Therapists in Saint Charles, MO

Photo of Holly Nemec, Licensed Professional Counselor in Saint Charles, MO
Holly Nemec
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
1 Endorsed
Saint Charles, MO 63304
You're feeling like something is wrong. You're afraid this is what life is like now, your new normal. You don't recognize yourself. Maybe you don't know where or when things went left, maybe you do. Either way, you're angry and sad and confused. You're thinking it might be your fault.
You're feeling like something is wrong. You're afraid this is what life is like now, your new normal. You don't recognize yourself. Maybe you don't know where or when things went left, maybe you do. Either way, you're angry and sad and confused. You're thinking it might be your fault.
(636) 500-0836 View (636) 500-0836
Photo of Julia Bietsch, Licensed Professional Counselor in Saint Charles, MO
Julia Bietsch
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Can life just stop being a shit show? You work your butt off for a job that you constantly feel the "Sunday Scaries" over, you come home to a sink full of dishes and somehow twice as much laundry than what you saw the basket this morning, your mom made yet another comment about the way you choose to parent your kids, and you can’t even remember the last time you had a real, guilt-free night out. It's all starting to close in on you and you wish you could just run. It would be so easy to just run, wouldn't it?
Can life just stop being a shit show? You work your butt off for a job that you constantly feel the "Sunday Scaries" over, you come home to a sink full of dishes and somehow twice as much laundry than what you saw the basket this morning, your mom made yet another comment about the way you choose to parent your kids, and you can’t even remember the last time you had a real, guilt-free night out. It's all starting to close in on you and you wish you could just run. It would be so easy to just run, wouldn't it?
(636) 306-4502 View (636) 306-4502
Photo of Heather Nudelman, Pre-Licensed Professional in Saint Charles, MO
Heather Nudelman
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Saint Charles, MO 63301
Do you feel overwhelmed, anxious, or depressed? Do you feel like there is no one to talk to that would possibly understand your unique situation? I provide a judgement-free zone for clients to learn and try new skills, as well as processing things that they have been through. I genuinely enjoy seeing clients make progress and am there to encourage them through successes and hardships.
Do you feel overwhelmed, anxious, or depressed? Do you feel like there is no one to talk to that would possibly understand your unique situation? I provide a judgement-free zone for clients to learn and try new skills, as well as processing things that they have been through. I genuinely enjoy seeing clients make progress and am there to encourage them through successes and hardships.
(636) 339-4797 View (636) 339-4797
Photo of Sandra Italiano, Licensed Professional Counselor in Saint Charles, MO
Sandra Italiano
Licensed Professional Counselor, LPC, LMHC
Verified Verified
Saint Charles, MO 63301  (Online Only)
Life is not always easy. Even the strongest people amongst us need a little bit of help at times to work through the more challenging chapters of life. Everyone has battles to fight and hurdles to overcome at some point. Whatever you may be struggling with, you should know there is hope for a better tomorrow. It takes courage to take the first step toward a more fulfilling and happier life, and I am honored to work with you on your healing journey. Remember, we can do hard things.
Life is not always easy. Even the strongest people amongst us need a little bit of help at times to work through the more challenging chapters of life. Everyone has battles to fight and hurdles to overcome at some point. Whatever you may be struggling with, you should know there is hope for a better tomorrow. It takes courage to take the first step toward a more fulfilling and happier life, and I am honored to work with you on your healing journey. Remember, we can do hard things.
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Photo of Michelle Parker, Licensed Professional Counselor in Saint Charles, MO
Michelle Parker
Licensed Professional Counselor, MA, LPC, NBCCH
Verified Verified
4 Endorsed
Saint Charles, MO 63304  (Online Only)
You know those times when we feel lost inside ourselves, overwhelmed by our problems, and struggle to cope? If you are reading this, you may be considering therapy to get you closer to solving those problems. Whether your therapy goals are vague or well-defined, I can help you through this process of change. Together, we will formulate a plan, using the appropriate psychotherapeutic treatments, to achieve your personal goals. Because your time is important to you, we will begin creating this plan at your first visit!
You know those times when we feel lost inside ourselves, overwhelmed by our problems, and struggle to cope? If you are reading this, you may be considering therapy to get you closer to solving those problems. Whether your therapy goals are vague or well-defined, I can help you through this process of change. Together, we will formulate a plan, using the appropriate psychotherapeutic treatments, to achieve your personal goals. Because your time is important to you, we will begin creating this plan at your first visit!
(314) 485-4638 View (314) 485-4638
Photo of Tara Stevens, Licensed Professional Counselor in Saint Charles, MO
Tara Stevens
Licensed Professional Counselor, LPC, MA, MSc, CCTP
Verified Verified
1 Endorsed
Saint Charles, MO 63304
Is your heart always racing? Are you suffering from headaches, belly aches, tension in your back or neck? Do you lack patience with your kids, partner, colleagues, friends? Let's be real, life is hard. When we become overwhelmed with daily stressors, chronic stress, or trauma our body is impacted. Sometimes we need someone who isn't related to us and has no judgments to talk to. Maybe you are facing a big life change, maybe an event is constantly replaying in your mind, maybe the daily stressors are adding up. There is hope!
Is your heart always racing? Are you suffering from headaches, belly aches, tension in your back or neck? Do you lack patience with your kids, partner, colleagues, friends? Let's be real, life is hard. When we become overwhelmed with daily stressors, chronic stress, or trauma our body is impacted. Sometimes we need someone who isn't related to us and has no judgments to talk to. Maybe you are facing a big life change, maybe an event is constantly replaying in your mind, maybe the daily stressors are adding up. There is hope!
(636) 228-2253 View (636) 228-2253
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
Diane M Scott
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Change is possible and hope always exists. I create a therapeutic environment of acceptance with no judgement so that change and growth can occur. My ideal client will realize that something in their life is not working and they want to figure it out and make things better. They want to experience happiness, purpose and peace in their life. Taking that first step toward counseling is challenging but benefits will include increased self-esteem, better relationships, a clearer understanding of self, increased productivity and a greater ability to deal with stress.
Change is possible and hope always exists. I create a therapeutic environment of acceptance with no judgement so that change and growth can occur. My ideal client will realize that something in their life is not working and they want to figure it out and make things better. They want to experience happiness, purpose and peace in their life. Taking that first step toward counseling is challenging but benefits will include increased self-esteem, better relationships, a clearer understanding of self, increased productivity and a greater ability to deal with stress.
(636) 487-4831 View (636) 487-4831
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 Casey Mills, Licensed Professional Counselor in Saint Charles, MO
Casey Mills
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
Saint Charles, MO 63303
Welcome! I have a positive psychology approach that includes Cognitive Behavioral Therapy, Motivational Interviewing, Reality Therapy and Art Therapy to support making progress in one's life and meeting personal goals. I treat the whole person and I am a Certified Mental Health Integrative Medicine Provider (CMHIMP) specializing in nutrition, circadian rhythm, detoxification, and relaxation techniques. I am also trained in Divorce Mediation. Divorce mediation is a process in which divorcing spouses negotiate an acceptable divorce agreement with the help of a neutral third party: the mediator.
Welcome! I have a positive psychology approach that includes Cognitive Behavioral Therapy, Motivational Interviewing, Reality Therapy and Art Therapy to support making progress in one's life and meeting personal goals. I treat the whole person and I am a Certified Mental Health Integrative Medicine Provider (CMHIMP) specializing in nutrition, circadian rhythm, detoxification, and relaxation techniques. I am also trained in Divorce Mediation. Divorce mediation is a process in which divorcing spouses negotiate an acceptable divorce agreement with the help of a neutral third party: the mediator.
(636) 275-0648 View (636) 275-0648
Photo of Perry Dodge, Licensed Professional Counselor in Saint Charles, MO
Perry Dodge
Licensed Professional Counselor, MS, MA, LPC, CPC
Verified Verified
Saint Charles, MO 63303
Are you experiencing stress in your life? Do you want to improve your marriage or family relationships? Are you going through a major life transition? Individuals, couples and families that work with me often experience greater peace, energy, and joy in life and more harmony in their key relationships. My specialties include strengthening marriages, overcoming stress, men's challenges and Christian Counseling. My work has been featured on NBC KSDK NewsChannel 5's Today in St. Louis, Bott Radio Network and St. Louis Woman Magazine, and I am the author of the book The Married Man's Field Manual: 30 Rules of Engagement.
Are you experiencing stress in your life? Do you want to improve your marriage or family relationships? Are you going through a major life transition? Individuals, couples and families that work with me often experience greater peace, energy, and joy in life and more harmony in their key relationships. My specialties include strengthening marriages, overcoming stress, men's challenges and Christian Counseling. My work has been featured on NBC KSDK NewsChannel 5's Today in St. Louis, Bott Radio Network and St. Louis Woman Magazine, and I am the author of the book The Married Man's Field Manual: 30 Rules of Engagement.
(314) 596-2982 View (314) 596-2982
Photo of Maria Hawn, Pre-Licensed Professional in Saint Charles, MO
Maria Hawn
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Saint Charles, MO 63301
You are worthy of feeling fully alive. The dimensionality and uniqueness of your human experience are worthy of exploration. You are constantly changing and unfolding. In every transition, life invites you to explore more of who you are and what you need and want. This is a great opportunity to seek support. Together we will explore your inner and outer world allowing the wisdom from within to guide you. You have the Keys within you and my intention is to help you discover them.
You are worthy of feeling fully alive. The dimensionality and uniqueness of your human experience are worthy of exploration. You are constantly changing and unfolding. In every transition, life invites you to explore more of who you are and what you need and want. This is a great opportunity to seek support. Together we will explore your inner and outer world allowing the wisdom from within to guide you. You have the Keys within you and my intention is to help you discover them.
(636) 597-5224 View (636) 597-5224
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 Garland Counseling Services LLC , Licensed Professional Counselor in Saint Charles, MO
Garland Counseling Services LLC
Licensed Professional Counselor, MEd , LPC, NCC
Verified Verified
Saint Charles, MO 63303
Suffering is a part of life that even the most perfect lives must endure. So, how do we make the most of our pain and suffering? How do we get through these difficult times, without coming out empty handed? Let me help you navigate and understand the meaning behind your pain and suffering, even if you believe that there couldn't possibly be meaning. Alone, you are left questioning yourself, wandering through the dark. Together we can try to find the light and explore how to transform your pain into strength and wisdom.
Suffering is a part of life that even the most perfect lives must endure. So, how do we make the most of our pain and suffering? How do we get through these difficult times, without coming out empty handed? Let me help you navigate and understand the meaning behind your pain and suffering, even if you believe that there couldn't possibly be meaning. Alone, you are left questioning yourself, wandering through the dark. Together we can try to find the light and explore how to transform your pain into strength and wisdom.
(314) 722-6540 View (314) 722-6540
Photo of Sherine Chambers, Pre-Licensed Professional in Saint Charles, MO
Sherine Chambers
Pre-Licensed Professional, MA, NCC
Verified Verified
Saint Charles, MO 63303  (Online Only)
I'm so glad you took this first step. Are your nerves rattled? Do you struggle to handle what the world is throwing at you? I want my clients to feel less stressed or overwhelmed, and less "stuck." I am proactive in helping identify issues and work towards solutions to feeling more in control. I understand that at times you may feel sad, anxious, irritable or withdrawn. Maybe you are dealing with something in the past that you haven't spoken to anyone about. I want my clients to feel safe enough to share their thoughts, raw feelings and experiences without judgment or pressure to think or feel something different.
I'm so glad you took this first step. Are your nerves rattled? Do you struggle to handle what the world is throwing at you? I want my clients to feel less stressed or overwhelmed, and less "stuck." I am proactive in helping identify issues and work towards solutions to feeling more in control. I understand that at times you may feel sad, anxious, irritable or withdrawn. Maybe you are dealing with something in the past that you haven't spoken to anyone about. I want my clients to feel safe enough to share their thoughts, raw feelings and experiences without judgment or pressure to think or feel something different.
(314) 886-5798 View (314) 886-5798
Photo of Mikah Salonies, Licensed Professional Counselor in Saint Charles, MO
Mikah Salonies
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
It's a brave and admirable step you are taking to seek support through counseling. Hopefully your search for the ideal provider today can put you on the path to healing! I have over 20 years of experience assisting children, adolescents and adults overcome barriers to their happiness. As a Licensed Professional Counselor who also received a Certification in School Counseling, I excel in understanding ways that mental health and temporary life struggles can impact a person. I assist in navigating and eliminating the ripple effect they cause in the home, school and community.
It's a brave and admirable step you are taking to seek support through counseling. Hopefully your search for the ideal provider today can put you on the path to healing! I have over 20 years of experience assisting children, adolescents and adults overcome barriers to their happiness. As a Licensed Professional Counselor who also received a Certification in School Counseling, I excel in understanding ways that mental health and temporary life struggles can impact a person. I assist in navigating and eliminating the ripple effect they cause in the home, school and community.
(636) 251-5417 View (636) 251-5417
Photo of Julie A Atkinson, Licensed Professional Counselor in Saint Charles, MO
Julie A Atkinson
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Saint Charles, MO 63301
Therapy isn't just for those in crisis. It's a powerful experience for anyone looking to navigate life's ups and downs more effectively. Think of therapy as a personal investment in your mental health and overall growth. It's a chance to gain valuable insights, awareness and develop a deeper understanding of yourself. Plus, with the support of a trained professional, you don't have to face your challenges alone.
Therapy isn't just for those in crisis. It's a powerful experience for anyone looking to navigate life's ups and downs more effectively. Think of therapy as a personal investment in your mental health and overall growth. It's a chance to gain valuable insights, awareness and develop a deeper understanding of yourself. Plus, with the support of a trained professional, you don't have to face your challenges alone.
(314) 551-9252 View (314) 551-9252
St. Charles Comprehensive Counseling Svcs, LLC
Licensed Professional Counselor, MA, LPC, NBCC
Verified Verified
Saint Charles, MO 63303
I have had a successful 20 years working within the medical and mental health field. I focus on Solution Based Therapy customized to meet your needs! I use my genuine personality, ingenuity and warm sense of humor to build trusting, caring relationships with clients. My style is practical yet warm, emotionally-focused and engaging.
I have had a successful 20 years working within the medical and mental health field. I focus on Solution Based Therapy customized to meet your needs! I use my genuine personality, ingenuity and warm sense of humor to build trusting, caring relationships with clients. My style is practical yet warm, emotionally-focused and engaging.
(636) 395-6012 View (636) 395-6012
Photo of Michelle Maguire, Clinical Social Work/Therapist in Saint Charles, MO
Michelle Maguire
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Charles, MO 63301
My name is Michelle Maguire, I am a licensed clinical social worker in Missouri and Kansas. I believe trust, compassion and respect are essential for effective treatment. I will create a safe and non-judgmental space for healing and change. I studied at Kansas State University for my undergraduate degree in social work. I obtained my graduate degree in social work from the University of Missouri. I have been a practicing therapist since 2003. My clinical experience spans clients of all ages and backgrounds.
My name is Michelle Maguire, I am a licensed clinical social worker in Missouri and Kansas. I believe trust, compassion and respect are essential for effective treatment. I will create a safe and non-judgmental space for healing and change. I studied at Kansas State University for my undergraduate degree in social work. I obtained my graduate degree in social work from the University of Missouri. I have been a practicing therapist since 2003. My clinical experience spans clients of all ages and backgrounds.
(636) 242-6123 View (636) 242-6123
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

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
84% 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

79% UnitedHealthcare UHC | UBH
76% Aetna
75% Cigna and Evernorth

How Therapists in Saint Charles, MO see their clients

80% In Person and Online
20% 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.