Therapists in Rexburg, ID

Photo of Whitney Arnold - Beacon Integrative Mental Health, LPC, Counselor
Beacon Integrative Mental Health
Counselor, LPC
Verified Verified
1 Endorsed
Rexburg, ID 83440
My life experience has taught me no one should have to mentally suffer alone! If you're feeling off and your gut tells you there is a connection between your past (including trauma), lifestyle, social connection and your mental well-being, you've come to the right counselor. Whitney's approach to helping you meet your goals include emotional balance, reduced distressing symptoms, and discovering ways to build a strong support network. Whitney values a personalized approach to mental health, aiming for holistic wellness through tailored strategies and meaningful connection.
My life experience has taught me no one should have to mentally suffer alone! If you're feeling off and your gut tells you there is a connection between your past (including trauma), lifestyle, social connection and your mental well-being, you've come to the right counselor. Whitney's approach to helping you meet your goals include emotional balance, reduced distressing symptoms, and discovering ways to build a strong support network. Whitney values a personalized approach to mental health, aiming for holistic wellness through tailored strategies and meaningful connection.
(208) 359-2101 View (208) 359-2101
Photo of Reed Haight, LPC, Licensed Professional Counselor
Reed Haight
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Rexburg, ID 83440
Seeking support to navigate life's challenges and thrive? As a compassionate therapist, I specialize in working with individuals grappling with depression, anxiety, life changes, and past wounds. My ideal clients are motivated seekers of growth and self-discovery, eager to cultivate resilience, find balance, and unlock their full potential. Whether facing life transitions, relationship struggles, or inner turmoil, I provide a safe space to explore healing and empowerment, guiding your journey towards a more fulfilling life
Seeking support to navigate life's challenges and thrive? As a compassionate therapist, I specialize in working with individuals grappling with depression, anxiety, life changes, and past wounds. My ideal clients are motivated seekers of growth and self-discovery, eager to cultivate resilience, find balance, and unlock their full potential. Whether facing life transitions, relationship struggles, or inner turmoil, I provide a safe space to explore healing and empowerment, guiding your journey towards a more fulfilling life
(208) 759-5086 View (208) 759-5086
Photo of Susan Nielsen, LCSW, Clinical Social Work/Therapist
Susan Nielsen
Clinical Social Work/Therapist, LCSW
Verified Verified
Rexburg, ID 83440
I have a deep and convicted belief in the power of therapy. I have learned it is a privilege and beautiful honor to sit with clients and hear their story. Everyone's story is important and meaningful. I have learned the connection between therapist and client is essential and can be life altering to someone who may be, or may feel, alone. The need for connection is paramount in our human experience and sometimes it is lacking in our lives. I take this into account with every client, and I offer that connection to my clients. I strive to provide an affirmative, inclusive, and respectful environment to those in the LGBTQ+ community.
I have a deep and convicted belief in the power of therapy. I have learned it is a privilege and beautiful honor to sit with clients and hear their story. Everyone's story is important and meaningful. I have learned the connection between therapist and client is essential and can be life altering to someone who may be, or may feel, alone. The need for connection is paramount in our human experience and sometimes it is lacking in our lives. I take this into account with every client, and I offer that connection to my clients. I strive to provide an affirmative, inclusive, and respectful environment to those in the LGBTQ+ community.
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Photo of Alicia H Jacobson, LMSW, Clinical Social Work/Therapist
Alicia H Jacobson
Clinical Social Work/Therapist, LMSW
Verified Verified
Rexburg, ID 83440
Welcome! I am dedicated to helping adolescents and adults navigate life’s challenges; I enjoy working with various people and the complexities they face, from anxiety, depression, bereavement, suicide ideation, and trauma, to name a few. At times life can be overwhelming, and day-to-day issues can become unmanageable. It takes insight and courage to face adversities and seek help. I respect and understand the importance of earning trust and providing a nonjudgmental atmosphere where individuals can identify barriers, accomplish goals, and bring balance and peace into their lives.
Welcome! I am dedicated to helping adolescents and adults navigate life’s challenges; I enjoy working with various people and the complexities they face, from anxiety, depression, bereavement, suicide ideation, and trauma, to name a few. At times life can be overwhelming, and day-to-day issues can become unmanageable. It takes insight and courage to face adversities and seek help. I respect and understand the importance of earning trust and providing a nonjudgmental atmosphere where individuals can identify barriers, accomplish goals, and bring balance and peace into their lives.
(208) 285-4568 View (208) 285-4568
Photo of Steffanie Jensen, LMSW, Clinical Social Work/Therapist
Steffanie Jensen
Clinical Social Work/Therapist, LMSW
Verified Verified
Rexburg, ID 83440
I believe in treating each person as the sacred being that they are. I provide a safe, non-judgmental, accepting environment, with passion for helping others achieve their full potential by helping them figure out the best quality of well-being that they feel their life has to offer. This is a place of peace, hope, and safety. As a therapist with strong empathy, compassion, understanding, and human connection with my clients, I am able to help those struggling in addiction, betrayal trauma and mental health issues through Cognitive Behavioral, Solution-Based, and Holistic Therapy. Come learn to love yourself and heal your soul.
I believe in treating each person as the sacred being that they are. I provide a safe, non-judgmental, accepting environment, with passion for helping others achieve their full potential by helping them figure out the best quality of well-being that they feel their life has to offer. This is a place of peace, hope, and safety. As a therapist with strong empathy, compassion, understanding, and human connection with my clients, I am able to help those struggling in addiction, betrayal trauma and mental health issues through Cognitive Behavioral, Solution-Based, and Holistic Therapy. Come learn to love yourself and heal your soul.
(208) 502-4191 View (208) 502-4191
Photo of Valinda L Mikesell, LPC, Licensed Professional Counselor
Valinda L Mikesell
Licensed Professional Counselor, LPC
Verified Verified
Rexburg, ID 83440
Life can be challenging, and often we feel alone in our challenges. Reaching out and asking for help is really difficult. We can feel as though something is wrong with us, or that we are failing at life. No one is alone when life gets hard, and I am passionate about helping those looking to get through their life challenges and experiences. I look forward to helping all clients with their personal journey by using values such as empathy, trust, honesty, and communication. I enjoy helping others find their sense of self through developing self-compassion, renewing a sense of confidence, and gaining new personal insight.
Life can be challenging, and often we feel alone in our challenges. Reaching out and asking for help is really difficult. We can feel as though something is wrong with us, or that we are failing at life. No one is alone when life gets hard, and I am passionate about helping those looking to get through their life challenges and experiences. I look forward to helping all clients with their personal journey by using values such as empathy, trust, honesty, and communication. I enjoy helping others find their sense of self through developing self-compassion, renewing a sense of confidence, and gaining new personal insight.
(208) 925-2446 View (208) 925-2446
Photo of Maddie Liddiard- Mountain View Health Counseling, LCSW, Clinical Social Work/Therapist
Maddie Liddiard- Mountain View Health Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rexburg, ID 83440
I have experience working with those who have depression, anxiety, PTSD, ADHD, transitional issues, faith crises, and many others. I also have experience working with children, adolescents, adults, families, and couples. Everyone has their own struggles, and I like to meet clients where they are and go at their pace. Change can be hard, and I am willing to work with you to achieve your goals. "Never mind your past mistakes, they don't determine your future."
I have experience working with those who have depression, anxiety, PTSD, ADHD, transitional issues, faith crises, and many others. I also have experience working with children, adolescents, adults, families, and couples. Everyone has their own struggles, and I like to meet clients where they are and go at their pace. Change can be hard, and I am willing to work with you to achieve your goals. "Never mind your past mistakes, they don't determine your future."
(208) 231-3761 View (208) 231-3761
Photo of Marissa A Osborn, LMSW, Clinical Social Work/Therapist
Marissa A Osborn
Clinical Social Work/Therapist, LMSW
Verified Verified
Rexburg, ID 83440
My ideal client is someone that has come to the realization they need additional help and resources to work through issues they are having in life. They are open to learning new skills, asking questions, and wish to break free from unsustainable cycles. I empower my clients with knowledge about themselves, the effects of their environment and how to find a new path to a healthier version of themselves. I honor the bravery it takes to ask for help and strive to create a safe space that clients can feel seen and validated. I meet the client where they are at and guide them through their journey
My ideal client is someone that has come to the realization they need additional help and resources to work through issues they are having in life. They are open to learning new skills, asking questions, and wish to break free from unsustainable cycles. I empower my clients with knowledge about themselves, the effects of their environment and how to find a new path to a healthier version of themselves. I honor the bravery it takes to ask for help and strive to create a safe space that clients can feel seen and validated. I meet the client where they are at and guide them through their journey
(208) 400-5616 View (208) 400-5616
Photo of Erika Nordfelt, MA, LCPC, CMHC
Erika Nordfelt
Licensed Clinical Professional Counselor, MA, LCPC, CMHC
Verified Verified
1 Endorsed
Rexburg, ID 83440
I have always been drawn to working with people and feel very honored to help them with their most personal struggles. After 10+ years of experience with individuals and couples, I find myself 10 times more energized by this work. I specialize in trauma and use IFS and EMDR regularly. My work also focuses around religious trauma/deconstruction, LGBTQIA+, couples, and ADHD, as well as many many years of treating anxiety and depression.
I have always been drawn to working with people and feel very honored to help them with their most personal struggles. After 10+ years of experience with individuals and couples, I find myself 10 times more energized by this work. I specialize in trauma and use IFS and EMDR regularly. My work also focuses around religious trauma/deconstruction, LGBTQIA+, couples, and ADHD, as well as many many years of treating anxiety and depression.
(208) 656-1473 View (208) 656-1473
Photo of Von G. Poll, MS, LAMFT, SRT, IAT, Marriage & Family Therapist Associate
Von G. Poll
Marriage & Family Therapist Associate, MS, LAMFT, SRT, IAT
Verified Verified
4 Endorsed
Rexburg, ID 83440
I recently moved to Rexburg and enjoy being in the outdoors, exploring new places and playing sports. I have been married for over 16 years and have 9 children. I love helping people learn and grow. I am a marriage and family therapist who works with couples, families, and individuals where addiction has disrupted their lives. I specialize in pornography addiction, sex addiction, and families with children who have special needs (Autism, ADHD, and Developmental delays).
I recently moved to Rexburg and enjoy being in the outdoors, exploring new places and playing sports. I have been married for over 16 years and have 9 children. I love helping people learn and grow. I am a marriage and family therapist who works with couples, families, and individuals where addiction has disrupted their lives. I specialize in pornography addiction, sex addiction, and families with children who have special needs (Autism, ADHD, and Developmental delays).
(208) 516-1897 View (208) 516-1897
Photo of Stephanie Haroldsen, LCSW, Clinical Social Work/Therapist
Stephanie Haroldsen
Clinical Social Work/Therapist, LCSW
Verified Verified
Rexburg, ID 83440
With over four decades of marriage experience, I am deeply committed to aiding couples facing challenges. Relationship preservation is tough but rewarding work. My clients' journey has taught me that the effort pays off, witnessing couples leave sessions with smiles is priceless. Equally significant, I assist survivors of abuse and trauma. I admire their resilience in overcoming discouragement, self-doubt, anxiety, shame, and isolation. Healing involves listening to our bodies, trusting intuition, and assertiveness. When a survivor confidently establishes boundaries, they reclaim their true selves.
With over four decades of marriage experience, I am deeply committed to aiding couples facing challenges. Relationship preservation is tough but rewarding work. My clients' journey has taught me that the effort pays off, witnessing couples leave sessions with smiles is priceless. Equally significant, I assist survivors of abuse and trauma. I admire their resilience in overcoming discouragement, self-doubt, anxiety, shame, and isolation. Healing involves listening to our bodies, trusting intuition, and assertiveness. When a survivor confidently establishes boundaries, they reclaim their true selves.
(208) 944-6122 View (208) 944-6122
Photo of Noah Kelsch, MMFT, Marriage & Family Therapist Intern
Noah Kelsch
Marriage & Family Therapist Intern, MMFT
Verified Verified
Rexburg, ID 83440
If you’re looking for a therapist who will be relentlessly optimistic about your chances for therapeutic change, then I’m your guy! A key element to change, growth, adaptation, evolution, however we want to refer to it, is to BELIEVE that it is possible – to have hope. I wouldn’t be in the business (or the enormous amount of student debt) I’m in if I didn’t believe in it, or if I didn't believe in you. You are the expert on your life and your experiences. I’m an expert on therapy stuff. Together, we'll be a team of experts attacking the problem head-on.
If you’re looking for a therapist who will be relentlessly optimistic about your chances for therapeutic change, then I’m your guy! A key element to change, growth, adaptation, evolution, however we want to refer to it, is to BELIEVE that it is possible – to have hope. I wouldn’t be in the business (or the enormous amount of student debt) I’m in if I didn’t believe in it, or if I didn't believe in you. You are the expert on your life and your experiences. I’m an expert on therapy stuff. Together, we'll be a team of experts attacking the problem head-on.
(208) 923-2299 View (208) 923-2299
Photo of Teri R Huchendorf, LCSW, Clinical Social Work/Therapist
Teri R Huchendorf
Clinical Social Work/Therapist, LCSW
Verified Verified
Rexburg, ID 83440
The human experience exposes us to many stressors, traumas, and anxieties. Seeking help to overcome and manage the symptoms these experiences can bring, is the first step in one's therapeutic journey. While this process can be overwhelming, and uncomfortable, identifying the right person to help manage these emotions is an important part of the journey. I value providing a non-judgmental space that allows clients to explore their emotions and start towards new growth and healing.
The human experience exposes us to many stressors, traumas, and anxieties. Seeking help to overcome and manage the symptoms these experiences can bring, is the first step in one's therapeutic journey. While this process can be overwhelming, and uncomfortable, identifying the right person to help manage these emotions is an important part of the journey. I value providing a non-judgmental space that allows clients to explore their emotions and start towards new growth and healing.
(208) 487-4458 View (208) 487-4458
Photo of Tara High, LPC, Licensed Professional Counselor
Tara High
Licensed Professional Counselor, LPC
Verified Verified
Rexburg, ID 83440
Understanding the diverse needs of her clients, Tara A. Chowriamah, LPC, tailors her approach to each unique situation. She assists youth and adults grappling with grief, loss, depression, anxiety, trauma recovery, life changes, and ADHD. Acknowledging each individual's distinct goals and issues, Tara also extends her expertise to address more specific challenges such as bullying, suicide awareness, and guidance in values and career discovery. Her approach is compassionate and empathic, always aiming to meet the evolving needs of her clients
Understanding the diverse needs of her clients, Tara A. Chowriamah, LPC, tailors her approach to each unique situation. She assists youth and adults grappling with grief, loss, depression, anxiety, trauma recovery, life changes, and ADHD. Acknowledging each individual's distinct goals and issues, Tara also extends her expertise to address more specific challenges such as bullying, suicide awareness, and guidance in values and career discovery. Her approach is compassionate and empathic, always aiming to meet the evolving needs of her clients
(208) 487-5384 View (208) 487-5384
Photo of Jon Burnham - North Fork Counseling Services, LCSW, Clinical Social Work/Therapist
North Fork Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Rexburg, ID 83440
At North Fork Counseling, we specialize in providing expert care for trauma, grief, and loss, recognizing the profound impact these experiences can have on individuals. Our compassionate team is equipped to address a range of mental health concerns, including depression, anxiety, sexual issues, and couples therapy with sensitivity and understanding. With a client-centered approach, we tailor our therapeutic interventions to meet the unique needs of each individual and couple, empowering them to heal, grow, and thrive.
At North Fork Counseling, we specialize in providing expert care for trauma, grief, and loss, recognizing the profound impact these experiences can have on individuals. Our compassionate team is equipped to address a range of mental health concerns, including depression, anxiety, sexual issues, and couples therapy with sensitivity and understanding. With a client-centered approach, we tailor our therapeutic interventions to meet the unique needs of each individual and couple, empowering them to heal, grow, and thrive.
(208) 269-7579 View (208) 269-7579
Photo of Jonathan Moses, MSW, LCSW, Clinical Social Work/Therapist
Jonathan Moses
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Rexburg, ID 83440
Some of the most courageous people I know are those who are wanting to have a better life, better mental health, or better relationships and are willing to make the small incremental changes for the better. I enjoy helping people regain control over their lives and become the captains of themselves and their future. I can help you see who you really are and find your true identity and thus helping you see the great worth that has always been inside of you. I’m passionate about empowering people who are struggling with anxiety, depression, trauma, and pornography addiction, in helping them to heal from the inside out.
Some of the most courageous people I know are those who are wanting to have a better life, better mental health, or better relationships and are willing to make the small incremental changes for the better. I enjoy helping people regain control over their lives and become the captains of themselves and their future. I can help you see who you really are and find your true identity and thus helping you see the great worth that has always been inside of you. I’m passionate about empowering people who are struggling with anxiety, depression, trauma, and pornography addiction, in helping them to heal from the inside out.
(208) 221-0468 View (208) 221-0468
Photo of Gracie Ann Hargraves, EdD, Counselor
Gracie Ann Hargraves
Counselor, EdD
Verified Verified
Rexburg, ID 83440  (Online Only)
Ultimately, my clients want to feel heard, understood, and supported as they work towards resolving their personal issues and achieving a greater sense of well-being. They seek counseling because they recognize the value of having a dedicated and compassionate professional to help them navigate their journey towards self-discovery and healing. My ideal client is someone who is seeking a safe space to work through their personal struggles and challenges. They may be dealing with a wide range of issues, such as anxiety, depression, trauma, relationship difficulties, or life transitions.
Ultimately, my clients want to feel heard, understood, and supported as they work towards resolving their personal issues and achieving a greater sense of well-being. They seek counseling because they recognize the value of having a dedicated and compassionate professional to help them navigate their journey towards self-discovery and healing. My ideal client is someone who is seeking a safe space to work through their personal struggles and challenges. They may be dealing with a wide range of issues, such as anxiety, depression, trauma, relationship difficulties, or life transitions.
(208) 842-4440 View (208) 842-4440
Photo of Isaac L Hewitt, MS, LCPC, Counselor
Isaac L Hewitt
Counselor, MS, LCPC
Verified Verified
2 Endorsed
Rexburg, ID 83440
I have lived in Idaho for over 15 years & have 6 children. I am both an adventurer & treasure hunter at heart. I love working to help people achieve their ideal self. Many people have goals and hopes that they wish to accomplish, and often times these objectives are complicated by challenges they are currently facing or have faced in the past. I believe that the individual is the catalyst for change in their life, and my position as a counselor is to help them identify those resources that they have used in the past as well as employ new resources.
I have lived in Idaho for over 15 years & have 6 children. I am both an adventurer & treasure hunter at heart. I love working to help people achieve their ideal self. Many people have goals and hopes that they wish to accomplish, and often times these objectives are complicated by challenges they are currently facing or have faced in the past. I believe that the individual is the catalyst for change in their life, and my position as a counselor is to help them identify those resources that they have used in the past as well as employ new resources.
(208) 516-2094 View (208) 516-2094
Photo of Stephanie Hackman, LCPC, Counselor
Stephanie Hackman
Counselor, LCPC
Verified Verified
Rexburg, ID 83440
For the past several years, it has been my privilege to walk with people as they enter periods of life where they feel challenged, hurt, and often stuck. It is my goal to help you explore these wounds, navigate through the sticky places, and return to a higher level of functioning.
For the past several years, it has been my privilege to walk with people as they enter periods of life where they feel challenged, hurt, and often stuck. It is my goal to help you explore these wounds, navigate through the sticky places, and return to a higher level of functioning.
(406) 369-6516 View (406) 369-6516
Photo of Michael J Fitch - AAEM Counseling & Consulting, CMHC, LCPC, Counselor
AAEM Counseling & Consulting
Counselor, CMHC, LCPC
Verified Verified
5 Endorsed
Rexburg, ID 83440
I like clients that are unique, meaning I enjoy people's differences. I tend to create the treatment plan around the client and their needs rather than a cookie cutter type of treatment plan. I work with a wide range of clients from children and adolescents to couples therapy.
I like clients that are unique, meaning I enjoy people's differences. I tend to create the treatment plan around the client and their needs rather than a cookie cutter type of treatment plan. I work with a wide range of clients from children and adolescents to couples therapy.
(208) 213-2829 View (208) 213-2829
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How does your Therapist compare?

Number of Therapists in Rexburg, ID

90+

Average cost per session

$120

Therapists in Rexburg, ID who prioritize treating:

89% Anxiety
82% Depression
80% Trauma and PTSD
68% Self Esteem
64% Relationship Issues
59% Coping Skills
58% Grief

Average years in practice

9 Years

Top 3 insurances accepted

81% Aetna
79% BlueCross and BlueShield
73% PacificSource

How Therapists in Rexburg, ID see their clients

79% In Person and Online
21% Online Only

Gender breakdown

66% Female
34% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Rexburg?

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.