Therapists in Greenfield, WI

Photo of Robert C. Hugl, Clinical Social Work/Therapist in Greenfield, WI
Robert C. Hugl
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Greenfield, WI 53220
Is anger that goes out of control ruining your life? Is depression driving you into the ground? Is your family life not going right? I can help you find solutions for above by working together with you. Life can be very stressful given the speed and options of society today. Sometimes you can get lost in this and it causes a disruption in your mental health. It helps to get and objective resource to help you find your way back to feeling more emotionally sound and in better control of your life.
Is anger that goes out of control ruining your life? Is depression driving you into the ground? Is your family life not going right? I can help you find solutions for above by working together with you. Life can be very stressful given the speed and options of society today. Sometimes you can get lost in this and it causes a disruption in your mental health. It helps to get and objective resource to help you find your way back to feeling more emotionally sound and in better control of your life.
(414) 982-1171 View (414) 982-1171
Photo of Tammy Giannopoulos, Clinical Social Work/Therapist in Greenfield, WI
Tammy Giannopoulos
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Greenfield, WI 53220
I believe that everyone can benefit from seeing a therapist as it is a great stress reducer and can help you achieve the most out of life. It is important to have a place to release all worries and stress without fear of being judged. I use an eclectic approach to helping others by using the best therapeutic technique based on individual needs. I am dedicated to putting my clients first and helping them live a quality life.
I believe that everyone can benefit from seeing a therapist as it is a great stress reducer and can help you achieve the most out of life. It is important to have a place to release all worries and stress without fear of being judged. I use an eclectic approach to helping others by using the best therapeutic technique based on individual needs. I am dedicated to putting my clients first and helping them live a quality life.
(414) 982-1445 View (414) 982-1445
Photo of Paul Bartsch, Licensed Professional Counselor in Greenfield, WI
Paul Bartsch
Licensed Professional Counselor, LPC
Verified Verified
Greenfield, WI 53220
Paul is a Licensed Professional Counselor and a Clinical Substance Abuse Counselor who has been practicing since 1987. He graduated from the University of Wisconsin-Milwaukee with a Master's degree in Educational Psychology. Paul has worked in both the public and private sectors as well as teaching in the college level. Paul has extensive experience providing services to kids, adults, couples and marital therapy. Major focus has been providing services for attention deficit disorders as well as anxiety and depressive disorders. Paul also works with clients who have drug and/or alcohol issues.
Paul is a Licensed Professional Counselor and a Clinical Substance Abuse Counselor who has been practicing since 1987. He graduated from the University of Wisconsin-Milwaukee with a Master's degree in Educational Psychology. Paul has worked in both the public and private sectors as well as teaching in the college level. Paul has extensive experience providing services to kids, adults, couples and marital therapy. Major focus has been providing services for attention deficit disorders as well as anxiety and depressive disorders. Paul also works with clients who have drug and/or alcohol issues.
(414) 348-4179 View (414) 348-4179
Photo of Jessica Corey, Licensed Professional Counselor in Greenfield, WI
Jessica Corey
Licensed Professional Counselor, LPC
Verified Verified
Greenfield, WI 53220
Jessica Corey is a Licensed Professional Counselor, who has been practicing since 2012. They graduated from Mount Mary College with a master's degree in community counseling. Jessica believes in providing mental health therapy for individuals to improve their day to day functioning by developing coping and assertive skills so that individuals can feel empowered to make changes leading to a healthier and more productive life. Jessica's main areas of focus include anxiety, depression, trauma, stress management, parenting skills, and behavioral issues.
Jessica Corey is a Licensed Professional Counselor, who has been practicing since 2012. They graduated from Mount Mary College with a master's degree in community counseling. Jessica believes in providing mental health therapy for individuals to improve their day to day functioning by developing coping and assertive skills so that individuals can feel empowered to make changes leading to a healthier and more productive life. Jessica's main areas of focus include anxiety, depression, trauma, stress management, parenting skills, and behavioral issues.
(414) 404-9843 View (414) 404-9843
Photo of Elizabeth Pequet, Marriage & Family Therapist in Greenfield, WI
Elizabeth Pequet
Marriage & Family Therapist, LMFT
Verified Verified
Greenfield, WI 53220
There are times in our lives when we feel lost, trapped or unable to find peace in our daily routine. We try to cope and find solace, but may end up feeling more defeated. While it may feel impossible, I believe we all have immense strength and resilience to find our way. In order to find that inner strength, I believe it is essential to discover what is causing the symptoms. Through this uncovering, we can start our journey of healing and growth. I facilitate awareness and deeper understanding to the what and why these thoughts are all consuming. At your own pace, I offer space to challenge patterns that no longer serve you.
There are times in our lives when we feel lost, trapped or unable to find peace in our daily routine. We try to cope and find solace, but may end up feeling more defeated. While it may feel impossible, I believe we all have immense strength and resilience to find our way. In order to find that inner strength, I believe it is essential to discover what is causing the symptoms. Through this uncovering, we can start our journey of healing and growth. I facilitate awareness and deeper understanding to the what and why these thoughts are all consuming. At your own pace, I offer space to challenge patterns that no longer serve you.
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Photo of Ryan Snead, Licensed Professional Counselor in Greenfield, WI
Ryan Snead
Licensed Professional Counselor, LPC
Verified Verified
Greenfield, WI 53220
Ryan Snead is a Licensed Professional Counselor (LPC) with a background in working with adults (ages 18 and older) struggling with a multitude of mental health difficulties. Ryan's experience ranges in working with individuals struggling with anxiety disorder, bipolar disorder, depressive disorder, anger management, relationship stress, stress management and school or work stress. Ryan graduated with a Bachelor's of science in Psychology from the University of Wisconsin-Whitewater in 2012 and completed his Master's degree in Professional Counseling from Concordia University in 2016.
Ryan Snead is a Licensed Professional Counselor (LPC) with a background in working with adults (ages 18 and older) struggling with a multitude of mental health difficulties. Ryan's experience ranges in working with individuals struggling with anxiety disorder, bipolar disorder, depressive disorder, anger management, relationship stress, stress management and school or work stress. Ryan graduated with a Bachelor's of science in Psychology from the University of Wisconsin-Whitewater in 2012 and completed his Master's degree in Professional Counseling from Concordia University in 2016.
(414) 928-8994 View (414) 928-8994
Photo of Ivaylo Hristov, Clinical Social Work/Therapist in Greenfield, WI
Ivaylo Hristov
Clinical Social Work/Therapist
Verified Verified
Greenfield, WI 53220
Ivaylo is a Licensed Clinical Social Worker in the states of Wisconsin and California. He has a BA and MA in Psychology from Sofia University, Bulgaria and he obtained his MSW from Sacramento State University in California. His past experiences include counseling children and families in a private practice setting, offering general mental health services, teaching, and consulting for police departments. Ivaylo has extensive training in Solution Focused Therapy and has practiced it for over 20 years.
Ivaylo is a Licensed Clinical Social Worker in the states of Wisconsin and California. He has a BA and MA in Psychology from Sofia University, Bulgaria and he obtained his MSW from Sacramento State University in California. His past experiences include counseling children and families in a private practice setting, offering general mental health services, teaching, and consulting for police departments. Ivaylo has extensive training in Solution Focused Therapy and has practiced it for over 20 years.
(414) 928-7754 View (414) 928-7754
Photo of Flora Ripp, Licensed Professional Counselor in Greenfield, WI
Flora Ripp
Licensed Professional Counselor
Verified Verified
Greenfield, WI 53220
Not accepting new clients
Through a warm and gentle approach, I create space for clients to unpack whatever is troubling them with patience and support. Often “symptoms” are a function of being stuck or at odds with ourselves and others, or from painfully re-living past events. After addressing the most pressing problems and identifying key triggers, we then turn to the underlying internal conflicts or relational patterns. By healing these conflicts, clients come to better understand themselves and live more peacefully in the here and now. In a word, they become more authentic!
Through a warm and gentle approach, I create space for clients to unpack whatever is troubling them with patience and support. Often “symptoms” are a function of being stuck or at odds with ourselves and others, or from painfully re-living past events. After addressing the most pressing problems and identifying key triggers, we then turn to the underlying internal conflicts or relational patterns. By healing these conflicts, clients come to better understand themselves and live more peacefully in the here and now. In a word, they become more authentic!
(414) 296-6564 x483 View (414) 296-6564 x483
Photo of Derek Daanen, Licensed Professional Counselor in Greenfield, WI
Derek Daanen
Licensed Professional Counselor, LPC
Verified Verified
Greenfield, WI 53221
I have received my Master's Degree from Marquette University in Clinical Mental Health Counseling. My training during school involved inpatient hospital work for about 2 years. My most recent experience has been in various adult day treatment programs for the past 7 years; this involved both individual sessions and group sessions multiple days a week with the same client (PHP and IOP programs). I have had advanced training in addressing OCD and related anxieties, Trauma Counseling, Depression, Emotional Dysregulation and Interpersonal Conflict needs.
I have received my Master's Degree from Marquette University in Clinical Mental Health Counseling. My training during school involved inpatient hospital work for about 2 years. My most recent experience has been in various adult day treatment programs for the past 7 years; this involved both individual sessions and group sessions multiple days a week with the same client (PHP and IOP programs). I have had advanced training in addressing OCD and related anxieties, Trauma Counseling, Depression, Emotional Dysregulation and Interpersonal Conflict needs.
(414) 441-3272 View (414) 441-3272
Photo of Hannah Radke, Counselor in Greenfield, WI
Hannah Radke
Counselor, MS, LPC-IT
Verified Verified
3 Endorsed
Greenfield, WI 53228
Life gets messy. Stress, depression, anxiety, grief, fear, and uncertainty are just some of the many experiences that can knock any of us down and leave us wondering where to turn. No one should have to face life’s struggles alone. With counseling, you don't have to.
Life gets messy. Stress, depression, anxiety, grief, fear, and uncertainty are just some of the many experiences that can knock any of us down and leave us wondering where to turn. No one should have to face life’s struggles alone. With counseling, you don't have to.
(262) 261-1468 View (262) 261-1468
Photo of Monica Garcia, Psychologist in Greenfield, WI
Monica Garcia
Psychologist, LP
Verified Verified
Greenfield, WI 53220
Dr. Monica Garcia is a Psychologist in Wisconsin practicing in schools for the past 25 years. She has also taught in higher education for approximately 11 years. Dr. Garcia earned a Bachelor of Arts in Psychology from Alverno College, a Master of Science in Educational Psychology and Doctor of Philosophy in Urban Education from University of Wisconsin-Milwaukee, and an additional Wisconsin Department of Public Instruction administrators license from Silver Lake College.
Dr. Monica Garcia is a Psychologist in Wisconsin practicing in schools for the past 25 years. She has also taught in higher education for approximately 11 years. Dr. Garcia earned a Bachelor of Arts in Psychology from Alverno College, a Master of Science in Educational Psychology and Doctor of Philosophy in Urban Education from University of Wisconsin-Milwaukee, and an additional Wisconsin Department of Public Instruction administrators license from Silver Lake College.
(414) 441-6456 View (414) 441-6456
Photo of Monica Roman, Licensed Professional Counselor in Greenfield, WI
Monica Roman
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Greenfield, WI 53220  (Online Only)
You are not living the life you would like to live; sometimes feels like you are just on autopilot. Time is passing by and you feel you are still on the same place or trying to do things without results. You are feeling something is holding you back, but deep inside you, you know there is so much you want to do with your life. You know is time to do the inner work, it’s time to put yourself first, to explore your needs, and what goals you want to achieve moving forward. You are ready to dive deep into reconnecting with yourself and transform yourself into a better version of yourself!
You are not living the life you would like to live; sometimes feels like you are just on autopilot. Time is passing by and you feel you are still on the same place or trying to do things without results. You are feeling something is holding you back, but deep inside you, you know there is so much you want to do with your life. You know is time to do the inner work, it’s time to put yourself first, to explore your needs, and what goals you want to achieve moving forward. You are ready to dive deep into reconnecting with yourself and transform yourself into a better version of yourself!
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Photo of Katrina Gruber, Counselor in Greenfield, WI
Katrina Gruber
Counselor, LPC
Verified Verified
Greenfield, WI 53221
I am very passionate about working with people of all experiences and ages. I especially am passionate about working with children and adolescents and have the most experience working with the adolescent age group. I am interested in treating mental disorders and symptoms such as depression, anxiety, trauma, grief, autism-spectrum disorder, personality disorders, and more. I also have experience with family therapy.
I am very passionate about working with people of all experiences and ages. I especially am passionate about working with children and adolescents and have the most experience working with the adolescent age group. I am interested in treating mental disorders and symptoms such as depression, anxiety, trauma, grief, autism-spectrum disorder, personality disorders, and more. I also have experience with family therapy.
(414) 928-8134 View (414) 928-8134
Photo of Emily Jones, Counselor in Greenfield, WI
Emily Jones
Counselor, LPC
Verified Verified
Greenfield, WI 53221
I work with a wide variety of ages and populations, from 3 and beyond, to make the most out of life. Life is full of ups and downs, and I'm here to help you through it all. I have experience working with addiction, trauma, anxiety, depression, OCD, suicidal ideation, grief, autism, ADHD, eating disorders, and self-esteem. You are the expert of you! I'm here to help in listening without judgement and providing psychoeducation, coping skills, and resources.
I work with a wide variety of ages and populations, from 3 and beyond, to make the most out of life. Life is full of ups and downs, and I'm here to help you through it all. I have experience working with addiction, trauma, anxiety, depression, OCD, suicidal ideation, grief, autism, ADHD, eating disorders, and self-esteem. You are the expert of you! I'm here to help in listening without judgement and providing psychoeducation, coping skills, and resources.
(414) 441-6081 View (414) 441-6081
Photo of Gina Boyer, Clinical Social Work/Therapist in Greenfield, WI
Gina Boyer
Clinical Social Work/Therapist
Verified Verified
Greenfield, WI 53220
Gina Boyer is a Licensed Clinical Social Worker who has been practicing since 2000. She graduated from Ball State University in Muncie, Indiana, with her Bachelor's Degree in Social Work in 1998 and received her Master's in the same field from the University of Southern Indiana in 2000. She treats clients from age 14 to 99 and beyond. Gina uses an eclectic approach tailored to the unique needs of each person. She works with clients from a strengths-based approach using cognitive-behavioral therapy, mindfulness, and a variety of other therapeutic models.
Gina Boyer is a Licensed Clinical Social Worker who has been practicing since 2000. She graduated from Ball State University in Muncie, Indiana, with her Bachelor's Degree in Social Work in 1998 and received her Master's in the same field from the University of Southern Indiana in 2000. She treats clients from age 14 to 99 and beyond. Gina uses an eclectic approach tailored to the unique needs of each person. She works with clients from a strengths-based approach using cognitive-behavioral therapy, mindfulness, and a variety of other therapeutic models.
(414) 667-5246 View (414) 667-5246
Photo of Julie Eimers, Licensed Professional Counselor in Greenfield, WI
Julie Eimers
Licensed Professional Counselor, LPC, CSAC
Verified Verified
1 Endorsed
Greenfield, WI 53228
Not accepting new clients
I am a licensed professional counselor and clinical substance abuse counselor. My practice focuses on helping individuals find inner strengths in order to overcome current challenges. I practice from the belief that each person has the capacity to work through life challenges, and through the counseling process they discover abilities and strengths that will foster personal growth. I enjoy working with individuals to make positive changes that will allow them to be successful in life.
I am a licensed professional counselor and clinical substance abuse counselor. My practice focuses on helping individuals find inner strengths in order to overcome current challenges. I practice from the belief that each person has the capacity to work through life challenges, and through the counseling process they discover abilities and strengths that will foster personal growth. I enjoy working with individuals to make positive changes that will allow them to be successful in life.
(414) 240-0782 View (414) 240-0782
Photo of Bethany Williamson, Licensed Professional Counselor in Greenfield, WI
Bethany Williamson
Licensed Professional Counselor, LPC
Verified Verified
Greenfield, WI 53220
Bethany views her role as a therapist as a supportive guide through life's journey. She sees each client as the expert of their own journey while helping them to develop skills and tools such as resilience and courage to support healing along the way. She promotes successful outcomes by empowering her clients and utilizing various therapies to enhance the therapeutic experience such as: art, play, and EMDR. She draws from cognitive behavioral and personcentered approaches, and works to create a tailored and holistic approach to each client's needs.
Bethany views her role as a therapist as a supportive guide through life's journey. She sees each client as the expert of their own journey while helping them to develop skills and tools such as resilience and courage to support healing along the way. She promotes successful outcomes by empowering her clients and utilizing various therapies to enhance the therapeutic experience such as: art, play, and EMDR. She draws from cognitive behavioral and personcentered approaches, and works to create a tailored and holistic approach to each client's needs.
(414) 251-2294 View (414) 251-2294
Photo of Abigail Cohn, Clinical Social Work/Therapist in Greenfield, WI
Abigail Cohn
Clinical Social Work/Therapist, LCSW
Verified Verified
Greenfield, WI 53220
Abigail Cohn is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2014. She holds a Bachelor's Degree in Theater from Macalester College and a Master's Degree in Social Work from the University of Wisconsin-Milwaukee. Abigail offers a relaxed and non-judgmental approach. She aims to create a collaborative environment to enable clients to develop their own goals and experiment with making important changes. Abigail has experience working with children, adolescents, adults, and families.
Abigail Cohn is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2014. She holds a Bachelor's Degree in Theater from Macalester College and a Master's Degree in Social Work from the University of Wisconsin-Milwaukee. Abigail offers a relaxed and non-judgmental approach. She aims to create a collaborative environment to enable clients to develop their own goals and experiment with making important changes. Abigail has experience working with children, adolescents, adults, and families.
(414) 251-2210 View (414) 251-2210
Photo of Mary Durand, Licensed Professional Counselor in Greenfield, WI
Mary Durand
Licensed Professional Counselor, LPC, CCPT II
Verified Verified
Greenfield, WI 53228
Frustrated? Down? Simply want to be functioning as well as the next person? Anxious just going to the grocery store? Is your teen having trouble getting their homework done, hiding away in their room, and saying everything is, "fine." Daily living isn't easy. There's really no way around it. It's hard for you, it's hard for your kids (if you have them), it's hard for all of us. The great thing is we are not alone and we don't have to go through it alone. Life is so much better when we talk things through and get support. So many times we think we are the only ones feeling this way...sad, anxious, angry, hopeless...we aren't.
Frustrated? Down? Simply want to be functioning as well as the next person? Anxious just going to the grocery store? Is your teen having trouble getting their homework done, hiding away in their room, and saying everything is, "fine." Daily living isn't easy. There's really no way around it. It's hard for you, it's hard for your kids (if you have them), it's hard for all of us. The great thing is we are not alone and we don't have to go through it alone. Life is so much better when we talk things through and get support. So many times we think we are the only ones feeling this way...sad, anxious, angry, hopeless...we aren't.
(262) 205-6048 View (262) 205-6048
Photo of Katherine Leibsle, Clinical Social Work/Therapist in Greenfield, WI
Katherine Leibsle
Clinical Social Work/Therapist, LCSW
Verified Verified
Greenfield, WI 53220
Katherine Leibsle is a psychotherapist who has been practicing since 1992. She graduated from the University of Wisconsin-Milwaukee with a Bachelor's degree in Psychology and a Master's degree in Social Work with specialized training and certificate in Marriage & Family Therapy. She also is trained in Substance Abuse Treatment. Katherine is a Solution-Focused therapist who believes in empowering her patients to utilize their strengths to acheive their goals. Her areas of focus include adolescents, families, couples, and individuals who are struggling with relationships, anxiety/depression, substance abuse, and other personal issues.
Katherine Leibsle is a psychotherapist who has been practicing since 1992. She graduated from the University of Wisconsin-Milwaukee with a Bachelor's degree in Psychology and a Master's degree in Social Work with specialized training and certificate in Marriage & Family Therapy. She also is trained in Substance Abuse Treatment. Katherine is a Solution-Focused therapist who believes in empowering her patients to utilize their strengths to acheive their goals. Her areas of focus include adolescents, families, couples, and individuals who are struggling with relationships, anxiety/depression, substance abuse, and other personal issues.
(414) 441-6984 View (414) 441-6984

See more therapy options for Greenfield

How does your Therapist compare?

Number of Therapists in Greenfield, WI

50+

Average cost per session

$150

Therapists in Greenfield, WI who prioritize treating:

93% Depression
87% Anxiety
78% Trauma and PTSD
64% Relationship Issues
58% Grief
58% Self Esteem
58% Life Transitions

Average years in practice

7 Years

Top 3 insurances accepted

88% Anthem | Elevance
86% Aetna
83% UnitedHealthcare UHC | UBH

How Therapists in Greenfield, WI see their clients

95% In Person and Online
5% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Greenfield?

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.