Therapists in Jacksonville N A, FL

Photo of Roselyn Young, Counselor in Jacksonville N A, FL
Roselyn Young
Counselor, LMHC
Verified Verified
Jacksonville N A, FL 32212  (Online Only)
Feeling overwhelmed like you can’t handle another thing? Feeling like no one understands what you’re going through? Feeling alone in your struggle? What you’re experiencing may seem like forever, but it’s temporary. You have taken the first step into making that change that you have been nudging yourself to do. Welcome to R. Young at Heart Therapy, LLC, where we believe in 'Radiating at any age. I am dedicated to empowering individuals on their journey to emotional wellness.
Feeling overwhelmed like you can’t handle another thing? Feeling like no one understands what you’re going through? Feeling alone in your struggle? What you’re experiencing may seem like forever, but it’s temporary. You have taken the first step into making that change that you have been nudging yourself to do. Welcome to R. Young at Heart Therapy, LLC, where we believe in 'Radiating at any age. I am dedicated to empowering individuals on their journey to emotional wellness.
(386) 217-3272 View (386) 217-3272
Photo of Kathie Land, Counselor in Jacksonville N A, FL
Kathie Land
Counselor, LMHC
Verified Verified
Jacksonville N A, FL 32212  (Online Only)
With a wealth of experience spanning over three years, I am a dedicated LMHC specializing in youth mental health. My current role involves working closely with youth in the juvenile justice system. I previously served as a Mental Health Counselor providing comprehensive care for clients with mental health and substance use challenges. As a compassionate therapist, I prioritize empathy, validation, and therapeutic techniques, ensuring that clients receive personalized care. My experience extends to managing clinical documentation, billing, and emergency screening. I am also proud to have volunteered with Crisis Text Line.
With a wealth of experience spanning over three years, I am a dedicated LMHC specializing in youth mental health. My current role involves working closely with youth in the juvenile justice system. I previously served as a Mental Health Counselor providing comprehensive care for clients with mental health and substance use challenges. As a compassionate therapist, I prioritize empathy, validation, and therapeutic techniques, ensuring that clients receive personalized care. My experience extends to managing clinical documentation, billing, and emergency screening. I am also proud to have volunteered with Crisis Text Line.
(786) 933-4385 View (786) 933-4385
Photo of Julie Anne McGinley, LPC Intern in Jacksonville N A, FL
Julie Anne McGinley
LPC Intern, EMDR
Verified Verified
1 Endorsed
Jacksonville N A, FL 32212
Healing happens through genuine human connection. We work to understand your repetitive patterns and change hurtful relationships, depression, anxiety, fear, grief, procrastination, fatigue, & unhealthy behaviors. I love working with those seeking deep healing, even if prior therapy was not enough. I work with those who have a history of sexual and other abuse, neglect, domestic violence, assault, and other traumas, impacts of narcissistic relationships, anxiety, worry, grief, chronic illness, and phobias. Together we will use your inherent ability to heal, alleviate symptoms, find strength and freedom, and embrace vulnerability.
Healing happens through genuine human connection. We work to understand your repetitive patterns and change hurtful relationships, depression, anxiety, fear, grief, procrastination, fatigue, & unhealthy behaviors. I love working with those seeking deep healing, even if prior therapy was not enough. I work with those who have a history of sexual and other abuse, neglect, domestic violence, assault, and other traumas, impacts of narcissistic relationships, anxiety, worry, grief, chronic illness, and phobias. Together we will use your inherent ability to heal, alleviate symptoms, find strength and freedom, and embrace vulnerability.
(352) 577-2313 View (352) 577-2313
Photo of Christie Cain, Counselor in Jacksonville N A, FL
Christie Cain
Counselor, LMHC
Verified Verified
Jacksonville N A, FL 32212  (Online Only)
Christie is a highly skilled and compassionate Counselor with 6 years of experience using a client-centered approach. Christie believes in building strong relationships with her clients based on trust and open communication. She takes the time to listen to her clients' concerns and works collaboratively to develop personalized care plans that align with their goals and values. She believes in maintaining a healthy work-life balance and encourages her clients to embrace wellness in all aspects of their lives. To stay current, Christie regularly attends conferences and trainings and holds several certificates in her areas of expertise
Christie is a highly skilled and compassionate Counselor with 6 years of experience using a client-centered approach. Christie believes in building strong relationships with her clients based on trust and open communication. She takes the time to listen to her clients' concerns and works collaboratively to develop personalized care plans that align with their goals and values. She believes in maintaining a healthy work-life balance and encourages her clients to embrace wellness in all aspects of their lives. To stay current, Christie regularly attends conferences and trainings and holds several certificates in her areas of expertise
Photo of Inspire Focused Solutions, LLC, Pre-Licensed Professional in Jacksonville N A, FL
Inspire Focused Solutions, LLC
Pre-Licensed Professional, MPH, MSW, RCSWI
Verified Verified
2 Endorsed
Jacksonville N A, FL 32212  (Online Only)
Welcome! I'm glad you're here taking the first steps on your journey. Now more than ever, we have been feeling anxious, overwhelmed and uncertain about certain situations in life. Whether it be a difficult circumstance, period of grief, transitioning to an unfamiliar environment or just trying to find your place in this world. I am here to support you.
Welcome! I'm glad you're here taking the first steps on your journey. Now more than ever, we have been feeling anxious, overwhelmed and uncertain about certain situations in life. Whether it be a difficult circumstance, period of grief, transitioning to an unfamiliar environment or just trying to find your place in this world. I am here to support you.
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Photo of Rudo Cusack, Counselor in Jacksonville N A, FL
Rudo Cusack
Counselor, LMHC, CRC, MBA
Verified Verified
1 Endorsed
Jacksonville N A, FL 32212  (Online Only)
I believe one of the bravest things you can do is begin to understand your own story. My ideal client is focused on personal growth and healing. If you feel stressed, anxious, and scared, this is a great time to reach out and find support. If you are dealing with loss, a traumatic past, relationship issues, women's issues, or work stresses, let's work together to help you cope with life's stressors. My goal is to help you navigate challenges, make sense of your experiences, and find hope, joy, and healing.
I believe one of the bravest things you can do is begin to understand your own story. My ideal client is focused on personal growth and healing. If you feel stressed, anxious, and scared, this is a great time to reach out and find support. If you are dealing with loss, a traumatic past, relationship issues, women's issues, or work stresses, let's work together to help you cope with life's stressors. My goal is to help you navigate challenges, make sense of your experiences, and find hope, joy, and healing.
(401) 240-1842 View (401) 240-1842

More Therapists Nearby

Photo of Hailey Currington, Clinical Social Work/Therapist in Jacksonville N A, FL
Hailey Currington
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32212  (Online Only)
Ms. Currington facilitates an environment where clients can express themselves without fear of rejection or judgment. She currently maintains a focus on adolescents and adults who are experiencing anxiety, depression, life adjustments, and/or trauma. She also places a focus on individuals within the Autism Spectrum community who may be looking to gain a better understanding of their diagnosis as well as their mental health needs. This clinician has a passion for helping others through their personal growth and strives on being a support to them through the process.
Ms. Currington facilitates an environment where clients can express themselves without fear of rejection or judgment. She currently maintains a focus on adolescents and adults who are experiencing anxiety, depression, life adjustments, and/or trauma. She also places a focus on individuals within the Autism Spectrum community who may be looking to gain a better understanding of their diagnosis as well as their mental health needs. This clinician has a passion for helping others through their personal growth and strives on being a support to them through the process.
(850) 780-1341 View (850) 780-1341
Photo of Joel Malin, Licensed Professional Counselor in Jacksonville N A, FL
Joel Malin
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Jacksonville, FL 32244  (Online Only)
Not everyone needs a therapist, but everyone needs someone they can speak to openly and honestly without judgment. Unfortunately, not everyone has someone like this in their life that they can trust completely. Problems are only as big as our ability or inability to deal with them. By instilling confidence in one's self, learning to draw boundaries with others, and creating goals, I believe that each person can develop the skills they need to help themselves. My goal is to simply help each individual develop and cultivate these skills in order to make the changes they desire to see in their own lives.
Not everyone needs a therapist, but everyone needs someone they can speak to openly and honestly without judgment. Unfortunately, not everyone has someone like this in their life that they can trust completely. Problems are only as big as our ability or inability to deal with them. By instilling confidence in one's self, learning to draw boundaries with others, and creating goals, I believe that each person can develop the skills they need to help themselves. My goal is to simply help each individual develop and cultivate these skills in order to make the changes they desire to see in their own lives.
(904) 875-2465 View (904) 875-2465
Photo of Rennie Manning, Counselor in Jacksonville N A, FL
Rennie Manning
Counselor, MACP, LMHC
Verified Verified
Jacksonville, FL 32210
I NEED HELP!! Now more than ever before there is a need for mental health counseling. The psychosocial stressors caused by the pandemic - the physical risks, the daily disruptions, uncertainty, social isolation, financial loss - coupled with feelings of helplessness, hopelessness (all known to affect mental health and thereby physical health) are legend. In my practice I see individuals, couples, and children ages 8 through the teenage years. I've had much success with parents reaching out for help with their children who are experiencing the same psychological toll of the unnatural circumstance of isolation at home.
I NEED HELP!! Now more than ever before there is a need for mental health counseling. The psychosocial stressors caused by the pandemic - the physical risks, the daily disruptions, uncertainty, social isolation, financial loss - coupled with feelings of helplessness, hopelessness (all known to affect mental health and thereby physical health) are legend. In my practice I see individuals, couples, and children ages 8 through the teenage years. I've had much success with parents reaching out for help with their children who are experiencing the same psychological toll of the unnatural circumstance of isolation at home.
(904) 421-9710 View (904) 421-9710
Photo of Michelle Camp, Counselor in Jacksonville N A, FL
Michelle Camp
Counselor, LCMHC
Verified Verified
Jacksonville, FL 32212
My name is Michelle Camp, and I am a Licensed Mental Health Counselor based in Orlando, Florida working with clients statewide via Telehealth. I specialize in working with children/adolescents and their guardians related to stress, school issues, self-esteem, and self-identity, using primarily Cognitive Behavioral Therapy (CBT) and mindfulness-based practices to help my clients understand themselves better and feel better through these critical early years. I typically work with children and adolescents and/or their guardians, as I am also a Certified School Counselor and bring expertise in both mental health and school systems.
My name is Michelle Camp, and I am a Licensed Mental Health Counselor based in Orlando, Florida working with clients statewide via Telehealth. I specialize in working with children/adolescents and their guardians related to stress, school issues, self-esteem, and self-identity, using primarily Cognitive Behavioral Therapy (CBT) and mindfulness-based practices to help my clients understand themselves better and feel better through these critical early years. I typically work with children and adolescents and/or their guardians, as I am also a Certified School Counselor and bring expertise in both mental health and school systems.
(904) 842-4639 View (904) 842-4639
Photo of Dr. Stephanie Milne, Psychologist in Jacksonville N A, FL
Dr. Stephanie Milne
Psychologist, PsyD, BCB, BCB-HRV, CPM
Verified Verified
3 Endorsed
Orange Park, FL 32073
Most of the time people manage their lives very well. Sometimes, they need some direction or focus to get back on the right path. I take the time to get to know my patients, to know what matters to them and then use that information to help motivate, guide, and inspire them to make the changes they need to make in order to live their life committed to their goals and values. It is often not an easy road, but together, great things can happen!
Most of the time people manage their lives very well. Sometimes, they need some direction or focus to get back on the right path. I take the time to get to know my patients, to know what matters to them and then use that information to help motivate, guide, and inspire them to make the changes they need to make in order to live their life committed to their goals and values. It is often not an easy road, but together, great things can happen!
(904) 685-8756 View (904) 685-8756
Photo of Charmaine R. Dockett-Rivers Of Hope Counseling, Licensed Professional Counselor in Jacksonville N A, FL
Charmaine R. Dockett-Rivers Of Hope Counseling
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Jacksonville, FL 32212
**TeleHealth Counseling Available!** I bring authentic listening joined with the power of hope into the counseling relationship. When life brings its seasons of challenges and difficulties, I am confident that a road traveled together is the beginning of change. I believe in the uniqueness of individuals and without judgment, bring faith for the faithful and faithless. I compassionately help those struggling with relationship conflicts, self-esteem issues, trauma, addictions, partners suffering from sexual abuse, depression, anxiety, grief, shame and spiritual brokenness.
**TeleHealth Counseling Available!** I bring authentic listening joined with the power of hope into the counseling relationship. When life brings its seasons of challenges and difficulties, I am confident that a road traveled together is the beginning of change. I believe in the uniqueness of individuals and without judgment, bring faith for the faithful and faithless. I compassionately help those struggling with relationship conflicts, self-esteem issues, trauma, addictions, partners suffering from sexual abuse, depression, anxiety, grief, shame and spiritual brokenness.
(571) 200-4669 View (571) 200-4669
Photo of Katherine Falwell, Psychologist in Jacksonville N A, FL
Katherine Falwell
Psychologist, PhD
Verified Verified
Jacksonville, FL 32212
My mission is to improve the lives of the families with whom I work. I utilize a variety of techniques to improve functioning and strengthen both individual and family relations. Treatment modalities such as cognitive behavior therapy, systems therapy, and solution-focused therapy are used to help my clients cope with a variety of challenges. I also enjoy working with adults experiencing life transitions such as career changes, relationship issues, or marital struggles.
My mission is to improve the lives of the families with whom I work. I utilize a variety of techniques to improve functioning and strengthen both individual and family relations. Treatment modalities such as cognitive behavior therapy, systems therapy, and solution-focused therapy are used to help my clients cope with a variety of challenges. I also enjoy working with adults experiencing life transitions such as career changes, relationship issues, or marital struggles.
(904) 621-1690 View (904) 621-1690
Photo of Margaret Reeves, Counselor in Jacksonville N A, FL
Margaret Reeves
Counselor, PhD, MS, CAP
Verified Verified
Jacksonville, FL 32212  (Online Only)
Welcome! I offer a non-judgmental, active listening approach to help you find solutions, develop skills, and feel validated. With a blend of therapeutic styles including client-centered, solution-focused, CBT, motivational interviewing, and DBT, I tailor our sessions to meet your unique needs. I'm experienced in individual, couples, and family therapy, drawing from various psychological theories and practices. As an internationally certified addiction professional.
Welcome! I offer a non-judgmental, active listening approach to help you find solutions, develop skills, and feel validated. With a blend of therapeutic styles including client-centered, solution-focused, CBT, motivational interviewing, and DBT, I tailor our sessions to meet your unique needs. I'm experienced in individual, couples, and family therapy, drawing from various psychological theories and practices. As an internationally certified addiction professional.
(833) 594-1849 View (833) 594-1849
Photo of Byron Beall, Clinical Social Work/Therapist in Jacksonville N A, FL
Byron Beall
Clinical Social Work/Therapist, LCSW, BCBA
Verified Verified
1 Endorsed
Jacksonville, FL 32212  (Online Only)
My name is Byron Beall. I am a Licensed Clinical Social Worker (LCSW) and a Board Certified Behavior Analyst (BCBA). I have years of experience working with a wide range of populations including adults and families in all settings. I have experience working in diverse settings, ranging from a prison to group homes, schools, hospitals, private practice and family homes. I have experience as a bereavement director where I provided grief counseling.
My name is Byron Beall. I am a Licensed Clinical Social Worker (LCSW) and a Board Certified Behavior Analyst (BCBA). I have years of experience working with a wide range of populations including adults and families in all settings. I have experience working in diverse settings, ranging from a prison to group homes, schools, hospitals, private practice and family homes. I have experience as a bereavement director where I provided grief counseling.
(904) 203-4792 View (904) 203-4792
Photo of Christy Brown, Counselor in Jacksonville N A, FL
Christy Brown
Counselor, LMHC
Verified Verified
9 Endorsed
Jacksonville, FL 32210  (Online Only)
Making the choice to come to therapy is an important decision. Apart from the clinical training and skill of your counselor, the most important part of your experience is the therapeutic relationship. Most people who come to counseling need to talk about things that can be hard to talk about with someone else. I understand that, and this is why I put so much importance on building a trusting relationship. In order for you to say everything exactly how you mean it and to express yourself fully, you need to feel genuinely safe and free from judgment.
Making the choice to come to therapy is an important decision. Apart from the clinical training and skill of your counselor, the most important part of your experience is the therapeutic relationship. Most people who come to counseling need to talk about things that can be hard to talk about with someone else. I understand that, and this is why I put so much importance on building a trusting relationship. In order for you to say everything exactly how you mean it and to express yourself fully, you need to feel genuinely safe and free from judgment.
(904) 638-6407 View (904) 638-6407
Photo of Jacqueline Lane, Counselor in Jacksonville N A, FL
Jacqueline Lane
Counselor, MA, LMHC
Verified Verified
Jacksonville, FL 32244  (Online Only)
Are you ready to heal, elevate, and evolve into the new version of you? If so, this is your season to step into your true authentic self. My holistic approach will offer you tools to transform your thinking, manage your emotions, and release behaviors that no longer serve you. With over a decade of experience working with adults and families, I understand how life’s stressors create mental and emotional chaos which can lead to anxiety, depression, and self-defeating behaviors. Let’s work together and turn your stressors into strengths!
Are you ready to heal, elevate, and evolve into the new version of you? If so, this is your season to step into your true authentic self. My holistic approach will offer you tools to transform your thinking, manage your emotions, and release behaviors that no longer serve you. With over a decade of experience working with adults and families, I understand how life’s stressors create mental and emotional chaos which can lead to anxiety, depression, and self-defeating behaviors. Let’s work together and turn your stressors into strengths!
(904) 593-4208 View (904) 593-4208
Photo of Sarah Shine, Clinical Social Work/Therapist in Jacksonville N A, FL
Sarah Shine
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32212
Sarah Shine is a Licensed Clinical Social Worker (LCSW) with four years of experience in the community behavioral health field. She finds joy in work that allows her to take in a person as they are and provide a safe place for them to heal and process their experiences in order to set and achieve their own personal goals. Sarah specializes in substance use disorders, trauma, personality disorders, depression, anxiety, grief, and major life transitions.
Sarah Shine is a Licensed Clinical Social Worker (LCSW) with four years of experience in the community behavioral health field. She finds joy in work that allows her to take in a person as they are and provide a safe place for them to heal and process their experiences in order to set and achieve their own personal goals. Sarah specializes in substance use disorders, trauma, personality disorders, depression, anxiety, grief, and major life transitions.
(904) 906-3792 View (904) 906-3792
Photo of Angela Denise Casanova, Licensed Professional Counselor in Jacksonville N A, FL
Angela Denise Casanova
Licensed Professional Counselor, MA, LPC-S, CCTMH
Verified Verified
3 Endorsed
Jacksonville, FL 32212  (Online Only)
My role as your therapist is to provide an environment of safety, support, and growth. I am experienced in helping you understand where your issues originate from, and then working together in collaboration to make changes that will help you move forward.I am also an open-minded person and will provide a nonjudgmental atmosphere in which to confide in. I am certified as a Clinical Anxiety Treatment Professional (CCATP) and a proud professional member of the International OCD Foundation as a provider (IOCDF.ORG). I am now licensed to provide treatment to clients in the states of Texas and Florida.
My role as your therapist is to provide an environment of safety, support, and growth. I am experienced in helping you understand where your issues originate from, and then working together in collaboration to make changes that will help you move forward.I am also an open-minded person and will provide a nonjudgmental atmosphere in which to confide in. I am certified as a Clinical Anxiety Treatment Professional (CCATP) and a proud professional member of the International OCD Foundation as a provider (IOCDF.ORG). I am now licensed to provide treatment to clients in the states of Texas and Florida.
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Darlene Franklin
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32244  (Online Only)
My name is Darlene Franklin and I'm a licensed social worker located in Jacksonville, FL. I am a Florida State University graduate, and have been practicing 20 years. I have experienace in substance use disorders, LGBTQ concerns, military veterans and geriatrics.
My name is Darlene Franklin and I'm a licensed social worker located in Jacksonville, FL. I am a Florida State University graduate, and have been practicing 20 years. I have experienace in substance use disorders, LGBTQ concerns, military veterans and geriatrics.
(904) 650-6697 View (904) 650-6697

How does your Therapist compare?

Number of Therapists in Jacksonville N A, FL

< 10

Therapists in Jacksonville N A, FL who prioritize treating:

100% Depression
83% Anxiety
83% Coping Skills
83% Women's Issues
67% Relationship Issues
67% Self Esteem
67% Stress

Average years in practice

5 Years

Top 3 insurances accepted

80% Cigna and Evernorth
60% Aetna
60% BlueCross and BlueShield

How Therapists in Jacksonville N A, FL see their clients

83% Online Only
17% In Person and Online

Gender breakdown

100% Female

FAQs - About Therapy and Counseling

How can I find a therapist in Jacksonville N A?

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.