Therapists in Denver, CO

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Photo of Madison Farrell, Licensed Professional Counselor, MA, LPC
Madison Farrell
Licensed Professional Counselor, MA, LPC
3 Endorsed
Online Only
I strive to create a calming, empathetic presence. You’ll be seen and validated. Your boundaries will be respected in a safe therapeutic environment. You’ll be able to make it your own experience in which you can heal.
I strive to create a calming, empathetic presence. You’ll be seen and validated. Your boundaries will be respected in a safe therapeutic environment. You’ll be able to make it your own experience in which you can heal.
(970) 465-7064 View (970) 465-7064
Photo of Kelli Hayes, Clinical Social Work/Therapist, LCSW
Kelli Hayes
Clinical Social Work/Therapist, LCSW
1 Endorsed
Denver, CO 80206
Transitions are part of life, and many can feel overwhelming. At such times, you may need a community to walk alongside you. In reaching out, you have taken that first courageous step toward healing. Together we will explore how you might get back on track, or perhaps forge a new path. Through compassionate exploration of your strengths, you may find it is possible to find your footing. I specialize in adults from all walks of life and challenges that any stage may present, such as anxiety, depression, dual diagnoses, life transitions, parenting, relational challenges, somatic, spirituality, trauma-focused, women's issues, and more.
Transitions are part of life, and many can feel overwhelming. At such times, you may need a community to walk alongside you. In reaching out, you have taken that first courageous step toward healing. Together we will explore how you might get back on track, or perhaps forge a new path. Through compassionate exploration of your strengths, you may find it is possible to find your footing. I specialize in adults from all walks of life and challenges that any stage may present, such as anxiety, depression, dual diagnoses, life transitions, parenting, relational challenges, somatic, spirituality, trauma-focused, women's issues, and more.
(720) 571-9478 View (720) 571-9478
Photo of Jason Michael Staires, Licensed Professional Counselor, LPC, CAS
Jason Michael Staires
Licensed Professional Counselor, LPC, CAS
Online Only
Someone wanting assistance in not only navigating issues in life related to loss, trauma, addiction, self-esteem, effective communication, relationships, and the depression, anxiety, paranoia often associated with these issues, but thriving and achieving authentic happiness and contentment in life.
Someone wanting assistance in not only navigating issues in life related to loss, trauma, addiction, self-esteem, effective communication, relationships, and the depression, anxiety, paranoia often associated with these issues, but thriving and achieving authentic happiness and contentment in life.
(970) 647-7244 View (970) 647-7244
Photo of Genaro M Laynes, Licensed Professional Counselor, MA, LPC, CIGT, ADDC
Genaro M Laynes
Licensed Professional Counselor, MA, LPC, CIGT, ADDC
Online Only
Welcome! It takes courage to seek help, and here you are taking the first step towards change. There is something in your life that has led you here, and I'm happy to help in any way I can. Do you feel stuck and overwhelmed by emotions? Are you tire of falling back into the same patterns? Do you need a change in your life? If so, I'm here to embark in that journey with you!
Welcome! It takes courage to seek help, and here you are taking the first step towards change. There is something in your life that has led you here, and I'm happy to help in any way I can. Do you feel stuck and overwhelmed by emotions? Are you tire of falling back into the same patterns? Do you need a change in your life? If so, I'm here to embark in that journey with you!
(303) 622-5453 View (303) 622-5453
Photo of Kristy Eldredge, Licensed Professional Counselor, EdD, LPC, ACS, CCTP, CAGCS
Kristy Eldredge
Licensed Professional Counselor, EdD, LPC, ACS, CCTP, CAGCS
4 Endorsed
Denver, CO 80246
Feeling stuck, overwhelmed, or like you’re carrying too much on your own? You don’t have to. Together, we’ll explore how your experiences have shaped your patterns—how you cope, connect, and protect yourself—and we’ll build practical tools that help you feel steadier day to day. In a compassionate, down-to-earth space, you can expect support that’s both validating and growth-oriented, so you move from simply getting through life to feeling more calm, connected, and like yourself again. If you’re ready to take the next step, I’d be honored to work with you.
Feeling stuck, overwhelmed, or like you’re carrying too much on your own? You don’t have to. Together, we’ll explore how your experiences have shaped your patterns—how you cope, connect, and protect yourself—and we’ll build practical tools that help you feel steadier day to day. In a compassionate, down-to-earth space, you can expect support that’s both validating and growth-oriented, so you move from simply getting through life to feeling more calm, connected, and like yourself again. If you’re ready to take the next step, I’d be honored to work with you.
(720) 358-0501 View (720) 358-0501
Photo of Rachel Harmon, Clinical Social Work/Therapist, LCSW
Rachel Harmon
Clinical Social Work/Therapist, LCSW
2 Endorsed
Denver, CO 80220
Waitlist for new clients
Whether you're navigating trauma, anxiety, depression, life transitions, relationship challenges, or just feeling a bit off and can’t quite name why, or you want to figure out why you cried over a taco order gone wrong—you’re not alone. I believe that healing is something we’re all capable of, and that process can be strengthened through connection. Working through life’s complexities and difficult moments with someone else (that’s where I come in) can help the process feel a little less daunting and a little more accessible. While the work can be deep and meaningful, I also believe there’s room for humor and levity along the way.
Whether you're navigating trauma, anxiety, depression, life transitions, relationship challenges, or just feeling a bit off and can’t quite name why, or you want to figure out why you cried over a taco order gone wrong—you’re not alone. I believe that healing is something we’re all capable of, and that process can be strengthened through connection. Working through life’s complexities and difficult moments with someone else (that’s where I come in) can help the process feel a little less daunting and a little more accessible. While the work can be deep and meaningful, I also believe there’s room for humor and levity along the way.
(866) 923-1683 View (866) 923-1683
Photo of Debra Veleta Foster, Licensed Professional Counselor, LPC
Debra Veleta Foster
Licensed Professional Counselor, LPC
Online Only
I believe what I bring to the table is the ability to listen, to hear, and to hold space for you and your story, with a nonjudgmental mind and open heart. At times I understand that people might not know what they want from therapy-they just know they want to feel better. Other times people come in with very detailed ideas of what they want. I start out the same with everyone. I teach people how to become more aware/mindful of their thoughts, feelings, and actions, so we can identify what they truly want and the steps to achieve the desired outcome.
I believe what I bring to the table is the ability to listen, to hear, and to hold space for you and your story, with a nonjudgmental mind and open heart. At times I understand that people might not know what they want from therapy-they just know they want to feel better. Other times people come in with very detailed ideas of what they want. I start out the same with everyone. I teach people how to become more aware/mindful of their thoughts, feelings, and actions, so we can identify what they truly want and the steps to achieve the desired outcome.
(720) 804-0426 View (720) 804-0426
Photo of Alyssa Bekerman, Clinical Social Work/Therapist, LCSW, MFTC
Alyssa Bekerman
Clinical Social Work/Therapist, LCSW, MFTC
3 Endorsed
Denver, CO 80203
I believe that curiosity heals, that healing comes from approaching our lives with greater openness and non-judgement. I work with adults desiring support for complex trauma (CPTSD), relationship issues, chronic illness, anxiety, and career therapy. Using a caring, direct approach, I support clients to gain deeper understanding of themself, increase emotional regulation, & use more effective conflict management strategies. I believe that our world often makes it seem like we need to be fixed when really we need trust, connection, and tools to cultivate desired change within ourselves and our relationships.
I believe that curiosity heals, that healing comes from approaching our lives with greater openness and non-judgement. I work with adults desiring support for complex trauma (CPTSD), relationship issues, chronic illness, anxiety, and career therapy. Using a caring, direct approach, I support clients to gain deeper understanding of themself, increase emotional regulation, & use more effective conflict management strategies. I believe that our world often makes it seem like we need to be fixed when really we need trust, connection, and tools to cultivate desired change within ourselves and our relationships.
(720) 792-3326 View (720) 792-3326
Photo of Meghan Dzatko, Licensed Professional Counselor, LPC
Meghan Dzatko
Licensed Professional Counselor, LPC
Denver, CO 80207
Hi there, my name is Meg, and my goal is to guide you in rediscovering and accepting all the parts of what makes you, you. We achieve this together through compassionate care that helps you build confidence, find your voice, and figure out what really matters to you, whether that’s in your relationships, in your work, or how you spend your time. I also help you recognize patterns you’ve been stuck in, habits that don’t serve you anymore, or ways of being that might have been passed down through family, so you can break free from those cycles.
Hi there, my name is Meg, and my goal is to guide you in rediscovering and accepting all the parts of what makes you, you. We achieve this together through compassionate care that helps you build confidence, find your voice, and figure out what really matters to you, whether that’s in your relationships, in your work, or how you spend your time. I also help you recognize patterns you’ve been stuck in, habits that don’t serve you anymore, or ways of being that might have been passed down through family, so you can break free from those cycles.
(720) 782-1860 View (720) 782-1860
Photo of Lia Burke, Clinical Social Work/Therapist, LCSW
Lia Burke
Clinical Social Work/Therapist, LCSW
Denver, CO 80218
You may yearn to express yourself, but feel overwhelmed, disconnected, or stuck. When burdened by trauma, anxiety, depression, perfectionism, or low self-esteem, we often disconnect from ourselves and the world, leaving us out of touch with our creativity and sense of aliveness. I love to help artists, creatives, and deep thinkers and feelers access their innate capacity to heal, express themselves fully, and create a life that is truly theirs. I’m also here for the big stuff: navigating transitions, loss, heartbreak, pressures of our current systems, and the questions of meaning and identity that keep some of us up at night.
You may yearn to express yourself, but feel overwhelmed, disconnected, or stuck. When burdened by trauma, anxiety, depression, perfectionism, or low self-esteem, we often disconnect from ourselves and the world, leaving us out of touch with our creativity and sense of aliveness. I love to help artists, creatives, and deep thinkers and feelers access their innate capacity to heal, express themselves fully, and create a life that is truly theirs. I’m also here for the big stuff: navigating transitions, loss, heartbreak, pressures of our current systems, and the questions of meaning and identity that keep some of us up at night.
(303) 625-7471 View (303) 625-7471
Photo of Jamie Herring, Clinical Social Work/Therapist, LCSW, SSP
Jamie Herring
Clinical Social Work/Therapist, LCSW, SSP
Online Only
Hi, thanks for being here! I work with individuals seeking compassionate therapy to overcome challenges such as anxiety, depression, trauma, and familial conflicts. I will provide a safe space to express yourself with whatever comes up for you and you choose to share without judgment. I am a great listener who empathizes and provides effective strategies for personal growth. By fostering a therapeutic relationship built on trust, respect, and collaboration, I strive to empower clients in their journey towards healing and positive transformation.
Hi, thanks for being here! I work with individuals seeking compassionate therapy to overcome challenges such as anxiety, depression, trauma, and familial conflicts. I will provide a safe space to express yourself with whatever comes up for you and you choose to share without judgment. I am a great listener who empathizes and provides effective strategies for personal growth. By fostering a therapeutic relationship built on trust, respect, and collaboration, I strive to empower clients in their journey towards healing and positive transformation.
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Photo of Alyssa Hansen, Licensed Professional Counselor, MA, LPC, ATR
Alyssa Hansen
Licensed Professional Counselor, MA, LPC, ATR
1 Endorsed
Online Only
I work with adults experiencing trauma, depression, anxiety, and & other challenges. My approach is compassionate and grounded in evidence-based practices, with a focus on helping clients build insight, resilience, & make meaningful change. My goal is to support clients in deepening their connection to themselves and moving toward a more authentic and fulfilling life. I work from a humanistic approach, meaning, deeply value each person’s individuality, autonomy, & inherent worth. I offer a collaborative space where clients can explore & process life experiences, and reconnect with their innate capacity for growth and healing.
I work with adults experiencing trauma, depression, anxiety, and & other challenges. My approach is compassionate and grounded in evidence-based practices, with a focus on helping clients build insight, resilience, & make meaningful change. My goal is to support clients in deepening their connection to themselves and moving toward a more authentic and fulfilling life. I work from a humanistic approach, meaning, deeply value each person’s individuality, autonomy, & inherent worth. I offer a collaborative space where clients can explore & process life experiences, and reconnect with their innate capacity for growth and healing.
(855) 253-8526 View (855) 253-8526
Photo of Lizzie Joan Stevenson, Marriage & Family Therapist, MS, LMFT
Lizzie Joan Stevenson
Marriage & Family Therapist, MS, LMFT
Denver, CO 80211
I specialize in helping you understand and shift the patterns that keep you stuck. Using attachment-based, trauma-informed, and evidence-based approaches, therapy is focused, practical, and results-driven. You’ll gain insight, strengthen communication, and develop tools to create more secure, intentional relationships—with lasting, real-world change.
I specialize in helping you understand and shift the patterns that keep you stuck. Using attachment-based, trauma-informed, and evidence-based approaches, therapy is focused, practical, and results-driven. You’ll gain insight, strengthen communication, and develop tools to create more secure, intentional relationships—with lasting, real-world change.
(720) 513-2377 View (720) 513-2377
Photo of Stephanie Caya, Clinical Social Work/Therapist, LCSW
Stephanie Caya
Clinical Social Work/Therapist, LCSW
Online Only
Life's challenges can sometimes leave us feeling disconnected from ourselves, detached from our bodies, or distant from the people and communities we care about. I specialize in supporting teenagers and adults experiencing anxiety, depression, relationship challenges and trauma.
Life's challenges can sometimes leave us feeling disconnected from ourselves, detached from our bodies, or distant from the people and communities we care about. I specialize in supporting teenagers and adults experiencing anxiety, depression, relationship challenges and trauma.
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Photo of Tom Gaus, Psychologist, PsyD
Tom Gaus
Psychologist, PsyD
Denver, CO 80222
I am a therapist at Anxiety Solutions of Denver specializing in anxiety and OCD treatment. My clients often come to me exhausted and frustrated by the suffering anxiety disorders and OCD can entail. They not only want to be listened to and understood, but want a specialized professional to guide them in exactly what they can do to achieve long-term relief. The treatment my colleagues and I provide is considered the gold-standard approach for anxiety disorders and OCD. If you are looking to break free from the grips of these disorders in pursuit of a more free, fulfilling, and meaningful life, we are here to help.
I am a therapist at Anxiety Solutions of Denver specializing in anxiety and OCD treatment. My clients often come to me exhausted and frustrated by the suffering anxiety disorders and OCD can entail. They not only want to be listened to and understood, but want a specialized professional to guide them in exactly what they can do to achieve long-term relief. The treatment my colleagues and I provide is considered the gold-standard approach for anxiety disorders and OCD. If you are looking to break free from the grips of these disorders in pursuit of a more free, fulfilling, and meaningful life, we are here to help.
(720) 712-2407 View (720) 712-2407
Photo of Dr. Trey Cole, Psychologist, PsyD, ABPP, DAAETS
Dr. Trey Cole
Psychologist, PsyD, ABPP, DAAETS
10 Endorsed
Denver, CO 80222
Most of us just want to feel seen, heard, and understood — and that's exactly what I try to offer from the start. I believe therapy works best when it feels like a real relationship: one that's supportive and compassionate, but also honest enough to gently challenge you when it matters. Real change tends to happen when we slow down and look at the stories we've been telling ourselves — about who we are, what we deserve, and how the world works. In our work together, we'll explore those meanings at a pace that feels right for you, opening up new ways of seeing yourself and your relationships. My hope is that you leave each session fe
Most of us just want to feel seen, heard, and understood — and that's exactly what I try to offer from the start. I believe therapy works best when it feels like a real relationship: one that's supportive and compassionate, but also honest enough to gently challenge you when it matters. Real change tends to happen when we slow down and look at the stories we've been telling ourselves — about who we are, what we deserve, and how the world works. In our work together, we'll explore those meanings at a pace that feels right for you, opening up new ways of seeing yourself and your relationships. My hope is that you leave each session fe
(720) 336-4609 View (720) 336-4609
Photo of Kevin Michael Dougherty, Clinical Social Work/Therapist, MSW, LCSW
Kevin Michael Dougherty
Clinical Social Work/Therapist, MSW, LCSW
Denver, CO 80209
I feel that family connection and communication is the foundation for healthy futures for both adults and adolescents. As a seasoned LCSW in the Denver metro area I have extensive experience in working with youth and families in getting through these challenging experiences and moving towards healthier communication, relationships and futures. I offer in-home family and individual work that addresses issues related to juvenile justice involvement, patterns of oppositional behaviors, school issues, unhealthy relationships and other presenting mental health issues. Family therapy addresses family relationships, parenting skills, communication challenges, and understanding healthy rules, roles and responsibilities.
I feel that family connection and communication is the foundation for healthy futures for both adults and adolescents. As a seasoned LCSW in the Denver metro area I have extensive experience in working with youth and families in getting through these challenging experiences and moving towards healthier communication, relationships and futures. I offer in-home family and individual work that addresses issues related to juvenile justice involvement, patterns of oppositional behaviors, school issues, unhealthy relationships and other presenting mental health issues. Family therapy addresses family relationships, parenting skills, communication challenges, and understanding healthy rules, roles and responsibilities.
(720) 924-4078 View (720) 924-4078
Photo of Andrea Perleberg, Licensed Professional Counselor, MA, LPC
Andrea Perleberg
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
You're driven, capable, and probably fine on the outside. But underneath, your relationship with food and your body takes up way more space than you'd like to admit. You're not sick enough for treatment - but you're not okay either. That's exactly where I work. I'm Andrea Perleberg, a Licensed Professional Counselor based in Denver offering telehealth therapy across Colorado and, I promise therapy doesn't have to feel like a one-hour monologue where I just nod and take notes. I believe healing happens through real conversations, a little humor, and a lot of self-compassion.
You're driven, capable, and probably fine on the outside. But underneath, your relationship with food and your body takes up way more space than you'd like to admit. You're not sick enough for treatment - but you're not okay either. That's exactly where I work. I'm Andrea Perleberg, a Licensed Professional Counselor based in Denver offering telehealth therapy across Colorado and, I promise therapy doesn't have to feel like a one-hour monologue where I just nod and take notes. I believe healing happens through real conversations, a little humor, and a lot of self-compassion.
(720) 782-5719 View (720) 782-5719
Photo of Jordan Ivey, Clinical Social Work/Therapist, LCSW, LAC, MSW
Jordan Ivey
Clinical Social Work/Therapist, LCSW, LAC, MSW
1 Endorsed
Denver, CO 80211
Waitlist for new clients
My practice is focused on helping you connect with your authentic self and achieve your personal vision of emotional and relational wellbeing. A core aspect of my approach is relational and attachment-focused therapy— using the therapeutic relationship to uncover patterns and dynamics that shape how you engage with yourself and others. Through this exploration, you will develop an authentic, attuned, and compassionate relationship with yourself, which will help you foster healthy relationships with others.
My practice is focused on helping you connect with your authentic self and achieve your personal vision of emotional and relational wellbeing. A core aspect of my approach is relational and attachment-focused therapy— using the therapeutic relationship to uncover patterns and dynamics that shape how you engage with yourself and others. Through this exploration, you will develop an authentic, attuned, and compassionate relationship with yourself, which will help you foster healthy relationships with others.
(720) 500-7601 View (720) 500-7601
Photo of Elise Salas, Clinical Social Work/Therapist, LCSW
Elise Salas
Clinical Social Work/Therapist, LCSW
1 Endorsed
Denver, CO 80210
Are all of life’s responsibilities beginning to feel unmanageable? You may be exhausted from trying to manage everything on your own, stuck in cycles of worry, self-doubt, or sadness that make it hard to move forward. Your emotional resources may be depleted due to a life transition such as a move, job change, or the arrival of a new child. I treat a wide range of behavioral health conditions, including anxiety, depression, PTSD, women’s issues (perinatal/postpartum anxiety & depression, infertility, loss), dual diagnosis (mental health & substance use). Therapy can provide tools to create harmony and meaningful change in your life.
Are all of life’s responsibilities beginning to feel unmanageable? You may be exhausted from trying to manage everything on your own, stuck in cycles of worry, self-doubt, or sadness that make it hard to move forward. Your emotional resources may be depleted due to a life transition such as a move, job change, or the arrival of a new child. I treat a wide range of behavioral health conditions, including anxiety, depression, PTSD, women’s issues (perinatal/postpartum anxiety & depression, infertility, loss), dual diagnosis (mental health & substance use). Therapy can provide tools to create harmony and meaningful change in your life.
(720) 713-3295 View (720) 713-3295

See more therapy options for Denver

How does your Therapist compare?

Number of Therapists in Denver, CO

3,000+

Average cost per session

$150

Therapists in Denver, CO who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
85% Depression
77% Trauma and PTSD
77% Complex PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
73% Cigna and Evernorth
71% UnitedHealthcare UHC | UBH

How Therapists in Denver, CO see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Denver?

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.