Therapists in Uptown, Chicago, IL

Photo of Alyse Ruriani, Counselor, LCPC, ATR-BC
Alyse Ruriani
Counselor, LCPC, ATR-BC
2 Endorsed
Uptown, Chicago, IL 60640
I know this world is a hard place to be. We're all trying to navigate the uncertainty of life while big things keep happening within and around us. Maybe you are yearning for a supportive space where you can make meaning out of your experiences. Maybe you want to move beyond words and explore healing through art and creativity. Maybe you want to reconnect with yourself and discover what else you desire. Therapy does not hold the answers–it holds a space for all of your complexity to exist. I aim to walk alongside you as we explore where to go together.
I know this world is a hard place to be. We're all trying to navigate the uncertainty of life while big things keep happening within and around us. Maybe you are yearning for a supportive space where you can make meaning out of your experiences. Maybe you want to move beyond words and explore healing through art and creativity. Maybe you want to reconnect with yourself and discover what else you desire. Therapy does not hold the answers–it holds a space for all of your complexity to exist. I aim to walk alongside you as we explore where to go together.
(872) 246-8154 View (872) 246-8154
Photo of Colleen Hawking, Clinical Social Work/Therapist, LCSW
Colleen Hawking
Clinical Social Work/Therapist, LCSW
Uptown, Chicago, IL 60613
I believe clients are their own experts in life. I work collaboratively with them to increase self-awareness and understanding around thoughts, feelings, memories, and emotions in order to improve current and future functioning.
I believe clients are their own experts in life. I work collaboratively with them to increase self-awareness and understanding around thoughts, feelings, memories, and emotions in order to improve current and future functioning.
(773) 341-2877 View (773) 341-2877
Photo of Jessica Evans, Licensed Professional Counselor
Jessica Evans
Licensed Professional Counselor
3 Endorsed
Uptown, Chicago, IL 60640
I’m so glad you’re taking this first step toward caring for yourself, mentally and emotionally! Starting therapy is not always easy. It can feel uncomfortable to open up, challenge stigma, and trust someone new with your vulnerabilities. It is natural to feel overwhelmed or unsure. While this process can be challenging, you do not have to go through it alone. I have experience working with folks who are new to therapy and those navigating depression, anxiety, panic, family of origin concerns, family conflict, and life transitions. I operate from a trauma informed lens and approach my work with cultural humility!
I’m so glad you’re taking this first step toward caring for yourself, mentally and emotionally! Starting therapy is not always easy. It can feel uncomfortable to open up, challenge stigma, and trust someone new with your vulnerabilities. It is natural to feel overwhelmed or unsure. While this process can be challenging, you do not have to go through it alone. I have experience working with folks who are new to therapy and those navigating depression, anxiety, panic, family of origin concerns, family conflict, and life transitions. I operate from a trauma informed lens and approach my work with cultural humility!
(708) 722-0496 View (708) 722-0496
Photo of Michael Manocchio, Pre-Licensed Professional, LSW
Michael Manocchio
Pre-Licensed Professional, LSW
Uptown, Chicago, IL 60613
It’s rough out there, isn’t it? If you’re tired of carrying it all on your own — your identity, relationships, and the weight of everything happening in the world — let’s talk. I work with Queer adults, especially Transgender and Gender-Expansive folks, navigating identity, trauma, burnout, and major life shifts. That might look like exploring your sexuality or gender, moving through transition, unpacking family dynamics, or just trying to feel more like yourself in a world that doesn’t always make space for you. I’m happy to make space for you. Space where you can be fully yourself, without explanation or apology.
It’s rough out there, isn’t it? If you’re tired of carrying it all on your own — your identity, relationships, and the weight of everything happening in the world — let’s talk. I work with Queer adults, especially Transgender and Gender-Expansive folks, navigating identity, trauma, burnout, and major life shifts. That might look like exploring your sexuality or gender, moving through transition, unpacking family dynamics, or just trying to feel more like yourself in a world that doesn’t always make space for you. I’m happy to make space for you. Space where you can be fully yourself, without explanation or apology.
(773) 295-6809 View (773) 295-6809
Photo of Alysha Burd, Counselor, LCPC
Alysha Burd
Counselor, LCPC
1 Endorsed
Uptown, Chicago, IL 60640
Carl Rogers once said “The good life is a process, not a state of being. It is a direction, not a destination”. Meeting you where you are at and walking with you through the journey that is life is my goal as your clinician. I aim to create a safe and warm environment for you to share without judgement. You are the expert of your own life, and I am here to give you space to explore your authentic self. I value you and all the identities you hold, and I am committed to honoring and celebrating those identities throughout our sessions together.
Carl Rogers once said “The good life is a process, not a state of being. It is a direction, not a destination”. Meeting you where you are at and walking with you through the journey that is life is my goal as your clinician. I aim to create a safe and warm environment for you to share without judgement. You are the expert of your own life, and I am here to give you space to explore your authentic self. I value you and all the identities you hold, and I am committed to honoring and celebrating those identities throughout our sessions together.
(872) 278-3805 View (872) 278-3805
Photo of Bridget Dietz, Clinical Social Work/Therapist, LCSW
Bridget Dietz
Clinical Social Work/Therapist, LCSW
Uptown, Chicago, IL 60640
Working from an anti-racist, anti-oppressive, LGBTQIA+ affirming, and kink/poly/ENM aware and affirming lens, I want to ensure a safe space where all of my clients feel seen, heard, safe, and respected. As humans, we all want connection, although sometimes these connections cause intense emotions and great amounts of pain. I recognize the stress of single parenting, the communication issues in romantic relationships and/or families, and the struggles of dating in a world of right and left swiping.
Working from an anti-racist, anti-oppressive, LGBTQIA+ affirming, and kink/poly/ENM aware and affirming lens, I want to ensure a safe space where all of my clients feel seen, heard, safe, and respected. As humans, we all want connection, although sometimes these connections cause intense emotions and great amounts of pain. I recognize the stress of single parenting, the communication issues in romantic relationships and/or families, and the struggles of dating in a world of right and left swiping.
(773) 729-1681 View (773) 729-1681
Photo of Kayla Reda, Counselor, LCPC
Kayla Reda
Counselor, LCPC
1 Endorsed
Uptown, Chicago, IL 60640
My name is Kayla Reda, and I’m the founder and primary therapist of Slowly, Surely. I work to create a practice that aligns and speaks to my values. Working from a holistic point of view, I challenge my clients through an examination and reflection of their emotions (both analytically and physically), helping foster growth, change, and balance. I am passionate about supporting those interested in psychedelic-assisted therapies & am able to provide thoughtful preparation, dosing, & integration sessions. I would love to hold space & guide those of you interested in Ketamine-Assisted Therapy via Journey Clinical's support.
My name is Kayla Reda, and I’m the founder and primary therapist of Slowly, Surely. I work to create a practice that aligns and speaks to my values. Working from a holistic point of view, I challenge my clients through an examination and reflection of their emotions (both analytically and physically), helping foster growth, change, and balance. I am passionate about supporting those interested in psychedelic-assisted therapies & am able to provide thoughtful preparation, dosing, & integration sessions. I would love to hold space & guide those of you interested in Ketamine-Assisted Therapy via Journey Clinical's support.
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Photo of Christine Sheppard, Counselor, MA, LCPC
Christine Sheppard
Counselor, MA, LCPC
2 Endorsed
Uptown, Chicago, IL 60640
I’m someone who really listens- with my ears, my mind, and my heart- so I can understand what’s going on in your life and partner with you to be able to make real changes. I focus on providing new tools, challenging you to shift unhelpful thinking patterns and celebrate your wins by pointing out your progress. Together, we’ll explore a new story for your life, one that celebrates your strengths, better prepares you to handle your challenges, and helps you feel more confident navigating whatever comes next. I’m here to support you every step of the way, and I’d be honored to help you take the next step toward feeling more empowered.
I’m someone who really listens- with my ears, my mind, and my heart- so I can understand what’s going on in your life and partner with you to be able to make real changes. I focus on providing new tools, challenging you to shift unhelpful thinking patterns and celebrate your wins by pointing out your progress. Together, we’ll explore a new story for your life, one that celebrates your strengths, better prepares you to handle your challenges, and helps you feel more confident navigating whatever comes next. I’m here to support you every step of the way, and I’d be honored to help you take the next step toward feeling more empowered.
(773) 413-9523 View (773) 413-9523
Photo of Darbi Masters, Licensed Professional Counselor, LPC
Darbi Masters
Licensed Professional Counselor, LPC
1 Endorsed
Uptown, Chicago, IL 60640
Hi, my name is Darbi! I am someone who cares deeply about humanity and treating all people with dignity. My focus is on creating a welcoming environment where you can dig into who you are with a sense of curiosity and self-kindness. I’m all about holding space for every part of your identity, especially in exploration. I’m mindful of how past experiences and systems of oppression might shape your journey, and I take a trauma-informed approach. I believe that healing past hurts can start when we feel accepted and affirmed, which is the environment I strive to create in the therapist room.
Hi, my name is Darbi! I am someone who cares deeply about humanity and treating all people with dignity. My focus is on creating a welcoming environment where you can dig into who you are with a sense of curiosity and self-kindness. I’m all about holding space for every part of your identity, especially in exploration. I’m mindful of how past experiences and systems of oppression might shape your journey, and I take a trauma-informed approach. I believe that healing past hurts can start when we feel accepted and affirmed, which is the environment I strive to create in the therapist room.
(872) 335-3887 View (872) 335-3887
Photo of Marco Coleman, Licensed Professional Counselor, MA
Marco Coleman
Licensed Professional Counselor, MA
3 Endorsed
Uptown, Chicago, IL 60640
For most people, we often find ourselves stuck in patterns, overwhelmed with circumstances and life can be unfair at the worst times. Life has a lot of metaphors for journeys because of how much they shape and twist around us, we can still get lost on the path forward. I believe that by building awareness in our behaviors, identity, emotions, social connections and past, will give you the best road map to really understand what is best for you. By acknowledging each client's unique background and identity (personality, goals, passions) I can create a strong and tailored treatment plan for their possible symptoms and concerns.
For most people, we often find ourselves stuck in patterns, overwhelmed with circumstances and life can be unfair at the worst times. Life has a lot of metaphors for journeys because of how much they shape and twist around us, we can still get lost on the path forward. I believe that by building awareness in our behaviors, identity, emotions, social connections and past, will give you the best road map to really understand what is best for you. By acknowledging each client's unique background and identity (personality, goals, passions) I can create a strong and tailored treatment plan for their possible symptoms and concerns.
(773) 923-2898 View (773) 923-2898
Photo of Emily Gumm, Clinical Social Work/Therapist, LSW
Emily Gumm
Clinical Social Work/Therapist, LSW
Uptown, Chicago, IL 60640
Learning how to approach the ups and downs of life is a personal journey and everyone deserves a safe space to explore the tools that will best work for them. As a therapist I believe that practicing awareness through conversation and mindfulness is one of the best gifts you can give yourself. If you are going through changes in life and want to explore how you can bring your own values to find solutions, I am available to collaborate with you. I am committed to creating a non-judgmental atmosphere where we can look at life's challenges and find new approaches for managing the thoughts and feelings which arise.
Learning how to approach the ups and downs of life is a personal journey and everyone deserves a safe space to explore the tools that will best work for them. As a therapist I believe that practicing awareness through conversation and mindfulness is one of the best gifts you can give yourself. If you are going through changes in life and want to explore how you can bring your own values to find solutions, I am available to collaborate with you. I am committed to creating a non-judgmental atmosphere where we can look at life's challenges and find new approaches for managing the thoughts and feelings which arise.
(872) 248-5093 View (872) 248-5093
Photo of Olivia Marie, Counselor, MC, LPC
Olivia Marie
Counselor, MC, LPC
1 Endorsed
Uptown, Chicago, IL 60640
I believe there’s strength in every person, even when it feels out of reach. Wherever you are on your path, I hope to honor your lived experience while also noticing the glimmers of change as they come. Together, we will identify the root of what’s holding you back, strengthen intrinsic motivation, and take steps toward meaningful, lasting change. As a member of the queer community, I'm passionate about working with LGBTQ+ folks navigating the challenges of showing up authentically in a world.
I believe there’s strength in every person, even when it feels out of reach. Wherever you are on your path, I hope to honor your lived experience while also noticing the glimmers of change as they come. Together, we will identify the root of what’s holding you back, strengthen intrinsic motivation, and take steps toward meaningful, lasting change. As a member of the queer community, I'm passionate about working with LGBTQ+ folks navigating the challenges of showing up authentically in a world.
(872) 327-3237 View (872) 327-3237
Photo of Courtenie Taccolini, Pre-Licensed Professional, LPC
Courtenie Taccolini
Pre-Licensed Professional, LPC
Uptown, Chicago, IL 60640
My name is Courtenie and I'm a therapist with a Master's in Counseling Psychology from The Chicago School. I believe there is profound power in the stories we tell ourselves, and particularly, the ones that have been told for us. My approach to therapy is grounded in Queer and Feminist Theory, Narrative Therapy, and Acceptance and Commitment Therapy. I bring a warm, compassionate, and playful energy into the room, to create spaces that are nonjudgemental and deeply human.
My name is Courtenie and I'm a therapist with a Master's in Counseling Psychology from The Chicago School. I believe there is profound power in the stories we tell ourselves, and particularly, the ones that have been told for us. My approach to therapy is grounded in Queer and Feminist Theory, Narrative Therapy, and Acceptance and Commitment Therapy. I bring a warm, compassionate, and playful energy into the room, to create spaces that are nonjudgemental and deeply human.
(872) 219-3393 View (872) 219-3393
Photo of Michael E. Trammell, Clinical Social Work/Therapist, LCSW, ACSW
Michael E. Trammell
Clinical Social Work/Therapist, LCSW, ACSW
Uptown, Chicago, IL 60613
Therapy is an Investment in yourself and a first step in making positive life changes. With over 20 years of experience I bring compassion, sensitivity and a genuine interest to solution focused treatment. I approach treatment through active listening in a conversational style. Together we will establish areas of your life in which you would like to make changes and we will develop goals & strategies to maximize your desired outcomes. Unresolved past issues will be addressed & integrated into treatment to enrich growth and positive change.
Therapy is an Investment in yourself and a first step in making positive life changes. With over 20 years of experience I bring compassion, sensitivity and a genuine interest to solution focused treatment. I approach treatment through active listening in a conversational style. Together we will establish areas of your life in which you would like to make changes and we will develop goals & strategies to maximize your desired outcomes. Unresolved past issues will be addressed & integrated into treatment to enrich growth and positive change.
(773) 559-1069 View (773) 559-1069
Photo of Katy Fohrman, Clinical Social Work/Therapist, LCSW
Katy Fohrman
Clinical Social Work/Therapist, LCSW
1 Endorsed
Uptown, Chicago, IL 60640
Beginning your therapy journey can be daunting. Experiencing change in life can be scary and uncomfortable. I work with people navigating family dynamics, work stress, school transitions, relationships, and parenting. I emphasize building a trusting relationship and together we will explore the underlying factors leading to distress. I believe that therapy can be an empowering experience that will help you discover your strengths and develop greater insight. I hope to create a warm, non-judgmental space where you can work towards developing greater self-awareness.
Beginning your therapy journey can be daunting. Experiencing change in life can be scary and uncomfortable. I work with people navigating family dynamics, work stress, school transitions, relationships, and parenting. I emphasize building a trusting relationship and together we will explore the underlying factors leading to distress. I believe that therapy can be an empowering experience that will help you discover your strengths and develop greater insight. I hope to create a warm, non-judgmental space where you can work towards developing greater self-awareness.
(773) 680-6793 View (773) 680-6793
Photo of Fern Pinkston - Bespoke Healing, Psychologist, PsyD
Bespoke Healing
Psychologist, PsyD
5 Endorsed
Uptown, Chicago, IL 60640
When we're feeling the weight of the world, it's a good time to have some extra support in our corner. At Bespoke Healing, we like to form connections with folks that feel supportive, brave, and most of all, REAL. We know therapy is going well when we see folks begin to step out in new ways to improve their relationships and quality of life. We find it fruitful to explore how past traumas show up in current relationships, and our therapists are active in session as part of our relational style. We also help folks befriend their bodies as an important resource.
When we're feeling the weight of the world, it's a good time to have some extra support in our corner. At Bespoke Healing, we like to form connections with folks that feel supportive, brave, and most of all, REAL. We know therapy is going well when we see folks begin to step out in new ways to improve their relationships and quality of life. We find it fruitful to explore how past traumas show up in current relationships, and our therapists are active in session as part of our relational style. We also help folks befriend their bodies as an important resource.
(773) 902-0512 View (773) 902-0512
Photo of Eleni Marsh, Clinical Social Work/Therapist, LCSW
Eleni Marsh
Clinical Social Work/Therapist, LCSW
Uptown, Chicago, IL 60613
I believe that the relationship between the person and practitioner is the crux of the work together, no matter what kind of therapy you want to engage in. I believe in Irvin Yalom's saying, "Create a new therapy for each client." I will work hard to engage every client I encounter in creating a warm and caring relationship to get to positive change in their lives.
I believe that the relationship between the person and practitioner is the crux of the work together, no matter what kind of therapy you want to engage in. I believe in Irvin Yalom's saying, "Create a new therapy for each client." I will work hard to engage every client I encounter in creating a warm and caring relationship to get to positive change in their lives.
(708) 381-2667 View (708) 381-2667
Photo of Elijah Eiler, Clinical Social Work/Therapist, LCSW
Elijah Eiler
Clinical Social Work/Therapist, LCSW
2 Endorsed
Uptown, Chicago, IL 60640
If you are queer, neurodivergent, or have experienced relational or religious trauma, you’re probably exhausted from constantly fighting with yourself. You might wonder why you’re always drained even though you feel like you’re never doing enough. To someone looking from the outside, it might look like you’re just sitting on the couch. But inside feels like all-out war between different parts of you that are fighting over what you should or shouldn’t be doing. Your body may not be moving, but your mind is racing. No wonder you don’t have any energy left.
If you are queer, neurodivergent, or have experienced relational or religious trauma, you’re probably exhausted from constantly fighting with yourself. You might wonder why you’re always drained even though you feel like you’re never doing enough. To someone looking from the outside, it might look like you’re just sitting on the couch. But inside feels like all-out war between different parts of you that are fighting over what you should or shouldn’t be doing. Your body may not be moving, but your mind is racing. No wonder you don’t have any energy left.
(872) 331-4768 View (872) 331-4768
Photo of Brendan Yukins, Clinical Social Work/Therapist, LCSW, CST
Brendan Yukins
Clinical Social Work/Therapist, LCSW, CST
Uptown, Chicago, IL 60640
Congratulations! You’re taking the first step towards a happier, healthier life. You are making a powerful decision in seeking support. We can’t know what amazing chain reaction will come from this choice to heal. My background is in sexual and domestic violence. I believe trauma affects us physically, emotionally, and spiritually. By establishing safety, remembering, and grieving, we are able to reconnect with our current lives. I use a mixture of experiential, Nature-based, and Feminist Relational techniques. Our nervous system cannot absorb trauma alone. We heal together.
Congratulations! You’re taking the first step towards a happier, healthier life. You are making a powerful decision in seeking support. We can’t know what amazing chain reaction will come from this choice to heal. My background is in sexual and domestic violence. I believe trauma affects us physically, emotionally, and spiritually. By establishing safety, remembering, and grieving, we are able to reconnect with our current lives. I use a mixture of experiential, Nature-based, and Feminist Relational techniques. Our nervous system cannot absorb trauma alone. We heal together.
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Photo of Sandi Langham, Counselor, LCPC
Sandi Langham
Counselor, LCPC
4 Endorsed
Uptown, Chicago, IL 60640
I believe there is incredible potential and hope for each person to have a fulfilling and meaningful life, even despite challenges in a person's background or current stressful situation. Each person possesses the resources within themselves to create the change they desire. Counseling simply facilitates unlocking those resources as providing additional "tools" for desired change. I enjoy working with a variety of people and consider it a pleasure to listen, encourage, offer these additional tools to move closer to a person's desired goals, healing, and happiness.
I believe there is incredible potential and hope for each person to have a fulfilling and meaningful life, even despite challenges in a person's background or current stressful situation. Each person possesses the resources within themselves to create the change they desire. Counseling simply facilitates unlocking those resources as providing additional "tools" for desired change. I enjoy working with a variety of people and consider it a pleasure to listen, encourage, offer these additional tools to move closer to a person's desired goals, healing, and happiness.
(773) 649-1017 View (773) 649-1017

See more therapy options for Uptown, Chicago

How does your Therapist compare?

Number of Therapists in Uptown, Chicago, IL

900+

Average cost per session

$168

Therapists in Uptown, Chicago, IL who prioritize treating:

94% Anxiety
89% Depression
82% Relationship Issues
77% Trauma and PTSD
76% Self Esteem
73% Life Transitions
71% Stress

Average years in practice

10 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
78% Aetna
49% Cigna and Evernorth

How Therapists in Uptown, Chicago, IL see their clients

64% In Person and Online
36% Online Only

Gender breakdown

66% Female
25% Male
9% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Uptown?

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.