NCC
Verified Verified
Saint Louis, MO 63132 (Online Only)
Are you broken and hurt inside? On the outside, everything looks fine. You look like you have it all together, and your life looks great to others. But on the inside, you feel overwhelmed, stressed, anxious and depressed. Are past traumas interfering with your life now? Maybe you struggle with setting boundaries, which often leaves you feeling depleted and unloved. Maybe you're questioning some of the choices you have made and need a space to figure out how to put your life back in order because, right now, everything feels out of control. Is the anxiety keeping you up at night? Is the depression starting to take you down?
Are you broken and hurt inside? On the outside, everything looks fine. You look like you have it all together, and your life looks great to others. But on the inside, you feel overwhelmed, stressed, anxious and depressed. Are past traumas interfering with your life now? Maybe you struggle with setting boundaries, which often leaves you feeling depleted and unloved. Maybe you're questioning some of the choices you have made and need a space to figure out how to put your life back in order because, right now, everything feels out of control. Is the anxiety keeping you up at night? Is the depression starting to take you down?
Kate MacLeod
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63127
Hello! I specialize in working with adults that are struggling with self-esteem, anxiety, depression, or other issues that are causing stress in their lives. My treatment approach is a mix of learning coping strategies to manage current issues (CBT), along with discussing childhood, family relationships, and past experiences that impact how we see ourselves, others, and the world today. The way we communicate, behave, and deal with emotions are developed over time and through a variety of experiences, good and bad. Being able to recognize these patterns and where they come from can help us create more positive and long term change.
Hello! I specialize in working with adults that are struggling with self-esteem, anxiety, depression, or other issues that are causing stress in their lives. My treatment approach is a mix of learning coping strategies to manage current issues (CBT), along with discussing childhood, family relationships, and past experiences that impact how we see ourselves, others, and the world today. The way we communicate, behave, and deal with emotions are developed over time and through a variety of experiences, good and bad. Being able to recognize these patterns and where they come from can help us create more positive and long term change.
SFC Cares, LLC - Renee McLaurine, LCSW
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Saint Louis, MO 63118 (Online Only)
Embarking on the path to healing from trauma is a courageous and deeply personal journey. It requires individualized and compassionate support in a safe and confidential space that allows you to openly explore your emotions, thoughts, and concerns. Your journey is distinct, and together, we delve into the roots of trauma empowering you to process and integrate these experiences in a way that fosters lasting healing. Through our collaborative work, you will be awakened to your unique gifts and strengths so that you may face and overcome your fears and begin pursuing the life you want.
Embarking on the path to healing from trauma is a courageous and deeply personal journey. It requires individualized and compassionate support in a safe and confidential space that allows you to openly explore your emotions, thoughts, and concerns. Your journey is distinct, and together, we delve into the roots of trauma empowering you to process and integrate these experiences in a way that fosters lasting healing. Through our collaborative work, you will be awakened to your unique gifts and strengths so that you may face and overcome your fears and begin pursuing the life you want.
Fawn Weber
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63127
Families can find themselves in high conflict, overwhelmed and discontent, having lost the joy of being together but not know why. Some families know why but don't know what to do about it! Some individuals can find themselves feeling unfulfilled, stuck and sad more days than not, while others may feel anxious, worried and self-critical most of the time. Many people have all of this going on at once! If you are looking to improve the communication and calm in your family, or to shut down the self-critical thoughts to feel more confident, I can help.
Families can find themselves in high conflict, overwhelmed and discontent, having lost the joy of being together but not know why. Some families know why but don't know what to do about it! Some individuals can find themselves feeling unfulfilled, stuck and sad more days than not, while others may feel anxious, worried and self-critical most of the time. Many people have all of this going on at once! If you are looking to improve the communication and calm in your family, or to shut down the self-critical thoughts to feel more confident, I can help.
See more therapy options for Saint Louis
Nearby Searches for Saint Louis
- Affton
- Brentwood
- Clayton
- Jennings
- Ladue
- Maplewood
- Normandy
- Olivette
- Overland
- Richmond Heights
- University City
- Webster Groves
How does your Therapist compare?
Number of Therapists in Saint Louis, MO
1,000+
Average cost per session
$125
Therapists in Saint Louis, MO who prioritize treating:
91% | Anxiety |
86% | Depression |
77% | Relationship Issues |
74% | Self Esteem |
70% | Trauma and PTSD |
67% | Stress |
66% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
74% | UnitedHealthcare UHC | UBH |
71% | Aetna |
71% | Cigna and Evernorth |
How Therapists in Saint Louis, MO see their clients
75% | In Person and Online | |
25% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Saint Louis?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
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.