Therapists in Aurora, CO

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Photo of Lauren McKay, Licensed Professional Counselor, MA, LPC
Lauren McKay
Licensed Professional Counselor, MA, LPC
3 Endorsed
Online Only
I am only able to offer short-term therapy at this time. Trauma, abuse, & grief can profoundly affect our ability to function in daily life. Each individual's experience is unique, & there may be moments when understanding the reasons behind certain emotions or reactions can be challenging & frustrating. Through counseling, we can explore the underlying causes of your confusion and frustration, utilizing evidence-based approaches, including my training in EMDR, IFS, TBRI, & the Gottman Method. Together, we can work to integrate the insights you gain into your everyday life, fostering lasting growth & healing.
I am only able to offer short-term therapy at this time. Trauma, abuse, & grief can profoundly affect our ability to function in daily life. Each individual's experience is unique, & there may be moments when understanding the reasons behind certain emotions or reactions can be challenging & frustrating. Through counseling, we can explore the underlying causes of your confusion and frustration, utilizing evidence-based approaches, including my training in EMDR, IFS, TBRI, & the Gottman Method. Together, we can work to integrate the insights you gain into your everyday life, fostering lasting growth & healing.
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Photo of Kellyn Joy Forsman, Clinical Social Work/Therapist, LCSW
Kellyn Joy Forsman
Clinical Social Work/Therapist, LCSW
Online Only
Hi! I’m Kellyn, a licensed clinical social worker (LCSW), and I want to work with you to navigate the challenges, stress and anxiety of everyday life, as well as the struggles of our society. I am here to listen and walk beside you on your journey to becoming the best version of yourself. I have experience working with people of all ages and backgrounds—from adolescents dealing with school and life challenges to older adults transitioning into retirement and increased care needs. No matter what you’re going I want to work alongside of you to accomplish your goals.
Hi! I’m Kellyn, a licensed clinical social worker (LCSW), and I want to work with you to navigate the challenges, stress and anxiety of everyday life, as well as the struggles of our society. I am here to listen and walk beside you on your journey to becoming the best version of yourself. I have experience working with people of all ages and backgrounds—from adolescents dealing with school and life challenges to older adults transitioning into retirement and increased care needs. No matter what you’re going I want to work alongside of you to accomplish your goals.
(720) 817-0682 View (720) 817-0682
Photo of Nicole Harrison, Marriage & Family Therapist, LMFT
Nicole Harrison
Marriage & Family Therapist, LMFT
Online Only
I am a Marriage and Family Therapist. As long as psychotherapy has existed, it has only recently encouraged therapists to include cultural components of diversity. Beyond taking a few classes, cultural diversity still has a long way to understanding the daily challenges of people of color and the historical context from which these challenges arise. I invite you to sit at my table in the presence of family that embraces you as you are, without conditions. If you have never experienced this, today is your day!
I am a Marriage and Family Therapist. As long as psychotherapy has existed, it has only recently encouraged therapists to include cultural components of diversity. Beyond taking a few classes, cultural diversity still has a long way to understanding the daily challenges of people of color and the historical context from which these challenges arise. I invite you to sit at my table in the presence of family that embraces you as you are, without conditions. If you have never experienced this, today is your day!
(720) 552-5561 View (720) 552-5561
Photo of Charlotte Barton Coombs, Clinical Social Work/Therapist, LCSW
Charlotte Barton Coombs
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker (LCSW) based in Indiana, and I work with clients statewide via telehealth.​ I specialize in helping individuals navigate anxiety, depression, and life transitions using evidence-based approaches like Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy (ACT).​My approach to therapy is client-centered and adaptable, ensuring that each session is tailored to meet your unique needs.
I am a Licensed Clinical Social Worker (LCSW) based in Indiana, and I work with clients statewide via telehealth.​ I specialize in helping individuals navigate anxiety, depression, and life transitions using evidence-based approaches like Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy (ACT).​My approach to therapy is client-centered and adaptable, ensuring that each session is tailored to meet your unique needs.
(720) 419-0302 View (720) 419-0302
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Aurora, CO 80014
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(720) 734-7281 View (720) 734-7281
Photo of Carissa Gilligan, Licensed Professional Counselor, MA, LPC, NCC
Carissa Gilligan
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Online Only
Are you feeling stuck, hopeless, tired? Like you’re just moving through the motions? Does it feel like even those closest to you don’t understand you? I am here to listen, understand, and walk with you on your journey. Whether it’s trauma, depression, anxiety, life transitions, anger, or just an overall loss of control, I can help you navigate life’s heaviness so you can get back to YOU. I have experience working with adolescents and adults that are suffering through a strength-based, eclectic approach to provide a safe space for healing.
Are you feeling stuck, hopeless, tired? Like you’re just moving through the motions? Does it feel like even those closest to you don’t understand you? I am here to listen, understand, and walk with you on your journey. Whether it’s trauma, depression, anxiety, life transitions, anger, or just an overall loss of control, I can help you navigate life’s heaviness so you can get back to YOU. I have experience working with adolescents and adults that are suffering through a strength-based, eclectic approach to provide a safe space for healing.
(720) 500-6803 View (720) 500-6803
Photo of Cindy Toyinbo, Clinical Social Work/Therapist, LCSW , MCAP
Cindy Toyinbo
Clinical Social Work/Therapist, LCSW , MCAP
Online Only
I’m Cindy! For more than a decade, I’ve had the privilege of working in the behavioral health field, walking alongside individuals navigating some of the most vulnerable and transformative moments of their lives. Over the years, I’ve witnessed the courage it takes to face internal struggles, the strength that emerges in unexpected places, and the deep relief that comes when someone finally feels understood. This work has taught me that healing isn’t just possible, it’s deeply human, a process shaped by connection, curiosity, and compassion. Each person I meet reminds me why I do this work, and I’m grateful each day to be part in it.
I’m Cindy! For more than a decade, I’ve had the privilege of working in the behavioral health field, walking alongside individuals navigating some of the most vulnerable and transformative moments of their lives. Over the years, I’ve witnessed the courage it takes to face internal struggles, the strength that emerges in unexpected places, and the deep relief that comes when someone finally feels understood. This work has taught me that healing isn’t just possible, it’s deeply human, a process shaped by connection, curiosity, and compassion. Each person I meet reminds me why I do this work, and I’m grateful each day to be part in it.
(720) 782-0109 View (720) 782-0109
Photo of Dulcie Austin, Clinical Social Work/Therapist, LCSW, LAC
Dulcie Austin
Clinical Social Work/Therapist, LCSW, LAC
Online Only
Have you ever felt like past trauma, negative experiences, addictions, or anxiety rule your life? Do you wish you could experience serenity, even through the hard times? You are not alone—and healing is possible. My approach is client-centered, trauma-informed, and collaborative. I see each person as whole—beyond their pain or struggles—and believe that genuine connection, curiosity, and compassion are the foundations of healing. Together, we’ll work to uncover the root causes of distress, heal from the past, and build emotional resilience for the future.
Have you ever felt like past trauma, negative experiences, addictions, or anxiety rule your life? Do you wish you could experience serenity, even through the hard times? You are not alone—and healing is possible. My approach is client-centered, trauma-informed, and collaborative. I see each person as whole—beyond their pain or struggles—and believe that genuine connection, curiosity, and compassion are the foundations of healing. Together, we’ll work to uncover the root causes of distress, heal from the past, and build emotional resilience for the future.
(720) 764-7874 View (720) 764-7874
Photo of Pam Cht Cac III Mills, CHT, CAC, III
Pam Cht Cac III Mills
Verified Verified
3 Endorsed
Aurora, CO 80014
I believe in working with clients collaboratively, utilizing their own internal strengths to solve personal problems and change unwanted behaviors and habits in order to achieve positive growth. I am dedicated to providing clients with a warmhearted, safe, and secure environment in an effort to accommodate the personal needs of each person.
I believe in working with clients collaboratively, utilizing their own internal strengths to solve personal problems and change unwanted behaviors and habits in order to achieve positive growth. I am dedicated to providing clients with a warmhearted, safe, and secure environment in an effort to accommodate the personal needs of each person.
(720) 759-3596 View (720) 759-3596
Photo of Mary Dengler-Frey, Counselor, LPC, NCC
Mary Dengler-Frey
Counselor, LPC, NCC
1 Endorsed
Aurora, CO 80017
Navigating life’s challenges can often feel like trying to find your way through a heavy fog. Whether you are dealing with the weight of anxiety, the complexities of trauma, or the stress of major life transitions, it is important to know you don't have to face these moments alone. I offer a warm and grounding space where your story is honored, helping you find the clarity and strength needed to move forward with renewed peace.
Navigating life’s challenges can often feel like trying to find your way through a heavy fog. Whether you are dealing with the weight of anxiety, the complexities of trauma, or the stress of major life transitions, it is important to know you don't have to face these moments alone. I offer a warm and grounding space where your story is honored, helping you find the clarity and strength needed to move forward with renewed peace.
(970) 459-5251 View (970) 459-5251
Photo of Liz Pierce, Counselor, MA, LAC, LPC
Liz Pierce
Counselor, MA, LAC, LPC
Aurora, CO 80014
If you are feeling overwhelmed and spinning in so many directions that you have trouble focusing on what to do next, let's team up and recreate a new direction. Perhaps something is just "off" but you cannot put your finger on it. Perhaps a new direction is wanted or hoped for; however, you are stuck.
If you are feeling overwhelmed and spinning in so many directions that you have trouble focusing on what to do next, let's team up and recreate a new direction. Perhaps something is just "off" but you cannot put your finger on it. Perhaps a new direction is wanted or hoped for; however, you are stuck.
(303) 590-3480 View (303) 590-3480
Photo of Amanda Z Lee, Licensed Professional Counselor Candidate, LPCC
Amanda Z Lee
Licensed Professional Counselor Candidate, LPCC
1 Endorsed
Aurora, CO 80014
The road can be long and hard. But you don’t have to do it alone. Whether that’s understanding yourself, why you do things, or just surviving life, having a person walking beside you can make that journey just that much easier. If you’re looking for a space to understand, to question, and to be, therapy can be that dedicated space. I am an inquisitive, gentle therapist here to look through life with you. I provide a place where you can feel seen, heard, and accepted.
The road can be long and hard. But you don’t have to do it alone. Whether that’s understanding yourself, why you do things, or just surviving life, having a person walking beside you can make that journey just that much easier. If you’re looking for a space to understand, to question, and to be, therapy can be that dedicated space. I am an inquisitive, gentle therapist here to look through life with you. I provide a place where you can feel seen, heard, and accepted.
(888) 708-7449 View (888) 708-7449
Photo of Stephanie Roman - Stephanie Roman Counseling & Clinical Supervision, Licensed Professional Counselor, LPC, ACS, NCC
Stephanie Roman Counseling & Clinical Supervision
Licensed Professional Counselor, LPC, ACS, NCC
Online Only
I am a Licensed Professional Counselor (LPC) and National Board Certified Counselor (NBCC) with over 20 years of experience supporting adolescents, young adults (ages 11–28), parents, caregivers, and families. For the past two decades, I have served as a therapist within a nonprofit, community-based organization, where I specialize in working with youth impacted by relationship violence. In addition to my clinical work, I owned and operated a group home for adolescent females in the foster care system for 15 years. This dual experience has provided me with a deep understanding of the unique needs and systemic challenges faced by yo
I am a Licensed Professional Counselor (LPC) and National Board Certified Counselor (NBCC) with over 20 years of experience supporting adolescents, young adults (ages 11–28), parents, caregivers, and families. For the past two decades, I have served as a therapist within a nonprofit, community-based organization, where I specialize in working with youth impacted by relationship violence. In addition to my clinical work, I owned and operated a group home for adolescent females in the foster care system for 15 years. This dual experience has provided me with a deep understanding of the unique needs and systemic challenges faced by yo
(720) 741-7454 View (720) 741-7454
Photo of Hannah Reasy, Licensed Professional Counselor Candidate, MA, LPCC
Hannah Reasy
Licensed Professional Counselor Candidate, MA, LPCC
Online Only
I want to meet you in your struggles. Each and every person, couple, and family deserves to live a more fulfilling and healthy life. The clients that have worked with me find I am focused on ensuring you are getting what you want out of the process, I am committed to collaborating with you towards your growth and best interest. My goal is to empower the client to assume responsibility for the things that are in their control. My experience thus far has been highlighted by openness to experience and curiosity to finding the best treatment for my clients. I strive to create an environment like this for each of my clients.
I want to meet you in your struggles. Each and every person, couple, and family deserves to live a more fulfilling and healthy life. The clients that have worked with me find I am focused on ensuring you are getting what you want out of the process, I am committed to collaborating with you towards your growth and best interest. My goal is to empower the client to assume responsibility for the things that are in their control. My experience thus far has been highlighted by openness to experience and curiosity to finding the best treatment for my clients. I strive to create an environment like this for each of my clients.
(720) 927-8701 View (720) 927-8701
Photo of Kyle Moreno, Licensed Professional Counselor Candidate, MEd, MA, LPCC
Kyle Moreno
Licensed Professional Counselor Candidate, MEd, MA, LPCC
2 Endorsed
Aurora, CO 80014
Have you ever felt your anger spiral out of control, leading to something hurtful that you later regretted saying or doing? Do you want to become more aware of why you are triggered and become more flexible in situations to manage your anger more effectively? If anger is running your life, now might be the time to seek out a therapist who can help you manage the overwhelming emotions that will help improve your relationships. I help stressed, anxious adults dealing with family problems or trauma to be aware of cues before anger starts building up. Anger Management Therapy to Find Your Calm. Trauma-informed anxiety therapist
Have you ever felt your anger spiral out of control, leading to something hurtful that you later regretted saying or doing? Do you want to become more aware of why you are triggered and become more flexible in situations to manage your anger more effectively? If anger is running your life, now might be the time to seek out a therapist who can help you manage the overwhelming emotions that will help improve your relationships. I help stressed, anxious adults dealing with family problems or trauma to be aware of cues before anger starts building up. Anger Management Therapy to Find Your Calm. Trauma-informed anxiety therapist
(720) 821-0488 View (720) 821-0488
Photo of Lorraine Latchman - Doc Rain, Psychologist Candidate, PsyD, PSYC, LPC, CAT, ADS
Doc Rain
Psychologist Candidate, PsyD, PSYC, LPC, CAT, ADS
1 Endorsed
Online Only
My practice is built on a simple, radical belief: that you are not broken, but in pain. My role is not to "fix" you, but to walk alongside you as we untangle the sources of that pain, often found not within you, but in the world around us.
My practice is built on a simple, radical belief: that you are not broken, but in pain. My role is not to "fix" you, but to walk alongside you as we untangle the sources of that pain, often found not within you, but in the world around us.
(720) 613-5983 x80012 View (720) 613-5983 x80012
Photo of Dr. Shawna Urbanski, Psychologist, PsyD
Dr. Shawna Urbanski
Psychologist, PsyD
2 Endorsed
Online Only
Struggling to feel empowered by where you've been, where you are, and where you're going? Seeking therapy can feel intimidating, but it’s one of the most powerful steps you can take toward healing and self-discovery. Many of us were taught to suppress our struggles, to “tough it out,” or feel shame about needing help. The truth is, asking for support is a sign of strength, not weakness. My role is to guide you in adapting to yourself —your thoughts, feelings, and the connection between your brain and body—so you can embrace your authentic self. Therapy isn't about fixing you; it's helping you reconnect with yourself.
Struggling to feel empowered by where you've been, where you are, and where you're going? Seeking therapy can feel intimidating, but it’s one of the most powerful steps you can take toward healing and self-discovery. Many of us were taught to suppress our struggles, to “tough it out,” or feel shame about needing help. The truth is, asking for support is a sign of strength, not weakness. My role is to guide you in adapting to yourself —your thoughts, feelings, and the connection between your brain and body—so you can embrace your authentic self. Therapy isn't about fixing you; it's helping you reconnect with yourself.
(720) 710-1744 View (720) 710-1744
Photo of Tiffanee Chereese Lenox, Clinical Social Work/Therapist, LCSW
Tiffanee Chereese Lenox
Clinical Social Work/Therapist, LCSW
1 Endorsed
Aurora, CO 80011
I believe therapy is a space where you deserve to feel truly seen, heard, and supported. My goal is to help you move toward your own vision of growth and healing, so that you can show up as the best version of yourself—not just for others, but for you. As a therapist, I’m especially passionate about working with people of color, holding space for the unique challenges you may face, and empowering you as you navigate a society that has not always been built with your well-being in mind.
I believe therapy is a space where you deserve to feel truly seen, heard, and supported. My goal is to help you move toward your own vision of growth and healing, so that you can show up as the best version of yourself—not just for others, but for you. As a therapist, I’m especially passionate about working with people of color, holding space for the unique challenges you may face, and empowering you as you navigate a society that has not always been built with your well-being in mind.
(720) 802-6257 View (720) 802-6257
Photo of Christine M. Mathias, Licensed Professional Counselor, LPC, MA
Christine M. Mathias
Licensed Professional Counselor, LPC, MA
2 Endorsed
Aurora, CO 80014
I invite you to take a pause and reflect on the ways you would like to live your life more authentically. Maybe you have found it difficult to be your core self and over the years you have settled for the person you think everyone will like and accept more. This fear may have affected both your personal and professional relationships. I am here to provide you with the safe, compassionate and non-judgmental environment you need to be you and all of the endless discoveries you will experience in embracing the person you want to become.
I invite you to take a pause and reflect on the ways you would like to live your life more authentically. Maybe you have found it difficult to be your core self and over the years you have settled for the person you think everyone will like and accept more. This fear may have affected both your personal and professional relationships. I am here to provide you with the safe, compassionate and non-judgmental environment you need to be you and all of the endless discoveries you will experience in embracing the person you want to become.
(720) 704-1105 View (720) 704-1105
Photo of Melissa Teasdale, Clinical Social Work/Therapist, MSW, LCSW
Melissa Teasdale
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Aurora, CO 80012
Melissa Teasdale is a Licensed Clinical Social Worker in Colorado who has been practicing since 2014. Melissa has been practicing in multiple environments for the past ten years including schools, communities, and hospitals. She is rooted in trauma informed care and motivational interviewing. Melissa has been trained in Trauma Focused Cognitive Behavioral Therapy and Trust Based Relational Intervention which is an attachment based and trauma informed. She uses CBT and DBT techniques to help her clients make empowering decisions for themselves.
Melissa Teasdale is a Licensed Clinical Social Worker in Colorado who has been practicing since 2014. Melissa has been practicing in multiple environments for the past ten years including schools, communities, and hospitals. She is rooted in trauma informed care and motivational interviewing. Melissa has been trained in Trauma Focused Cognitive Behavioral Therapy and Trust Based Relational Intervention which is an attachment based and trauma informed. She uses CBT and DBT techniques to help her clients make empowering decisions for themselves.
(720) 740-8751 View (720) 740-8751

See more therapy options for Aurora

How does your Therapist compare?

Number of Therapists in Aurora, CO

1,000+

Average cost per session

$133

Therapists in Aurora, CO who prioritize treating:

93% Anxiety
88% Depression
78% Trauma and PTSD
73% Stress
71% Relationship Issues
67% Self Esteem
66% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
83% Cigna and Evernorth
76% UnitedHealthcare UHC | UBH

How Therapists in Aurora, CO see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Aurora?

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.