Photo of Dr. Jadu Malcolm Jagel, Psychologist in 96734, HI
Dr. Jadu Malcolm Jagel
Psychologist, PsyD
Verified Verified
1 Endorsed
Kailua, HI 96734
Therapy offers the chance to become more present with ourselves. Together we contemplate the human journey. We can get familiar with our innate mindfulness and compassion. On my journey I've realized that well being can be learned; achieved with a level of skillfulness, a window of tolerance. Getting triggered helps us learn. I help individuals and couples study their nervous systems and their "parts" -- a complex legacy of neurobiological attachment wiring. With a manner that is warm, relatable, and active yet non-invasive, I help my clients find meaning, hope, and the freedom to become who they were meant to be.
Therapy offers the chance to become more present with ourselves. Together we contemplate the human journey. We can get familiar with our innate mindfulness and compassion. On my journey I've realized that well being can be learned; achieved with a level of skillfulness, a window of tolerance. Getting triggered helps us learn. I help individuals and couples study their nervous systems and their "parts" -- a complex legacy of neurobiological attachment wiring. With a manner that is warm, relatable, and active yet non-invasive, I help my clients find meaning, hope, and the freedom to become who they were meant to be.
(415) 707-8552 View (415) 707-8552
Photo of Michael Quay, Counselor in 96734, HI
Michael Quay
Counselor, LMHC
Verified Verified
Kailua, HI 96734
My name is Michael Quay & I'm a licensed mental health counselor in the State of Hawaii. I have 18 years of experience working with a variety of clients, including teens (mostly males) with behavioral issues; adults with anxiety & depression; couples; specialty populations. My approach to therapy is that you are the expert on your life & I am here to guide you with various methods/techniques to help you live a fuller life now.
My name is Michael Quay & I'm a licensed mental health counselor in the State of Hawaii. I have 18 years of experience working with a variety of clients, including teens (mostly males) with behavioral issues; adults with anxiety & depression; couples; specialty populations. My approach to therapy is that you are the expert on your life & I am here to guide you with various methods/techniques to help you live a fuller life now.
(808) 824-4759 View (808) 824-4759
Photo of L. Maile Labasan, Psychologist in 96734, HI
L. Maile Labasan
Psychologist, PhD
Verified Verified
1 Endorsed
Kailua, HI 96734
Not accepting new clients
I offer guidance, support, insight, and hope for improving stress management, relationship difficulties, depression, and anxiety. Clients report feeling very comfortable and at ease within the first few minutes of meeting me. By the end of our first session, you will feel relief and have a clear idea of what I can offer in your healing path ahead. Issues may include balancing roles, grief and loss, parenting, dating or relationship concerns, career choices, or lifestyle changes. I feel very honored to be a part of the healing journey and am inspired by the strength and resilience of the human spirit.
I offer guidance, support, insight, and hope for improving stress management, relationship difficulties, depression, and anxiety. Clients report feeling very comfortable and at ease within the first few minutes of meeting me. By the end of our first session, you will feel relief and have a clear idea of what I can offer in your healing path ahead. Issues may include balancing roles, grief and loss, parenting, dating or relationship concerns, career choices, or lifestyle changes. I feel very honored to be a part of the healing journey and am inspired by the strength and resilience of the human spirit.
(855) 325-1524 View (855) 325-1524
Kenneth Shigematsu
Clinical Social Work/Therapist, LCSW
Verified Verified
Kailua, HI 96734
Welcome to my Path profile. My name is Ken Shigematsu, and I am a Licensed Clinical Social Worker in California and Hawaii. I use CBT, Supportive and Goal oriented modalities to assist clients. I treat clients with depression, adjustment, grief and LGBTQI issues. I listen closely and ask questions to better learn about your situation and goals. I use CBT, Supportive and Goal oriented modalities to assist clients. I use Feedback Informed Care to guide your care.
Welcome to my Path profile. My name is Ken Shigematsu, and I am a Licensed Clinical Social Worker in California and Hawaii. I use CBT, Supportive and Goal oriented modalities to assist clients. I treat clients with depression, adjustment, grief and LGBTQI issues. I listen closely and ask questions to better learn about your situation and goals. I use CBT, Supportive and Goal oriented modalities to assist clients. I use Feedback Informed Care to guide your care.
(808) 736-1447 View (808) 736-1447
Photo of Jessica Torralva, Counselor in 96734, HI
Jessica Torralva
Counselor, LCMHC
Verified Verified
Kailua, HI 96734
Aloha, my name is Jessica Torralva, and I am a Licensed Mental Health Counselor for the State of Hawaii. I work at a local non-profit agency, as the State Multisystemic Therapy Expert, where I am responsible for ensuring program adherence to the MST model, an evidenced-based practice provided to families of Hawaii. I am a few months away from completing my Ph.D. in Clinical Psychology and work in private practice mainly with active military and their dependents conducting individual, couples, and family therapy.
Aloha, my name is Jessica Torralva, and I am a Licensed Mental Health Counselor for the State of Hawaii. I work at a local non-profit agency, as the State Multisystemic Therapy Expert, where I am responsible for ensuring program adherence to the MST model, an evidenced-based practice provided to families of Hawaii. I am a few months away from completing my Ph.D. in Clinical Psychology and work in private practice mainly with active military and their dependents conducting individual, couples, and family therapy.
(808) 435-4262 View (808) 435-4262
Photo of Heart Led Therapy LLC, Marriage & Family Therapist in 96734, HI
Heart Led Therapy LLC
Marriage & Family Therapist, LMFT
Verified Verified
Kailua, HI 96734  (Online Only)
Do you find yourself having tightness in your chest, neck or hips, having racing thoughts, trouble concentrating, questioning your life decisions or having fear of the future or worry around the unknown? Are you an ambitious woman who desires more in life and wants support while dealing with burnout, changes in relationships, jobs or wants to stop self sabotaging? Or someone who wants to stop living in survival mode and finally thrive in life and love? If so, you’re in the right place. Together we will co-create on a game plan to understand how your coping skills have protected you, develop new skills, and deepen into self love.
Do you find yourself having tightness in your chest, neck or hips, having racing thoughts, trouble concentrating, questioning your life decisions or having fear of the future or worry around the unknown? Are you an ambitious woman who desires more in life and wants support while dealing with burnout, changes in relationships, jobs or wants to stop self sabotaging? Or someone who wants to stop living in survival mode and finally thrive in life and love? If so, you’re in the right place. Together we will co-create on a game plan to understand how your coping skills have protected you, develop new skills, and deepen into self love.
(808) 563-4391 View (808) 563-4391
Photo of Simone Phillips, Clinical Social Work/Therapist in 96734, HI
Simone Phillips
Clinical Social Work/Therapist, LCSW
Verified Verified
Kailua, HI 96734
Greetings, I am a Licensed Clinical Social Work Therapist , Registered Masters Addiction Specialist, and Certified Life Coach. I believe every person can rise above the ashes of trauma in their life. As your Therapist, I partner with you in identifying your strengths and empower you to discover victory after trials. I understand that making the choice to seek counseling can be difficult, so I use a compassionate, direct, and non-judgmental approach to help create a safe space in which you feel supported in your counseling journey.
Greetings, I am a Licensed Clinical Social Work Therapist , Registered Masters Addiction Specialist, and Certified Life Coach. I believe every person can rise above the ashes of trauma in their life. As your Therapist, I partner with you in identifying your strengths and empower you to discover victory after trials. I understand that making the choice to seek counseling can be difficult, so I use a compassionate, direct, and non-judgmental approach to help create a safe space in which you feel supported in your counseling journey.
(808) 818-8091 View (808) 818-8091
Photo of Danielle Eakins, Psychologist in 96734, HI
Danielle Eakins
Psychologist, PhD
Verified Verified
1 Endorsed
Kailua, HI 96734  (Online Only)
I view therapy as a collaborative, empowering process. My purpose as a clinical psychologist is to provide evidence-based treatments tailored to client diversity factors. As a team we will examine what is working well, where you are experiencing challenges and what new skills are needed to achieve a fulfilling life.
I view therapy as a collaborative, empowering process. My purpose as a clinical psychologist is to provide evidence-based treatments tailored to client diversity factors. As a team we will examine what is working well, where you are experiencing challenges and what new skills are needed to achieve a fulfilling life.
(808) 278-9229 View (808) 278-9229
Photo of Melissa Sipolt, MA, LMFT, Marriage & Family Therapist in 96734, HI
Melissa Sipolt, MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Kailua, HI 96734  (Online Only)
Making the decision to begin therapy/counseling is a big step, and I truly understand and respect the bravery and vulnerability that it takes for clients to reach out to a prospective therapist. Over the past 23 years, I have successfully helped thousands of individual adults, adolescents, children, couples and families to heal from issues related to anxiety, depression, difficulty concentrating, family and couple relationships, divorce, infertility, parenting, adoption, addiction, self-esteem, bullying, life transitions, grief, trauma, and adverse childhood events.
Making the decision to begin therapy/counseling is a big step, and I truly understand and respect the bravery and vulnerability that it takes for clients to reach out to a prospective therapist. Over the past 23 years, I have successfully helped thousands of individual adults, adolescents, children, couples and families to heal from issues related to anxiety, depression, difficulty concentrating, family and couple relationships, divorce, infertility, parenting, adoption, addiction, self-esteem, bullying, life transitions, grief, trauma, and adverse childhood events.
(808) 400-1544 View (808) 400-1544
Photo of Susan J Ray, Marriage & Family Therapist in 96734, HI
Susan J Ray
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kailua, HI 96734
As a Marriage & Family Therapist I specialize in depression & relationship therapy. My treatment approach is client centered & geared towards working "with you", & loved ones if so requested. We will develop a plan together that involves psychotherapy & treatment goals built around activities, places & things you and your loved one's enjoy. I am always honored to be a part of a person's or couple's journey towards increased health and mental wellness. Nothing is more rewarding to me than helping someone uncover happiness. I am from Kailua, & have over 27 years of experience working directly with people recovering from mild/severe depression & other emotional situations.
As a Marriage & Family Therapist I specialize in depression & relationship therapy. My treatment approach is client centered & geared towards working "with you", & loved ones if so requested. We will develop a plan together that involves psychotherapy & treatment goals built around activities, places & things you and your loved one's enjoy. I am always honored to be a part of a person's or couple's journey towards increased health and mental wellness. Nothing is more rewarding to me than helping someone uncover happiness. I am from Kailua, & have over 27 years of experience working directly with people recovering from mild/severe depression & other emotional situations.
(808) 227-6791 View (808) 227-6791
Photo of Monica Borge, Clinical Social Work/Therapist in 96734, HI
Monica Borge
Clinical Social Work/Therapist, LCSW
Verified Verified
Kailua, HI 96734
My name is Monica Borge, a Licensed Clinical Social Worker in the state of Hawaii. My focus areas of practice is to help parents build up your co-parenting skills and regain control of your household. My specialty is in developing co-parenting skills, and enhancing parenting skills for families that are struggling with their children's behaviors. The end goal is a renewed satisfaction as a parent. My therapeutic approach combines cognitive-behavioral, structural, and strategic therapies. I use Motivational Interviewing to keep us moving forward toward your goals and help with maintaining progress.
My name is Monica Borge, a Licensed Clinical Social Worker in the state of Hawaii. My focus areas of practice is to help parents build up your co-parenting skills and regain control of your household. My specialty is in developing co-parenting skills, and enhancing parenting skills for families that are struggling with their children's behaviors. The end goal is a renewed satisfaction as a parent. My therapeutic approach combines cognitive-behavioral, structural, and strategic therapies. I use Motivational Interviewing to keep us moving forward toward your goals and help with maintaining progress.
(808) 435-6779 View (808) 435-6779
Photo of Susan Pirsch, Marriage & Family Therapist in 96734, HI
Susan Pirsch
Marriage & Family Therapist, LMFT
Verified Verified
Kailua, HI 96734  (Online Only)
Susan Pirsch is a Licensed Marriage and Family Therapist experienced in working with tweens, teens, and adults as they navigate stressors, life changes, and learn the language of self-acceptance. She is passionate about helping people gain comfort in their skin and gain skills to release the thinking and actions that no longer serve them. Her clients report she is extremely helpful, engaging, and warm.
Susan Pirsch is a Licensed Marriage and Family Therapist experienced in working with tweens, teens, and adults as they navigate stressors, life changes, and learn the language of self-acceptance. She is passionate about helping people gain comfort in their skin and gain skills to release the thinking and actions that no longer serve them. Her clients report she is extremely helpful, engaging, and warm.
(808) 736-6138 View (808) 736-6138
Photo of Sissi Tran, Marriage & Family Therapist in 96734, HI
Sissi Tran
Marriage & Family Therapist, MS, LMFT
Verified Verified
Kailua, HI 96734
Do you feel overwhelmed by the changes in your life? Are you at a point where you are trying so hard but still feel stuck? With over 10 years of practice as a licensed Marriage and Family Therapist, my passion is to collaborate with my clients to discover effective coping strategies, move from a place of dissatisfaction or unhappiness in their life and arrive at a place of overall wellness with hope, joy, peace, and purpose.
Do you feel overwhelmed by the changes in your life? Are you at a point where you are trying so hard but still feel stuck? With over 10 years of practice as a licensed Marriage and Family Therapist, my passion is to collaborate with my clients to discover effective coping strategies, move from a place of dissatisfaction or unhappiness in their life and arrive at a place of overall wellness with hope, joy, peace, and purpose.
(661) 797-4829 View (661) 797-4829
Photo of Katie Hartman, Marriage & Family Therapist Intern in 96734, HI
Katie Hartman
Marriage & Family Therapist Intern, MFT
Verified Verified
Kailua, HI 96734  (Online Only)
As a marriage and family therapist associate, I can offer you professional support and guidance in navigating challenges and overcoming obstacles in your life. I have a wide range of experience working with individuals, couples and teenagers. I have a solid understanding of various therapeutic approaches and techniques that can be tailored to your specific needs. I believe in taking a holistic approach to therapy, acknowledging the interconnectedness of your mental, emotional, and physical well-being. By considering all aspects of your life, we can work together to develop strategies that promote overall health and happiness.
As a marriage and family therapist associate, I can offer you professional support and guidance in navigating challenges and overcoming obstacles in your life. I have a wide range of experience working with individuals, couples and teenagers. I have a solid understanding of various therapeutic approaches and techniques that can be tailored to your specific needs. I believe in taking a holistic approach to therapy, acknowledging the interconnectedness of your mental, emotional, and physical well-being. By considering all aspects of your life, we can work together to develop strategies that promote overall health and happiness.
(808) 746-7426 View (808) 746-7426
Photo of Rita J Shuford, Psychologist in 96734, HI
Rita J Shuford
Psychologist, PhD
Verified Verified
Kailua, HI 96734
I am dedicated to helping people around the globe find more peace of mind, joy, and wisdom in their personal and professional lives - no matter what. My work is based on three simple, but profound principles. These principles are being shared all over the world and are internationally recognized as effective, long term, life changing and transformative.
I am dedicated to helping people around the globe find more peace of mind, joy, and wisdom in their personal and professional lives - no matter what. My work is based on three simple, but profound principles. These principles are being shared all over the world and are internationally recognized as effective, long term, life changing and transformative.
(808) 784-7990 View (808) 784-7990
Sharon K Usagawa
Clinical Social Work/Therapist, MSW, DCSW, LCSW
Verified Verified
Kailua, HI 96734
Waitlist for new clients
"Live in the World of Possibilities" I am a Licensed Clinical Social Worker who has been in practice for over 25 years. My experiences have been wide and varied. I love working with Individuals, Couples, Families with children/adolescents or small groups of people who find life challenging and/or difficult in any way. People are born healthy with a natural capacity for living life well. As each individual begins to see those abilities that we are naturally gifted with to face life and be successful with it , all of their "problems" and obstacles begin to fall away. Life transforms.
"Live in the World of Possibilities" I am a Licensed Clinical Social Worker who has been in practice for over 25 years. My experiences have been wide and varied. I love working with Individuals, Couples, Families with children/adolescents or small groups of people who find life challenging and/or difficult in any way. People are born healthy with a natural capacity for living life well. As each individual begins to see those abilities that we are naturally gifted with to face life and be successful with it , all of their "problems" and obstacles begin to fall away. Life transforms.
(808) 419-7772 View (808) 419-7772
Photo of Elizabeth Keolani Taitano, Ph.D., LLC, Psychologist in 96734, HI
Elizabeth Keolani Taitano, Ph.D., LLC
Psychologist, PhD
Verified Verified
Kailua, HI 96734  (Online Only)
We live in a culture that emphasizes feeling good and being happy. But the reality is, we all face challenges or challenging times, and sometimes friends and family don't have the resources to provide all the help we need. I have over 25 years of experience training and working in the behavioral health field. I work collaboratively and respectfully to support you with proven methods to compassionately and gently foster change and recovery. I will work with your other providers, mindful of your unique strengths while helping you to live your life in accord with your deepest values.
We live in a culture that emphasizes feeling good and being happy. But the reality is, we all face challenges or challenging times, and sometimes friends and family don't have the resources to provide all the help we need. I have over 25 years of experience training and working in the behavioral health field. I work collaboratively and respectfully to support you with proven methods to compassionately and gently foster change and recovery. I will work with your other providers, mindful of your unique strengths while helping you to live your life in accord with your deepest values.
(808) 369-9581 View (808) 369-9581
Photo of Evynn Johnson, Clinical Social Work/Therapist in 96734, HI
Evynn Johnson
Clinical Social Work/Therapist, LCSW, LMSW, MSW
Verified Verified
1 Endorsed
Kailua, HI 96734
Life can be scary and uncertain. Especially right now. We are all trying to figure out how to feel "normal" through the increased & unexpected stressors brought by the pandemic. We often don't consider the importance in asking for help until we feel so heavy we don't know where to turn. My role is to help you identify your strengths and help provide tools to manage the difficult emotions. Anxiety, depression, and fear are all exacerbated during a time of crisis. Some of us are isolated without much social support and are experiencing strain in our relationships with family, friends, or colleagues.
Life can be scary and uncertain. Especially right now. We are all trying to figure out how to feel "normal" through the increased & unexpected stressors brought by the pandemic. We often don't consider the importance in asking for help until we feel so heavy we don't know where to turn. My role is to help you identify your strengths and help provide tools to manage the difficult emotions. Anxiety, depression, and fear are all exacerbated during a time of crisis. Some of us are isolated without much social support and are experiencing strain in our relationships with family, friends, or colleagues.
(231) 227-3264 View (231) 227-3264
Photo of Mary H Dodd, Clinical Social Work/Therapist in 96734, HI
Mary H Dodd
Clinical Social Work/Therapist, LCSW
Verified Verified
Kailua, HI 96734
Not accepting new clients
With over 40 years of experience, I am a good match for many types of clients. However, I’m especially helpful to those experiencing life transitions that are difficult and who are open to adding a counselor to their team. My areas of expertise are : Aging, Parenting issues, Mental/Emotional Health Concerns, Relationship challenges/Couples Counseling and processing Grief and Loss from disease, moving, animal loss or sudden death.
With over 40 years of experience, I am a good match for many types of clients. However, I’m especially helpful to those experiencing life transitions that are difficult and who are open to adding a counselor to their team. My areas of expertise are : Aging, Parenting issues, Mental/Emotional Health Concerns, Relationship challenges/Couples Counseling and processing Grief and Loss from disease, moving, animal loss or sudden death.
(808) 731-1172 View (808) 731-1172
Photo of Thomas Drumm, Clinical Social Work/Therapist in 96734, HI
Thomas Drumm
Clinical Social Work/Therapist, LCSW
Verified Verified
Kailua, HI 96734
My name is Thomas Drumm, and I am a Licensed Clinical Social Worker (LCSW) based in Hilo Hawaii. I work with a wide range of clients individually who suffer from anxiety, depression, and stress-related conditions. I primarily use support and insight and I pride myself in being very non-judgmental. This provider resides in Hawaii. I typically work with individuals with a wide range of difficulties. I have been very successful in treating anxiety and depression. I have also greatly enjoyed working with adolescents. Alcohol and substance abuse problems have also been an area I have enjoyed helping people address.
My name is Thomas Drumm, and I am a Licensed Clinical Social Worker (LCSW) based in Hilo Hawaii. I work with a wide range of clients individually who suffer from anxiety, depression, and stress-related conditions. I primarily use support and insight and I pride myself in being very non-judgmental. This provider resides in Hawaii. I typically work with individuals with a wide range of difficulties. I have been very successful in treating anxiety and depression. I have also greatly enjoyed working with adolescents. Alcohol and substance abuse problems have also been an area I have enjoyed helping people address.
(808) 201-5396 View (808) 201-5396

See more therapy options for 96734

How does your Therapist compare?

Number of Therapists in 96734

100+

Average cost per session

$150

Therapists in 96734 who prioritize treating:

90% Anxiety
88% Depression
73% Relationship Issues
73% Self Esteem
69% Grief
69% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Hawaii Medical Services Association
57% University Health Alliance
54% Hawaii Medical Assurance Association

How Therapists in 96734 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 96734?

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.