Therapists in Rapid City, SD

Photo of Crossroads Counseling Services, Counselor in Rapid City, SD
Crossroads Counseling Services
Counselor, EdS, LPC-MH, NCC, QMHP
Verified Verified
Rapid City, SD 57701
Not accepting new clients
Life is full of changes and decisions. When those become critical, you can find yourself at a crossroads, unsure of what to do or where to go. As a licensed mental health counselor, I can assist you in sorting through all the issues. Together we will explore all your life changes and conflicts and devise a treatment plan that addresses your needs and wants.
Life is full of changes and decisions. When those become critical, you can find yourself at a crossroads, unsure of what to do or where to go. As a licensed mental health counselor, I can assist you in sorting through all the issues. Together we will explore all your life changes and conflicts and devise a treatment plan that addresses your needs and wants.
(605) 593-5190 View (605) 593-5190
Photo of Elizabeth K Miller, Licensed Professional Counselor in Rapid City, SD
Elizabeth K Miller
Licensed Professional Counselor, MAC, LPC
Verified Verified
Rapid City, SD 57701
I am a licensed professional counselor with over 14 years of experience. That being said, I've learned there is always room for growth and change. I offer acceptance of whatever you bring to talk about with a non biased perspective and no judgments or criticism. My life experiences have taught me empathy and compassion as well as keeping boundaries and being a little 'tough skinned'. I enjoy working with someone who is open and honest. It's great if I can challenge your thinking and /or perspective on your life, situations and experiences. We all experience hard days and difficult situations - I'm here to help.
I am a licensed professional counselor with over 14 years of experience. That being said, I've learned there is always room for growth and change. I offer acceptance of whatever you bring to talk about with a non biased perspective and no judgments or criticism. My life experiences have taught me empathy and compassion as well as keeping boundaries and being a little 'tough skinned'. I enjoy working with someone who is open and honest. It's great if I can challenge your thinking and /or perspective on your life, situations and experiences. We all experience hard days and difficult situations - I'm here to help.
(605) 501-5642 View (605) 501-5642
Photo of Sarah Monich Granelli, Clinical Social Work/Therapist in Rapid City, SD
Sarah Monich Granelli
Clinical Social Work/Therapist, LCSW, PIP
Verified Verified
Rapid City, SD 57701  (Online Only)
Waitlist for new clients
The kindest thing we can do for ourselves is to face life's challenges with honesty and bravery. But doing so can be painful, and often requires support from others. Therapy offers a unique opportunity to help differentiate what we can and cannot change, and to guide us toward self-affirming, healthy choices without judgment or pressure.
The kindest thing we can do for ourselves is to face life's challenges with honesty and bravery. But doing so can be painful, and often requires support from others. Therapy offers a unique opportunity to help differentiate what we can and cannot change, and to guide us toward self-affirming, healthy choices without judgment or pressure.
(406) 341-2515 View (406) 341-2515
Photo of E. Jason Stamper, Licensed Professional Counselor in Rapid City, SD
E. Jason Stamper
Licensed Professional Counselor, LPC-MH, NCC, QMHP
Verified Verified
Rapid City, SD 57702
Waitlist for new clients
Are there times when you find yourself mentally and emotionally exhausted? Throughout your life, do you feel different than everyone you know? Do you ask yourself, “why does this keep happening to me?” Does the thought of, just about anything, bring a level of nervous anxiety you cannot tolerate? Then again did someone you love die and you cannot seem to move on? Are there experiences in life you would rather keep buried inside and try as you might, they keep coming back? If you find yourself on the verge of becoming or are, hopeless and you are ready to make a change, it would be an honor to hear your story.
Are there times when you find yourself mentally and emotionally exhausted? Throughout your life, do you feel different than everyone you know? Do you ask yourself, “why does this keep happening to me?” Does the thought of, just about anything, bring a level of nervous anxiety you cannot tolerate? Then again did someone you love die and you cannot seem to move on? Are there experiences in life you would rather keep buried inside and try as you might, they keep coming back? If you find yourself on the verge of becoming or are, hopeless and you are ready to make a change, it would be an honor to hear your story.
(605) 525-6356 x402 View (605) 525-6356 x402
Photo of Red Horse Healing , Licensed Professional Counselor in Rapid City, SD
Red Horse Healing
Licensed Professional Counselor, LPC-MH
Verified Verified
Rapid City, SD 57703
As we engage in equine therapy we witness the incredible bond between horses and humans, crating a safe and transformative space for growth and healing. The wisdom and intuitive nature of horses guide us on a journey of self -discovery, resilience, and emotional well being. Whether it is building trust, finding peace, or developing valuable life skills equine therapy offers a unique and profound path towards growth.
As we engage in equine therapy we witness the incredible bond between horses and humans, crating a safe and transformative space for growth and healing. The wisdom and intuitive nature of horses guide us on a journey of self -discovery, resilience, and emotional well being. Whether it is building trust, finding peace, or developing valuable life skills equine therapy offers a unique and profound path towards growth.
(605) 220-5413 View (605) 220-5413
Photo of Alyssa Martin, Counselor in Rapid City, SD
Alyssa Martin
Counselor, MS, LAC
Not Verified Not Verified
Rapid City, SD 57703
Alyssa Martin, MS, LAC is a South Dakota State Licensed Addiction Counselor and has a Master's of Science in Clinical Mental Health Counseling from South Dakota State University. She has experience in working with adolescents and adults in intensive inpatient treatment and outpatient settings. She uses cognitive behavioral, solution-focused and motivational interviewing therapeutic techniques. She specializes in substance abuse, addiction, depression, anxiety, trauma, and grief. She is currently employed at Black Hills Counselors and provides Substance Abuse evaluations, outpatient groups, DUI classes, individual, family and couples counseling sessions for adults and adolescents.
Alyssa Martin, MS, LAC is a South Dakota State Licensed Addiction Counselor and has a Master's of Science in Clinical Mental Health Counseling from South Dakota State University. She has experience in working with adolescents and adults in intensive inpatient treatment and outpatient settings. She uses cognitive behavioral, solution-focused and motivational interviewing therapeutic techniques. She specializes in substance abuse, addiction, depression, anxiety, trauma, and grief. She is currently employed at Black Hills Counselors and provides Substance Abuse evaluations, outpatient groups, DUI classes, individual, family and couples counseling sessions for adults and adolescents.
(605) 653-4528 View (605) 653-4528
Photo of Root and Bloom, Licensed Professional Counselor in Rapid City, SD
Root and Bloom
Licensed Professional Counselor, LPC-MH
Verified Verified
Rapid City, SD 57701
Are you a helper? A parent? A goodhearted kid with trauma? A medical professional? A teacher? Social worker? First responder? An activist? Family of or a Service member?  Are you tired?  Do you want the world to be better? Me too! My name is Jeni Rae Peters, and I specialize in help for the helper.
Are you a helper? A parent? A goodhearted kid with trauma? A medical professional? A teacher? Social worker? First responder? An activist? Family of or a Service member?  Are you tired?  Do you want the world to be better? Me too! My name is Jeni Rae Peters, and I specialize in help for the helper.
(605) 702-6022 View (605) 702-6022
Photo of Tracy Palecek, Licensed Professional Counselor in Rapid City, SD
Tracy Palecek
Licensed Professional Counselor, LPC-MH, QMHP
Verified Verified
Rapid City, SD 57702
I believe therapy is a place for you to come with whatever burdens you. I will meet you there and walk with you as we, together, plan your path ahead. I often work with those who are dealing with anxiety, depression, past or current trauma, and life changes. I use many different treatment modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy. I approach this work with trust building, careful assessment, and a specific plan for achieving results.
I believe therapy is a place for you to come with whatever burdens you. I will meet you there and walk with you as we, together, plan your path ahead. I often work with those who are dealing with anxiety, depression, past or current trauma, and life changes. I use many different treatment modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy. I approach this work with trust building, careful assessment, and a specific plan for achieving results.
(605) 467-5847 View (605) 467-5847
Photo of Lesley Anne Dzintars, Licensed Professional Counselor in Rapid City, SD
Lesley Anne Dzintars
Licensed Professional Counselor, LPC-MH, QMHP, CBP
Verified Verified
Rapid City, SD 57702
Are you being the best version of yourself? Does life seem to flow with ease? Do you feel joyful? Therapy is a tool that can move you toward this state of being and way of living. Much of what we observe and experience in today's world may be chaotic, stressful and perhaps painful. How can we be "in the world" but not "of the world?" How can we be our best selves regardless of what surrounds us? Thinking patterns and unconscious habits are often barriers to living fully. How can we learn to transcend and live a life of hope and love.
Are you being the best version of yourself? Does life seem to flow with ease? Do you feel joyful? Therapy is a tool that can move you toward this state of being and way of living. Much of what we observe and experience in today's world may be chaotic, stressful and perhaps painful. How can we be "in the world" but not "of the world?" How can we be our best selves regardless of what surrounds us? Thinking patterns and unconscious habits are often barriers to living fully. How can we learn to transcend and live a life of hope and love.
(605) 250-4634 View (605) 250-4634
Photo of Jean M Hoem, LPC-MH, QMHP, Licensed Professional Counselor in Rapid City, SD
Jean M Hoem, LPC-MH, QMHP
Licensed Professional Counselor, MS, LPC-MH, QMHP
Verified Verified
Rapid City, SD 57701
I think of therapy as a compassionate collaboration. Clients and I form a partnership in which we work together to not only change behavior, but to understand why we continue to make the same mistakes. We also develop a "roadmap" to avoid future problems by learning to spot "red flags" that may trigger old behaviors. Learning new coping skills and strengthening old ones are an intregal part of this process.
I think of therapy as a compassionate collaboration. Clients and I form a partnership in which we work together to not only change behavior, but to understand why we continue to make the same mistakes. We also develop a "roadmap" to avoid future problems by learning to spot "red flags" that may trigger old behaviors. Learning new coping skills and strengthening old ones are an intregal part of this process.
(605) 309-7083 View (605) 309-7083
Photo of Alexandra Coyne, Pre-Licensed Professional in Rapid City, SD
Alexandra Coyne
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Rapid City, SD 57701
I work with teens, adults, and couples to navigate challenges as they journey through what it means to be the best versions of themselves. When we are up against confusing or difficult circumstances, we are left with a choice to embrace and face the storm or turn our backs, letting it fester. I am here to journey alongside you and venture together to face this storm, whatever it may be. It is okay to not be okay. Recognizing challenges in life is a sign of readiness for growth and self-evolution. Therapy is a way to explore this self-evolution in a way that is safe and oriented with your best interests in mind, always.
I work with teens, adults, and couples to navigate challenges as they journey through what it means to be the best versions of themselves. When we are up against confusing or difficult circumstances, we are left with a choice to embrace and face the storm or turn our backs, letting it fester. I am here to journey alongside you and venture together to face this storm, whatever it may be. It is okay to not be okay. Recognizing challenges in life is a sign of readiness for growth and self-evolution. Therapy is a way to explore this self-evolution in a way that is safe and oriented with your best interests in mind, always.
(605) 299-9100 View (605) 299-9100
Photo of Rapid City Counselors, Clinical Social Work/Therapist in Rapid City, SD
Rapid City Counselors
Clinical Social Work/Therapist, MSW, LCSW, QMHP
Verified Verified
Rapid City, SD 57701
I enjoy working with children and adolescents and the challenges they face day to day. My experience comes from working in a residential treatment facility where I helped children work through their trauma and able to process it in a healthy way. I want to be able to give children and adolescents the tools they need to be successful and overcome any challenges they face.
I enjoy working with children and adolescents and the challenges they face day to day. My experience comes from working in a residential treatment facility where I helped children work through their trauma and able to process it in a healthy way. I want to be able to give children and adolescents the tools they need to be successful and overcome any challenges they face.
(605) 307-3131 View (605) 307-3131
Photo of Ali Anderson, Pre-Licensed Professional in Rapid City, SD
Ali Anderson
Pre-Licensed Professional
Verified Verified
Rapid City, SD 57702
I am a pre-licensed counselor, working under supervision, accepting clients starting January 1, 2024. I take a client-centered approach to counseling, emphasizing your strengths and building on them. I am passionate about working with individuals who are undergoing life transitions, wanting to improve relationships and communication patterns, coping with trauma and loss, struggling with substance use issues, and those managing long-term mental health conditions. I will create a safe space to foster honesty, healing, and self-discovery.
I am a pre-licensed counselor, working under supervision, accepting clients starting January 1, 2024. I take a client-centered approach to counseling, emphasizing your strengths and building on them. I am passionate about working with individuals who are undergoing life transitions, wanting to improve relationships and communication patterns, coping with trauma and loss, struggling with substance use issues, and those managing long-term mental health conditions. I will create a safe space to foster honesty, healing, and self-discovery.
(605) 307-5839 View (605) 307-5839
Photo of Melissa Smith, Licensed Professional Counselor in Rapid City, SD
Melissa Smith
Licensed Professional Counselor, LMHC, LPC, MA
Verified Verified
Rapid City, SD 57701
Offering Telehealth Services in IA and In Person and Telehealth services in SD. Discover Healing and Hope. Are you or a loved one struggling with the weight of past trauma, anxiety, or emotional distress? It's time to take that courageous step towards healing and liberation. Meet Melissa Smith, your trusted partner on the path to recovery and resilience. Melissa partners with clients to create a safe space to process past trauma, discuss life struggles in an open and non-judgmental environment, and to offer hope in the journey of healing.
Offering Telehealth Services in IA and In Person and Telehealth services in SD. Discover Healing and Hope. Are you or a loved one struggling with the weight of past trauma, anxiety, or emotional distress? It's time to take that courageous step towards healing and liberation. Meet Melissa Smith, your trusted partner on the path to recovery and resilience. Melissa partners with clients to create a safe space to process past trauma, discuss life struggles in an open and non-judgmental environment, and to offer hope in the journey of healing.
(605) 674-7663 View (605) 674-7663
Photo of Southwest Evaluations & Counseling , Counselor in Rapid City, SD
Southwest Evaluations & Counseling
Counselor, LCPC, LAC, LPC-MH
Verified Verified
Rapid City, SD 57701  (Online Only)
Waitlist until July 1, 2024. Do you struggle with anxiety from family or romantic relationships? Do you feel alone in your suffer with chronic pain or illness? Therapy can help! Specialty areas: addiction/substance abuse (dual diagnosis/co-occurring), ADHD, anxiety, “codependency”, chronic pain/illness, depression, eating disorders, stress related to work- including farming/ranching, and mental health & chemical dependency evaluations. LCPC, LAC (Montana: Licensed Clinical Professional Counselor, Licensed Addiction Counselor) & LPC-MH (South Dakota: Licensed Professional Counselor - Mental Health designation). Telehealth only.
Waitlist until July 1, 2024. Do you struggle with anxiety from family or romantic relationships? Do you feel alone in your suffer with chronic pain or illness? Therapy can help! Specialty areas: addiction/substance abuse (dual diagnosis/co-occurring), ADHD, anxiety, “codependency”, chronic pain/illness, depression, eating disorders, stress related to work- including farming/ranching, and mental health & chemical dependency evaluations. LCPC, LAC (Montana: Licensed Clinical Professional Counselor, Licensed Addiction Counselor) & LPC-MH (South Dakota: Licensed Professional Counselor - Mental Health designation). Telehealth only.
(605) 450-7645 View (605) 450-7645
Photo of Stuart Krause, Psychologist in Rapid City, SD
Stuart Krause
Psychologist, PhD
Verified Verified
Rapid City, SD 57701
I can help you with depression, anxiety, feelings of poor self-worth or problems with communication and commitment in personal relationships. You can get off the treadmill of intense and self-defeating interactions with co-workers and intimate partners. I can also help if you have trouble concentrating, staying focused on a task, or being hyperactive and feeling "scattered." If you are a spiritual seeker, I can provide a thoughtful and informed perspective on meaning and direction in life.
I can help you with depression, anxiety, feelings of poor self-worth or problems with communication and commitment in personal relationships. You can get off the treadmill of intense and self-defeating interactions with co-workers and intimate partners. I can also help if you have trouble concentrating, staying focused on a task, or being hyperactive and feeling "scattered." If you are a spiritual seeker, I can provide a thoughtful and informed perspective on meaning and direction in life.
(605) 540-0269 View (605) 540-0269
Photo of Gaylen Bendewald, Clinical Social Work/Therapist in Rapid City, SD
Gaylen Bendewald
Clinical Social Work/Therapist, MSW
Verified Verified
1 Endorsed
Rapid City, SD 57702
People ask me how I am able to listen to people's problems all day without going crazy and getting depressed myself. The fact is, if that was all that there was to it -listening to people's problems - I probably would go crazy. The great joy in my work, and the satisfaction, is in seeing people get better. This desire keeps me on the learners edge, and it is my passion. I am a capable guide who will respect your individuality and choices along the way while providing you a sureness of foot that only experience can provide.
People ask me how I am able to listen to people's problems all day without going crazy and getting depressed myself. The fact is, if that was all that there was to it -listening to people's problems - I probably would go crazy. The great joy in my work, and the satisfaction, is in seeing people get better. This desire keeps me on the learners edge, and it is my passion. I am a capable guide who will respect your individuality and choices along the way while providing you a sureness of foot that only experience can provide.
(605) 956-4114 View (605) 956-4114
Photo of Sarah Swantner, Licensed Professional Counselor in Rapid City, SD
Sarah Swantner
Licensed Professional Counselor, LPC-MH, CFT-I, CFP
Verified Verified
Rapid City, SD 57701
Waitlist for new clients
This anxiety is relentless. It’s been going on for so long that you can’t remember what life is like without it. You have two modes – anxious and extremely anxious. It blows you away to hear people say you have it together, because you know you don’t. Somehow, you’re pulling off life and looking successful, but on the inside you’re a wreck. The thoughts about all the ways you’re not good enough never let up. The anxiety and critical voices are what keep you from failing, right? They won’t allow you to slack off, to relax, to stop worrying. It’s beginning to take a toll on your relationships, your physical health, and on your life.
This anxiety is relentless. It’s been going on for so long that you can’t remember what life is like without it. You have two modes – anxious and extremely anxious. It blows you away to hear people say you have it together, because you know you don’t. Somehow, you’re pulling off life and looking successful, but on the inside you’re a wreck. The thoughts about all the ways you’re not good enough never let up. The anxiety and critical voices are what keep you from failing, right? They won’t allow you to slack off, to relax, to stop worrying. It’s beginning to take a toll on your relationships, your physical health, and on your life.
(605) 519-6141 View (605) 519-6141
Photo of Emily A Hamling, Pre-Licensed Professional in Rapid City, SD
Emily A Hamling
Pre-Licensed Professional
Verified Verified
Rapid City, SD 57702
“To build the life you desire and deserve to live”. This is my purpose in the counseling process as we partner to explore life and what it could be. As we partner together on your journey in life, I commit to meeting you were you are at while providing a space that is nonjudgmental, genuine, and balanced in acceptance and change. Dialectical Behavioral Therapy and Motivational Interviewing are my primary treatment modalities while also integrating different techniques based on your individual needs.
“To build the life you desire and deserve to live”. This is my purpose in the counseling process as we partner to explore life and what it could be. As we partner together on your journey in life, I commit to meeting you were you are at while providing a space that is nonjudgmental, genuine, and balanced in acceptance and change. Dialectical Behavioral Therapy and Motivational Interviewing are my primary treatment modalities while also integrating different techniques based on your individual needs.
(605) 574-5418 View (605) 574-5418
Photo of Katie Schwenk, Clinical Social Work/Therapist in Rapid City, SD
Katie Schwenk
Clinical Social Work/Therapist, CSW-PIP, LCSW
Verified Verified
Rapid City, SD 57701
I recently moved to Rapid City, SD from New York State and have reopened my practice. I prefer to see clients in person and an looking forward to being able to help the community. I have been a practicing therapist for almost 20 years. I enjoy working with adolescents and adults who struggle with suicidal ideation, self-harming behaviors, emotional disregulation, confusion about self, anxiety and stress. I am here to help clients reduce emotional and behavioral problems to begin to reach their goals and find their life worth living.
I recently moved to Rapid City, SD from New York State and have reopened my practice. I prefer to see clients in person and an looking forward to being able to help the community. I have been a practicing therapist for almost 20 years. I enjoy working with adolescents and adults who struggle with suicidal ideation, self-harming behaviors, emotional disregulation, confusion about self, anxiety and stress. I am here to help clients reduce emotional and behavioral problems to begin to reach their goals and find their life worth living.
(605) 453-5224 View (605) 453-5224

How does your Therapist compare?

Number of Therapists in Rapid City, SD

100+

Average cost per session

$150

Therapists in Rapid City, SD who prioritize treating:

95% Anxiety
91% Depression
79% Self Esteem
77% Stress
74% Coping Skills
73% Relationship Issues
73% Grief

Average years in practice

12 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
67% Wellmark BCBS
58% Avera Health Plans

How Therapists in Rapid City, SD see their clients

80% In Person and Online
20% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rapid City?

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.