Therapists in Chicago, IL

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Photo of Daniel Kanofsky, Clinical Social Work/Therapist, LCSW, BCD
Daniel Kanofsky
Clinical Social Work/Therapist, LCSW, BCD
Online Only
Many of the people I work with are successful, thoughtful, and highly capable, yet find themselves repeating patterns that no longer serve them in relationships, in their work, or in how they experience themselves. Often there is a sense that something deeper is asking for attention, even if it cannot yet be put into words. Therapy offers a space to slow down and listen more closely to your inner life, to understand the origins of longstanding emotional and relational patterns, and to move toward a way of living that feels more authentic and aligned.
Many of the people I work with are successful, thoughtful, and highly capable, yet find themselves repeating patterns that no longer serve them in relationships, in their work, or in how they experience themselves. Often there is a sense that something deeper is asking for attention, even if it cannot yet be put into words. Therapy offers a space to slow down and listen more closely to your inner life, to understand the origins of longstanding emotional and relational patterns, and to move toward a way of living that feels more authentic and aligned.
(224) 655-6332 View (224) 655-6332
Photo of Ivelisse Burgo, Psychologist, LP
Ivelisse Burgo
Psychologist, LP
Online Only
Dr. Ivy Burgo is a licensed Clinical Psychologist, registered Health Service Psychologist, and a National Board Certified Counselor. She has provided psychological services since 2014 and has been engaged in presenting research and conducting research focusing on marginalized populations, chronic health conditions, and traumatic stress. She has specialized in relationship issues, burnout and chronic stress, grief and loss, complex trauma, and post-traumatic stress.
Dr. Ivy Burgo is a licensed Clinical Psychologist, registered Health Service Psychologist, and a National Board Certified Counselor. She has provided psychological services since 2014 and has been engaged in presenting research and conducting research focusing on marginalized populations, chronic health conditions, and traumatic stress. She has specialized in relationship issues, burnout and chronic stress, grief and loss, complex trauma, and post-traumatic stress.
(773) 900-7270 View (773) 900-7270
Photo of Maeve Raphelson, Clinical Social Work/Therapist, LCSW
Maeve Raphelson
Clinical Social Work/Therapist, LCSW
Chicago, IL 60613
"There's no normal life that is free of pain. It's the very wrestling with our problems that can be the impetus for our growth"-- Fred Rogers Everyone has a story that shapes their life in many ways. It can be difficult to open up to a stranger about what is going on in your life, but it can also be very liberating to have another person to share your burdens. Whether for depression, anxiety, trauma or adjusting to life's challenges (and our challenging world), counseling can offer insight and healing. It is a great privilege and joy for me to provide that space for people.
"There's no normal life that is free of pain. It's the very wrestling with our problems that can be the impetus for our growth"-- Fred Rogers Everyone has a story that shapes their life in many ways. It can be difficult to open up to a stranger about what is going on in your life, but it can also be very liberating to have another person to share your burdens. Whether for depression, anxiety, trauma or adjusting to life's challenges (and our challenging world), counseling can offer insight and healing. It is a great privilege and joy for me to provide that space for people.
(872) 259-4636 View (872) 259-4636
Photo of Simon Walsh, Licensed Professional Counselor, LPC
Simon Walsh
Licensed Professional Counselor, LPC
Online Only
Hello! My name is Simon Walsh, and I am a fully licensed professional counselor and nationally certified counselor. In my clinical work, I support lasting change rather than quick symptom relief. We will work together to heal attachment wounds and rewrite relational scripts in collaborative, curiosity-driven sessions. I help clients navigate identity, sexuality, and relational issues, while offering an affirming space where Queer adults facing shame, anxiety, or depression feel genuinely supported.
Hello! My name is Simon Walsh, and I am a fully licensed professional counselor and nationally certified counselor. In my clinical work, I support lasting change rather than quick symptom relief. We will work together to heal attachment wounds and rewrite relational scripts in collaborative, curiosity-driven sessions. I help clients navigate identity, sexuality, and relational issues, while offering an affirming space where Queer adults facing shame, anxiety, or depression feel genuinely supported.
(872) 316-9596 View (872) 316-9596
Photo of Sushma Cheturvedula, Licensed Professional Counselor, MS, LPC
Sushma Cheturvedula
Licensed Professional Counselor, MS, LPC
Online Only
There comes a time in each of our lives where we feel inadequate, anxious, depressed, heartbroken, lonely, confused, and in need of a helping hand. If your ultimate goal is to strengthen your emotional wellbeing, find peace with your past, and live the life you always wanted, you have found the right Therapist. Whatever is overwhelming you today, whether it’s a tough breakup, grief, abuse, work related stress, relationship issues, past trauma, or simply finding the motivation to get out of bed and have a productive day, help is a phone call away. My role is to listen, empower growth, and help you become the best version of yourself.
There comes a time in each of our lives where we feel inadequate, anxious, depressed, heartbroken, lonely, confused, and in need of a helping hand. If your ultimate goal is to strengthen your emotional wellbeing, find peace with your past, and live the life you always wanted, you have found the right Therapist. Whatever is overwhelming you today, whether it’s a tough breakup, grief, abuse, work related stress, relationship issues, past trauma, or simply finding the motivation to get out of bed and have a productive day, help is a phone call away. My role is to listen, empower growth, and help you become the best version of yourself.
(773) 985-2443 View (773) 985-2443
Photo of Robert T Baker III, Psychologist, PsyD
Robert T Baker III
Psychologist, PsyD
Chicago, IL 60640
I'm a psychologist who's caring and direct. I use compassion, wisdom and humor to help clients understand and deal with problems in a way that's respectful and honors their unique situation. My style is grounded in the belief that promoting an individual's innate desire and ability to move forward in life is the key to progress in therapy. If you're feeling overwhelmed in life, dealing with something you find increasingly hard to handle and are ready to make a change, I can help. Please consider calling me to begin exploring a new way to live.
I'm a psychologist who's caring and direct. I use compassion, wisdom and humor to help clients understand and deal with problems in a way that's respectful and honors their unique situation. My style is grounded in the belief that promoting an individual's innate desire and ability to move forward in life is the key to progress in therapy. If you're feeling overwhelmed in life, dealing with something you find increasingly hard to handle and are ready to make a change, I can help. Please consider calling me to begin exploring a new way to live.
(847) 416-0913 View (847) 416-0913
Photo of Brooke Berry, Licensed Professional Counselor, NCC
Brooke Berry
Licensed Professional Counselor, NCC
1 Endorsed
Online Only
I work with couples who are ready to move beyond surface-level solutions and better understand the patterns shaping their relationship. Many feel stuck in cycles of miscommunication, emotional disconnection, or unresolved hurt, yet remain committed to growth. I also support individual adults exploring relationship dynamics, identity, and emotional patterns that impact how they connect with others. Clients often arrive feeling overwhelmed or misunderstood. I help them develop insight, strengthen emotional awareness, and build the capacity for healthier, more intentional relationships grounded in honesty and accountability.
I work with couples who are ready to move beyond surface-level solutions and better understand the patterns shaping their relationship. Many feel stuck in cycles of miscommunication, emotional disconnection, or unresolved hurt, yet remain committed to growth. I also support individual adults exploring relationship dynamics, identity, and emotional patterns that impact how they connect with others. Clients often arrive feeling overwhelmed or misunderstood. I help them develop insight, strengthen emotional awareness, and build the capacity for healthier, more intentional relationships grounded in honesty and accountability.
(815) 984-9890 View (815) 984-9890
Photo of Isa Martinez Mulcahy, Counselor, LCPC, R-DMT
Isa Martinez Mulcahy
Counselor, LCPC, R-DMT
1 Endorsed
Chicago, IL 60613
If you feel overwhelmed, emotionally flooded, or disconnected from your body, you’re not alone. Many of the people I work with feel anxious, burnt out, perfectionistic, or exhausted from holding it all together. You may live “in your head,” struggle to regulate big emotions, or notice stress and trauma showing up physically — tight chest, racing thoughts, or shutdown. During life transitions or relationship challenges, it can feel hard to trust yourself. Therapy offers a space to slow down, reconnect, and begin healing in a way that feels steady and supportive.
If you feel overwhelmed, emotionally flooded, or disconnected from your body, you’re not alone. Many of the people I work with feel anxious, burnt out, perfectionistic, or exhausted from holding it all together. You may live “in your head,” struggle to regulate big emotions, or notice stress and trauma showing up physically — tight chest, racing thoughts, or shutdown. During life transitions or relationship challenges, it can feel hard to trust yourself. Therapy offers a space to slow down, reconnect, and begin healing in a way that feels steady and supportive.
(773) 900-5306 View (773) 900-5306
Photo of Andrea Jacobson, Clinical Social Work/Therapist, LCSW
Andrea Jacobson
Clinical Social Work/Therapist, LCSW
3 Endorsed
Chicago, IL 60642
My clinical work is informed through an integrative, client-centered approach. I prioritize building a strong therapeutic relationship that prioritizes safety, warmth, and acceptance in session. I am dedicated to working with individuals, families, and groups in a holistic manner, while focusing on clients’ strengths to cope with life-stressors and bravely execute change. My areas of interest and specialty include anxiety, depression, eating disorders, relational conflict, trauma, self-esteem, and life transitions.
My clinical work is informed through an integrative, client-centered approach. I prioritize building a strong therapeutic relationship that prioritizes safety, warmth, and acceptance in session. I am dedicated to working with individuals, families, and groups in a holistic manner, while focusing on clients’ strengths to cope with life-stressors and bravely execute change. My areas of interest and specialty include anxiety, depression, eating disorders, relational conflict, trauma, self-esteem, and life transitions.
(708) 367-6268 View (708) 367-6268
Photo of Meaghan Tomasiewicz, Clinical Social Work/Therapist, LCSW
Meaghan Tomasiewicz
Clinical Social Work/Therapist, LCSW
Online Only
Hello there! My name is Meaghan, and I use the pronouns they/them. I am a therapist based in Chicago, and I identify as queer and nonbinary. Living with anxiety, worries, and fears can make every day feel like a struggle. Even activities that once brought joy can suddenly become stressful. It can be tough to feel confident and fulfilled when you don't feel supported in your school, workplace, or home. I specialize in helping teenagers and adults build confidence in their identity, navigate interpersonal relationships, and make tough decisions.
Hello there! My name is Meaghan, and I use the pronouns they/them. I am a therapist based in Chicago, and I identify as queer and nonbinary. Living with anxiety, worries, and fears can make every day feel like a struggle. Even activities that once brought joy can suddenly become stressful. It can be tough to feel confident and fulfilled when you don't feel supported in your school, workplace, or home. I specialize in helping teenagers and adults build confidence in their identity, navigate interpersonal relationships, and make tough decisions.
(872) 349-2365 View (872) 349-2365
Photo of Kate Glickman, Clinical Social Work/Therapist, LCSW
Kate Glickman
Clinical Social Work/Therapist, LCSW
Chicago, IL 60622
Looking for a therapist requires a leap of faith: that someone out there can actually understand, let alone help. Maybe you sense you need to make a change, but how to move forward is unclear. Or maybe you are going through something right now that feels too heavy to shoulder alone. In either case, therapy can be a place to find your footing. When we first meet, I will listen carefully to your story, then together we will identify what carries the potential to help. I offer a compassionate relationship you can rely on.
Looking for a therapist requires a leap of faith: that someone out there can actually understand, let alone help. Maybe you sense you need to make a change, but how to move forward is unclear. Or maybe you are going through something right now that feels too heavy to shoulder alone. In either case, therapy can be a place to find your footing. When we first meet, I will listen carefully to your story, then together we will identify what carries the potential to help. I offer a compassionate relationship you can rely on.
(312) 516-4303 View (312) 516-4303
Photo of Adam Jackson, Counselor, MS, LCPC, NCC
Adam Jackson
Counselor, MS, LCPC, NCC
1 Endorsed
Online Only
My hope is to offer clients a new and different perspective, and empower them to attain greater insight. I believe that every client possesses the ability to find their own path that leads to meaning, joy, and fulfillment in their life. I enjoy working with adolescents and adults who struggle with anxiety, depression, or other traumatic experiences. We also address family and relationship issues, such as boundary setting, difficult life transitions, emotional abuse, and social trauma. My ideal client is one who is ready to do the hard work of self-reflection, and to seize control and responsibility for living their own best life.
My hope is to offer clients a new and different perspective, and empower them to attain greater insight. I believe that every client possesses the ability to find their own path that leads to meaning, joy, and fulfillment in their life. I enjoy working with adolescents and adults who struggle with anxiety, depression, or other traumatic experiences. We also address family and relationship issues, such as boundary setting, difficult life transitions, emotional abuse, and social trauma. My ideal client is one who is ready to do the hard work of self-reflection, and to seize control and responsibility for living their own best life.
(618) 243-0502 View (618) 243-0502
Photo of Nancy Gardner, Clinical Social Work/Therapist, MSW, LCSW
Nancy Gardner
Clinical Social Work/Therapist, MSW, LCSW
Chicago, IL 60661
Unfortunately, I am not accepting new clients at this time. My passion is to help you feel heard, understood, and hopeful about the possibility of change. You'd be surprised by how much better you may feel after just a few sessions, either in-person or tele-health. I specialize in working with clients who are struggling with a number of things at the same time (such as life transitions, anxiety, trauma). My ideal client is someone who is interested in going below surface issues, and- potentially- including some "body-up" work in their therapy.
Unfortunately, I am not accepting new clients at this time. My passion is to help you feel heard, understood, and hopeful about the possibility of change. You'd be surprised by how much better you may feel after just a few sessions, either in-person or tele-health. I specialize in working with clients who are struggling with a number of things at the same time (such as life transitions, anxiety, trauma). My ideal client is someone who is interested in going below surface issues, and- potentially- including some "body-up" work in their therapy.
(312) 548-8751 View (312) 548-8751
Photo of Keeton Phillips, Clinical Social Work/Therapist, LCSW
Keeton Phillips
Clinical Social Work/Therapist, LCSW
2 Endorsed
Chicago, IL 60640
Hello, Hello, Hello! Are you a Queer/Trans person, or couple, searching, but have yet to find a therapist who sees, understands, and meets you where you currently are at in life? I believe you are the expert within your own life, and I’m here to help you process, explore, & navigate through the trauma and challenges you’ve endured. Our best work is achieved when you feel supported, heard, & challenged. Using humor, compassion, and honesty in a way that we can collaboratively work together to unpack and overcome the challenges & tribulations you're facing, to help you achieve your goals, & be a more authentic grounded you.
Hello, Hello, Hello! Are you a Queer/Trans person, or couple, searching, but have yet to find a therapist who sees, understands, and meets you where you currently are at in life? I believe you are the expert within your own life, and I’m here to help you process, explore, & navigate through the trauma and challenges you’ve endured. Our best work is achieved when you feel supported, heard, & challenged. Using humor, compassion, and honesty in a way that we can collaboratively work together to unpack and overcome the challenges & tribulations you're facing, to help you achieve your goals, & be a more authentic grounded you.
(773) 692-6670 View (773) 692-6670
Photo of Patrick Sterk, Counselor, LCPC
Patrick Sterk
Counselor, LCPC
Chicago, IL 60604
Life can be hard and change isn’t always easy; if it was, we would have done it already. In my experience, change and personal growth come with guidance and training as well as support and understanding. If you are ready and wanting things to improve in your life and could use some help along the way, that is what I can offer. My primary practices areas include individuals diagnosed with Borderline Personality Disorder (BPD) as well as individuals in the kink and poly communities. I also work frequently with career professionals to support navigating high-demand careers and work obligations while improving personal quality of life.
Life can be hard and change isn’t always easy; if it was, we would have done it already. In my experience, change and personal growth come with guidance and training as well as support and understanding. If you are ready and wanting things to improve in your life and could use some help along the way, that is what I can offer. My primary practices areas include individuals diagnosed with Borderline Personality Disorder (BPD) as well as individuals in the kink and poly communities. I also work frequently with career professionals to support navigating high-demand careers and work obligations while improving personal quality of life.
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Photo of Sharleeta Marshall, Counselor, MA, LCPC
Sharleeta Marshall
Counselor, MA, LCPC
Chicago, IL 60608
I believe healing begins with authenticity and connection. Life can be overwhelming, and I understand how important it is to have a safe space where you can feel seen and supported. My work focuses on helping clients rebuild their relationship with themselves, strengthen their self-worth, and move through life’s challenges with greater clarity and compassion.
I believe healing begins with authenticity and connection. Life can be overwhelming, and I understand how important it is to have a safe space where you can feel seen and supported. My work focuses on helping clients rebuild their relationship with themselves, strengthen their self-worth, and move through life’s challenges with greater clarity and compassion.
(872) 295-8785 View (872) 295-8785
Photo of Lili Davis, Clinical Social Work/Therapist, LCSW
Lili Davis
Clinical Social Work/Therapist, LCSW
2 Endorsed
Chicago, IL 60642
I am passionate about helping people look for ways to make meaning and find joy in their day to day lives by understanding, naming, and processing past traumatic experiences, marginalization, and systemic oppression. I bring warmth, a comforting energy, and authenticity so you can process, communicate emotions, and better understand yourself. I work to be creative and curious, grounded and centered, and pace therapeutic work to promote your growth and healing. I primarily see LGBTQ+ adults and people with anxiety, depression, OCD, sexual trauma, complex trauma/C-PTSD, and those impacted by systemic oppression.
I am passionate about helping people look for ways to make meaning and find joy in their day to day lives by understanding, naming, and processing past traumatic experiences, marginalization, and systemic oppression. I bring warmth, a comforting energy, and authenticity so you can process, communicate emotions, and better understand yourself. I work to be creative and curious, grounded and centered, and pace therapeutic work to promote your growth and healing. I primarily see LGBTQ+ adults and people with anxiety, depression, OCD, sexual trauma, complex trauma/C-PTSD, and those impacted by systemic oppression.
(708) 765-6347 View (708) 765-6347
Photo of Lucretia Mayer - LifeStance Health, Counselor, LCPC
LifeStance Health
Counselor, LCPC
Chicago, IL 60647
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(708) 627-9014 View (708) 627-9014
Photo of Savannah Shotts, Counselor, LPC, LCPC, NCC
Savannah Shotts
Counselor, LPC, LCPC, NCC
1 Endorsed
Online Only
In both therapy and life, I find great joy in supporting the empowerment and resilience of my clients so that they may be free to embrace a life of vitality and healthy connection. My hope is that my authenticity, humor, and compassionate challenging can help my clients find the courage and bravery to look at what’s not working in their life and cultivate something better. I specialize in helping adults find even deeper healing through learning how to regulate your nervous system, resolving the lingering effects of difficult or traumatic experiences and creating an inner sense of safety and confidence.
In both therapy and life, I find great joy in supporting the empowerment and resilience of my clients so that they may be free to embrace a life of vitality and healthy connection. My hope is that my authenticity, humor, and compassionate challenging can help my clients find the courage and bravery to look at what’s not working in their life and cultivate something better. I specialize in helping adults find even deeper healing through learning how to regulate your nervous system, resolving the lingering effects of difficult or traumatic experiences and creating an inner sense of safety and confidence.
(312) 779-0893 View (312) 779-0893
Photo of Mara Clare Marin, Counselor, MA, LCPC
Mara Clare Marin
Counselor, MA, LCPC
4 Endorsed
Chicago, IL 60601
My approach to therapy is thoughtful, collaborative, and relationship based. I work to facilitate a safe and supportive space where I can assist you in improving your emotional well-being and help create impactful change towards improving your mental health and interpersonal relationships. My integrative therapy style is interactive and explores various aspects of identity, culture, and how one’s past and present selves intersect and interact within their world. I work by acknowledging your strengths and help to guide further internal skills as well as cultivate new ones in a non-judgmental and supportive environment.
My approach to therapy is thoughtful, collaborative, and relationship based. I work to facilitate a safe and supportive space where I can assist you in improving your emotional well-being and help create impactful change towards improving your mental health and interpersonal relationships. My integrative therapy style is interactive and explores various aspects of identity, culture, and how one’s past and present selves intersect and interact within their world. I work by acknowledging your strengths and help to guide further internal skills as well as cultivate new ones in a non-judgmental and supportive environment.
(312) 964-8472 View (312) 964-8472

See more therapy options for Chicago

How does your Therapist compare?

Number of Therapists in Chicago, IL

3,000+

Average cost per session

$159

Therapists in Chicago, IL who prioritize treating:

93% Anxiety
87% Depression
77% Relationship Issues
74% Self Esteem
71% Trauma and PTSD
68% Stress
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
75% Aetna
53% Cigna and Evernorth

How Therapists in Chicago, IL see their clients

58% In Person and Online
42% Online Only

Gender breakdown

78% Female
18% Male
4% 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.