Therapists in Saint Charles, MO

Photo of Diana Loewen, Licensed Professional Counselor in Saint Charles, MO
Diana Loewen
Licensed Professional Counselor, MA, LPC, CRAADC
Verified Verified
1 Endorsed
Saint Charles, MO 63304
Hi, I'm so glad you found your way here. If this is your first time reaching out for help, congratulations! You're making a bold statement to yourself that you're worth it! My primary goal as a therapist is to help facilitate healing and transformational growth in a caring and compassionate way. I have over 14 years of experience, specializing in addictions of all kinds, trauma, chronic pain/illness, autoimmune disease, infertility and anxiety. I utilize a holistic approach in counseling that includes conventional and non-conventional therapeutic methods such as CBT, biofeedback, mindfulness, EMDR and Audio-Visual Entrainment.
Hi, I'm so glad you found your way here. If this is your first time reaching out for help, congratulations! You're making a bold statement to yourself that you're worth it! My primary goal as a therapist is to help facilitate healing and transformational growth in a caring and compassionate way. I have over 14 years of experience, specializing in addictions of all kinds, trauma, chronic pain/illness, autoimmune disease, infertility and anxiety. I utilize a holistic approach in counseling that includes conventional and non-conventional therapeutic methods such as CBT, biofeedback, mindfulness, EMDR and Audio-Visual Entrainment.
(636) 306-4120 View (636) 306-4120
Photo of Darcie Brady, Clinical Social Work/Therapist in Saint Charles, MO
Darcie Brady
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Charles, MO 63303
It’s ok to need time to figure things out-that’s what life is all about. I love working with teens as they grow and become their own unique, independent selves. I have dedicated my career to work with adolescents both in my role in public education and in private practice as a social worker.
It’s ok to need time to figure things out-that’s what life is all about. I love working with teens as they grow and become their own unique, independent selves. I have dedicated my career to work with adolescents both in my role in public education and in private practice as a social worker.
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Photo of Alexandra Graves, Marriage & Family Therapist in Saint Charles, MO
Alexandra Graves
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Saint Charles, MO 63303
There are so many life experiences, transitions and "bumps" in the road that can oftentimes feel overwhelming, uncertain or impossible. Whether we have awareness of the problem, or notice that our behaviors are masking problems (fighting in relationships, unhealthy coping behaviors, etc.), we can explore these in session and determine how to overcome these challenges.
There are so many life experiences, transitions and "bumps" in the road that can oftentimes feel overwhelming, uncertain or impossible. Whether we have awareness of the problem, or notice that our behaviors are masking problems (fighting in relationships, unhealthy coping behaviors, etc.), we can explore these in session and determine how to overcome these challenges.
(314) 648-8723 View (314) 648-8723
Photo of Therapy Den, Licensed Professional Counselor in Saint Charles, MO
Therapy Den
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63304
Not accepting new clients
There are many ups and downs in life and at some point we all experience hardship. Sometimes life brings you lower than you think is possible and can make you feel out of control, alone or confused. I would like to be there for you and help you gain the confidence to move forward with hope of a better tomorrow. I work with adults with diverse backgrounds who struggle with a variety of problems including life transitions, stress and anxiety, self-esteem, relationship problems, grief, PTSD and more. I provide a non-judgmental, comforting environment to ensure you feel safe and supported during your journey.
There are many ups and downs in life and at some point we all experience hardship. Sometimes life brings you lower than you think is possible and can make you feel out of control, alone or confused. I would like to be there for you and help you gain the confidence to move forward with hope of a better tomorrow. I work with adults with diverse backgrounds who struggle with a variety of problems including life transitions, stress and anxiety, self-esteem, relationship problems, grief, PTSD and more. I provide a non-judgmental, comforting environment to ensure you feel safe and supported during your journey.
(636) 452-2909 View (636) 452-2909
Diane M Scott
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Change is possible and hope always exists. I create a therapeutic environment of acceptance with no judgement so that change and growth can occur. My ideal client will realize that something in their life is not working and they want to figure it out and make things better. They want to experience happiness, purpose and peace in their life. Taking that first step toward counseling is challenging but benefits will include increased self-esteem, better relationships, a clearer understanding of self, increased productivity and a greater ability to deal with stress.
Change is possible and hope always exists. I create a therapeutic environment of acceptance with no judgement so that change and growth can occur. My ideal client will realize that something in their life is not working and they want to figure it out and make things better. They want to experience happiness, purpose and peace in their life. Taking that first step toward counseling is challenging but benefits will include increased self-esteem, better relationships, a clearer understanding of self, increased productivity and a greater ability to deal with stress.
(636) 487-4831 View (636) 487-4831
Photo of Casey Mills, Licensed Professional Counselor in Saint Charles, MO
Casey Mills
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
Saint Charles, MO 63303
Welcome! I have a positive psychology approach that includes Cognitive Behavioral Therapy, Motivational Interviewing, Reality Therapy and Art Therapy to support making progress in one's life and meeting personal goals. I treat the whole person and I am a Certified Mental Health Integrative Medicine Provider (CMHIMP) specializing in nutrition, circadian rhythm, detoxification, and relaxation techniques. I am also trained in Divorce Mediation. Divorce mediation is a process in which divorcing spouses negotiate an acceptable divorce agreement with the help of a neutral third party: the mediator.
Welcome! I have a positive psychology approach that includes Cognitive Behavioral Therapy, Motivational Interviewing, Reality Therapy and Art Therapy to support making progress in one's life and meeting personal goals. I treat the whole person and I am a Certified Mental Health Integrative Medicine Provider (CMHIMP) specializing in nutrition, circadian rhythm, detoxification, and relaxation techniques. I am also trained in Divorce Mediation. Divorce mediation is a process in which divorcing spouses negotiate an acceptable divorce agreement with the help of a neutral third party: the mediator.
(636) 275-0648 View (636) 275-0648
Photo of Michelle Parker, Licensed Professional Counselor in Saint Charles, MO
Michelle Parker
Licensed Professional Counselor, MA, LPC, NBCCH
Verified Verified
4 Endorsed
Saint Charles, MO 63304  (Online Only)
You know those times when we feel lost inside ourselves, overwhelmed by our problems, and struggle to cope? If you are reading this, you may be considering therapy to get you closer to solving those problems. Whether your therapy goals are vague or well-defined, I can help you through this process of change. Together, we will formulate a plan, using the appropriate psychotherapeutic treatments, to achieve your personal goals. Because your time is important to you, we will begin creating this plan at your first visit!
You know those times when we feel lost inside ourselves, overwhelmed by our problems, and struggle to cope? If you are reading this, you may be considering therapy to get you closer to solving those problems. Whether your therapy goals are vague or well-defined, I can help you through this process of change. Together, we will formulate a plan, using the appropriate psychotherapeutic treatments, to achieve your personal goals. Because your time is important to you, we will begin creating this plan at your first visit!
(314) 485-4638 View (314) 485-4638
Photo of Denise Stoesz, Licensed Professional Counselor in Saint Charles, MO
Denise Stoesz
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63304
I have dedicated my practice to work compassionately and collabratively with you in a non-judgemental environment to meet your needs. Reaching out for support can often times feel overhwelming, however everyone deserves the chance to explore underlying struggles that may be impacting daily living, contentment, and happiness.
I have dedicated my practice to work compassionately and collabratively with you in a non-judgemental environment to meet your needs. Reaching out for support can often times feel overhwelming, however everyone deserves the chance to explore underlying struggles that may be impacting daily living, contentment, and happiness.
(636) 779-4091 View (636) 779-4091
Photo of Cindy Scanlon Play Therapy, LLC, Clinical Social Work/Therapist in Saint Charles, MO
Cindy Scanlon Play Therapy, LLC
Clinical Social Work/Therapist, LMSW, LCSW, RPT
Verified Verified
Saint Charles, MO 63301
I am a hardworking and empathetic registered play therapist. I work with children of all ages on a variety of concerns. I am dedicated to being a support to both children and their families.
I am a hardworking and empathetic registered play therapist. I work with children of all ages on a variety of concerns. I am dedicated to being a support to both children and their families.
(636) 223-4694 View (636) 223-4694
Drops Of Hope Integrative Care Center
Clinical Social Work/Therapist, DPSc, PScD, LCSW, MSW, CABSA
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Not accepting new clients
I am a brain based holistic trauma event processing therapist. I specialize in healing of traumatic events so the client is able to heal and go out and live their life to the fullest with out problematic thoughts, emotions or behaviors getting in their way. I use multiple modalities chosen by the client. I am the creator of AEP -AMPLIFIED Emotional Processing and I am Master Certified in Rapid Resolution Therapy and EMDR (Eye Movement Desensitization and Reprocessing) and an instructor for CARE International (Center for Aromatherapy Research and Education.
I am a brain based holistic trauma event processing therapist. I specialize in healing of traumatic events so the client is able to heal and go out and live their life to the fullest with out problematic thoughts, emotions or behaviors getting in their way. I use multiple modalities chosen by the client. I am the creator of AEP -AMPLIFIED Emotional Processing and I am Master Certified in Rapid Resolution Therapy and EMDR (Eye Movement Desensitization and Reprocessing) and an instructor for CARE International (Center for Aromatherapy Research and Education.
(636) 452-9614 View (636) 452-9614
Photo of Becky Coulson, Licensed Professional Counselor in Saint Charles, MO
Becky Coulson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Starting the search for a therapist is an act of bravery. As if life isn't tricky enough on its own, then we throw in anxiety, depression or trauma and it can feel even heavier. Self esteem struggles? Not sure what path to take? Feel like you just can't handle what life keeps throwing at you? I'm here for all of it. Are you a parent that needs strategies to help your child? I'm here to support you as well.
Starting the search for a therapist is an act of bravery. As if life isn't tricky enough on its own, then we throw in anxiety, depression or trauma and it can feel even heavier. Self esteem struggles? Not sure what path to take? Feel like you just can't handle what life keeps throwing at you? I'm here for all of it. Are you a parent that needs strategies to help your child? I'm here to support you as well.
(636) 202-1428 View (636) 202-1428
Photo of Sarah Morgan Runk, Licensed Professional Counselor in Saint Charles, MO
Sarah Morgan Runk
Licensed Professional Counselor, LPC, MA, MAR
Verified Verified
1 Endorsed
Saint Charles, MO 63301  (Online Only)
Do you feel overwhelmed or disconnected? Have you experienced a life-altering event? One which you would need to work through? Are you encountering symptoms of sensitivity or isolation? Life can be difficult for a number of reasons. Traumatic incidents can cause a spectrum of symptoms which inhibit every day functions, and relationships. It can be difficult to reach out under these circumstance, but there is hope. Trauma-focused counseling can assist with the safety and freedom you are seeking.
Do you feel overwhelmed or disconnected? Have you experienced a life-altering event? One which you would need to work through? Are you encountering symptoms of sensitivity or isolation? Life can be difficult for a number of reasons. Traumatic incidents can cause a spectrum of symptoms which inhibit every day functions, and relationships. It can be difficult to reach out under these circumstance, but there is hope. Trauma-focused counseling can assist with the safety and freedom you are seeking.
(636) 428-2995 View (636) 428-2995
Photo of Dr. Kelley Mount At Dragonfly Wellness, Licensed Professional Counselor in Saint Charles, MO
Dr. Kelley Mount At Dragonfly Wellness
Licensed Professional Counselor, PhD, LPC
Verified Verified
Saint Charles, MO 63303
Dr. Mount earned her Ph.D. in Counseling & Family Therapy from St. Louis University. Dr. Mount has been in private practice since 1996, and has specialized in the treatment of children and families. Additionally, Dr. Mount also provides individual and couples/marital therapy. Dr. Mount enjoys working with individuals and couples who are ready to create lasting change in their lives. She provides a caring non-judgmental environment for those ready to take their first steps towards lasting change.
Dr. Mount earned her Ph.D. in Counseling & Family Therapy from St. Louis University. Dr. Mount has been in private practice since 1996, and has specialized in the treatment of children and families. Additionally, Dr. Mount also provides individual and couples/marital therapy. Dr. Mount enjoys working with individuals and couples who are ready to create lasting change in their lives. She provides a caring non-judgmental environment for those ready to take their first steps towards lasting change.
(636) 442-4978 View (636) 442-4978
Photo of Kate (Kruse) Schwenke, Licensed Professional Counselor in Saint Charles, MO
Kate (Kruse) Schwenke
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Do you desire healing? I believe we all possess the skills we need to live a happy, fulfilled life, but sometimes need assistance to change the patterns of thoughts and behaviors standing in our way. I will help you identify unhealthy patterns, and work with you to achieve a more well balanced, healthy life. My areas of focus are working with individuals who struggle with anxiety, depression, trauma, addictions women's issues and couples counseling. Relationships are hard! In my work with couples I focus on identifying challenges, strengths between the couple and building the lines of communication.
Do you desire healing? I believe we all possess the skills we need to live a happy, fulfilled life, but sometimes need assistance to change the patterns of thoughts and behaviors standing in our way. I will help you identify unhealthy patterns, and work with you to achieve a more well balanced, healthy life. My areas of focus are working with individuals who struggle with anxiety, depression, trauma, addictions women's issues and couples counseling. Relationships are hard! In my work with couples I focus on identifying challenges, strengths between the couple and building the lines of communication.
(636) 337-3224 View (636) 337-3224
Photo of Amy Henderson, Clinical Social Work/Therapist in Saint Charles, MO
Amy Henderson
Clinical Social Work/Therapist, LMSW, DPC, MEd
Verified Verified
1 Endorsed
Saint Charles, MO 63301
I am passionate about delivering authentic, collaborative, direct care to clients so that they may live the lives they’ve envisioned while functioning at their highest potential. I have supported individuals in various mental health settings offering strengths-based, client-centered therapy to children, adolescents, adults, and families. Experience includes working with diverse populations across the lifespan treating a variety of life’s challenges. My current areas of focus are family and parent / child conflict, child and adolescent behaviors affecting school performance related to depression, anxiety, and life changes.
I am passionate about delivering authentic, collaborative, direct care to clients so that they may live the lives they’ve envisioned while functioning at their highest potential. I have supported individuals in various mental health settings offering strengths-based, client-centered therapy to children, adolescents, adults, and families. Experience includes working with diverse populations across the lifespan treating a variety of life’s challenges. My current areas of focus are family and parent / child conflict, child and adolescent behaviors affecting school performance related to depression, anxiety, and life changes.
(636) 242-6422 View (636) 242-6422
Photo of Mr. Darwin Glenn Marriage and Family Counseling , Pastoral Counselor in Saint Charles, MO
Mr. Darwin Glenn Marriage and Family Counseling
Pastoral Counselor
Verified Verified
1 Endorsed
Saint Charles, MO 63303  (Online Only)
Are you feeling stressed at work, school or home? Would you like a safe non judgemental space to share? If you are single, married or in a committed relationship, I am available to provide support as you navigate a path to a peaceful, healthier, lifestyle. My wife, Marlena Glenn, also provides Marriage and Family Counseling. Her certifications and training include Gottman, Integrative Sex and Couples, Co Parenting, Family Mediation, & Prepare and Enrich Relationship Counseling. She provides a clinical perspective. We can meet with you together, if requested, for individual, pre-marital, couples or family counseling.
Are you feeling stressed at work, school or home? Would you like a safe non judgemental space to share? If you are single, married or in a committed relationship, I am available to provide support as you navigate a path to a peaceful, healthier, lifestyle. My wife, Marlena Glenn, also provides Marriage and Family Counseling. Her certifications and training include Gottman, Integrative Sex and Couples, Co Parenting, Family Mediation, & Prepare and Enrich Relationship Counseling. She provides a clinical perspective. We can meet with you together, if requested, for individual, pre-marital, couples or family counseling.
(314) 470-9317 View (314) 470-9317
Photo of Courtney Michelle Baker, Licensed Professional Counselor in Saint Charles, MO
Courtney Michelle Baker
Licensed Professional Counselor, PhD, LPC
Verified Verified
4 Endorsed
Saint Charles, MO 63303
I specialize in couples, working with those experiencing conflict, conflict-avoidance, infidelity/trust issues, communication problems, parenting/co-parenting struggles, and or when one or both partners experience depression, anxiety, or trauma. Relationships are the most important things in our lives, and when we get disconnected, everything in life can feel so much harder. I also see individuals who are struggling with self-worth issues, excessive worry, past history of trauma. Therapy can do a world of good, especially when life has been painful. I am dedicated to the therapy process, and help clients find hope and relief.
I specialize in couples, working with those experiencing conflict, conflict-avoidance, infidelity/trust issues, communication problems, parenting/co-parenting struggles, and or when one or both partners experience depression, anxiety, or trauma. Relationships are the most important things in our lives, and when we get disconnected, everything in life can feel so much harder. I also see individuals who are struggling with self-worth issues, excessive worry, past history of trauma. Therapy can do a world of good, especially when life has been painful. I am dedicated to the therapy process, and help clients find hope and relief.
(636) 442-0231 View (636) 442-0231
Photo of Emilie Paterson in Saint Charles, MO
Emilie Paterson
MA, PLPC
Verified Verified
Saint Charles, MO 63301
Waitlist for new clients
At Ellie Mental Health we strive to provide quality care and an inclusive environment. Providing services for all types of clients and addressing a vast variety of mental health issues. We recognize that taking the first step to finding support through a therapist can be incredibly challenging. Many fears and worries may cross your mind. At Ellie we strive to provide an emotionally safe and comfortable environment knowing that it took a great deal of courage to show up! And we are glad you did!
At Ellie Mental Health we strive to provide quality care and an inclusive environment. Providing services for all types of clients and addressing a vast variety of mental health issues. We recognize that taking the first step to finding support through a therapist can be incredibly challenging. Many fears and worries may cross your mind. At Ellie we strive to provide an emotionally safe and comfortable environment knowing that it took a great deal of courage to show up! And we are glad you did!
(314) 936-2329 View (314) 936-2329
Photo of Mandy Hicks, Licensed Professional Counselor in Saint Charles, MO
Mandy Hicks
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63301
Does life just suck right now? If just one of your problems went away what would that feel like? Would it feel like you could breathe again, maybe all of your anxiety or sadness is gone, or perhaps you are FINALLY getting the help you need from your loved ones. Trying to figure all of this out by yourself can be overwhelming, throw a life event in there such as relationship issues, divorce, or a change in employment, and you can lose your sense of self. I won't let that happen.
Does life just suck right now? If just one of your problems went away what would that feel like? Would it feel like you could breathe again, maybe all of your anxiety or sadness is gone, or perhaps you are FINALLY getting the help you need from your loved ones. Trying to figure all of this out by yourself can be overwhelming, throw a life event in there such as relationship issues, divorce, or a change in employment, and you can lose your sense of self. I won't let that happen.
(314) 328-8278 View (314) 328-8278
Photo of Daniel Robb, Licensed Professional Counselor in Saint Charles, MO
Daniel Robb
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63301
I have a passion for helping, and strongly feel that building a connection - a supportive, therapeutic relationship - is critical and essential for counseling to be most effective. You will find in me a genuine person, and genuinely caring. I want to help you either overcome and conquer your struggle, or find a way to make life worth living - learning, practicing, and using "tools" that can elevate you to truly living from merely surviving. I've helped hundreds of people to find joy and new purpose, and I want to help you, too.
I have a passion for helping, and strongly feel that building a connection - a supportive, therapeutic relationship - is critical and essential for counseling to be most effective. You will find in me a genuine person, and genuinely caring. I want to help you either overcome and conquer your struggle, or find a way to make life worth living - learning, practicing, and using "tools" that can elevate you to truly living from merely surviving. I've helped hundreds of people to find joy and new purpose, and I want to help you, too.
(636) 251-4923 View (636) 251-4923

See more therapy options for Saint Charles

How does your Therapist compare?

Number of Therapists in Saint Charles, MO

200+

Average cost per session

$120

Therapists in Saint Charles, MO who prioritize treating:

89% Anxiety
83% Depression
75% Relationship Issues
74% Self Esteem
69% Trauma and PTSD
69% Coping Skills
63% Grief

Average years in practice

11 Years

Top 3 insurances accepted

80% UnitedHealthcare UHC | UBH
76% Aetna
74% Cigna and Evernorth

How Therapists in Saint Charles, MO see their clients

79% In Person and Online
21% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Saint Charles?

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.