Therapists in Colorado Springs, CO

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Photo of Lisett Walp, Marriage & Family Therapist, LMFT
Lisett Walp
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
On the outside, you may look high-functioning — managing responsibilities, caring for others, showing up for work and relationships — while internally feeling overwhelmed, anxious, disconnected, or stuck in patterns. I work with individuals and couples who want to better understand themselves, improve communication, heal emotional wounds, and create healthier, more fulfilling relationships with themselves and others I believe healing is not about becoming someone completely different — it’s about reconnecting with the version of yourself that has been buried underneath stress, survival, anxiety, self-doubt, or past experiences.
On the outside, you may look high-functioning — managing responsibilities, caring for others, showing up for work and relationships — while internally feeling overwhelmed, anxious, disconnected, or stuck in patterns. I work with individuals and couples who want to better understand themselves, improve communication, heal emotional wounds, and create healthier, more fulfilling relationships with themselves and others I believe healing is not about becoming someone completely different — it’s about reconnecting with the version of yourself that has been buried underneath stress, survival, anxiety, self-doubt, or past experiences.
(719) 413-8467 View (719) 413-8467
Photo of Dr. Ruth O'Brien, Psychologist, PsyD
Dr. Ruth O'Brien
Psychologist, PsyD
Colorado Springs, CO 80907
I offer psychotherapy to clients ages 10 and up for individual, couples, and family services. Some of the specialized areas of my training include: anxiety/depression, personality disorders, trauma-related disorders, and ADHD. I also have a particular passion for working with service members/veterans as I am a veteran and former dependent.
I offer psychotherapy to clients ages 10 and up for individual, couples, and family services. Some of the specialized areas of my training include: anxiety/depression, personality disorders, trauma-related disorders, and ADHD. I also have a particular passion for working with service members/veterans as I am a veteran and former dependent.
(719) 427-6658 View (719) 427-6658
Photo of Rebekah Richey, Pre-Licensed Professional, B.S.
Rebekah Richey
Pre-Licensed Professional, B.S.
1 Endorsed
Colorado Springs, CO 80909
Roots to Ground Counseling is a place where anyone, regardless of age or life circumstances, can come for help, growth, and healing. I love working with teens and adults navigating life transitions, substance use, difficult relationships, religious deconstruction, and identity exploration. I also work with kids navigating family changes, friendship drama, or any other changes that come with growing up.
Roots to Ground Counseling is a place where anyone, regardless of age or life circumstances, can come for help, growth, and healing. I love working with teens and adults navigating life transitions, substance use, difficult relationships, religious deconstruction, and identity exploration. I also work with kids navigating family changes, friendship drama, or any other changes that come with growing up.
(719) 356-5110 View (719) 356-5110
Photo of Brittney Lumpkin, Drug & Alcohol Counselor, LAC
Brittney Lumpkin
Drug & Alcohol Counselor, LAC
Online Only
Taking the first step to change can be scary, unless you have the support of someone compassionate. I offer a space where we can work together towards your goals for a better life. When you’re ready, I am here to help. I offer trauma-informed collaborative care that incorporates CBT, SFBT, Narrative, and DBT approaches. I operate with the belief that you are the expert on your life, and I am the expert on change. With our combined work, we can reach your goals at a pace that fits you. I do believe that with every experience comes a lesson, I will help you understand those lessons and grow from them.
Taking the first step to change can be scary, unless you have the support of someone compassionate. I offer a space where we can work together towards your goals for a better life. When you’re ready, I am here to help. I offer trauma-informed collaborative care that incorporates CBT, SFBT, Narrative, and DBT approaches. I operate with the belief that you are the expert on your life, and I am the expert on change. With our combined work, we can reach your goals at a pace that fits you. I do believe that with every experience comes a lesson, I will help you understand those lessons and grow from them.
(720) 809-7183 View (720) 809-7183
Photo of Nicholas Spadaro, Pre-Licensed Professional, LPCC
Nicholas Spadaro
Pre-Licensed Professional, LPCC
1 Endorsed
Colorado Springs, CO 80920
Whether you're navigating the uncertainties of early childhood, the complexities of adolescence, the opportunities of young adulthood, or the transitions of older age, Nick is equipped to provide personalized support. His warm and empathetic approach ensures that you'll find a safe environment to explore, heal, and thrive at any stage of life. As a male clinician, Nick has a unique understanding of the struggles that young males often encounter. This allows him to connect with young men and address their unique challenges in a way that can set them up for success and learn to lean into vulnerability authentically.
Whether you're navigating the uncertainties of early childhood, the complexities of adolescence, the opportunities of young adulthood, or the transitions of older age, Nick is equipped to provide personalized support. His warm and empathetic approach ensures that you'll find a safe environment to explore, heal, and thrive at any stage of life. As a male clinician, Nick has a unique understanding of the struggles that young males often encounter. This allows him to connect with young men and address their unique challenges in a way that can set them up for success and learn to lean into vulnerability authentically.
(719) 454-7041 View (719) 454-7041
Photo of Emma C Smith, Psychologist, PsyD
Emma C Smith
Psychologist, PsyD
Online Only
Not accepting new clients
Hello and welcome to my profile! I'm a licensed psychologist with over a decade of experience dedicated to supporting individuals in their journey towards mental health and wellbeing. Throughout my career, I've had the privilege of assisting clients with a wide range of concerns. My approach is holistic and integrated, recognizing the interconnectedness of mind, body, and spirit. I believe incorporating diverse therapeutic techniques tailored to each individual's unique needs and preferences. As of 8/1/25 I am not currently practicing, or accepting new clients, but may return in the future.
Hello and welcome to my profile! I'm a licensed psychologist with over a decade of experience dedicated to supporting individuals in their journey towards mental health and wellbeing. Throughout my career, I've had the privilege of assisting clients with a wide range of concerns. My approach is holistic and integrated, recognizing the interconnectedness of mind, body, and spirit. I believe incorporating diverse therapeutic techniques tailored to each individual's unique needs and preferences. As of 8/1/25 I am not currently practicing, or accepting new clients, but may return in the future.
Photo of Monica Lynn Rowell, Licensed Professional Counselor, LPC
Monica Lynn Rowell
Licensed Professional Counselor, LPC
Online Only
Hello, I'm Monica. I received my master’s degree in Counseling Psychology from the University of Colorado in 2012. My journey to becoming a therapist began as an elementary school teacher, which eventually led me to various social support positions and finally to counseling. Over the years, I've had the privilege of working with families navigating major transitions and parenting challenges, and I've supported individuals through crisis response, dealing with traumatic and unimaginable events.
Hello, I'm Monica. I received my master’s degree in Counseling Psychology from the University of Colorado in 2012. My journey to becoming a therapist began as an elementary school teacher, which eventually led me to various social support positions and finally to counseling. Over the years, I've had the privilege of working with families navigating major transitions and parenting challenges, and I've supported individuals through crisis response, dealing with traumatic and unimaginable events.
(970) 578-3603 View (970) 578-3603
Photo of William Schmahl, Licensed Professional Counselor, LPC
William Schmahl
Licensed Professional Counselor, LPC
Online Only
I want to take a moment to acknowledge the courage it takes to even consider seeking help. Life can be overwhelming at times, and it's okay to ask for support. Your feelings are valid, and your well-being matters. If you ever feel ready to take that step towards healing, growth, and self-discovery, please know that I am here to support you on your journey. My goal is to empower my clients to develop a stronger sense of self-worth and security, enabling them to build more satisfying connections and lead more fulfilling lives.
I want to take a moment to acknowledge the courage it takes to even consider seeking help. Life can be overwhelming at times, and it's okay to ask for support. Your feelings are valid, and your well-being matters. If you ever feel ready to take that step towards healing, growth, and self-discovery, please know that I am here to support you on your journey. My goal is to empower my clients to develop a stronger sense of self-worth and security, enabling them to build more satisfying connections and lead more fulfilling lives.
(303) 493-9533 View (303) 493-9533
Photo of Icinda Siqueira-Darwin, Psychologist, LCP
Icinda Siqueira-Darwin
Psychologist, LCP
Colorado Springs, CO 80920
I am Dr Icinda Siqueira Darwin, a multicultural, multi-ethnically oriented therapist who is currently licensed as a Clinical Psychologist in the state of California. I speak Spanish and Portuguese as well as English and see clients in these language backgrounds as well. I have worked extensively as a Community Psychologist, and also have a strong Forensic Psychologist background, having worked in Prisons and Paroles. I have been in Private Practice for the past few years. I typically work with all types of clients from adolescents to elderly seniors.
I am Dr Icinda Siqueira Darwin, a multicultural, multi-ethnically oriented therapist who is currently licensed as a Clinical Psychologist in the state of California. I speak Spanish and Portuguese as well as English and see clients in these language backgrounds as well. I have worked extensively as a Community Psychologist, and also have a strong Forensic Psychologist background, having worked in Prisons and Paroles. I have been in Private Practice for the past few years. I typically work with all types of clients from adolescents to elderly seniors.
(719) 824-4559 View (719) 824-4559
Photo of Brandy Jo Metzger, Licensed Professional Counselor, MA, LPC
Brandy Jo Metzger
Licensed Professional Counselor, MA, LPC
Online Only
Many of my clients are strong, capable people who have spent years surviving, caregiving, people-pleasing, or putting their own needs last. They often understand their struggles intellectually but feel stuck repeating the same patterns. I help adults and teens navigate trauma, anxiety, relationship challenges, emotional overwhelm, and identity concerns. Through a compassionate, collaborative approach, we explore the parts of you that have learned to protect, adapt, and survive while helping you reconnect with your authentic self and create meaningful, lasting change.
Many of my clients are strong, capable people who have spent years surviving, caregiving, people-pleasing, or putting their own needs last. They often understand their struggles intellectually but feel stuck repeating the same patterns. I help adults and teens navigate trauma, anxiety, relationship challenges, emotional overwhelm, and identity concerns. Through a compassionate, collaborative approach, we explore the parts of you that have learned to protect, adapt, and survive while helping you reconnect with your authentic self and create meaningful, lasting change.
(719) 454-2250 View (719) 454-2250
Photo of Yajaira Gonzalez, LSW
Yajaira Gonzalez
Verified Verified
Online Only
Hello! My ideal clients are children, adolescents, and adults who are feeling overwhelmed, stuck, or weighed down by anxiety, depression, anger, or emotional stress that feels hard to manage. Many come to therapy because they want support making sense of what they are feeling and the patterns that keep showing up in their lives or relationships. I offer a collaborative space where we slow things down, explore your experience together, and build insight and coping tools at a pace that feels manageable for you, supporting you in feeling more grounded and better able to navigate life.
Hello! My ideal clients are children, adolescents, and adults who are feeling overwhelmed, stuck, or weighed down by anxiety, depression, anger, or emotional stress that feels hard to manage. Many come to therapy because they want support making sense of what they are feeling and the patterns that keep showing up in their lives or relationships. I offer a collaborative space where we slow things down, explore your experience together, and build insight and coping tools at a pace that feels manageable for you, supporting you in feeling more grounded and better able to navigate life.
(719) 738-8334 View (719) 738-8334
Photo of Lauren O'Brien, Counselor, MA, LPC, NCC
Lauren O'Brien
Counselor, MA, LPC, NCC
Colorado Springs, CO 80920
Not accepting new clients
Has life not turned out the way you expected? Have you found yourself using unhelpful coping strategies to try and make sense of it all? Sometimes, we find ourselves at a loss for what to do next, and I'm here to walk beside you as you take the next step. My passion is helping my clients feel seen and creating an environment where connection leads to healing.
Has life not turned out the way you expected? Have you found yourself using unhelpful coping strategies to try and make sense of it all? Sometimes, we find ourselves at a loss for what to do next, and I'm here to walk beside you as you take the next step. My passion is helping my clients feel seen and creating an environment where connection leads to healing.
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Photo of Catherine Ocasio - Zilla Consulting Clinical Supervision , Clinical Social Work/Therapist, LCSW, LAC, ACS, LMFT
Zilla Consulting Clinical Supervision
Clinical Social Work/Therapist, LCSW, LAC, ACS, LMFT
14 Endorsed
Colorado Springs, CO 80904
Waitlist for new clients
I am accepting new supervisees! I provide supervisory billing, individual supervision ($125), and group supervision ($60) for LCSW, LPC, LAC, and LMFT candidates. Group Supervision is available on Thursdays from 11 a.m.–12 p.m. MT. Drop-ins are welcome, and I only charge when you attend. If you are motivated in supervision and value a direct approach then I am the right fit for you. I provide supervision in AZ, CO, DE, MA, MD, & WA.
I am accepting new supervisees! I provide supervisory billing, individual supervision ($125), and group supervision ($60) for LCSW, LPC, LAC, and LMFT candidates. Group Supervision is available on Thursdays from 11 a.m.–12 p.m. MT. Drop-ins are welcome, and I only charge when you attend. If you are motivated in supervision and value a direct approach then I am the right fit for you. I provide supervision in AZ, CO, DE, MA, MD, & WA.
(719) 937-4429 View (719) 937-4429
Photo of Debbie Molik, Clinical Social Work/Therapist, MSW, LCSW
Debbie Molik
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Online Only
Have you experienced adversity in childhood or as an adult? Maybe you struggle to manage stress, or have difficulty with nightmares or sleep. Do you feel anxious, depressed, or fearful? Trauma comes in many forms — abuse, neglect, abandonment, divorce, assault, wartime experiences, accidents, or natural disasters, to name a few. I offer trauma-informed, client-centered care for people impacted by overwhelming or painful experiences. Together, we'll work to improve your quality of life by developing coping skills, processing thoughts, feelings, and experiences, and building healthy boundaries.
Have you experienced adversity in childhood or as an adult? Maybe you struggle to manage stress, or have difficulty with nightmares or sleep. Do you feel anxious, depressed, or fearful? Trauma comes in many forms — abuse, neglect, abandonment, divorce, assault, wartime experiences, accidents, or natural disasters, to name a few. I offer trauma-informed, client-centered care for people impacted by overwhelming or painful experiences. Together, we'll work to improve your quality of life by developing coping skills, processing thoughts, feelings, and experiences, and building healthy boundaries.
(719) 426-2561 View (719) 426-2561
Photo of Bill Boniface, Licensed Professional Counselor, MA, LPC
Bill Boniface
Licensed Professional Counselor, MA, LPC
Colorado Springs, CO 80918
I provide an empathetic, non-judgemental and caring therapeutic approach. My goal is to help you reduce symptoms and gain positive change. Are you having boundary issues, relationship issues (polyamourous, open, ethically non monogomous, swinging, or monogomous) work problems, gender identity, culture issues, and/ or sexual identity issues I am passionate about working with my clients to meet their goals. Every case is unique and requires a special therapeutic approach. I tailor my approach to your specific needs.
I provide an empathetic, non-judgemental and caring therapeutic approach. My goal is to help you reduce symptoms and gain positive change. Are you having boundary issues, relationship issues (polyamourous, open, ethically non monogomous, swinging, or monogomous) work problems, gender identity, culture issues, and/ or sexual identity issues I am passionate about working with my clients to meet their goals. Every case is unique and requires a special therapeutic approach. I tailor my approach to your specific needs.
(719) 623-5578 View (719) 623-5578
Photo of Nadia Jeunelot, Licensed Professional Counselor Candidate, MA, LPCC, NCC
Nadia Jeunelot
Licensed Professional Counselor Candidate, MA, LPCC, NCC
4 Endorsed
Colorado Springs, CO 80920
I work best with people who are ready for something to shift, even if they're not quite sure what that looks like yet. You might be navigating big feelings, identity questions, life changes, or just feeling overwhelmed. My clients (kids, teens, and adults), are often looking for a space where they can feel seen, heard, and supported without judgment. Therapy with me is grounded in curiosity, compassion, and collaboration, incorporating play therapy techniques for kids and teens.
I work best with people who are ready for something to shift, even if they're not quite sure what that looks like yet. You might be navigating big feelings, identity questions, life changes, or just feeling overwhelmed. My clients (kids, teens, and adults), are often looking for a space where they can feel seen, heard, and supported without judgment. Therapy with me is grounded in curiosity, compassion, and collaboration, incorporating play therapy techniques for kids and teens.
(719) 824-1309 View (719) 824-1309
Photo of Petra Wright - Inner Reflective Therapy, LLC, Counselor, MA, LPC, LAC
Inner Reflective Therapy, LLC
Counselor, MA, LPC, LAC
1 Endorsed
Colorado Springs, CO 80909
We offer professional counseling services for couples, marriage, individuals, and addiction counseling with focus is on couples with trauma, sexual, religious, childhood trauma and others. Additionally, we focus on women/men with trauma, anxiety, and depression, and substance abuse in the past or presented. We help to empower our clients to become self-sufficient and confident in their daily life by using a holistic counseling approach catering to personal needs to promote the healing process. We believe in a client-centered approach, utilizing trauma and evidence-based methods to facilitate healing through inner self-reflection.
We offer professional counseling services for couples, marriage, individuals, and addiction counseling with focus is on couples with trauma, sexual, religious, childhood trauma and others. Additionally, we focus on women/men with trauma, anxiety, and depression, and substance abuse in the past or presented. We help to empower our clients to become self-sufficient and confident in their daily life by using a holistic counseling approach catering to personal needs to promote the healing process. We believe in a client-centered approach, utilizing trauma and evidence-based methods to facilitate healing through inner self-reflection.
(719) 749-3228 View (719) 749-3228
Photo of Amber Peddy, Marriage & Family Therapist, LMFT
Amber Peddy
Marriage & Family Therapist, LMFT
2 Endorsed
Online Only
Sometimes we need a reality check. Someone who is objective, from the outside looking in and is able to provide targeted guidance that will result in effective change. My job is to teach you how to think differently, empower you to set boundaries and encourage you to take control of relationships and begin to take charge of your life. Life is too short to be stuck, feel confused or be uncertain about which way to go. This life is yours to enjoy and I am dedicated to helping you reach a place of fulfillment and peace. This road won’t be easy, but my approach ensures maximum effect in a direct, focused and intervention-based manner.
Sometimes we need a reality check. Someone who is objective, from the outside looking in and is able to provide targeted guidance that will result in effective change. My job is to teach you how to think differently, empower you to set boundaries and encourage you to take control of relationships and begin to take charge of your life. Life is too short to be stuck, feel confused or be uncertain about which way to go. This life is yours to enjoy and I am dedicated to helping you reach a place of fulfillment and peace. This road won’t be easy, but my approach ensures maximum effect in a direct, focused and intervention-based manner.
(719) 826-6420 View (719) 826-6420
Photo of Josue Manuel Quiroga, Licensed Professional Counselor, MS, LPC
Josue Manuel Quiroga
Licensed Professional Counselor, MS, LPC
4 Endorsed
Colorado Springs, CO 80918
Are you overwhelmed by trauma and emotional stress? You’re not alone, and you deserve a safe, supportive space to heal. I provide an environment where you can explore your experiences and work towards breaking free from the past. My approach focuses on building resilience, improving emotional regulation, and fostering a fulfilling, balanced life. If you’re ready to invest in your mental health, strengthen relationships, and achieve personal growth, I’m here to guide you every step of the way. Together, we can overcome these obstacles and create a better future for you.
Are you overwhelmed by trauma and emotional stress? You’re not alone, and you deserve a safe, supportive space to heal. I provide an environment where you can explore your experiences and work towards breaking free from the past. My approach focuses on building resilience, improving emotional regulation, and fostering a fulfilling, balanced life. If you’re ready to invest in your mental health, strengthen relationships, and achieve personal growth, I’m here to guide you every step of the way. Together, we can overcome these obstacles and create a better future for you.
(719) 497-2586 View (719) 497-2586
Photo of Dallas Shepard, Registered Psychotherapist
Dallas Shepard
Registered Psychotherapist
Colorado Springs, CO 80909
Living with an unfocused, chaotic and underperforming brain can be overwhelming and frustrating, often leading to a decline in the ability to function in many areas of our lives. At Harmonized Brain Centers, we understand how challenging and debilitating this can be and offer a proven, safe, drug free and effective approach to help you achieve a harmonized brain. To get started with our services, give us a call.
Living with an unfocused, chaotic and underperforming brain can be overwhelming and frustrating, often leading to a decline in the ability to function in many areas of our lives. At Harmonized Brain Centers, we understand how challenging and debilitating this can be and offer a proven, safe, drug free and effective approach to help you achieve a harmonized brain. To get started with our services, give us a call.
(719) 259-2903 View (719) 259-2903

See more therapy options for Colorado Springs

How does your Therapist compare?

Number of Therapists in Colorado Springs, CO

2,000+

Average cost per session

$129

Therapists in Colorado Springs, CO who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
85% Depression
76% Trauma and PTSD
76% Complex PTSD

Average years in practice

9 Years

Top 3 insurances accepted

89% Aetna
81% Cigna and Evernorth
77% UnitedHealthcare UHC | UBH

How Therapists in Colorado Springs, CO see their clients

64% In Person and Online
36% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Colorado Springs?

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.