Therapists in Springfield, MO

Photo of The Authentic Mens Group, Counselor in Springfield, MO
The Authentic Mens Group
Counselor
Verified Verified
Springfield, MO 65804
The Authentic Men’s Group (AMG) — a non profit organization devoted to making men’s mental health and personal growth a priority. AMG is passionate about creating a guilt free environment for all men. Through group coaching and by promoting 100% authenticity and self acceptance men get to know and experience that they are not alone, a good man and enough. Each coach and group is devoted to listening to not only what is said— but the truths rooted beneath those words. Those truths are then explored and applied to every day life and circumstances.
The Authentic Men’s Group (AMG) — a non profit organization devoted to making men’s mental health and personal growth a priority. AMG is passionate about creating a guilt free environment for all men. Through group coaching and by promoting 100% authenticity and self acceptance men get to know and experience that they are not alone, a good man and enough. Each coach and group is devoted to listening to not only what is said— but the truths rooted beneath those words. Those truths are then explored and applied to every day life and circumstances.
(417) 765-0336 View (417) 765-0336
Photo of Kate Young, Pre-Licensed Professional in Springfield, MO
Kate Young
Pre-Licensed Professional, MS, PLPC
Verified Verified
Springfield, MO 65806  (Online Only)
As a counselor, I hold the view of myself as a “fellow traveler” with my clients on their healing journey. I believe that the client is the expert in their own life. My role as counselor is to help where needed to navigate rough terrain, explore new paths, identify, and understand what is being experienced, in order to reach the client’s goals. Through an integrative approach, I work alongside clients to make sense of their lived experience and consider new pathways through life as appropriate and desired.
As a counselor, I hold the view of myself as a “fellow traveler” with my clients on their healing journey. I believe that the client is the expert in their own life. My role as counselor is to help where needed to navigate rough terrain, explore new paths, identify, and understand what is being experienced, in order to reach the client’s goals. Through an integrative approach, I work alongside clients to make sense of their lived experience and consider new pathways through life as appropriate and desired.
(417) 981-2628 View (417) 981-2628
Photo of Neth Wiggs, Counselor in Springfield, MO
Neth Wiggs
Counselor, MA, LPC
Verified Verified
2 Endorsed
Springfield, MO 65804
Do you find that you don’t respond to stress the way you want to? You try to cope, but don’t have enough tools in the toolbox? Are you dealing with relationship stress? Or maybe struggling with unwanted habits? It’s common to find ourselves here at various points in our lives and it’s hard. What would it be like to feel calmer and stronger? To be able to look at situations without being clouded by past experiences. To be better able to make choices?
Do you find that you don’t respond to stress the way you want to? You try to cope, but don’t have enough tools in the toolbox? Are you dealing with relationship stress? Or maybe struggling with unwanted habits? It’s common to find ourselves here at various points in our lives and it’s hard. What would it be like to feel calmer and stronger? To be able to look at situations without being clouded by past experiences. To be better able to make choices?
(417) 771-3648 View (417) 771-3648
Photo of Darryl J Schafer, Licensed Professional Counselor in Springfield, MO
Darryl J Schafer
Licensed Professional Counselor, MA, MS, LPC, NCC
Verified Verified
1 Endorsed
Springfield, MO 65804
Waitlist for new clients
Therapy is where you can say the words that aren't allowed to be said. While I see clients who are struggling with a variety of issues (depression; anxiety; relationship difficulties; and questions of meaning, purpose, and self), I specialize in working with those who have experienced religious trauma - those who have been deeply hurt by the messages they received as part of their religious experience and have not felt the freedom to tell their story. Clergy and laity alike need space to express and reflect upon their hurt, their sadness, their anger, their disappointment, and their doubts.
Therapy is where you can say the words that aren't allowed to be said. While I see clients who are struggling with a variety of issues (depression; anxiety; relationship difficulties; and questions of meaning, purpose, and self), I specialize in working with those who have experienced religious trauma - those who have been deeply hurt by the messages they received as part of their religious experience and have not felt the freedom to tell their story. Clergy and laity alike need space to express and reflect upon their hurt, their sadness, their anger, their disappointment, and their doubts.
(417) 771-3942 View (417) 771-3942
Photo of Kristen Shuler, Clinical Social Work/Therapist in Springfield, MO
Kristen Shuler
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
3 Endorsed
Springfield, MO 65804
Hi, I'm Kristen and I'm a Licensed Clinical Social Worker. I specialize in working with adults who experience emotions very intensely, to the point that it interrupts daily life and takes a toll on relationships. My goal is to help you to get out of the misery by teaching you how to calm the emotional storms, regulate your mood, improve your relationships, and become more mindful. I specialize in Dialectical Behavior Therapy (DBT) and I am state certified in this treatment. I am licensed to provide psychotherapy to Missouri residents. Many of my clients identify as being neurodivergent.
Hi, I'm Kristen and I'm a Licensed Clinical Social Worker. I specialize in working with adults who experience emotions very intensely, to the point that it interrupts daily life and takes a toll on relationships. My goal is to help you to get out of the misery by teaching you how to calm the emotional storms, regulate your mood, improve your relationships, and become more mindful. I specialize in Dialectical Behavior Therapy (DBT) and I am state certified in this treatment. I am licensed to provide psychotherapy to Missouri residents. Many of my clients identify as being neurodivergent.
(417) 212-5372 View (417) 212-5372
Photo of Drew Jansen, Pre-Licensed Professional in Springfield, MO
Drew Jansen
Pre-Licensed Professional, PLPC, NCC, ME
Verified Verified
2 Endorsed
Springfield, MO 65806
I am an EMDR trained therapist who specializes in working with those who have experienced trauma. I believe that humans have amazing potential to heal from even the most difficult experiences and that healing occurs in connection with others. I hope to offer a safe and accepting space where all beliefs and backgrounds feel welcome. I believe in taking a client-centered approach and that therapy should meet your individual and unique needs. The relationship between the counselor and client can be a powerfully healing one and I would be honored to have the opportunity to earn your trust.
I am an EMDR trained therapist who specializes in working with those who have experienced trauma. I believe that humans have amazing potential to heal from even the most difficult experiences and that healing occurs in connection with others. I hope to offer a safe and accepting space where all beliefs and backgrounds feel welcome. I believe in taking a client-centered approach and that therapy should meet your individual and unique needs. The relationship between the counselor and client can be a powerfully healing one and I would be honored to have the opportunity to earn your trust.
(417) 497-2876 View (417) 497-2876
Photo of Sandy Parisi, Licensed Professional Counselor in Springfield, MO
Sandy Parisi
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Springfield, MO 65802
Not accepting new clients
We are all in different seasons of life, and the best part about seasons is they only last for awhile. I have had the privilege of growing and learning through each season of my life, with the first part of my career in medical healthcare and for the last decade in mental health care. I believe that people are good and well intended. As humans living amongst other humans, we likely have experienced a traumatic event that keeps us feeling stuck or perhaps struck with anxiety, depression, and fear.
We are all in different seasons of life, and the best part about seasons is they only last for awhile. I have had the privilege of growing and learning through each season of my life, with the first part of my career in medical healthcare and for the last decade in mental health care. I believe that people are good and well intended. As humans living amongst other humans, we likely have experienced a traumatic event that keeps us feeling stuck or perhaps struck with anxiety, depression, and fear.
(417) 453-2660 View (417) 453-2660
Photo of Douglas A Gragson, Licensed Professional Counselor in Springfield, MO
Douglas A Gragson
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Springfield, MO 65804
I am a Licensed Professional Counselor providing individual, couples and group counseling with adolescents and adults incorporating an eclectic approach to therapy. I have been fortunate during my years to work with families experiencing difficulties, angry teenagers and adults struggling to meet their full potential, couples trying to grow their relationship and individuals struggling with alcohol and substance abuse and I feel grateful to see the process of growth and change that can occur. I invite you to come along and will commit to providing a place where you will be heard and supported unconditionally through this process.
I am a Licensed Professional Counselor providing individual, couples and group counseling with adolescents and adults incorporating an eclectic approach to therapy. I have been fortunate during my years to work with families experiencing difficulties, angry teenagers and adults struggling to meet their full potential, couples trying to grow their relationship and individuals struggling with alcohol and substance abuse and I feel grateful to see the process of growth and change that can occur. I invite you to come along and will commit to providing a place where you will be heard and supported unconditionally through this process.
(417) 988-3716 View (417) 988-3716
Photo of Caitlyn Hill, Clinical Social Work/Therapist in Springfield, MO
Caitlyn Hill
Clinical Social Work/Therapist, LMSW
Verified Verified
Springfield, MO 65804
As a therapist, my goal is to provide an empowering structure so that my clients can flourish and heal.
As a therapist, my goal is to provide an empowering structure so that my clients can flourish and heal.
(417) 302-3454 View (417) 302-3454
Photo of Alainna Stricklen, Pre-Licensed Professional in Springfield, MO
Alainna Stricklen
Pre-Licensed Professional, MEd, PLPC
Verified Verified
Springfield, MO 65804
I believe that each person has a unique story. Our families, communities, and systems shape us, just as we influence those around us. With this understanding, I value a relational, client-centered approach to therapy. My goal is to partner with clients to alleviate suffering and foster self-examination, meaning making, and change. I seek to help clients unlock more fulfilling lives by establishing an understanding of both present context and past relationships.
I believe that each person has a unique story. Our families, communities, and systems shape us, just as we influence those around us. With this understanding, I value a relational, client-centered approach to therapy. My goal is to partner with clients to alleviate suffering and foster self-examination, meaning making, and change. I seek to help clients unlock more fulfilling lives by establishing an understanding of both present context and past relationships.
(417) 246-2711 View (417) 246-2711
Photo of Jenn Listens, LLC, Licensed Professional Counselor in Springfield, MO
Jenn Listens, LLC
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Springfield, MO 65804
My name is Jenn Sullivan-Cox and my ideal client is someone who wants to be their most authentic self. Clients who are ready to start down the road of living the life they want can take it at their own pace with me. I provide support and guidance as we navigate your journey together.
My name is Jenn Sullivan-Cox and my ideal client is someone who wants to be their most authentic self. Clients who are ready to start down the road of living the life they want can take it at their own pace with me. I provide support and guidance as we navigate your journey together.
(417) 739-8666 View (417) 739-8666
Photo of Alison Gragson, Licensed Professional Counselor in Springfield, MO
Alison Gragson
Licensed Professional Counselor, MS, LPC
Verified Verified
Springfield, MO 65804
With over 10 years of being in practice, I believe it is my role to provide a safe and compassionate space for each person that chooses to share their experience with me. My job is to help each person I see to explore past hurts, to put voice to feelings, and to help each person make meaning out of their life. It is my belief that many of us walk this world not fully allowing ourselves to come into our own, due to a fear of not being accepted and due to limiting beliefs given to us by others. I am here to help you heal your past traumas, the unhealthy attachments you experienced, and to build a future that is full of peace and ease.
With over 10 years of being in practice, I believe it is my role to provide a safe and compassionate space for each person that chooses to share their experience with me. My job is to help each person I see to explore past hurts, to put voice to feelings, and to help each person make meaning out of their life. It is my belief that many of us walk this world not fully allowing ourselves to come into our own, due to a fear of not being accepted and due to limiting beliefs given to us by others. I am here to help you heal your past traumas, the unhealthy attachments you experienced, and to build a future that is full of peace and ease.
(417) 720-8265 View (417) 720-8265
Photo of Thomas Ryan Todd, Pre-Licensed Professional in Springfield, MO
Thomas Ryan Todd
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
1 Endorsed
Springfield, MO 65804
Counseling is not about "fixing" yourself, rather it is about using the past to help guide the present to a fulfilling future. Using a holistic approach to ensure individualized therapy, we will walk through thoughts, opportunities, mistakes, and achievements to better understand why you are experiencing life in the way that you are. Therapy is a unique time to fully dive into your own personal well-being.
Counseling is not about "fixing" yourself, rather it is about using the past to help guide the present to a fulfilling future. Using a holistic approach to ensure individualized therapy, we will walk through thoughts, opportunities, mistakes, and achievements to better understand why you are experiencing life in the way that you are. Therapy is a unique time to fully dive into your own personal well-being.
(417) 796-4735 View (417) 796-4735
Photo of Nathen D. Ransom, Licensed Professional Counselor in Springfield, MO
Nathen D. Ransom
Licensed Professional Counselor, MA, LPC
Verified Verified
Springfield, MO 65804
Do you feel stuck or like failure is your normal? Do you have painful memories or nightmares of the past that still haunt you and wish you could just move past them? Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment that resolves the body's response to trauma, phobias, or negative life experiences. Whether you are a survivor of a horrific trauma or you have experienced adverse life events, I’m here to help you move past those experiences and into a more fulfilling future. Most people can benefit from EMDR therapy, which is often coupled with CBT and other therapies.
Do you feel stuck or like failure is your normal? Do you have painful memories or nightmares of the past that still haunt you and wish you could just move past them? Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment that resolves the body's response to trauma, phobias, or negative life experiences. Whether you are a survivor of a horrific trauma or you have experienced adverse life events, I’m here to help you move past those experiences and into a more fulfilling future. Most people can benefit from EMDR therapy, which is often coupled with CBT and other therapies.
(417) 815-6923 View (417) 815-6923
Photo of Cara Love, Pre-Licensed Professional in Springfield, MO
Cara Love
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Springfield, MO 65804
What a Stressful world we are living in today! Sometimes life can feel overwhelming. In a society that values hard work over mental health, it can be difficult to carve out time for yourself. As challenging as it is, you deserve to find balance and peace in your life. There is a way to find happiness again and to improve relationships with the ones you love. It is my passion to teach self-love, acceptance, relaxation techniques, and empowerment to women, couples, and families. With this in mind, we will uncover root causes of suffering and work towards healing and solutions.
What a Stressful world we are living in today! Sometimes life can feel overwhelming. In a society that values hard work over mental health, it can be difficult to carve out time for yourself. As challenging as it is, you deserve to find balance and peace in your life. There is a way to find happiness again and to improve relationships with the ones you love. It is my passion to teach self-love, acceptance, relaxation techniques, and empowerment to women, couples, and families. With this in mind, we will uncover root causes of suffering and work towards healing and solutions.
(417) 497-2849 View (417) 497-2849
Photo of Frankie Crawford, Clinical Social Work/Therapist in Springfield, MO
Frankie Crawford
Clinical Social Work/Therapist, LCSW
Verified Verified
Springfield, MO 65807
Not accepting new clients
Life is full of challenging times and transitions and I understand how vital compassion and support can be when struggling through these challenges. I have spent time working with foster, adopted, and troubled youth in residential treatment, rehousing programs, and case management. I am passionate about enhancing healthy coping, communication, and attachment skills while fostering a safe environment for individuals and families to process grief, trauma, loss, and day to day struggles. I work with all ages but especially love helping children and youth affected by foster care and adoption.
Life is full of challenging times and transitions and I understand how vital compassion and support can be when struggling through these challenges. I have spent time working with foster, adopted, and troubled youth in residential treatment, rehousing programs, and case management. I am passionate about enhancing healthy coping, communication, and attachment skills while fostering a safe environment for individuals and families to process grief, trauma, loss, and day to day struggles. I work with all ages but especially love helping children and youth affected by foster care and adoption.
(417) 212-5587 View (417) 212-5587
Photo of Richelle Massengale, Licensed Professional Counselor in Springfield, MO
Richelle Massengale
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Springfield, MO 65804
Struggling with grief, caring for aging parents, anxiety or chronic illness? If so, you're in the right place. Living with grief, being a caregiver, or fighting chronic illness are some of the most difficult things we can experience. I have been there and can offer support while helping you navigate this difficult journey. I can also help if you're a teen, feeling the strain of the economy, stressed, anxious or depressed, wondering what you are going to do to make ends meet, facing divorce, struggling with co-parenting, are the survivor of narcissistic abuse, need help reaching goals, anger mgt, or life in general.
Struggling with grief, caring for aging parents, anxiety or chronic illness? If so, you're in the right place. Living with grief, being a caregiver, or fighting chronic illness are some of the most difficult things we can experience. I have been there and can offer support while helping you navigate this difficult journey. I can also help if you're a teen, feeling the strain of the economy, stressed, anxious or depressed, wondering what you are going to do to make ends meet, facing divorce, struggling with co-parenting, are the survivor of narcissistic abuse, need help reaching goals, anger mgt, or life in general.
(417) 815-6365 View (417) 815-6365
Photo of Dr. Diana Eul, Licensed Professional Counselor in Springfield, MO
Dr. Diana Eul
Licensed Professional Counselor, LPC, NCC, CSAT, CPTT
Verified Verified
3 Endorsed
Springfield, MO 65804
My clients are successful, highly-motivated professionals who find that certain areas of life are becoming unmanageable. I am a Certified Sex Addiction Therapist (CSAT®) specializing in sex/porn addictions, partners of sex addicts, multiple addictions, trauma, abuse, and PTSD. I trained under Patrick Carnes at the International Institute of Trauma and Addiction Professionals (IITAP). Under Dan Allender I earned an advanced counseling certificate in trauma-focused narrative therapy. Addiction, abuse and trauma are viewed as symptoms rather than defining characteristics. I seek an approach to recovery that embraces positive, proactive, sustainable change.
My clients are successful, highly-motivated professionals who find that certain areas of life are becoming unmanageable. I am a Certified Sex Addiction Therapist (CSAT®) specializing in sex/porn addictions, partners of sex addicts, multiple addictions, trauma, abuse, and PTSD. I trained under Patrick Carnes at the International Institute of Trauma and Addiction Professionals (IITAP). Under Dan Allender I earned an advanced counseling certificate in trauma-focused narrative therapy. Addiction, abuse and trauma are viewed as symptoms rather than defining characteristics. I seek an approach to recovery that embraces positive, proactive, sustainable change.
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Photo of Tonya McMillen Boone, Clinical Social Work/Therapist in Springfield, MO
Tonya McMillen Boone
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Springfield, MO 65807
Waitlist for new clients
Life is full of transitions. Changes in employment, relationship status, becoming a parent, the illness or death of a loved one, relocating or developing a health condition are some of the most challenging life transitions. Without adequate emotional support and healthy coping skills, the extra stress can lead to more serious physical or mental health problems. Depression, anxiety, insomnia, and relationship conflicts can appear or worsen as a result of not having knowledge of how to effectively cope with life changes. I educate and support my clients as we work to eliminate negative symptoms and develop a brighter future.
Life is full of transitions. Changes in employment, relationship status, becoming a parent, the illness or death of a loved one, relocating or developing a health condition are some of the most challenging life transitions. Without adequate emotional support and healthy coping skills, the extra stress can lead to more serious physical or mental health problems. Depression, anxiety, insomnia, and relationship conflicts can appear or worsen as a result of not having knowledge of how to effectively cope with life changes. I educate and support my clients as we work to eliminate negative symptoms and develop a brighter future.
(417) 708-7858 View (417) 708-7858
Photo of Beyond Healing Center, Licensed Professional Counselor in Springfield, MO
Beyond Healing Center
Licensed Professional Counselor, LPC, PLPC, LCSW
Verified Verified
5 Endorsed
Springfield, MO 65807
Beyond Healing Center is a therapy group committed to helping people find safety in connection through embodied healing practices. We practice an interdisciplinary health care approach that invites healers from various disciplines to join together under a shared language and conceptualization approach where interventions can be thoughtfully co-discovered and contextualized in the therapeutic journey. Our team is constantly growing which brings rich new disciplines to the treatment setting including psychotherapy, movement and yoga, massage, art, and physical wellness.
Beyond Healing Center is a therapy group committed to helping people find safety in connection through embodied healing practices. We practice an interdisciplinary health care approach that invites healers from various disciplines to join together under a shared language and conceptualization approach where interventions can be thoughtfully co-discovered and contextualized in the therapeutic journey. Our team is constantly growing which brings rich new disciplines to the treatment setting including psychotherapy, movement and yoga, massage, art, and physical wellness.
(417) 765-0556 View (417) 765-0556

How does your Therapist compare?

Number of Therapists in Springfield, MO

300+

Average cost per session

$110

Therapists in Springfield, MO who prioritize treating:

90% Anxiety
85% Depression
75% Trauma and PTSD
74% Self Esteem
72% Relationship Issues
70% Coping Skills
67% Stress

Average years in practice

9 Years

Top 3 insurances accepted

73% Aetna
64% UnitedHealthcare UHC | UBH
64% Optum

How Therapists in Springfield, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Springfield?

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.