Therapists in Saint Louis, MO
Intuitive Movement Counseling, EMDR
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63110 (Online Only)
My name is Christine Sibilla, MA, LPC and I understand that self-care and the health of our minds is incredibly important, especially when it doesn't feel like there is a path forward. During moments of uncertainty, additional anxieties, fears, and doubts can be brought to light. Sometimes the skills we utilized are no longer enough, and we require additional help navigating our situation. Healing and understanding comes from within, by forming a connection to your body and your self.
My name is Christine Sibilla, MA, LPC and I understand that self-care and the health of our minds is incredibly important, especially when it doesn't feel like there is a path forward. During moments of uncertainty, additional anxieties, fears, and doubts can be brought to light. Sometimes the skills we utilized are no longer enough, and we require additional help navigating our situation. Healing and understanding comes from within, by forming a connection to your body and your self.
Helen McGlynn
Clinical Social Work/Therapist, PhD, MA, MEd, LCSW, LPC
Verified Verified
Saint Louis, MO 63117
2021, and the task of therapy is understanding the "mood" behind the mask that we all must wear. Isolated from friends, we struggle to work and manage family responsibilities within the walls of our home without the balance we would receive from our workplace, our gym, our clubs, or our church. Therapy is now online...but this format comes easily over a safe format allowing a relaxing and professional conversation in my online therapy office. You will be heard, and come away with strategies for managing your moods and recognizing possibilities in your current situation. You are not alone! Sign up for therapy help now!
2021, and the task of therapy is understanding the "mood" behind the mask that we all must wear. Isolated from friends, we struggle to work and manage family responsibilities within the walls of our home without the balance we would receive from our workplace, our gym, our clubs, or our church. Therapy is now online...but this format comes easily over a safe format allowing a relaxing and professional conversation in my online therapy office. You will be heard, and come away with strategies for managing your moods and recognizing possibilities in your current situation. You are not alone! Sign up for therapy help now!
Megan R Garza
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Louis, MO 63109 (Online Only)
Using evidence-based techniques, I will help you look for patterns in your thinking or actions that may be causing problems, often rooted in trauma. I will help you establish healthier relationships, develop better coping skills, set boundaries and aid your ability to connect to your body & emotions while learning to regulate them effectively. Using a warm, genuine and goal-focused approach, you can be assured that whatever issue you have come to therapy to address, I will work to gently, but firmly encourage you to help resolve it. I emphasize praise and rewards for achievements, relying on your strengths as motivators for change.
Using evidence-based techniques, I will help you look for patterns in your thinking or actions that may be causing problems, often rooted in trauma. I will help you establish healthier relationships, develop better coping skills, set boundaries and aid your ability to connect to your body & emotions while learning to regulate them effectively. Using a warm, genuine and goal-focused approach, you can be assured that whatever issue you have come to therapy to address, I will work to gently, but firmly encourage you to help resolve it. I emphasize praise and rewards for achievements, relying on your strengths as motivators for change.
Kathy Dobbs
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
1 Endorsed
Saint Louis, MO 63132
Not accepting new clients
Therapy is a tool that has the potential to help you better manage a range of issues. Maybe you find yourself feeling so sad or anxious that it's taking the fun out of your life. Maybe your best just never feels good enough. Or you’re feeling depressed, lonely or angry and using a substance to cope. Maybe you've experienced trauma or abuse and you're struggling to move beyond the anger and pain. Or maybe you just feel like you need to talk to someone. If any of these describes you, let’s talk. I understand that seeking a consultation can feel overwhelming but while therapy can be hard work, it can also be very rewarding!
Therapy is a tool that has the potential to help you better manage a range of issues. Maybe you find yourself feeling so sad or anxious that it's taking the fun out of your life. Maybe your best just never feels good enough. Or you’re feeling depressed, lonely or angry and using a substance to cope. Maybe you've experienced trauma or abuse and you're struggling to move beyond the anger and pain. Or maybe you just feel like you need to talk to someone. If any of these describes you, let’s talk. I understand that seeking a consultation can feel overwhelming but while therapy can be hard work, it can also be very rewarding!
Elizabeth Pope
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63127 (Online Only)
Hello! I’m Betsey. My work is focused on helping women who are Missouri residents via telehealth. I love working with neurodivergent women! (I’m an ADHDer myself). My goal is to help you gain tools and insight that could make life’s challenges more manageable. I do this by providing a supportive space and with a warm and direct style. I also use humor in my work (when appropriate) believing that laughter is good medicine.
Hello! I’m Betsey. My work is focused on helping women who are Missouri residents via telehealth. I love working with neurodivergent women! (I’m an ADHDer myself). My goal is to help you gain tools and insight that could make life’s challenges more manageable. I do this by providing a supportive space and with a warm and direct style. I also use humor in my work (when appropriate) believing that laughter is good medicine.
Joy and Hope Counseling Services, LLC
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63106
Having affordable access and resources to mental health services can be a great relief to both everyday stressors and life's trauma. Acknowledging and seeking help are the first steps to achieving life goals to feel better inside and out. We are proud that you are here, and we are ready to help you move forward. We will help you take the next steps in life to achieve your goals. We will help you through life challenges and help you to become more equipped to become your best self. We offer a safe a supportive environment.
Having affordable access and resources to mental health services can be a great relief to both everyday stressors and life's trauma. Acknowledging and seeking help are the first steps to achieving life goals to feel better inside and out. We are proud that you are here, and we are ready to help you move forward. We will help you take the next steps in life to achieve your goals. We will help you through life challenges and help you to become more equipped to become your best self. We offer a safe a supportive environment.
Erin Maloney
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Not accepting new clients
It is tough when you get stuck in a cycle of using unhealthy coping tools to make it through the day. It can feel challenging and scary to face what is there. You may feel lost and have forgotten or lost track of what you want from life. You may be looking for motivation, fulfillment, a way forward, and effective ways to get through life’s challenges. With all of the things you have to do, it can make it difficult to make you a priority. I would be honored to help you find your way forward. My overall approach is to help clients accept what they cannot control while working toward building a life that reflects their values.
It is tough when you get stuck in a cycle of using unhealthy coping tools to make it through the day. It can feel challenging and scary to face what is there. You may feel lost and have forgotten or lost track of what you want from life. You may be looking for motivation, fulfillment, a way forward, and effective ways to get through life’s challenges. With all of the things you have to do, it can make it difficult to make you a priority. I would be honored to help you find your way forward. My overall approach is to help clients accept what they cannot control while working toward building a life that reflects their values.
Eric Lindhorst M.S.W., L.C.S.W.
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63141
I offer appointments from 4:30 pm to 9:30 pm to work with your schedule. I work to find the strengths people have within themselves. Individuals, couples, and families who are struggling with a variety of issues, including Anger, Depression, and Anxiety. Clients who benefit from my services appreciate my delicate sense of humor while confronting complex issues. The use of humor can be an uplifting experience in treatment.
I offer appointments from 4:30 pm to 9:30 pm to work with your schedule. I work to find the strengths people have within themselves. Individuals, couples, and families who are struggling with a variety of issues, including Anger, Depression, and Anxiety. Clients who benefit from my services appreciate my delicate sense of humor while confronting complex issues. The use of humor can be an uplifting experience in treatment.
Macaela Gilson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63139
It’s so common to find ourselves feeling overwhelmed, self-critical, anxious, or lonely. When we do, it’s all the more common to want to avoid looking at what’s transpiring for us out of fear for what we might find. However, not looking tends to mean that we’re bound to misunderstand our experiences, and over time, adding more layers of distress, disconnection, and dissatisfaction — we are suffering and by refusing to look at our suffering, we suffer more. I can help! Together, we’ll create an honest, non-judgmental space in which you can begin to look inward, to listen to the deep strength and internal wisdom you already posses.
It’s so common to find ourselves feeling overwhelmed, self-critical, anxious, or lonely. When we do, it’s all the more common to want to avoid looking at what’s transpiring for us out of fear for what we might find. However, not looking tends to mean that we’re bound to misunderstand our experiences, and over time, adding more layers of distress, disconnection, and dissatisfaction — we are suffering and by refusing to look at our suffering, we suffer more. I can help! Together, we’ll create an honest, non-judgmental space in which you can begin to look inward, to listen to the deep strength and internal wisdom you already posses.
Maria Kuhn
Licensed Professional Counselor, MEd, LPC, RSAP
Verified Verified
Saint Louis, MO 63105
I started to work in the Psychology field in 1989. I have experience in counseling many different clients from several different backgrounds. I provided personal counseling for employees, individual and group counseling for adolescents an adults. Currently, I provide Couples/Marriage Counseling and Individual Counseling for adults. I hold a BA in Psychology, and earned my Masters degree in Community Counseling from the University of Missouri-St.Louis.
I started to work in the Psychology field in 1989. I have experience in counseling many different clients from several different backgrounds. I provided personal counseling for employees, individual and group counseling for adolescents an adults. Currently, I provide Couples/Marriage Counseling and Individual Counseling for adults. I hold a BA in Psychology, and earned my Masters degree in Community Counseling from the University of Missouri-St.Louis.
Erin Schnurbusch
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63146 (Online Only)
Sometimes, you just need someone to talk to. Not your mom, not your hairstylist, and even your friends might not want to be your therapist. I have the degree, license, and training to be a therapist, sure, but where I excel is in forming a relationship with YOU so I'm someone you look forward to chatting with on a regular basis. I am not a fan of anything stuffy or inauthentic, and connecting with clients and seeing real, positive change is my favorite part of the job. So whether it's anxiety, depression, or issues surrounding life changes like career decisions or having kids (or so many more things!), I'm your girl. Let's connect!
Sometimes, you just need someone to talk to. Not your mom, not your hairstylist, and even your friends might not want to be your therapist. I have the degree, license, and training to be a therapist, sure, but where I excel is in forming a relationship with YOU so I'm someone you look forward to chatting with on a regular basis. I am not a fan of anything stuffy or inauthentic, and connecting with clients and seeing real, positive change is my favorite part of the job. So whether it's anxiety, depression, or issues surrounding life changes like career decisions or having kids (or so many more things!), I'm your girl. Let's connect!
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Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63118
Many of us get to a point in life where we realize that we cannot keep doing what we've always done. We are tired, discouraged, and unsure of how things could ever change. Maybe you've been fighting addictive behavior, or perhaps you are feeling weighed down by relentless depression/anxiety? Maybe you and your spouse are constantly arguing and wonder if things could ever get back to the way they used to be? You have tried and hoped for things to be different, but they just aren't...
Many of us get to a point in life where we realize that we cannot keep doing what we've always done. We are tired, discouraged, and unsure of how things could ever change. Maybe you've been fighting addictive behavior, or perhaps you are feeling weighed down by relentless depression/anxiety? Maybe you and your spouse are constantly arguing and wonder if things could ever get back to the way they used to be? You have tried and hoped for things to be different, but they just aren't...
Jennifer Wainscott
Licensed Professional Counselor, MA, LPC
Verified Verified
6 Endorsed
Saint Louis, MO 63117
Not accepting new clients
Everyone has a story, and every story is complex. Maybe you feel exhausted, stuck, alone, or anxious. Maybe you've hit another difficult patch and you're uncertain of where to turn. Maybe your relationships feel harder than they used to, or perhaps you're tired of experiencing chronic shame. The good news is that life doesn't have to be this way forever; real change is possible. Your struggles and your pain are real, and I want you to know that my office is a safe place where we can explore healing together. I work with teens, adults, and couples, and I have received advanced training in EFT (Emotion Focused Therapy).
Everyone has a story, and every story is complex. Maybe you feel exhausted, stuck, alone, or anxious. Maybe you've hit another difficult patch and you're uncertain of where to turn. Maybe your relationships feel harder than they used to, or perhaps you're tired of experiencing chronic shame. The good news is that life doesn't have to be this way forever; real change is possible. Your struggles and your pain are real, and I want you to know that my office is a safe place where we can explore healing together. I work with teens, adults, and couples, and I have received advanced training in EFT (Emotion Focused Therapy).
Brittany Bagy
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Saint Louis, MO 63127
There's this lingering sense of negativity, self-doubt, and not being good enough. Stress is accumulating and the demands you're facing are outweighing your resources. Your drive to reach goals, connect with others, and enjoy life is declining. You notice that same cycle of perfectionism, anxiety, and shame repeating itself, causing you to feel trapped, overwhelmed, and powerless. It's not just affecting your mind. It's also taking a toll on your body and your relationships. Avoid the burnout. Make a choice to make a change.
There's this lingering sense of negativity, self-doubt, and not being good enough. Stress is accumulating and the demands you're facing are outweighing your resources. Your drive to reach goals, connect with others, and enjoy life is declining. You notice that same cycle of perfectionism, anxiety, and shame repeating itself, causing you to feel trapped, overwhelmed, and powerless. It's not just affecting your mind. It's also taking a toll on your body and your relationships. Avoid the burnout. Make a choice to make a change.
Transforming Lives Counseling Service, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63177 (Online Only)
At some point in life we all encounter a challenge, struggle or obstacle that may cause us to stumble or fall short of our dreams or expectations. We have a difficult time discerning the next step we should take and are confused by the many different opinions and influences of others. It is in these times that help from a professional counselor may be in order to aid in getting back or getting to the life we deserve. My name is Roshanda Neal and I am passionate about helping you to become victorious as you strive towards living your best life.
At some point in life we all encounter a challenge, struggle or obstacle that may cause us to stumble or fall short of our dreams or expectations. We have a difficult time discerning the next step we should take and are confused by the many different opinions and influences of others. It is in these times that help from a professional counselor may be in order to aid in getting back or getting to the life we deserve. My name is Roshanda Neal and I am passionate about helping you to become victorious as you strive towards living your best life.
Cheryl M Thompson
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63108
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
Finan Counseling Solutions, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63146
Are you stressed by mental health, substance use issues or someone else's concerning behavior? If you’re reading this, you may be feeling frustrated, worried, in need of strategies for handling stress and coping, emotional reactivity, relational conflicts. Has something distressing happened that you need to talk about? You can thrive with increased self-focus, more flexible thinking, compassionate self-care. I work with adults affected by mental health &/or substance use issues, codependency, trauma, grief/loss, mood and anxiety disorders, self-limiting habits, life change and transitions.
Are you stressed by mental health, substance use issues or someone else's concerning behavior? If you’re reading this, you may be feeling frustrated, worried, in need of strategies for handling stress and coping, emotional reactivity, relational conflicts. Has something distressing happened that you need to talk about? You can thrive with increased self-focus, more flexible thinking, compassionate self-care. I work with adults affected by mental health &/or substance use issues, codependency, trauma, grief/loss, mood and anxiety disorders, self-limiting habits, life change and transitions.
Linda S Pevnick
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63146 (Online Only)
Are you feeling like your best self? Baffled about what the problem is? Are you sleeping ok? Are you having a troubled relationhips with a spouse or a family member? Do feelings of depression and anxiety keep you from being as happy as you would like to be. Do you need guidance to find a way to feel satisfied with your life? You don't have to struggle alone. I help individuals and couples to overcome the roadblocks that keep them stuck so that they can go on to live happier and more productive lives. I can help you learn what stands in your way of feeling better about your life and give you the tools you need to keep it that way!
Are you feeling like your best self? Baffled about what the problem is? Are you sleeping ok? Are you having a troubled relationhips with a spouse or a family member? Do feelings of depression and anxiety keep you from being as happy as you would like to be. Do you need guidance to find a way to feel satisfied with your life? You don't have to struggle alone. I help individuals and couples to overcome the roadblocks that keep them stuck so that they can go on to live happier and more productive lives. I can help you learn what stands in your way of feeling better about your life and give you the tools you need to keep it that way!
Kathryn Stinson
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63143
You're living a different story. Maybe you always knew you would, because something about you has always been unusual. Maybe you planned to travel a well known path, but something happened, and you can't just go back to the way things were. Maybe you're burned out because something that was working for a long time just doesn't work anymore. Maybe you feel anxiety or depression or trauma is holding you back. You want to talk to someone comfortable with unconventional terrain, someone who doesn't insist that returning to the paved road is the answer but joins with you in the difficult work of mapping out new territory together.
You're living a different story. Maybe you always knew you would, because something about you has always been unusual. Maybe you planned to travel a well known path, but something happened, and you can't just go back to the way things were. Maybe you're burned out because something that was working for a long time just doesn't work anymore. Maybe you feel anxiety or depression or trauma is holding you back. You want to talk to someone comfortable with unconventional terrain, someone who doesn't insist that returning to the paved road is the answer but joins with you in the difficult work of mapping out new territory together.
Hannah Campbell
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
Saint Louis, MO 63130
I'm glad you're here: you have taken a courageous and healing step by seeking support. I provide an integrative, resiliency-focused approach to therapy, pulling from your strengths and values to guide our work and help you regain a sense of mastery, meaning, and connection in your life. My perspective is that we are built to survive and often develop ways of relating which once helped us get by, but may no longer be helpful to a current situation. My goal is to form a safe connection to explore these factors that may contribute to ongoing difficulties, re-process experiences, and ultimately co-create your next chapter.
I'm glad you're here: you have taken a courageous and healing step by seeking support. I provide an integrative, resiliency-focused approach to therapy, pulling from your strengths and values to guide our work and help you regain a sense of mastery, meaning, and connection in your life. My perspective is that we are built to survive and often develop ways of relating which once helped us get by, but may no longer be helpful to a current situation. My goal is to form a safe connection to explore these factors that may contribute to ongoing difficulties, re-process experiences, and ultimately co-create your next chapter.
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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.