Photo of Waybridge Counseling - Waybridge Counseling, Counselor
Waybridge Counseling
Counselor
Verified Verified
Lexington, KY 40503
Our counselors provide couples counseling for intimacy concerns, infidelity, high conflict, and communication problems. We provide couples retreats, couples counseling with co-therapists, and traditional couples therapy in-office and virtually.
Our counselors provide couples counseling for intimacy concerns, infidelity, high conflict, and communication problems. We provide couples retreats, couples counseling with co-therapists, and traditional couples therapy in-office and virtually.
(859) 982-3390 View (859) 982-3390
Photo of Scarlet Thomas - Revay Therapy Services, LCSW, Clinical Social Work/Therapist
Revay Therapy Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40503  (Online Only)
Are you feeling stuck? Are past issues coming back up in new situations? Everyone has a unique set of personal priorities to address in therapy. Our goal at Revay Therapy Services is to help you identify yours and begin your journey of moving forward. We specialize in LGBTQ+ issues, religious trauma, child and adult trauma therapy (specifically EMDR and IFS), as well as treatment for anxiety and related disorders.
Are you feeling stuck? Are past issues coming back up in new situations? Everyone has a unique set of personal priorities to address in therapy. Our goal at Revay Therapy Services is to help you identify yours and begin your journey of moving forward. We specialize in LGBTQ+ issues, religious trauma, child and adult trauma therapy (specifically EMDR and IFS), as well as treatment for anxiety and related disorders.
(859) 470-8531 View (859) 470-8531
Photo of Angela Gibbs-Scanlon - Private Practice of Angela Gibbs-Scanlon, LCSW, MSW, LCSW, Clinical Social Work/Therapist
Private Practice of Angela Gibbs-Scanlon, LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lexington, KY 40503
I strive to create a therapeutic environment that is comfortable, non-judgmental and empathetic. I believe that you are the expert in your life and it is my job to assist you with identifying and applying solutions to the obstacles that you are seeking help for. After establishing a therapeutic partnership, together, we will create a self-care plan that will assist you between sessions. Participation in therapy can result in a number of benefits to you; thus I ask for your active involvement, honesty, and openness in order to make the changes you desire.
I strive to create a therapeutic environment that is comfortable, non-judgmental and empathetic. I believe that you are the expert in your life and it is my job to assist you with identifying and applying solutions to the obstacles that you are seeking help for. After establishing a therapeutic partnership, together, we will create a self-care plan that will assist you between sessions. Participation in therapy can result in a number of benefits to you; thus I ask for your active involvement, honesty, and openness in order to make the changes you desire.
(859) 295-5868 View (859) 295-5868
Photo of Janice Delores Hagans-Higgins, MEd, LPCC-S
Janice Delores Hagans-Higgins
Licensed Professional Clinical Counselor, MEd, LPCC-S
Verified Verified
Lexington, KY 40503
Hello, I'm Janice. Do you feel as though you are facing the world alone, that life is too difficult, overwhelmed by life's circumstances, everyone's against you, or you're misunderstood? All of these issues may lead to anxiety, depression, or even substance use. I love working with clients igniting hope, believing no one is left to go through adversity alone. I'm a Licensed Counselor, Licensed Practical Nurse, Holistic life Coach, Certified Aroma Specialist, and Energy Healer, who enjoys working with people. My personal life experience with issues like trauma help me completely understand how you feel, which is important.
Hello, I'm Janice. Do you feel as though you are facing the world alone, that life is too difficult, overwhelmed by life's circumstances, everyone's against you, or you're misunderstood? All of these issues may lead to anxiety, depression, or even substance use. I love working with clients igniting hope, believing no one is left to go through adversity alone. I'm a Licensed Counselor, Licensed Practical Nurse, Holistic life Coach, Certified Aroma Specialist, and Energy Healer, who enjoys working with people. My personal life experience with issues like trauma help me completely understand how you feel, which is important.
(859) 340-5776 View (859) 340-5776
Photo of Karly Mitchell, LPCC, Counselor
Karly Mitchell
Counselor, LPCC
Verified Verified
Lexington, KY 40503
Hi, my name is Karly, and I'll help you figure out how to create a better life for yourself. Maybe you're trying to understand why you respond to things the way you do or maybe you're up against a lot and just need some support. I'll help you develop skills, strategies, and goals through evidenced-based collaborative approaches that are empathetic, practical, and action-oriented. I pull from multiple approaches including Cognitive-Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused Brief Therapy, and Mindfulness and we'll collaborate together to figure out what works for you.
Hi, my name is Karly, and I'll help you figure out how to create a better life for yourself. Maybe you're trying to understand why you respond to things the way you do or maybe you're up against a lot and just need some support. I'll help you develop skills, strategies, and goals through evidenced-based collaborative approaches that are empathetic, practical, and action-oriented. I pull from multiple approaches including Cognitive-Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused Brief Therapy, and Mindfulness and we'll collaborate together to figure out what works for you.
(859) 651-8026 View (859) 651-8026
Photo of Lisa Bryant, MSW, LPCC
Lisa Bryant
Licensed Professional Clinical Counselor, MSW, LPCC
Verified Verified
Lexington, KY 40503  (Online Only)
Life often feels like a series transitional periods and sudden changes happening all at once. It can be overwhelming, confusing and, sometimes, lonely. It is the way we move through those times in life that matters, and there is no shame in searching for support. As women, we often feel we must have every piece of life together and when one piece goes missing from the puzzle, we feel as though we have failed each step of the way. Little do we know, there is always hope.
Life often feels like a series transitional periods and sudden changes happening all at once. It can be overwhelming, confusing and, sometimes, lonely. It is the way we move through those times in life that matters, and there is no shame in searching for support. As women, we often feel we must have every piece of life together and when one piece goes missing from the puzzle, we feel as though we have failed each step of the way. Little do we know, there is always hope.
(859) 203-1991 View (859) 203-1991
Photo of Tina C Bryant, PhD, Psychologist
Tina C Bryant
Psychologist, PhD
Verified Verified
3 Endorsed
Lexington, KY 40503
If you would like help relieving emotional pain, increasing confidence, improving coping skills, making an important decision, addressing oppression, or adjusting to life changes, I hope you will consider working with me. I provide a safe and collaborative environment that promotes positive changes in your life. I believe what makes therapy work is a relationship that is open, honest, warm, and validating. This strong foundation allows for challenge that is supportive and productive. Thank you for considering me as your therapist.
If you would like help relieving emotional pain, increasing confidence, improving coping skills, making an important decision, addressing oppression, or adjusting to life changes, I hope you will consider working with me. I provide a safe and collaborative environment that promotes positive changes in your life. I believe what makes therapy work is a relationship that is open, honest, warm, and validating. This strong foundation allows for challenge that is supportive and productive. Thank you for considering me as your therapist.
(859) 903-0474 View (859) 903-0474
Photo of Amanda Lyons, LMFT, RPT, Marriage & Family Therapist
Amanda Lyons
Marriage & Family Therapist, LMFT, RPT
Verified Verified
Lexington, KY 40503
Hi! I'm Amanda, a Licensed Marriage and Family Therapist (LMFT) and Registered Play Therapist (RPT). I earned my Bachelor's degree in Sociology from Wofford College and my Master's in Marriage and Family Therapy from Converse College. I have experience working with children, adolescents, and families in various settings, including outpatient, shelter, and residential environments. I work with children aged 3 and up, as well as adolescents and parents, in both individual and family sessions. Together, we'll determine the best approach to support your family's needs.
Hi! I'm Amanda, a Licensed Marriage and Family Therapist (LMFT) and Registered Play Therapist (RPT). I earned my Bachelor's degree in Sociology from Wofford College and my Master's in Marriage and Family Therapy from Converse College. I have experience working with children, adolescents, and families in various settings, including outpatient, shelter, and residential environments. I work with children aged 3 and up, as well as adolescents and parents, in both individual and family sessions. Together, we'll determine the best approach to support your family's needs.
(859) 295-6478 View (859) 295-6478
Photo of Jill C Keogh, MSW, LCSW, Clinical Social Work/Therapist
Jill C Keogh
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lexington, KY 40503
Are you wanting to be free of constant anxiety, worry and self doubt? You may be feeling stuck or lost. Do you experience panic attacks? Does worrying and anxiety create difficulties in your personal and/or professional life? You may be losing sleep by worrying all night. You frequently ask: What's wrong with me? For so many, these fears take on a life of their own and it feels so overwhelming. Our thinking and resulting behaviors can be changed, and we are then able to bring more relaxation and joy into our lives, more success in our relationships and jobs, and have better health.
Are you wanting to be free of constant anxiety, worry and self doubt? You may be feeling stuck or lost. Do you experience panic attacks? Does worrying and anxiety create difficulties in your personal and/or professional life? You may be losing sleep by worrying all night. You frequently ask: What's wrong with me? For so many, these fears take on a life of their own and it feels so overwhelming. Our thinking and resulting behaviors can be changed, and we are then able to bring more relaxation and joy into our lives, more success in our relationships and jobs, and have better health.
(859) 448-1321 View (859) 448-1321
Photo of Sondra R Brumett - Sondra R. Brumett, LPCC, MS, EdS, LPCC
Sondra R. Brumett, LPCC
Licensed Professional Clinical Counselor, MS, EdS, LPCC
Verified Verified
Lexington, KY 40503
I am a Licensed Professional Clinical Counselor. I received my Bachelor's degree in Psychology from the University of Florida and my Master's and Specialist of Education degrees in Counseling Psychology from the University of Kentucky. I have been providing counseling services to a variety of populations in outpatient, residential, and college settings since 2003. I strongly believe in the resilience of the human spirit and one's ability to change. I am dedicated to providing a safe, non-judgmental environment and a therapeutic relationship based on trust in which clients can begin taking steps toward their individual goals of change and wellness.
I am a Licensed Professional Clinical Counselor. I received my Bachelor's degree in Psychology from the University of Florida and my Master's and Specialist of Education degrees in Counseling Psychology from the University of Kentucky. I have been providing counseling services to a variety of populations in outpatient, residential, and college settings since 2003. I strongly believe in the resilience of the human spirit and one's ability to change. I am dedicated to providing a safe, non-judgmental environment and a therapeutic relationship based on trust in which clients can begin taking steps toward their individual goals of change and wellness.
(859) 888-1473 View (859) 888-1473
Photo of Andi Stephenson, MSW, CSW, Clinical Social Work/Therapist
Andi Stephenson
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
Lexington, KY 40503
Waitlist for new clients
As a dedicated therapist, I have always been passionate about making a meaningful difference in the lives of those I work with. My practice welcomes individuals aged 6 and up, offering a safe, inclusive, and supportive environment for everyone. I have experience working with LGBTQIA+ populations, behavioral concerns, trauma, and challenges faced by those involved in the child welfare system. My approach is rooted in compassion and the deep-seated belief that everyone deserves to live their best life, free from distress and limitations.
As a dedicated therapist, I have always been passionate about making a meaningful difference in the lives of those I work with. My practice welcomes individuals aged 6 and up, offering a safe, inclusive, and supportive environment for everyone. I have experience working with LGBTQIA+ populations, behavioral concerns, trauma, and challenges faced by those involved in the child welfare system. My approach is rooted in compassion and the deep-seated belief that everyone deserves to live their best life, free from distress and limitations.
(859) 203-1815 View (859) 203-1815
Photo of Jessica Jaramillo - Southland Child, Adult, and Family Counseling, LCSW, Clinical Social Work/Therapist
Southland Child, Adult, and Family Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40503
We are a private counseling practice in Lexington. Our remarkable team of clinical social workers and clinical counselors consist of Jessica Jaramillo, Vicki Von Almen Gray, Jennifer Congleton, Emma Lovely, Leeann Hayslett, Monica Stewart, Dr. Imelda Bratton, Joan Scales, Emily Porter, Dr. Becky Hill, and Rachel O'Farrell . We have a variety of specialties, experiences, and skills. As our name reflects, we focus on the clinical needs for all ages: young children, school aged children, adolescents, adults, couples, and families. We offer day, evening, and Saturday sessions, to support diverse individual and family needs.
We are a private counseling practice in Lexington. Our remarkable team of clinical social workers and clinical counselors consist of Jessica Jaramillo, Vicki Von Almen Gray, Jennifer Congleton, Emma Lovely, Leeann Hayslett, Monica Stewart, Dr. Imelda Bratton, Joan Scales, Emily Porter, Dr. Becky Hill, and Rachel O'Farrell . We have a variety of specialties, experiences, and skills. As our name reflects, we focus on the clinical needs for all ages: young children, school aged children, adolescents, adults, couples, and families. We offer day, evening, and Saturday sessions, to support diverse individual and family needs.
(859) 904-5796 View (859) 904-5796
Photo of Rosalie (Guthrie) Allen, JD, LMFT, Marriage & Family Therapist
Rosalie (Guthrie) Allen
Marriage & Family Therapist, JD, LMFT
Verified Verified
Lexington, KY 40503
Hi, I’m Rosalie. I help couples and parents who are stressed out and need support. I believe you’re doing the best you can. Maybe you are ready to work on marital problems that have slowly built up over the years. Maybe you're not sure if you and your spouse/partner can recover the love and connection that you once counted on. Perhaps you would like to feel more confident as a parent or co-parent. Maybe you just need to figure out where to start. I can help you no matter where you are in your couple/family journey.
Hi, I’m Rosalie. I help couples and parents who are stressed out and need support. I believe you’re doing the best you can. Maybe you are ready to work on marital problems that have slowly built up over the years. Maybe you're not sure if you and your spouse/partner can recover the love and connection that you once counted on. Perhaps you would like to feel more confident as a parent or co-parent. Maybe you just need to figure out where to start. I can help you no matter where you are in your couple/family journey.
(859) 203-1411 View (859) 203-1411
Photo of Kelly Garringer-Maccabe, MS, EdS, LPCC, Counselor
Kelly Garringer-Maccabe
Counselor, MS, EdS, LPCC
Verified Verified
Lexington, KY 40503
I offer a practical, nonjudgmental approach to those wishing to address difficulties or distress in their lives. My objective is to assist clients in meeting their goals through a process of consideration, collaboration, and resource-building.
I offer a practical, nonjudgmental approach to those wishing to address difficulties or distress in their lives. My objective is to assist clients in meeting their goals through a process of consideration, collaboration, and resource-building.
(859) 328-1085 View (859) 328-1085
Photo of Elizabeth A Dupree, LPCC-S, MA, NCC
Elizabeth A Dupree
Licensed Professional Clinical Counselor, LPCC-S, MA, NCC
Verified Verified
Lexington, KY 40503
Do you hide unexplained anxiety or anger under a calm 'put-together' exterior? Do you struggle with self-defeating behaviors and don't really know why? You may be struggling because of developmental trauma. The effects of adverse childhood experiences continue on into adulthood: difficulty trusting, difficulty tolerating and regulating emotions and often physical challenges such as autoimmune issues. I provide emotional support and insightful relational engagement to help you overcome developmental trauma and begin to flourish and thrive instead of just survive.
Do you hide unexplained anxiety or anger under a calm 'put-together' exterior? Do you struggle with self-defeating behaviors and don't really know why? You may be struggling because of developmental trauma. The effects of adverse childhood experiences continue on into adulthood: difficulty trusting, difficulty tolerating and regulating emotions and often physical challenges such as autoimmune issues. I provide emotional support and insightful relational engagement to help you overcome developmental trauma and begin to flourish and thrive instead of just survive.
(859) 298-3675 View (859) 298-3675
Photo of Kayla Smith, MSW, CSW, Clinical Social Work/Therapist
Kayla Smith
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
1 Endorsed
Lexington, KY 40503  (Online Only)
One of my passions is working with preteens, teenagers, and young adults. I enjoy assisting these age groups in navigating their unique experiences and increasing self esteem. I am also extensively educated in treating PTSD and providing trauma-informed care. In addition, I offer relationship and couples therapy for a variety of needs and I provide a perspective that is LGBTQIA+ and Kink friendly.
One of my passions is working with preteens, teenagers, and young adults. I enjoy assisting these age groups in navigating their unique experiences and increasing self esteem. I am also extensively educated in treating PTSD and providing trauma-informed care. In addition, I offer relationship and couples therapy for a variety of needs and I provide a perspective that is LGBTQIA+ and Kink friendly.
(859) 376-5616 View (859) 376-5616
Photo of Jared Lee, LPCC
Jared Lee
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Lexington, KY 40503
Are you curious, self-motivated, intelligent, and down to earth? Are you looking for help addressing ADHD, anxiety, depression, or bipolar symptoms in your day-to-day life? Are you looking for someone who is nonjudgmental, grounded, compassionate, and real? If so, I may be able to help. I have experience in outpatient behavioral mental health working with a wide range of mental health concerns. I want to provide you with the skills and tools you need to help manage your symptoms instead of the other way around.
Are you curious, self-motivated, intelligent, and down to earth? Are you looking for help addressing ADHD, anxiety, depression, or bipolar symptoms in your day-to-day life? Are you looking for someone who is nonjudgmental, grounded, compassionate, and real? If so, I may be able to help. I have experience in outpatient behavioral mental health working with a wide range of mental health concerns. I want to provide you with the skills and tools you need to help manage your symptoms instead of the other way around.
(859) 800-0810 View (859) 800-0810
Photo of Marisol Weaver, LPC
Marisol Weaver
Licensed Professional Clinical Counselor, LPC
Verified Verified
Lexington, KY 40503
"Healing doesn't mean the damage never existed, it means the damage no longer controls our lives" (Unknown). I seek to provide a safe place where you can heal in order that the damage that was done no longer controls your life. Email today and get started. You will begin to heal when you are in an environment that is safe and caring enough to allow you the confidence and courage to move forward.
"Healing doesn't mean the damage never existed, it means the damage no longer controls our lives" (Unknown). I seek to provide a safe place where you can heal in order that the damage that was done no longer controls your life. Email today and get started. You will begin to heal when you are in an environment that is safe and caring enough to allow you the confidence and courage to move forward.
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Photo of Laura Wafer, MFT-A, MS, PhD, Marriage & Family Therapist Associate
Laura Wafer
Marriage & Family Therapist Associate, MFT-A, MS, PhD
Verified Verified
Lexington, KY 40503
Do you feel abandoned, lost, anxious, or afraid? Have you been hurt by those who you cared for most? Do you have feelings of emotional disconnection from your spouse or significant other? Regardless of what you have been through, you have the potential for greatness! Your relationships deserve to blossom! I desire to walk by your side as you let go of the emotional baggage that has been keeping you from reaching your potential and living your best life. Remember, life is not just about surviving but progressing and always being the best person we can be.
Do you feel abandoned, lost, anxious, or afraid? Have you been hurt by those who you cared for most? Do you have feelings of emotional disconnection from your spouse or significant other? Regardless of what you have been through, you have the potential for greatness! Your relationships deserve to blossom! I desire to walk by your side as you let go of the emotional baggage that has been keeping you from reaching your potential and living your best life. Remember, life is not just about surviving but progressing and always being the best person we can be.
(859) 354-3956 View (859) 354-3956
Photo of Christie Hamilton, LPCC
Christie Hamilton
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Lexington, KY 40503
Not accepting new clients
I have a special passion for working with adolescents and young adults, and most of my clinical practice has focused on these age groups. I especially enjoy helping clients through life transitions, who are struggling in social relationships, or are adjusting to new environments like moving away from home or starting college. I have experience working with clients on issues including anxiety, depression, behavioral issues, parent-child relational problems, trauma, and adolescent substance abuse. If you’re thinking about finding a therapist for you or your child, I’d love to see if I’m a good fit.
I have a special passion for working with adolescents and young adults, and most of my clinical practice has focused on these age groups. I especially enjoy helping clients through life transitions, who are struggling in social relationships, or are adjusting to new environments like moving away from home or starting college. I have experience working with clients on issues including anxiety, depression, behavioral issues, parent-child relational problems, trauma, and adolescent substance abuse. If you’re thinking about finding a therapist for you or your child, I’d love to see if I’m a good fit.
(859) 712-0988 View (859) 712-0988
1

How does your Therapist compare?

Number of Therapists in 40503

100+

Average cost per session

$125

Therapists in 40503 who prioritize treating:

89% Anxiety
85% Depression
71% Coping Skills
70% Relationship Issues
70% Self Esteem
69% Trauma and PTSD
62% Stress

Average years in practice

9 Years

Top 3 insurances accepted

80% Humana
77% Elevance
76% UnitedHealthcare UHC | UBH

How Therapists in 40503 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 40503?

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.