Therapists in Saint Charles, MO

Photo of Matthew Ricks, Pastoral Counselor in Saint Charles, MO
Matthew Ricks
Pastoral Counselor, MDiv
Verified Verified
Saint Charles, MO 63301
I know that people face a wide variety of issues: marital problems, anxiety, sexuality, body-image, and so much more. I work with people of any age. The people I help need a listening ear and a different perspective. They need someone who truly cares about them and will do whatever it takes to help them. I am a Christian pastor, but I am very open to all people regardless of their identifiers. No matter what your gender or sexuality is, you will be welcomed. So, please know that you do not have to be a person of faith before I can help you. I will do everything to make you feel welcomed and accepted. www.elijahsmountaincoaching.com
I know that people face a wide variety of issues: marital problems, anxiety, sexuality, body-image, and so much more. I work with people of any age. The people I help need a listening ear and a different perspective. They need someone who truly cares about them and will do whatever it takes to help them. I am a Christian pastor, but I am very open to all people regardless of their identifiers. No matter what your gender or sexuality is, you will be welcomed. So, please know that you do not have to be a person of faith before I can help you. I will do everything to make you feel welcomed and accepted. www.elijahsmountaincoaching.com
(636) 434-2432 View (636) 434-2432
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 Eileen Henry, Licensed Professional Counselor in Saint Charles, MO
Eileen Henry
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
We all seek to belong and to be accepted for who we are. When our experiences or relationships lead us to feel negative about ourselves or develop anxiety, we can lose hope. We can develop unhealthy coping strategies or ways of interacting with others that can be harmful to ourselves physically or emotionally. These can lead us to feeling out of control and present with conflicts in our relationships closest to us. I believe we can work together to find hope and create solutions. Let's work together to transform how you feel instead of living a life just coping with how you feel.
We all seek to belong and to be accepted for who we are. When our experiences or relationships lead us to feel negative about ourselves or develop anxiety, we can lose hope. We can develop unhealthy coping strategies or ways of interacting with others that can be harmful to ourselves physically or emotionally. These can lead us to feeling out of control and present with conflicts in our relationships closest to us. I believe we can work together to find hope and create solutions. Let's work together to transform how you feel instead of living a life just coping with how you feel.
(636) 306-5390 View (636) 306-5390
Photo of Cassandra Eubanks, Licensed Professional Counselor in Saint Charles, MO
Cassandra Eubanks
Licensed Professional Counselor, MS, LPC
Verified Verified
Saint Charles, MO 63303
Although starting counseling can be a difficult, I believe that walking into a counselor's office takes strength and courage. I work with adult clients 22 and older who have experienced ADHD, anxiety, depression, OCD, and substance abuse to grow in their confidence and understanding of themselves and I work with them to develop skills they can utilize to reach their therapy goals. Through our sessions, clients feel empowered, make choices aligned with their goals, and can create healthier relationships with themselves and others.
Although starting counseling can be a difficult, I believe that walking into a counselor's office takes strength and courage. I work with adult clients 22 and older who have experienced ADHD, anxiety, depression, OCD, and substance abuse to grow in their confidence and understanding of themselves and I work with them to develop skills they can utilize to reach their therapy goals. Through our sessions, clients feel empowered, make choices aligned with their goals, and can create healthier relationships with themselves and others.
(636) 707-1063 View (636) 707-1063
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 Gina Lanier, Licensed Professional Counselor in Saint Charles, MO
Gina Lanier
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63303  (Online Only)
“Running away from a problem only increases the distance from the solution.” Therapy is personal and unique and I believe your therapeutic journey should lead you to self-empowerment and positive changes in your life. My intent is to support you in discovering what stops you from living the life you have always hoped for. My approach is depth-orientated and includes a blend of traditional therapy and creative ways of optimizing a healthier new sense of Self. I value the importance of creating a safe space that allows for a sense of peace, trust and comfort.
“Running away from a problem only increases the distance from the solution.” Therapy is personal and unique and I believe your therapeutic journey should lead you to self-empowerment and positive changes in your life. My intent is to support you in discovering what stops you from living the life you have always hoped for. My approach is depth-orientated and includes a blend of traditional therapy and creative ways of optimizing a healthier new sense of Self. I value the importance of creating a safe space that allows for a sense of peace, trust and comfort.
(636) 249-2519 View (636) 249-2519
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 Jonathan W Hunn, Licensed Professional Counselor in Saint Charles, MO
Jonathan W Hunn
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63301
When you think of a well-rounded individual, the first thing you may think about is someone who is happy with their life and rolls with whatever life brings them. More often than not these days life has had some pitfalls. There is no reason to be ashamed.
When you think of a well-rounded individual, the first thing you may think about is someone who is happy with their life and rolls with whatever life brings them. More often than not these days life has had some pitfalls. There is no reason to be ashamed.
(636) 238-2279 View (636) 238-2279
Photo of Michelle Robb, Licensed Professional Counselor in Saint Charles, MO
Michelle Robb
Licensed Professional Counselor, LPC, CAGCS, APLB
Verified Verified
2 Endorsed
Saint Charles, MO 63301  (Online Only)
As a woman living with a life long birth defect, Spina Bifida, I have personal experience and a unique perspective on how disability can impact anxiety issues. I work with women to let them know they are not alone in their stress and anxiety, regardless of their circumstances. I also understand how debilitating grief can be and helping others in an area where there seems to be too little support and attention, the loss of our animal companion/family members, has become a passion of mine. I believe that everyone has a story and my goal is to make every woman who comes to me feel heard, validated, safe, and respected.
As a woman living with a life long birth defect, Spina Bifida, I have personal experience and a unique perspective on how disability can impact anxiety issues. I work with women to let them know they are not alone in their stress and anxiety, regardless of their circumstances. I also understand how debilitating grief can be and helping others in an area where there seems to be too little support and attention, the loss of our animal companion/family members, has become a passion of mine. I believe that everyone has a story and my goal is to make every woman who comes to me feel heard, validated, safe, and respected.
(636) 202-0837 View (636) 202-0837
Photo of Darcie Brady, Clinical Social Work/Therapist in Saint Charles, MO
Darcie Brady
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Charles, MO 63303
It’s ok to need time to figure things out-that’s what life is all about. I love working with teens as they grow and become their own unique, independent selves. I have dedicated my career to work with adolescents both in my role in public education and in private practice as a social worker.
It’s ok to need time to figure things out-that’s what life is all about. I love working with teens as they grow and become their own unique, independent selves. I have dedicated my career to work with adolescents both in my role in public education and in private practice as a social worker.
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Photo of Courtney Michelle Baker, Licensed Professional Counselor in Saint Charles, MO
Courtney Michelle Baker
Licensed Professional Counselor, PhD, LPC
Verified Verified
4 Endorsed
Saint Charles, MO 63303
I specialize in couples, working with those experiencing conflict, conflict-avoidance, infidelity/trust issues, communication problems, parenting/co-parenting struggles, and or when one or both partners experience depression, anxiety, or trauma. Relationships are the most important things in our lives, and when we get disconnected, everything in life can feel so much harder. I also see individuals who are struggling with self-worth issues, excessive worry, past history of trauma. Therapy can do a world of good, especially when life has been painful. I am dedicated to the therapy process, and help clients find hope and relief.
I specialize in couples, working with those experiencing conflict, conflict-avoidance, infidelity/trust issues, communication problems, parenting/co-parenting struggles, and or when one or both partners experience depression, anxiety, or trauma. Relationships are the most important things in our lives, and when we get disconnected, everything in life can feel so much harder. I also see individuals who are struggling with self-worth issues, excessive worry, past history of trauma. Therapy can do a world of good, especially when life has been painful. I am dedicated to the therapy process, and help clients find hope and relief.
(636) 442-0231 View (636) 442-0231
Photo of Linda M. Murphy, Licensed Professional Counselor in Saint Charles, MO
Linda M. Murphy
Licensed Professional Counselor, LPC, MEd, NBCC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Young people experience profound physical and psychological changes. These transitions bring about a sense of uniqueness and independence. Managing emotions during this time of discovery can be difficult, but developing knowledge and life skills can help struggling teens acquire the abilities to navigate and enjoy the adolescent years. Looking at situations through a different lens and perspective can build empathy, awareness and understanding. As embedded in my business name, Power of Perspective, the ability to see different perspectives can be life-changing and liberating by building a sense of control over one's emotions.
Young people experience profound physical and psychological changes. These transitions bring about a sense of uniqueness and independence. Managing emotions during this time of discovery can be difficult, but developing knowledge and life skills can help struggling teens acquire the abilities to navigate and enjoy the adolescent years. Looking at situations through a different lens and perspective can build empathy, awareness and understanding. As embedded in my business name, Power of Perspective, the ability to see different perspectives can be life-changing and liberating by building a sense of control over one's emotions.
(636) 389-4087 View (636) 389-4087
Photo of Kayla Burton, Licensed Professional Counselor in Saint Charles, MO
Kayla Burton
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
4 Endorsed
Saint Charles, MO 63303
Are you feeling overwhelmed, over worked or unable to focus? Struggling with healthy boundaries, self-esteem and making changes? Are you looking for someone to help guide you through this process of making wanted changes mentally and physically? I am a Licensed Professional Counselor and it would be my privilege to help assist you in the process.
Are you feeling overwhelmed, over worked or unable to focus? Struggling with healthy boundaries, self-esteem and making changes? Are you looking for someone to help guide you through this process of making wanted changes mentally and physically? I am a Licensed Professional Counselor and it would be my privilege to help assist you in the process.
(636) 238-2728 View (636) 238-2728
Photo of Shontavia Mason, Pre-Licensed Professional in Saint Charles, MO
Shontavia Mason
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
Saint Charles, MO 63301
I am passionate about providing services to those who want to take that step forward to begin their journey to healing. I support clients to reach their individual goals by helping identify thoughts, behaviors, and emotions that keep them in a never-ending cycle. I enjoy providing my clients with the space to feel comfortable and open while guiding them to set realistic goals that lead them on a healthier path.
I am passionate about providing services to those who want to take that step forward to begin their journey to healing. I support clients to reach their individual goals by helping identify thoughts, behaviors, and emotions that keep them in a never-ending cycle. I enjoy providing my clients with the space to feel comfortable and open while guiding them to set realistic goals that lead them on a healthier path.
(314) 470-9814 View (314) 470-9814
Photo of Jennie Wilson, Licensed Professional Counselor in Saint Charles, MO
Jennie Wilson
Licensed Professional Counselor, MA, LPC, NCC, RPT-S
Verified Verified
4 Endorsed
Saint Charles, MO 63303
Do you have concerns about your child's mental health or their behaviors? I can help! Are you unsure of where to start or how to help your child? I currently have immediate openings or space available in my 10 hour/week SPARK program (ages 5-10), virtual Safe & Sound Protocol (all ages) and in-person groups (pre-school, elementary, middle). I am also the founder of parenthub.net, which provides additional support for parents & caregivers.
Do you have concerns about your child's mental health or their behaviors? I can help! Are you unsure of where to start or how to help your child? I currently have immediate openings or space available in my 10 hour/week SPARK program (ages 5-10), virtual Safe & Sound Protocol (all ages) and in-person groups (pre-school, elementary, middle). I am also the founder of parenthub.net, which provides additional support for parents & caregivers.
(636) 275-1383 View (636) 275-1383
Photo of Amanda Evans, Licensed Professional Counselor in Saint Charles, MO
Amanda Evans
Licensed Professional Counselor, LPC-S, CCPD-D
Verified Verified
2 Endorsed
Saint Charles, MO 63301
I’m a Licensed Professional Counselor with 10+ years of experience providing support to individuals and their families in addressing their mental health and wellness. I seek to provide an empathetic, affirming and inclusive space for all that need help to work through the barriers in pursuing a life worth living. Often this can look like identifying and addressing “stuck points” that can impact our perception of self, others and the world and contribute to anxiety, feelings of sadness and struggles with self-worth as well as concerns with a sense of safety and security in an uncertain world.
I’m a Licensed Professional Counselor with 10+ years of experience providing support to individuals and their families in addressing their mental health and wellness. I seek to provide an empathetic, affirming and inclusive space for all that need help to work through the barriers in pursuing a life worth living. Often this can look like identifying and addressing “stuck points” that can impact our perception of self, others and the world and contribute to anxiety, feelings of sadness and struggles with self-worth as well as concerns with a sense of safety and security in an uncertain world.
(636) 435-2583 View (636) 435-2583
Photo of Jennifer Ostmann, Licensed Professional Counselor in Saint Charles, MO
Jennifer Ostmann
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Hello! My name is Jenn. I am happy you found me! I work with individuals with a wide variety of mental health and life stress concerns. I strive to help individuals manage their depression and anxiety through coping skills and challenging your inner critic. My passion lies with helping soon-to-be, new and seasoned parents manage the rollercoaster of emotions that comes with parenting. Working with me will help you to challenge those inner thoughts and incorporate mindfulness skills to identify what you’re feeling and how to process those feelings without judgment.
Hello! My name is Jenn. I am happy you found me! I work with individuals with a wide variety of mental health and life stress concerns. I strive to help individuals manage their depression and anxiety through coping skills and challenging your inner critic. My passion lies with helping soon-to-be, new and seasoned parents manage the rollercoaster of emotions that comes with parenting. Working with me will help you to challenge those inner thoughts and incorporate mindfulness skills to identify what you’re feeling and how to process those feelings without judgment.
(636) 228-2891 View (636) 228-2891
Photo of Sarah Morgan Runk, Licensed Professional Counselor in Saint Charles, MO
Sarah Morgan Runk
Licensed Professional Counselor, LPC, MA, MAR
Verified Verified
1 Endorsed
Saint Charles, MO 63301  (Online Only)
Do you feel overwhelmed or disconnected? Have you experienced a life-altering event? One which you would need to work through? Are you encountering symptoms of sensitivity or isolation? Life can be difficult for a number of reasons. Traumatic incidents can cause a spectrum of symptoms which inhibit every day functions, and relationships. It can be difficult to reach out under these circumstance, but there is hope. Trauma-focused counseling can assist with the safety and freedom you are seeking.
Do you feel overwhelmed or disconnected? Have you experienced a life-altering event? One which you would need to work through? Are you encountering symptoms of sensitivity or isolation? Life can be difficult for a number of reasons. Traumatic incidents can cause a spectrum of symptoms which inhibit every day functions, and relationships. It can be difficult to reach out under these circumstance, but there is hope. Trauma-focused counseling can assist with the safety and freedom you are seeking.
(636) 428-2995 View (636) 428-2995
Photo of Mary Kardasz, Marriage & Family Therapist in Saint Charles, MO
Mary Kardasz
Marriage & Family Therapist, PhD, LPC, LMFT
Verified Verified
Saint Charles, MO 63302
Hi. Thank you for taking a look at my counseling profile. I love counseling and have been practicing for 30 years. One of the things I've noticed new clients are concerned about is being able to express themselves without being judged, as well as if the experience will be awkward. In all my years of practicing, I've heard almost everything imaginable and judgment is not a part of how I work. Everything in my office is 100% confidential and safe. I know how to ask the right question and keep the conversation flowing.
Hi. Thank you for taking a look at my counseling profile. I love counseling and have been practicing for 30 years. One of the things I've noticed new clients are concerned about is being able to express themselves without being judged, as well as if the experience will be awkward. In all my years of practicing, I've heard almost everything imaginable and judgment is not a part of how I work. Everything in my office is 100% confidential and safe. I know how to ask the right question and keep the conversation flowing.
(636) 439-2451 View (636) 439-2451
Photo of Francelle Neal, Licensed Professional Counselor in Saint Charles, MO
Francelle Neal
Licensed Professional Counselor, MAC, LPC
Verified Verified
3 Endorsed
Saint Charles, MO 63303
Society Today is faced with multiple Life stressors ranging from Financial, Marital, Relational, issues with employment and or Life In General. Through Therapy, an Individualized Improvement Plan can be devised and implemented to assist individuals with coping and possibly overcoming the issues they are facing. Adolescents and Teens are complicated, and I am eager to assist. Teen groups are available as well as individualized treatment. Two people working together are always better than one. As a therapist I have learned the more input a client contributes to their therapeutic goals the better the outcomes and success possibility.
Society Today is faced with multiple Life stressors ranging from Financial, Marital, Relational, issues with employment and or Life In General. Through Therapy, an Individualized Improvement Plan can be devised and implemented to assist individuals with coping and possibly overcoming the issues they are facing. Adolescents and Teens are complicated, and I am eager to assist. Teen groups are available as well as individualized treatment. Two people working together are always better than one. As a therapist I have learned the more input a client contributes to their therapeutic goals the better the outcomes and success possibility.
(636) 923-4751 View (636) 923-4751

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
75% 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.