Therapists in Chicago, IL

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Photo of Naomi Cohen, Clinical Social Work/Therapist in Chicago, IL
Naomi Cohen
Clinical Social Work/Therapist, LCSW
Verified Verified
Chicago, IL 60606  (Online Only)
Hello there, I'm Naomi. My approach to therapy is, first and foremost, patient-centered. I believe we are all the masters of our own lives, and that therapy can be a vehicle for growth and change when we most need it.
Hello there, I'm Naomi. My approach to therapy is, first and foremost, patient-centered. I believe we are all the masters of our own lives, and that therapy can be a vehicle for growth and change when we most need it.
(224) 298-7659 View (224) 298-7659
Photo of Amanda (Aasha) Elliott, Clinical Social Work/Therapist in Chicago, IL
Amanda (Aasha) Elliott
Clinical Social Work/Therapist, LCSW
Verified Verified
Chicago, IL 60660
My therapeutic approach is client-centered, strengths-based, creative and collaborative, one in which I often incorporate meditation and somatic work, informed by Internal Family Systems (IFS) theory. I seek to create a therapeutic environment where you will feel heard, validated and understood. We live in a society where we often feel we should weather stress alone but sometimes having someone truly hear you and see you makes all the difference.
My therapeutic approach is client-centered, strengths-based, creative and collaborative, one in which I often incorporate meditation and somatic work, informed by Internal Family Systems (IFS) theory. I seek to create a therapeutic environment where you will feel heard, validated and understood. We live in a society where we often feel we should weather stress alone but sometimes having someone truly hear you and see you makes all the difference.
(773) 840-0308 View (773) 840-0308
Photo of Dr. Pascale Piron, Counselor in Chicago, IL
Dr. Pascale Piron
Counselor, PsyD, MA, LCPC
Verified Verified
5 Endorsed
Chicago, IL 60613
As a results oriented clinician, I welcome clients across the lifespan for individual, couples, and family therapy. My specialization is working with clients facing depression, trauma, grief and loss, infertility, self-esteem, mood and motivational challenges. My approach to psychotherapy is insight based integrated with other methods to meet the unique needs and goals of my clients. Additionally, my interests expand to family psychology, supporting clients through separation and divorce as well as parent-child therapeutic reintegration and reunification therapy.
As a results oriented clinician, I welcome clients across the lifespan for individual, couples, and family therapy. My specialization is working with clients facing depression, trauma, grief and loss, infertility, self-esteem, mood and motivational challenges. My approach to psychotherapy is insight based integrated with other methods to meet the unique needs and goals of my clients. Additionally, my interests expand to family psychology, supporting clients through separation and divorce as well as parent-child therapeutic reintegration and reunification therapy.
(773) 839-3334 View (773) 839-3334
Photo of Lou Walsh, Counselor in Chicago, IL
Lou Walsh
Counselor, MA, LCPC
Verified Verified
1 Endorsed
Chicago, IL 60602
Text Lou at 312.593.7527 to leave a message - http://www.louwalsh.com - (Elizabeth L Fisk Walsh, NPI 1871568584) "How are you going to fix me?" clients will sometimes ask. Because I believe that motivated people are capable of making changes in their lives, I encourage clients to accept responsibility for their own choices. I enjoy seeing people feel more confident about making independent decisions. Whether they have relationship issues, anxiety, fears, depression, or just ways they need to make small adjustments to their way of being, it is gratifying for me to provide the assistance as I watch them "fix" themselves.
Text Lou at 312.593.7527 to leave a message - http://www.louwalsh.com - (Elizabeth L Fisk Walsh, NPI 1871568584) "How are you going to fix me?" clients will sometimes ask. Because I believe that motivated people are capable of making changes in their lives, I encourage clients to accept responsibility for their own choices. I enjoy seeing people feel more confident about making independent decisions. Whether they have relationship issues, anxiety, fears, depression, or just ways they need to make small adjustments to their way of being, it is gratifying for me to provide the assistance as I watch them "fix" themselves.
(773) 757-6730 View (773) 757-6730
Photo of Dr. Andrea Quigley, Counselor in Chicago, IL
Dr. Andrea Quigley
Counselor, LCPC
Verified Verified
Chicago, IL 60606  (Online Only)
Hi, I am Dr. Quigley but please refer to me as Andrea. I am licensed in Illinois and Utah with 12 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, motivation, self esteem, confidence, relationship issues, & depression.
Hi, I am Dr. Quigley but please refer to me as Andrea. I am licensed in Illinois and Utah with 12 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, motivation, self esteem, confidence, relationship issues, & depression.
(224) 268-9292 View (224) 268-9292
Photo of Mycah Hoaglin, Pre-Licensed Professional in Chicago, IL
Mycah Hoaglin
Pre-Licensed Professional, MA, QMHP
Verified Verified
Chicago, IL 60622
There are a few golden threads tying us together, serving as reminders of our most universal experience; a desire to be truly seen and heard by others, and to understand ourselves. To pursue these ideals, often, means you may be feeling lost, as if you're constantly performing for others or on display, lonesome, a lack of authenticity, as if there's a disconnect between you and "them", an inability to form or maintain meaningful, stable relationships, frustration, shame, self-hatred, self-sabotaging patterns of behavior. The connection between these is the healing in-between. One requires the other and you don't have to go it alone.
There are a few golden threads tying us together, serving as reminders of our most universal experience; a desire to be truly seen and heard by others, and to understand ourselves. To pursue these ideals, often, means you may be feeling lost, as if you're constantly performing for others or on display, lonesome, a lack of authenticity, as if there's a disconnect between you and "them", an inability to form or maintain meaningful, stable relationships, frustration, shame, self-hatred, self-sabotaging patterns of behavior. The connection between these is the healing in-between. One requires the other and you don't have to go it alone.
(773) 923-2950 View (773) 923-2950
Photo of Keva Lucas, Clinical Social Work/Therapist in Chicago, IL
Keva Lucas
Clinical Social Work/Therapist, LCSW
Verified Verified
Chicago, IL 60606  (Online Only)
Hi, my name is Keva, and I am a licensed clinical social worker (LCSW). I have worked in the hospital system as a crisis and medical social worker supporting individuals in high stress situations get the services needed to help them thrive. I would love to meet you and hear your story. Therapy is a safe place for you to come and share your truth in a non-judgmental space. I know that life can be stressful, and overwhelming. We will partner together to help you develop the coping mechanisms so that you can live your best life.
Hi, my name is Keva, and I am a licensed clinical social worker (LCSW). I have worked in the hospital system as a crisis and medical social worker supporting individuals in high stress situations get the services needed to help them thrive. I would love to meet you and hear your story. Therapy is a safe place for you to come and share your truth in a non-judgmental space. I know that life can be stressful, and overwhelming. We will partner together to help you develop the coping mechanisms so that you can live your best life.
(224) 267-9395 View (224) 267-9395
Photo of Matthew English (Taking Clients), Clinical Social Work/Therapist in Chicago, IL
Matthew English (Taking Clients)
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
1 Endorsed
Chicago, IL 60657  (Online Only)
Matthew English LCSW, RYT (Registered yoga teacher) is dedicated to supporting individuals on their journey towards emotional well-being and personal growth. Matthew brings an expertise to his practice, with a strong background in cognitive behavioral therapy, emotion focused therapy, and mindfulness practices. He specializes in areas such as anxiety, depression, relationship issues, school challenges, and trauma. Primarily working with people of color, the lgbtqia+ community, and men.
Matthew English LCSW, RYT (Registered yoga teacher) is dedicated to supporting individuals on their journey towards emotional well-being and personal growth. Matthew brings an expertise to his practice, with a strong background in cognitive behavioral therapy, emotion focused therapy, and mindfulness practices. He specializes in areas such as anxiety, depression, relationship issues, school challenges, and trauma. Primarily working with people of color, the lgbtqia+ community, and men.
(872) 259-7863 View (872) 259-7863
Photo of Taylor Karey, Licensed Social Worker in Chicago, IL
Taylor Karey
Licensed Social Worker, LSW
Verified Verified
Chicago, IL 60657
Hello! Thank you for taking time to read my profile. I have extensive experience as a Licensed Social Worker. My expertise lies in assisting individuals going through various life changes such as managing life stressors, career changes, relationship stressors, anxiety, and depression. In addition, I have experience working with ADHD, autism spectrum disorder, self-esteem, stress, trauma, familial challenges, and grief/loss. I am involved in my community with loss of a parent. I work with individuals based on the goals they want to set for themselves. I support each client as they work through different challenges. Thank you!
Hello! Thank you for taking time to read my profile. I have extensive experience as a Licensed Social Worker. My expertise lies in assisting individuals going through various life changes such as managing life stressors, career changes, relationship stressors, anxiety, and depression. In addition, I have experience working with ADHD, autism spectrum disorder, self-esteem, stress, trauma, familial challenges, and grief/loss. I am involved in my community with loss of a parent. I work with individuals based on the goals they want to set for themselves. I support each client as they work through different challenges. Thank you!
(224) 836-4345 View (224) 836-4345
Photo of Mariah Riley, Clinical Social Work/Therapist in Chicago, IL
Mariah Riley
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Chicago, IL 60604  (Online Only)
It's my goal to create an honest, warm, and empowering healing environment for every person I work with. I strive to meet each person's unique needs and tailor my style to be conducive to their healing journey. Whether you are dealing with anxiety, depression, stress, life transitions, or addiction, we can create a plan suitable to your needs. In my work, I've seen the importance of the therapeutic relationship. I am eager to help you prioritize your goals and set objectives to reach them. We will process triggering events together and I will provide you with tools to continue processing on your own in a healthier way.
It's my goal to create an honest, warm, and empowering healing environment for every person I work with. I strive to meet each person's unique needs and tailor my style to be conducive to their healing journey. Whether you are dealing with anxiety, depression, stress, life transitions, or addiction, we can create a plan suitable to your needs. In my work, I've seen the importance of the therapeutic relationship. I am eager to help you prioritize your goals and set objectives to reach them. We will process triggering events together and I will provide you with tools to continue processing on your own in a healthier way.
(312) 900-9732 View (312) 900-9732
Photo of Hernando Rafael Fereira, LPC Intern in Chicago, IL
Hernando Rafael Fereira
LPC Intern
Verified Verified
1 Endorsed
Chicago, IL 60605
You are unique and sometimes through the mirage of obstacles life throws at us, this gets lost and we find ourselves on a quest to find ourselves, heal ourselves and understand and make sense of our world. This can be cumbersome to do on your own. Life brings challenges of uncertainty, a loss or lack of self worth, self love, feelings of hopelessness, sadness, grief and trauma.
You are unique and sometimes through the mirage of obstacles life throws at us, this gets lost and we find ourselves on a quest to find ourselves, heal ourselves and understand and make sense of our world. This can be cumbersome to do on your own. Life brings challenges of uncertainty, a loss or lack of self worth, self love, feelings of hopelessness, sadness, grief and trauma.
(312) 847-4430 View (312) 847-4430
Photo of Katharine Latta, Licensed Professional Counselor in Chicago, IL
Katharine Latta
Licensed Professional Counselor
Verified Verified
Chicago, IL 60601
I have had the privilege of working with early to mid-adults of various backgrounds and identities. I am passionate about supporting my clients facing loss, identity development, anxiety, depression, trauma, and life transitions. Sometimes life catapults us into a new chapter, a new milestone, a new relationship status - filled with both challenge and promise - that we may not have asked for or are finding ourselves struggling with. Together in therapy, I collaborate with my clients to find meaning, awareness, and growth through experiencing the present and deliberately reflecting on patterns of the past.
I have had the privilege of working with early to mid-adults of various backgrounds and identities. I am passionate about supporting my clients facing loss, identity development, anxiety, depression, trauma, and life transitions. Sometimes life catapults us into a new chapter, a new milestone, a new relationship status - filled with both challenge and promise - that we may not have asked for or are finding ourselves struggling with. Together in therapy, I collaborate with my clients to find meaning, awareness, and growth through experiencing the present and deliberately reflecting on patterns of the past.
(312) 584-8668 View (312) 584-8668
Photo of Patrycja Krynski, Clinical Social Work/Therapist in Chicago, IL
Patrycja Krynski
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
Chicago, IL 60618  (Online Only)
Patrycja is a Chicago based Licensed Clinical Social Worker who specializes in therapy for adults with trauma, c-PTSD, anxiety, ADHD, addictions, and challenging life transitions. She cares deeply about the individuals she serves, and strives to provide a supportive and impactful therapeutic experience. She practices from a psychodynamic and humanistic framework, and has a profound curiosity about the complexity of the human experience. She is passionate about demystifying the process of therapy.
Patrycja is a Chicago based Licensed Clinical Social Worker who specializes in therapy for adults with trauma, c-PTSD, anxiety, ADHD, addictions, and challenging life transitions. She cares deeply about the individuals she serves, and strives to provide a supportive and impactful therapeutic experience. She practices from a psychodynamic and humanistic framework, and has a profound curiosity about the complexity of the human experience. She is passionate about demystifying the process of therapy.
(312) 620-8408 View (312) 620-8408
Photo of Lexus Goings, Clinical Social Work/Therapist in Chicago, IL
Lexus Goings
Clinical Social Work/Therapist, LCSW
Verified Verified
Chicago, IL 60601  (Online Only)
To schedule sessions, please book a call with our Client Care Coordinator here: www.calendly.com/adminccbh Lexus is dedicated to fostering a nurturing and empowering environment for individuals to explore their unique experiences. With a focus on enhancing inner strength and resilience, she specializes in providing support for various challenges, including trauma, relationship difficulties, neuro-divergence, grief/loss, and coping skill development. Lexus creates a flexible and supportive space that accommodates the needs of all individuals.
To schedule sessions, please book a call with our Client Care Coordinator here: www.calendly.com/adminccbh Lexus is dedicated to fostering a nurturing and empowering environment for individuals to explore their unique experiences. With a focus on enhancing inner strength and resilience, she specializes in providing support for various challenges, including trauma, relationship difficulties, neuro-divergence, grief/loss, and coping skill development. Lexus creates a flexible and supportive space that accommodates the needs of all individuals.
(217) 670-6228 View (217) 670-6228
Photo of Leslie Velgach, Clinical Social Work/Therapist in Chicago, IL
Leslie Velgach
Clinical Social Work/Therapist, LCSW
Verified Verified
Chicago, IL 60613  (Online Only)
There are times we might feel like we have failed, are stuck, or feel like there is no hope for change. Asking for help can be very difficult, and it takes a lot of strength and courage to reach out to another. I believe therapy is not just for those experiencing a life crisis or current difficulty - therapy is an opportunity to gain new insight into self, learn new skills, and position oneself to increase health and wellness. I am a Licenced Clinical Social Worker who approaches therapy from a relational, collaborative, and strength-based. I believe everyone deserves a safe space to speak freely.
There are times we might feel like we have failed, are stuck, or feel like there is no hope for change. Asking for help can be very difficult, and it takes a lot of strength and courage to reach out to another. I believe therapy is not just for those experiencing a life crisis or current difficulty - therapy is an opportunity to gain new insight into self, learn new skills, and position oneself to increase health and wellness. I am a Licenced Clinical Social Worker who approaches therapy from a relational, collaborative, and strength-based. I believe everyone deserves a safe space to speak freely.
(872) 274-3039 View (872) 274-3039
Photo of Jenn Ross, Counselor in Chicago, IL
Jenn Ross
Counselor, MAAT, LCPC, ATR, CCTP
Verified Verified
1 Endorsed
Chicago, IL 60657
Waitlist for new clients
My practice as an art therapist and counselor is founded on an eclectic theoretical foundation. I believe the most successful way to achieve personal goals in therapy is by developing a trusting relationship. Taking the time to learn a client’s strengths and aspirations, as well as their personal and family history with curiosity and compassion is imperative. The foundation of my practice is strengths-based - I approach our work together with the understanding that everyone experiences challenges and has many abilities that may be utilized to reduce symptoms, navigate challenges, and improve relationships.
My practice as an art therapist and counselor is founded on an eclectic theoretical foundation. I believe the most successful way to achieve personal goals in therapy is by developing a trusting relationship. Taking the time to learn a client’s strengths and aspirations, as well as their personal and family history with curiosity and compassion is imperative. The foundation of my practice is strengths-based - I approach our work together with the understanding that everyone experiences challenges and has many abilities that may be utilized to reduce symptoms, navigate challenges, and improve relationships.
(872) 281-4205 View (872) 281-4205
Photo of Neera Mehta, Psychologist in Chicago, IL
Neera Mehta
Psychologist, PhD
Verified Verified
Chicago, IL 60613
It is not easy to make the decision to start therapy, but I believe that the therapy process can help you understand the reasons for your symptoms and behaviors and help you make the desired changes in your life. In a warm and authentic manner, I will help you examine the ways in which you feel stuck or unfulfilled. We will work collaboratively to identify the obstacles to your happiness and your unique strengths so that you can achieve your goals.
It is not easy to make the decision to start therapy, but I believe that the therapy process can help you understand the reasons for your symptoms and behaviors and help you make the desired changes in your life. In a warm and authentic manner, I will help you examine the ways in which you feel stuck or unfulfilled. We will work collaboratively to identify the obstacles to your happiness and your unique strengths so that you can achieve your goals.
(773) 234-4938 View (773) 234-4938
Photo of Serena Houston, Counselor in Chicago, IL
Serena Houston
Counselor, LCPC, NCC
Verified Verified
2 Endorsed
Chicago, IL 60614  (Online Only)
Waitlist for new clients
Do you struggle with anxiety that is starting to affect your day-to-day life? Has trauma interfered with your ability to function? Do you feel exhausted by just getting through the day? Do you wonder if life could feel better? Now more than ever, people are feeling overwhelmed by the idea that there is no light at the end of the tunnel. Not addressing the challenges in your life can lead to feeling disconnected from yourself or others, falling behind at work/school, and general feelings of stress. I firmly believe that people can evolve and that there is hope for everyone to reach their fullest potential.
Do you struggle with anxiety that is starting to affect your day-to-day life? Has trauma interfered with your ability to function? Do you feel exhausted by just getting through the day? Do you wonder if life could feel better? Now more than ever, people are feeling overwhelmed by the idea that there is no light at the end of the tunnel. Not addressing the challenges in your life can lead to feeling disconnected from yourself or others, falling behind at work/school, and general feelings of stress. I firmly believe that people can evolve and that there is hope for everyone to reach their fullest potential.
(773) 993-1671 View (773) 993-1671
Photo of Emily Cooksey, Clinical Social Work/Therapist in Chicago, IL
Emily Cooksey
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
1 Endorsed
Chicago, IL 60640
Sometimes, our responses to life circumstances may not be conducive to finding long-term joy, authenticity, or connection. Our experiences are stored in both our minds and bodies, and expressed through both as well. Between a wide array of clinical approaches and your lifetime of lived experiences, my aim is to work collaboratively with you in reaching your goals, and to craft a therapeutic environment where you feel safe to be your most authentic self.
Sometimes, our responses to life circumstances may not be conducive to finding long-term joy, authenticity, or connection. Our experiences are stored in both our minds and bodies, and expressed through both as well. Between a wide array of clinical approaches and your lifetime of lived experiences, my aim is to work collaboratively with you in reaching your goals, and to craft a therapeutic environment where you feel safe to be your most authentic self.
(872) 266-4387 View (872) 266-4387
Photo of Todd Junkins, Clinical Social Work/Therapist in Chicago, IL
Todd Junkins
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Chicago, IL 60614  (Online Only)
Exploring our losses, challenges and fears, as well as our successes and strengths, can be both difficult and rewarding. I seek to create an open, accepting and creative environment for this exploration. We can look to understand your goals and challenges, as well as develop more immediate skills in managing disruptive symptoms. In our first session we can discuss what brings you to therapy now, and what you hope to achieve.
Exploring our losses, challenges and fears, as well as our successes and strengths, can be both difficult and rewarding. I seek to create an open, accepting and creative environment for this exploration. We can look to understand your goals and challenges, as well as develop more immediate skills in managing disruptive symptoms. In our first session we can discuss what brings you to therapy now, and what you hope to achieve.
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How does your Therapist compare?

Number of Therapists in Chicago, IL

3,000+

Average cost per session

$150

Therapists in Chicago, IL who prioritize treating:

93% Anxiety
89% Depression
79% Relationship Issues
77% Self Esteem
71% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
59% Aetna
49% UnitedHealthcare UHC | UBH

How Therapists in Chicago, IL see their clients

63% In Person and Online
37% Online Only

Gender breakdown

79% Female
18% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Chicago?

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.