Therapists in Castle Pines, CO

Photo of Alyssa Voglewede, Counselor, MA, LPC
Alyssa Voglewede
Counselor, MA, LPC
Castle Pines, CO 80108
I believe that we are each wired for connection, and through deep intimacy and secure relationships we can experience healing, change, and growth. I believe we thrive when we experience acceptance, freedom, and authenticity in the context of relationship with others. I am passionate about walking alongside individuals and families and seeing relationships and families restored, connections deepened, and personal growth take place.
I believe that we are each wired for connection, and through deep intimacy and secure relationships we can experience healing, change, and growth. I believe we thrive when we experience acceptance, freedom, and authenticity in the context of relationship with others. I am passionate about walking alongside individuals and families and seeing relationships and families restored, connections deepened, and personal growth take place.
(720) 744-3982 x706 View (720) 744-3982 x706
Photo of Jessica Cade Fisher, Licensed Professional Counselor, MA, LPC
Jessica Cade Fisher
Licensed Professional Counselor, MA, LPC
Online Only
I believe the therapeutic relationship is one of the strongest tools we can develop for healing. As a psychotherapist, I strive to create an authentic, person-centered, non-judgmental environment for all individuals seeking help. My clients are the experts in their lives and they engage in therapy to better understand external/internal changes, personality traits, relational patterns, life changes, and past and/or present trauma. Their goals vary, but similarly each individual desires to understand themselves with greater clarity and self-compassion. Together, we look at the whole self which is not limited to just the mind.
I believe the therapeutic relationship is one of the strongest tools we can develop for healing. As a psychotherapist, I strive to create an authentic, person-centered, non-judgmental environment for all individuals seeking help. My clients are the experts in their lives and they engage in therapy to better understand external/internal changes, personality traits, relational patterns, life changes, and past and/or present trauma. Their goals vary, but similarly each individual desires to understand themselves with greater clarity and self-compassion. Together, we look at the whole self which is not limited to just the mind.
(720) 459-9207 View (720) 459-9207
Photo of Lindsey Ervin, Licensed Professional Counselor, MS, LSC, LPC
Lindsey Ervin
Licensed Professional Counselor, MS, LSC, LPC
Castle Pines, CO 80108
Welcome! Are you a high performer struggling to maintain joy and confidence? My work brings relief and clarity to athletes, students, high performing parents and adults through powerful, evidence-based tools. Together we'll identify your goals, clarify what what you want, build a mental toolbox and provide a map for your journey. If you're struggling with anxiety, depression, burnout, lack of purpose, or have reached a plateau and feel stuck, we'll mine for the gold that is within you and find ways to preserve it! I am an ADHD Specialist and utilize Cognitive Behavioral Therapy and a variety of evidence-based modalities.
Welcome! Are you a high performer struggling to maintain joy and confidence? My work brings relief and clarity to athletes, students, high performing parents and adults through powerful, evidence-based tools. Together we'll identify your goals, clarify what what you want, build a mental toolbox and provide a map for your journey. If you're struggling with anxiety, depression, burnout, lack of purpose, or have reached a plateau and feel stuck, we'll mine for the gold that is within you and find ways to preserve it! I am an ADHD Specialist and utilize Cognitive Behavioral Therapy and a variety of evidence-based modalities.
(720) 776-2261 View (720) 776-2261
Photo of Joel Laos, Licensed Professional Counselor Candidate, MA, LPCC
Joel Laos
Licensed Professional Counselor Candidate, MA, LPCC
Castle Pines, CO 80108
Joel is an experienced leader and mentor with proven expertise in guiding teams, facilitating workshops, and cultivating growth in young adults. He is recognized for creating dynamic, supportive cultures where people feel empowered to thrive and for fostering effective communication that strengthens both individuals and groups. Drawing on years of leadership and relational work, Joel brings a steady confidence and an ability to inspire growth, connection, and resilience in every environment he steps into.
Joel is an experienced leader and mentor with proven expertise in guiding teams, facilitating workshops, and cultivating growth in young adults. He is recognized for creating dynamic, supportive cultures where people feel empowered to thrive and for fostering effective communication that strengthens both individuals and groups. Drawing on years of leadership and relational work, Joel brings a steady confidence and an ability to inspire growth, connection, and resilience in every environment he steps into.
(720) 706-4914 x704 View (720) 706-4914 x704
Photo of Anna Askanas, Clinical Social Work/Therapist, LCSW
Anna Askanas
Clinical Social Work/Therapist, LCSW
Online Only
At Her Voice Unfolding, my ideal client is a woman who appears capable and high-functioning on the outside, but feels anxious, overwhelmed, or disconnected on the inside. She’s often the one others rely on, yet she feels exhausted from carrying so much alone. She may be navigating a life transition, burnout, motherhood, or relationship stress, and longs for a space where she doesn’t have to perform or hold it together. Her goal is to feel calmer, more grounded, and more connected to herself—moving out of survival mode and into a life that feels more manageable and authentic.
At Her Voice Unfolding, my ideal client is a woman who appears capable and high-functioning on the outside, but feels anxious, overwhelmed, or disconnected on the inside. She’s often the one others rely on, yet she feels exhausted from carrying so much alone. She may be navigating a life transition, burnout, motherhood, or relationship stress, and longs for a space where she doesn’t have to perform or hold it together. Her goal is to feel calmer, more grounded, and more connected to herself—moving out of survival mode and into a life that feels more manageable and authentic.
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Photo of Liza Feilner, Licensed Professional Counselor, LPC, CEDS-S
Liza Feilner
Licensed Professional Counselor, LPC, CEDS-S
1 Endorsed
Castle Pines, CO 80108
Welcome! Maybe you've landed here hoping to find someone who will be a good fit to help you or a loved one with a particular struggle or growth area. Being caught in repeating patterns of behavior, experiencing crippling anxiety or eating and body image issues can negatively impact health and make you feel stuck and discouraged. My passion is for helping the burdened find freedom and joy and helping those who love them to feel equipped to be the most effective supports they can be.
Welcome! Maybe you've landed here hoping to find someone who will be a good fit to help you or a loved one with a particular struggle or growth area. Being caught in repeating patterns of behavior, experiencing crippling anxiety or eating and body image issues can negatively impact health and make you feel stuck and discouraged. My passion is for helping the burdened find freedom and joy and helping those who love them to feel equipped to be the most effective supports they can be.
(720) 712-1095 x708 View (720) 712-1095 x708
Photo of Lynne Gillick, Psychologist, PhD , FABP
Lynne Gillick
Psychologist, PhD , FABP
Castle Pines, CO 80108
Welcome to my psychoanalytic practice for adults. Our minds have a huge influence on how we think and feel each day; slowing down and noticing subtle aspects of ourselves with a trained analyst can provide much needed integration of powerful emotions that have not yet had a voice for expression. People can articulate emotions without feeling them, experience emotions in the body, can't find words, and unthinkingly go into action never quite feeling satisfied. Integrating feelings and thoughts vitalizes human life.
Welcome to my psychoanalytic practice for adults. Our minds have a huge influence on how we think and feel each day; slowing down and noticing subtle aspects of ourselves with a trained analyst can provide much needed integration of powerful emotions that have not yet had a voice for expression. People can articulate emotions without feeling them, experience emotions in the body, can't find words, and unthinkingly go into action never quite feeling satisfied. Integrating feelings and thoughts vitalizes human life.
(720) 702-1863 View (720) 702-1863
Photo of Ronnyah Hamilton, Licensed Professional Counselor, LPC, LAC, EMDR, MS, NCC
Ronnyah Hamilton
Licensed Professional Counselor, LPC, LAC, EMDR, MS, NCC
Castle Pines, CO 80108
Are you looking for a highly skilled and compassionate Therapist with extensive experience in treating individuals and couples affected by substance use disorders, trauma, and co-occurring mental health issues such as trauma and anxiety? As a Licensed Professional Counselor (LPC), Licensed Addiction Counselor (LAC), and trained Eye Movement Desensitization and Reprocessing (EMDR) practitioner, I am dedicated to helping clients navigate the complexities of trauma and addiction recovery, guiding them toward healing, resilience, and long-term growth.
Are you looking for a highly skilled and compassionate Therapist with extensive experience in treating individuals and couples affected by substance use disorders, trauma, and co-occurring mental health issues such as trauma and anxiety? As a Licensed Professional Counselor (LPC), Licensed Addiction Counselor (LAC), and trained Eye Movement Desensitization and Reprocessing (EMDR) practitioner, I am dedicated to helping clients navigate the complexities of trauma and addiction recovery, guiding them toward healing, resilience, and long-term growth.
(719) 751-6760 View (719) 751-6760
Photo of Jill Alexander, Counselor, MA, MS, LPC
Jill Alexander
Counselor, MA, MS, LPC
4 Endorsed
Castle Pines, CO 80108
Waitlist for new clients
J.Alexander Counseling was founded on the ideals of compassion, safety, empathy, empowerment, trust, and communication. Together, we will work through any stress, difficulty or challenge that brings you in. I am passionate about working with children, families and individuals from all walks of life. I believe child and family counseling is the most effective method to realizing every child's potential and every family's fulfillment.
J.Alexander Counseling was founded on the ideals of compassion, safety, empathy, empowerment, trust, and communication. Together, we will work through any stress, difficulty or challenge that brings you in. I am passionate about working with children, families and individuals from all walks of life. I believe child and family counseling is the most effective method to realizing every child's potential and every family's fulfillment.
(720) 439-3644 View (720) 439-3644
Photo of Candace Richey, Licensed Professional Counselor, MCJ, MA, LPC, NCC, LAC
Candace Richey
Licensed Professional Counselor, MCJ, MA, LPC, NCC, LAC
Online Only
I offer integrative therapy for adults who want focused, meaningful support through a variety of interventions. My somatic work is especially helpful for people experiencing anxiety, chronic stress, emotional overwhelm, or patterns that feel hard to shift—both emotionally and physically. My approach is collaborative, grounded, and centered on helping clients develop greater regulation, awareness, and practical tools for change.
I offer integrative therapy for adults who want focused, meaningful support through a variety of interventions. My somatic work is especially helpful for people experiencing anxiety, chronic stress, emotional overwhelm, or patterns that feel hard to shift—both emotionally and physically. My approach is collaborative, grounded, and centered on helping clients develop greater regulation, awareness, and practical tools for change.
(719) 259-4469 View (719) 259-4469
Photo of Marinda Peak, Licensed Professional Counselor, MA, LPC, NCC
Marinda Peak
Licensed Professional Counselor, MA, LPC, NCC
Castle Pines, CO 80108
Hi, I’m Marinda, a licensed therapist who believes therapy should feel like a deep breath, not another thing on your to-do list. I work primarily with women who are overwhelmed, anxious, or carrying more responsibility than anyone can see. Many of my clients look “high-functioning” on the outside but feel exhausted, disconnected, or stuck inside. They’re not striving for perfection, they’re looking for relief from the mental load, clarity in relationships, and space to feel like themselves again.
Hi, I’m Marinda, a licensed therapist who believes therapy should feel like a deep breath, not another thing on your to-do list. I work primarily with women who are overwhelmed, anxious, or carrying more responsibility than anyone can see. Many of my clients look “high-functioning” on the outside but feel exhausted, disconnected, or stuck inside. They’re not striving for perfection, they’re looking for relief from the mental load, clarity in relationships, and space to feel like themselves again.
(720) 548-2961 x702 View (720) 548-2961 x702
Photo of David J Goodrich, Marriage & Family Therapist, MFT, PsyD
David J Goodrich
Marriage & Family Therapist, MFT, PsyD
Castle Pines, CO 80108
I understand that your emotional health and relationships are important, and you deserve to receive quality assistance with these vital aspects of your life. The cornerstone of my practice is the belief in the importance of each client's perspective, their wishes and needs. I believe every client with whom I work deserves personalized care, respect, and responsiveness. This attitude helps clients feel safe opening up and trying new ways of approaching life's challenges. Whether you seek individual, couples, or family therapy (or perhaps some combination of these) I invite you to call.
I understand that your emotional health and relationships are important, and you deserve to receive quality assistance with these vital aspects of your life. The cornerstone of my practice is the belief in the importance of each client's perspective, their wishes and needs. I believe every client with whom I work deserves personalized care, respect, and responsiveness. This attitude helps clients feel safe opening up and trying new ways of approaching life's challenges. Whether you seek individual, couples, or family therapy (or perhaps some combination of these) I invite you to call.
(720) 924-4241 View (720) 924-4241
Photo of Kerri Pickering-Fowler, Psychologist, PsyD
Kerri Pickering-Fowler
Psychologist, PsyD
2 Endorsed
Castle Pines, CO 80108
Do you struggle with a sense of failure?...An avoidance of being yourself for fear of rejection or criticism?...Are you anxious or sad and overwhelmed?... Inner struggles often result in outward stress and confusion in relationships, parenting, work or school performance, and life enjoyment. It's time for you to step out of the shadows of self-doubt and worry. Therapy can help you feel better about yourself and your relationships, while also providing effective tools for handling challenges. You deserve a fulfilling life that includes feeling good about yourself and enjoying your important relationships.
Do you struggle with a sense of failure?...An avoidance of being yourself for fear of rejection or criticism?...Are you anxious or sad and overwhelmed?... Inner struggles often result in outward stress and confusion in relationships, parenting, work or school performance, and life enjoyment. It's time for you to step out of the shadows of self-doubt and worry. Therapy can help you feel better about yourself and your relationships, while also providing effective tools for handling challenges. You deserve a fulfilling life that includes feeling good about yourself and enjoying your important relationships.
(303) 900-7270 View (303) 900-7270
Photo of Elizabeth J Matson, Clinical Social Work/Therapist, MSW, LCSW
Elizabeth J Matson
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Waitlist for new clients
Do you feel that you have lost control over specific aspects of your life, and everything feels beyond your control these days? You can heal by building your resilience to overcome life stressors and escape from overwhelming feelings. These issues can significantly affect your overall well-being, especially when you do not have the proper tools to work through them. I can help guide your mental health journey, and we can learn how to manage life's challenges together.
Do you feel that you have lost control over specific aspects of your life, and everything feels beyond your control these days? You can heal by building your resilience to overcome life stressors and escape from overwhelming feelings. These issues can significantly affect your overall well-being, especially when you do not have the proper tools to work through them. I can help guide your mental health journey, and we can learn how to manage life's challenges together.
(720) 740-0996 View (720) 740-0996
Photo of Nicole Reyes, Marriage & Family Therapist, MA, LPCC, LMFT
Nicole Reyes
Marriage & Family Therapist, MA, LPCC, LMFT
Online Only
Welcome! Do you find yourself struggling with a heaviness that you just can’t seem to shake? I understand what it feels like to be burnt out on life and have everything start to feel like it’s just “too much.” You may be asking yourself questions like, “Why doesn’t anyone else understand how hard this has been for me?” and “Why do I feel so stuck?” Maybe you feel like your relationships are struggling or your work performance is lacking. You’ve finally hit the breaking point and have started exploring ways to get the support you need...
Welcome! Do you find yourself struggling with a heaviness that you just can’t seem to shake? I understand what it feels like to be burnt out on life and have everything start to feel like it’s just “too much.” You may be asking yourself questions like, “Why doesn’t anyone else understand how hard this has been for me?” and “Why do I feel so stuck?” Maybe you feel like your relationships are struggling or your work performance is lacking. You’ve finally hit the breaking point and have started exploring ways to get the support you need...
(720) 594-4916 View (720) 594-4916
Photo of Nicole Sidebottom, Licensed Professional Counselor, MA, LPC, ACS
Nicole Sidebottom
Licensed Professional Counselor, MA, LPC, ACS
3 Endorsed
Castle Pines, CO 80108
Nicole creates dynamic spaces where her clients discover their own strength and resilience. While working with Nicole, her clients experience insight into negative patterns where none existed before and gain access to a powerful toolbox of skills and techniques to move beyond the confines of their current reality. She has a holistic approach that releases her clients to feel more integrated in mind and body, and she is steeped in research and offers only evidence-based interventions to help her clients achieve their goals. Nicole works to provide clients with tailored treatment plans that can be integrated into their daily lives.
Nicole creates dynamic spaces where her clients discover their own strength and resilience. While working with Nicole, her clients experience insight into negative patterns where none existed before and gain access to a powerful toolbox of skills and techniques to move beyond the confines of their current reality. She has a holistic approach that releases her clients to feel more integrated in mind and body, and she is steeped in research and offers only evidence-based interventions to help her clients achieve their goals. Nicole works to provide clients with tailored treatment plans that can be integrated into their daily lives.
(866) 940-8398 x701 View (866) 940-8398 x701
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Online Only
Are you struggling with Pornography or Sexual Compulsivity, betrayal trauma, or a loss of trust and intimacy in your relationship? You’re not alone—My husband and I have personally walked this journey and have been helping individuals and couples heal since 2011. I’m a Certified Sex Addiction Therapist (CSAT) and Certified Brainspotting Therapist; Hunter is a Certified Mentor Coach and in long-term recovery. Together, we help clients heal, rebuild self-worth, trust, communication, and deep connection. We've helped clients through porn, sexting, prostitution, emotional affairs, physical affairs, and much more.
Are you struggling with Pornography or Sexual Compulsivity, betrayal trauma, or a loss of trust and intimacy in your relationship? You’re not alone—My husband and I have personally walked this journey and have been helping individuals and couples heal since 2011. I’m a Certified Sex Addiction Therapist (CSAT) and Certified Brainspotting Therapist; Hunter is a Certified Mentor Coach and in long-term recovery. Together, we help clients heal, rebuild self-worth, trust, communication, and deep connection. We've helped clients through porn, sexting, prostitution, emotional affairs, physical affairs, and much more.
(877) 357-6529 View (877) 357-6529
Photo of Walt Hester, Drug & Alcohol Counselor, CAS
Walt Hester
Drug & Alcohol Counselor, CAS
Castle Pines, CO 80108
I have worked in addiction treatment for more than a decade. Addiction is a complicated problem and usually the surface issue of deeper problems. Treating the problems that led to the behavior is essential. As the under-lying issues are different for everyone, so is the treatment.
I have worked in addiction treatment for more than a decade. Addiction is a complicated problem and usually the surface issue of deeper problems. Treating the problems that led to the behavior is essential. As the under-lying issues are different for everyone, so is the treatment.
(877) 959-3432 View (877) 959-3432
Photo of Brooke E. Swadley, Licensed Professional Counselor Candidate, MA, LPCC
Brooke E. Swadley
Licensed Professional Counselor Candidate, MA, LPCC
1 Endorsed
Castle Pines, CO 80108
Do you look like you’re holding it together, but inside feel anxious, overwhelmed, or disconnected? I work with women and men navigating major life transitions, who have high-pressure careers, and the transition into postpartum, who feel stretched thin, emotionally exhausted, or stuck in anxious thought patterns.
Do you look like you’re holding it together, but inside feel anxious, overwhelmed, or disconnected? I work with women and men navigating major life transitions, who have high-pressure careers, and the transition into postpartum, who feel stretched thin, emotionally exhausted, or stuck in anxious thought patterns.
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Photo of Sarah Lucas, Licensed Professional Counselor, LPC, PMH-C
Sarah Lucas
Licensed Professional Counselor, LPC, PMH-C
2 Endorsed
Castle Pines, CO 80108
I’m Sarah Lucas, a Licensed Professional Counselor (LPC) in Denver, Colorado, and a Certified Perinatal Mental Health Specialist (PMH-C). I specialize in supporting all genders experiencing prenatal and postpartum anxiety, postpartum depression, and the emotional challenges related to loss, infertility, and fertility treatments. I work with clients who may feel overwhelmed, stuck in anxious thought patterns, or disconnected from themselves during periods of major life transition—especially pregnancy, postpartum, and family-building journeys. These experiences can be isolating, and therapy can offer a compassionate space to process.
I’m Sarah Lucas, a Licensed Professional Counselor (LPC) in Denver, Colorado, and a Certified Perinatal Mental Health Specialist (PMH-C). I specialize in supporting all genders experiencing prenatal and postpartum anxiety, postpartum depression, and the emotional challenges related to loss, infertility, and fertility treatments. I work with clients who may feel overwhelmed, stuck in anxious thought patterns, or disconnected from themselves during periods of major life transition—especially pregnancy, postpartum, and family-building journeys. These experiences can be isolating, and therapy can offer a compassionate space to process.
(720) 770-2069 View (720) 770-2069

See more therapy options for Castle Pines

How does your Therapist compare?

Number of Therapists in Castle Pines, CO

60+

Average cost per session

$150

Therapists in Castle Pines, CO who prioritize treating:

92% Anxiety
84% Relationship Issues
82% Depression
79% Self Esteem
76% Trauma and PTSD
74% Stress
65% Grief

Average years in practice

12 Years

Top 3 insurances accepted

86% Aetna
69% UnitedHealthcare UHC | UBH
63% BlueCross and BlueShield

How Therapists in Castle Pines, CO see their clients

77% In Person and Online
23% Online Only

Gender breakdown

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

How can I find a therapist in Castle Pines?

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.