Therapists in Dubuque County, IA

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Photo of Amanda Cook, Clinical Social Work/Therapist in Dubuque County, IA
Amanda Cook
Clinical Social Work/Therapist, LISW
Verified Verified
Dubuque, IA 52001
I am a Licensed Independent Social Worker who was born and raised in the Midwest. I have over 10 years of clinical experience working with at-risk youth in PMIC and residential settings, various family and youth services, hospital social work, school based therapy, and community mental health. I enjoy working with children 7 and older, teenagers, and adults.
I am a Licensed Independent Social Worker who was born and raised in the Midwest. I have over 10 years of clinical experience working with at-risk youth in PMIC and residential settings, various family and youth services, hospital social work, school based therapy, and community mental health. I enjoy working with children 7 and older, teenagers, and adults.
(563) 500-2413 x3 View (563) 500-2413 x3
Photo of Rachel Nauman, Clinical Social Work/Therapist in Dubuque County, IA
Rachel Nauman
Clinical Social Work/Therapist, LMSW, APSW
Verified Verified
Dubuque, IA 52001
Waitlist for new clients
The world is a scary place right now. It is more important than ever to make sure that we have our safe space to process through life's curveballs. Stress? Life Changes? Depression? Anxiety? Anger? Mood Changes? I am here for you. I focus on creating a laid-back, empathetic, and empowering space no matter who walks through my door. You are the master of your life. I will identify your strengths to encourage problem solving to help work towards your goals.
The world is a scary place right now. It is more important than ever to make sure that we have our safe space to process through life's curveballs. Stress? Life Changes? Depression? Anxiety? Anger? Mood Changes? I am here for you. I focus on creating a laid-back, empathetic, and empowering space no matter who walks through my door. You are the master of your life. I will identify your strengths to encourage problem solving to help work towards your goals.
(563) 412-5470 View (563) 412-5470
Joshua James Bird
Counselor, MA, tLMHC
Verified Verified
1 Endorsed
Dubuque, IA 52001
Josh Bird, MA, tLMHC, is a counselor in Dubuque, Iowa. Josh practices therapy in an adaptive fashion using mixed techniques dependent upon the client's stage of development. When working with clients, Josh aims to treat from a "whole-being" perspective through integration of clients' worlds containing myriad factors affecting mental health. Josh argues that within the therapy space he provides for clients, the clients are assured to feel they have entered a safe vessel for emotional expression, with a safe individual capable of empathetic understanding, validation, and recognition.
Josh Bird, MA, tLMHC, is a counselor in Dubuque, Iowa. Josh practices therapy in an adaptive fashion using mixed techniques dependent upon the client's stage of development. When working with clients, Josh aims to treat from a "whole-being" perspective through integration of clients' worlds containing myriad factors affecting mental health. Josh argues that within the therapy space he provides for clients, the clients are assured to feel they have entered a safe vessel for emotional expression, with a safe individual capable of empathetic understanding, validation, and recognition.
(563) 227-8158 View (563) 227-8158
Photo of Richard Corfman, Clinical Social Work/Therapist in Dubuque County, IA
Richard Corfman
Clinical Social Work/Therapist, LISW
Verified Verified
Dubuque, IA 52003
Not accepting new clients
Clients have come to me for various reasons- marital conflict, depression, anxiety, post traumatic stress, bipolar illness, grief, ADHD and other related mental health diagnoses. I have felt honored to help people to move from feeling distressed to better managing their thoughts, feelings and behaviors so they can enjoy greater success and control over their lives.
Clients have come to me for various reasons- marital conflict, depression, anxiety, post traumatic stress, bipolar illness, grief, ADHD and other related mental health diagnoses. I have felt honored to help people to move from feeling distressed to better managing their thoughts, feelings and behaviors so they can enjoy greater success and control over their lives.
(563) 649-4449 View (563) 649-4449
Photo of John F Meyer, Clinical Social Work/Therapist in Dubuque County, IA
John F Meyer
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Dubuque, IA 52001
I am a Licensed Independent Social Worker with varied experiences covering all ages and many conditions. I entered the field of helping others in 2003 as a Chemical Dependency Counselor. I have since worked with troubled adolescents of varied backgrounds in a residential setting; the Chronically Mentally Ill in a community supported living program. I also have extensive Crisis Management experience. I have experience working with substance abuse, depression, anxiety, anger management, social anxiety, sexual trauma, combat trauma, family relationships, physical abuse, and behavior problems.
I am a Licensed Independent Social Worker with varied experiences covering all ages and many conditions. I entered the field of helping others in 2003 as a Chemical Dependency Counselor. I have since worked with troubled adolescents of varied backgrounds in a residential setting; the Chronically Mentally Ill in a community supported living program. I also have extensive Crisis Management experience. I have experience working with substance abuse, depression, anxiety, anger management, social anxiety, sexual trauma, combat trauma, family relationships, physical abuse, and behavior problems.
(563) 538-5035 View (563) 538-5035
Photo of Connie Marie Sprimont, Clinical Social Work/Therapist in Dubuque County, IA
Connie Marie Sprimont
Clinical Social Work/Therapist, LISW
Verified Verified
2 Endorsed
Dubuque, IA 52001
Hi, I am Connie Sprimont, an empathetic Licensed Independent Social Worker (LISW) passionate about helping individuals navigate life's challenges and cultivate resilience. With over 29 years of experience, I offer a safe and non-judgmental space where you can explore your journey of personal growth. I hold an MSW degree from the University of Iowa, with a focus on clinical social work practice, equipping me with the knowledge and skills to support you effectively. Throughout my career, I have had the privilege of empowering clients to overcome anxiety, depression, trauma, relationship difficulties, grief/loss, and life transitions.
Hi, I am Connie Sprimont, an empathetic Licensed Independent Social Worker (LISW) passionate about helping individuals navigate life's challenges and cultivate resilience. With over 29 years of experience, I offer a safe and non-judgmental space where you can explore your journey of personal growth. I hold an MSW degree from the University of Iowa, with a focus on clinical social work practice, equipping me with the knowledge and skills to support you effectively. Throughout my career, I have had the privilege of empowering clients to overcome anxiety, depression, trauma, relationship difficulties, grief/loss, and life transitions.
(563) 363-6294 View (563) 363-6294
Photo of Gary Probst, Counselor in Dubuque County, IA
Gary Probst
Counselor
Verified Verified
Dubuque, IA 52001  (Online Only)
Anxiety? Depression? Mood Disorder? On the spectrum? There are many areas where I can help. I am an Iowa-born mental health counselor with a doctorate degree in Clinical Psychology. I also help clients in Wisconsin and Arizona. My extensive experience can help with many mental health challenges and I will work with teens. I often use a solutions-focused approach. I get to the heart of the issue and can help people feel better faster. Anxiety is often the primary issue. However, I have helped people out of serious depressive issues and guided them through treatment of mood disorders. I am also Neurodivergent and get it. Let me help.
Anxiety? Depression? Mood Disorder? On the spectrum? There are many areas where I can help. I am an Iowa-born mental health counselor with a doctorate degree in Clinical Psychology. I also help clients in Wisconsin and Arizona. My extensive experience can help with many mental health challenges and I will work with teens. I often use a solutions-focused approach. I get to the heart of the issue and can help people feel better faster. Anxiety is often the primary issue. However, I have helped people out of serious depressive issues and guided them through treatment of mood disorders. I am also Neurodivergent and get it. Let me help.
(563) 855-8094 View (563) 855-8094
Photo of Nicole Makovec, Clinical Social Work/Therapist in Dubuque County, IA
Nicole Makovec
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Dubuque, IA 52002
I have more than 15 years of experience in counseling and case management, and I enjoy empowering and lifting up each person I am privileged to serve. My office is a safe, confidential space where we can work together to build a treatment plan that is the best fit for you. I utilize several approaches in my sessions, including Cognitive Behavioral Therapy (CBT) and solution-based therapy, all with a holistic approach that meets the individual needs of my clients. I proudly serve Iowans of all ages and backgrounds, with a strengths-based approach in my practice.
I have more than 15 years of experience in counseling and case management, and I enjoy empowering and lifting up each person I am privileged to serve. My office is a safe, confidential space where we can work together to build a treatment plan that is the best fit for you. I utilize several approaches in my sessions, including Cognitive Behavioral Therapy (CBT) and solution-based therapy, all with a holistic approach that meets the individual needs of my clients. I proudly serve Iowans of all ages and backgrounds, with a strengths-based approach in my practice.
(563) 239-6845 View (563) 239-6845
Photo of Bridget Bartlett, Clinical Social Work/Therapist in Dubuque County, IA
Bridget Bartlett
Clinical Social Work/Therapist, LMSW, LISW
Verified Verified
Dubuque, IA 52001
Please note: I only accept private pay for marriage/couples/family therapy. Are you struggling in your significant relationships? Are you seeking therapy for your family? If so, I can help! I offer marriage, couples and family therapy. Therapy with me will include various exercises to improve your communication with your significant other and or family, as well as bring humor, fun and passion back into your partnerships. Family therapy can include various people in your life; i.e. your significant other, children, step children, parents, aunts, uncles, friends, business partner, co workers, etc,
Please note: I only accept private pay for marriage/couples/family therapy. Are you struggling in your significant relationships? Are you seeking therapy for your family? If so, I can help! I offer marriage, couples and family therapy. Therapy with me will include various exercises to improve your communication with your significant other and or family, as well as bring humor, fun and passion back into your partnerships. Family therapy can include various people in your life; i.e. your significant other, children, step children, parents, aunts, uncles, friends, business partner, co workers, etc,
(563) 278-2002 View (563) 278-2002
Photo of Martha Nowacki, Clinical Social Work/Therapist in Dubuque County, IA
Martha Nowacki
Clinical Social Work/Therapist, t-LMHC
Verified Verified
Dubuque, IA 52002
I provide a safe space for all of my clients where they are heard and emotionally validated. I work to understand clients’ worlds from their perspective because no one else knows you better than yourself. I do this work to help people continue to fight and eventually see the light at the end of the dark tunnel. I have experience counseling teens, adults, and older adults. Before being employed with Lutheran Services in Iowa, I worked at another community mental health agency and saw a diverse group of individuals.
I provide a safe space for all of my clients where they are heard and emotionally validated. I work to understand clients’ worlds from their perspective because no one else knows you better than yourself. I do this work to help people continue to fight and eventually see the light at the end of the dark tunnel. I have experience counseling teens, adults, and older adults. Before being employed with Lutheran Services in Iowa, I worked at another community mental health agency and saw a diverse group of individuals.
(563) 855-8144 View (563) 855-8144
Photo of Valerie Gill, Clinical Social Work/Therapist in Dubuque County, IA
Valerie Gill
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
Dubuque, IA 52001
With over 25 years of social work experience, my empathetic approach compassionately and openly builds upon client strengths to foster a collaborative working relationship. I am a strong advocate and go the extra mile for my clients. Together, we can create positive change for you to meet your life goals. My clients describe me as “skilled, experienced, direct, and caring”. I comfortably address trauma, sexual abuse, domestic violence, depression, anxiety, life transitions, LGBTQ+, grief, and loss. I work well with individuals, adolescents, families, and couples.
With over 25 years of social work experience, my empathetic approach compassionately and openly builds upon client strengths to foster a collaborative working relationship. I am a strong advocate and go the extra mile for my clients. Together, we can create positive change for you to meet your life goals. My clients describe me as “skilled, experienced, direct, and caring”. I comfortably address trauma, sexual abuse, domestic violence, depression, anxiety, life transitions, LGBTQ+, grief, and loss. I work well with individuals, adolescents, families, and couples.
(563) 235-2853 View (563) 235-2853
Photo of Mindy J Finn, Counselor in Dubuque County, IA
Mindy J Finn
Counselor, MS, LMHC
Verified Verified
Dubuque, IA 52003
Mindy Finn is a Licensed Mental Health Counselor in the state of Iowa. She has a Master’s Degree in Counseling Psychology from University of Wisconsin-Platteville. Mindy operates from a strengths-based, client-centered approach to empower her clients, promote positive self-image, and improve interpersonal relationships. She is experienced in treating adults, adolescents, children, families, and couples. Mindy specializes in treating trauma, PTSD, depression, anxiety, mood disorders, life adjustment issues, family and relationship issues.
Mindy Finn is a Licensed Mental Health Counselor in the state of Iowa. She has a Master’s Degree in Counseling Psychology from University of Wisconsin-Platteville. Mindy operates from a strengths-based, client-centered approach to empower her clients, promote positive self-image, and improve interpersonal relationships. She is experienced in treating adults, adolescents, children, families, and couples. Mindy specializes in treating trauma, PTSD, depression, anxiety, mood disorders, life adjustment issues, family and relationship issues.
(563) 921-6348 View (563) 921-6348
Photo of Ronda L Jasper, Counselor in Dubuque County, IA
Ronda L Jasper
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Dubuque, IA 52001
Your life can transform through connection. I specialize in helping individuals, couples, and families to realize their fullest potential through exploring the depth of connection. Helping individuals from childhood to adulthood to become securely connected and committed to self, others, and society is the foundation of my practice.
Your life can transform through connection. I specialize in helping individuals, couples, and families to realize their fullest potential through exploring the depth of connection. Helping individuals from childhood to adulthood to become securely connected and committed to self, others, and society is the foundation of my practice.
(563) 447-9157 View (563) 447-9157
Photo of Candice Cox, Counselor in Dubuque County, IA
Candice Cox
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Peosta, IA 52068
I am a Licensed Mental Health Counselor that has experience working with a wide range of emotional and behavioral issues including depression, anxiety, relational issues, low self-esteem, grief and loss, PTSD and other trauma related issues. I believe in a mindful person-centered approach where the therapeutic relationship is grounded in trust and unconditional acceptance. It is my mission to walk with you on your journey to making positive and lasting change in your life. All people deserve a healthy and balanced life.
I am a Licensed Mental Health Counselor that has experience working with a wide range of emotional and behavioral issues including depression, anxiety, relational issues, low self-esteem, grief and loss, PTSD and other trauma related issues. I believe in a mindful person-centered approach where the therapeutic relationship is grounded in trust and unconditional acceptance. It is my mission to walk with you on your journey to making positive and lasting change in your life. All people deserve a healthy and balanced life.
(563) 284-7559 x1 View (563) 284-7559 x1
Photo of Brooke Martin, Counselor in Dubuque County, IA
Brooke Martin
Counselor, MA, LMHC
Verified Verified
Dubuque, IA 52001  (Online Only)
Currently offering sessions via Telehealth (audio and video) to clients throughout the state of Iowa. I have dedicated my career to the human services field since 2008 and have been providing therapy since 2016. My clients have described my counseling approach as genuine, direct, and motivating. I utilize patience, compassion, and gentle challenging to assist you in moving through barriers and cognitive/behavioral patterns that are getting in the way of you reaching your desired outcomes in life.
Currently offering sessions via Telehealth (audio and video) to clients throughout the state of Iowa. I have dedicated my career to the human services field since 2008 and have been providing therapy since 2016. My clients have described my counseling approach as genuine, direct, and motivating. I utilize patience, compassion, and gentle challenging to assist you in moving through barriers and cognitive/behavioral patterns that are getting in the way of you reaching your desired outcomes in life.
(563) 231-7931 View (563) 231-7931
Photo of Loey Sawvel, Counselor in Dubuque County, IA
Loey Sawvel
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Dubuque, IA 52001
We have big emotions, intrusive thoughts, and body sensations that can be fucking scary. Yet, we hide that and push them way down deep and hope it doesn’t bubble up. Having emotions, thoughts and sensations are NORMAL, and healthy. But that can add an extra layer of shit when you are already dealing with your identities, relationships, or stressors! Don't do it alone, I'm here to navigate the ick with you.
We have big emotions, intrusive thoughts, and body sensations that can be fucking scary. Yet, we hide that and push them way down deep and hope it doesn’t bubble up. Having emotions, thoughts and sensations are NORMAL, and healthy. But that can add an extra layer of shit when you are already dealing with your identities, relationships, or stressors! Don't do it alone, I'm here to navigate the ick with you.
View
Photo of Jennifer Dolson, Counselor in Dubuque County, IA
Jennifer Dolson
Counselor, LMHC
Verified Verified
Dubuque, IA 52002  (Online Only)
Wherever you are on your journey to healing, I’m ready to provide a listening ear and a safe space where we can work together and help you achieve your goals. I have experience serving individuals, couples, and families, and I’ll collaborate with you to build a therapy plan that works for you and your schedule. I am available to meet with you in-person or via video teletherapy.
Wherever you are on your journey to healing, I’m ready to provide a listening ear and a safe space where we can work together and help you achieve your goals. I have experience serving individuals, couples, and families, and I’ll collaborate with you to build a therapy plan that works for you and your schedule. I am available to meet with you in-person or via video teletherapy.
(563) 513-2586 View (563) 513-2586
Photo of Brandee Kohnen (Rus), Counselor in Dubuque County, IA
Brandee Kohnen (Rus)
Counselor, LISW
Verified Verified
1 Endorsed
Dubuque, IA 52001
Do you find yourself staring at the mirror comparing yourself to others, questioning the decisions you’re making, and experiencing fearful thinking about how to make change or the idea of change itself? Your world is full of chaos that whirls more out of control each day and the more you try to hold on the more difficult it seems to keep your grip. Like your body isn’t able to support you or keep up with you- creating fear, anxiety, and other feelings you can’t even begin to describe. Like the mirror in front of you is cracking in a million directions and you don’t know how to fix the image of the person standing in front of you.
Do you find yourself staring at the mirror comparing yourself to others, questioning the decisions you’re making, and experiencing fearful thinking about how to make change or the idea of change itself? Your world is full of chaos that whirls more out of control each day and the more you try to hold on the more difficult it seems to keep your grip. Like your body isn’t able to support you or keep up with you- creating fear, anxiety, and other feelings you can’t even begin to describe. Like the mirror in front of you is cracking in a million directions and you don’t know how to fix the image of the person standing in front of you.
(563) 204-2535 View (563) 204-2535
Photo of Kimberly (Kim) Heiar, Counselor in Dubuque County, IA
Kimberly (Kim) Heiar
Counselor, LMHC, NCC
Verified Verified
Peosta, IA 52068
Located in Peosta behind Jumble Coffee. Life and relationships can be challenging. Sometimes it takes new ideas and perspectives to feel empowered to change. In addition to adverse life events, falsely believing we are not good enough, feeling out of control and the fear rejection are common causes of anxiety. We get caught up in reaction of negative thoughts, feeling overwhelmed in addition to uncomfortable body sensations which cause us to overreact (anger) or underreact (avoidance). Whether individually or as a couple, taking that first step to healing is a step you don't have to take on your own.
Located in Peosta behind Jumble Coffee. Life and relationships can be challenging. Sometimes it takes new ideas and perspectives to feel empowered to change. In addition to adverse life events, falsely believing we are not good enough, feeling out of control and the fear rejection are common causes of anxiety. We get caught up in reaction of negative thoughts, feeling overwhelmed in addition to uncomfortable body sensations which cause us to overreact (anger) or underreact (avoidance). Whether individually or as a couple, taking that first step to healing is a step you don't have to take on your own.
(563) 363-6674 View (563) 363-6674
Photo of Mackenzie Baker, Clinical Social Work/Therapist in Dubuque County, IA
Mackenzie Baker
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Dubuque, IA 52002
Navigating the challenges of life can be incredibly demanding, and I wholeheartedly recognize the courage and vulnerability it takes to reach out. My aim for you as the client is to establish a secure and validating environment where you feel comfortable being your true self. Ensuring a sense of safety within the therapy setting is crucial for undertaking the challenging journey of healing and personal growth. I am committed to fostering a non-judgmental and encouraging atmosphere for your journey.
Navigating the challenges of life can be incredibly demanding, and I wholeheartedly recognize the courage and vulnerability it takes to reach out. My aim for you as the client is to establish a secure and validating environment where you feel comfortable being your true self. Ensuring a sense of safety within the therapy setting is crucial for undertaking the challenging journey of healing and personal growth. I am committed to fostering a non-judgmental and encouraging atmosphere for your journey.
(563) 316-6046 View (563) 316-6046

See more therapy options for Dubuque County

How does your Therapist compare?

Number of Therapists in Dubuque County, IA

90+

Average cost per session

$150

Therapists in Dubuque County, IA who prioritize treating:

96% Anxiety
89% Depression
80% Coping Skills
76% Self Esteem
74% Stress
73% Trauma and PTSD
71% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
70% UnitedHealthcare UHC | UBH
55% Wellmark BCBS

How Therapists in Dubuque County, IA see their clients

84% In Person and Online
16% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Dubuque County?

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.