Therapists in Knox County, IL

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Photo of Lisa Schwab - Pathways Counseling Solutions, Counselor, LCPC, LCSW, PMHNPBC
Pathways Counseling Solutions
Counselor, LCPC, LCSW, PMHNPBC
Galesburg, IL 61401
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. We believe that we all desire to be healthy, healed, and whole, but life can get in the way. At times, events can overwhelm us with happiness and hope or sorrow and hopelessness or just lead us to want to numb our feelings in any way we can find. Life can be beautifully messy and sometimes we just need some help to sort it all out. We can work together to better understand and resolve challenges in your life.
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. We believe that we all desire to be healthy, healed, and whole, but life can get in the way. At times, events can overwhelm us with happiness and hope or sorrow and hopelessness or just lead us to want to numb our feelings in any way we can find. Life can be beautifully messy and sometimes we just need some help to sort it all out. We can work together to better understand and resolve challenges in your life.
(309) 981-7243 View (309) 981-7243
Photo of Jennifer Ferguson, Clinical Social Work/Therapist, MSW, LCSW, LISW, CADC, LISCW
Jennifer Ferguson
Clinical Social Work/Therapist, MSW, LCSW, LISW, CADC, LISCW
2 Endorsed
Galesburg, IL 61401
If you're feeling overwhelmed, stuck, anxious, or navigating big life changes, you're not alone. Whether you’re a child, teen, or adult, dealing with trauma, ADHD, Autism, Anxiety, Depression, family stress, substance use, or emotional ups and downs, therapy with me is a safe space. I’ll meet you with compassion, not judgment. I’m not here to “fix” you, we’ll work together to uncover your strengths, build resilience, and create a life that feels more like you. Let’s find healing in a way that honors your story and supports your growth.
If you're feeling overwhelmed, stuck, anxious, or navigating big life changes, you're not alone. Whether you’re a child, teen, or adult, dealing with trauma, ADHD, Autism, Anxiety, Depression, family stress, substance use, or emotional ups and downs, therapy with me is a safe space. I’ll meet you with compassion, not judgment. I’m not here to “fix” you, we’ll work together to uncover your strengths, build resilience, and create a life that feels more like you. Let’s find healing in a way that honors your story and supports your growth.
(309) 328-8397 View (309) 328-8397
Photo of Jennifer Ferguson, Clinical Social Work/Therapist, LCSW
Jennifer Ferguson
Clinical Social Work/Therapist, LCSW
Galesburg, IL 61401
I’m a Licensed Clinical Social Worker, Certified Alcohol & Drug Counselor, and School Social Worker with nearly 20 years of experience supporting individuals through life’s challenges. I provide compassionate, strengths-based therapy for teens and adults, helping clients manage anxiety, navigate stress, build resilience, and move toward meaningful change.
I’m a Licensed Clinical Social Worker, Certified Alcohol & Drug Counselor, and School Social Worker with nearly 20 years of experience supporting individuals through life’s challenges. I provide compassionate, strengths-based therapy for teens and adults, helping clients manage anxiety, navigate stress, build resilience, and move toward meaningful change.
(872) 713-5946 View (872) 713-5946
Photo of Jennifer Ferguson, Clinical Social Work/Therapist, LCSW
Jennifer Ferguson
Clinical Social Work/Therapist, LCSW
Galesburg, IL 61401
Welcome! I am the founder of Pawprint Pathway Counseling, PLLC and a dedicated therapist with over 20 years of clinical experience. Licensed in Iowa, Minnesota, and Illinois, I specialize in helping clients navigate depression, anxiety, and complex trauma. I also possess deep expertise in supporting children and teens facing school difficulties, social challenges, and behavioral concerns. My approach is warm and eclectic, utilizing methods like EMDR, Play Therapy, and CBT to help you or your child find balance and lasting healing.
Welcome! I am the founder of Pawprint Pathway Counseling, PLLC and a dedicated therapist with over 20 years of clinical experience. Licensed in Iowa, Minnesota, and Illinois, I specialize in helping clients navigate depression, anxiety, and complex trauma. I also possess deep expertise in supporting children and teens facing school difficulties, social challenges, and behavioral concerns. My approach is warm and eclectic, utilizing methods like EMDR, Play Therapy, and CBT to help you or your child find balance and lasting healing.
(309) 248-6205 View (309) 248-6205
Photo of Kyla Carlson, Clinical Social Work/Therapist, LCSW
Kyla Carlson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Galesburg, IL 61401
Helping others find clarity, purpose, and peace is more than my profession—it’s my passion. I’ve been fortunate to walk alongside individuals on their journeys toward self-actualization, resilience, and healing. With a background rooted in Social Work, my career has spanned outpatient therapy with children, adolescents, and adults in individual, group, and residential settings, as well as providing crisis mental health support in hospital environments. I’ve also worked extensively in community-based roles, offering service linkage and resource navigation for families in need.
Helping others find clarity, purpose, and peace is more than my profession—it’s my passion. I’ve been fortunate to walk alongside individuals on their journeys toward self-actualization, resilience, and healing. With a background rooted in Social Work, my career has spanned outpatient therapy with children, adolescents, and adults in individual, group, and residential settings, as well as providing crisis mental health support in hospital environments. I’ve also worked extensively in community-based roles, offering service linkage and resource navigation for families in need.
(309) 316-0732 View (309) 316-0732
Photo of Leah Rybakowski, Licensed Clinical Professional Counselor, LCPC
Leah Rybakowski
Licensed Clinical Professional Counselor, LCPC
Online Only
You are not alone! Take the first step to find your shine again. Breaking down your walls by building rapport and creating a safe space to share freely and openly. We will focus on building your confidence and finding your inner shine. Hopefully leading to taking charge of your life and making your own path. You are ultimately the expert here, I will just guide you along the way.
You are not alone! Take the first step to find your shine again. Breaking down your walls by building rapport and creating a safe space to share freely and openly. We will focus on building your confidence and finding your inner shine. Hopefully leading to taking charge of your life and making your own path. You are ultimately the expert here, I will just guide you along the way.
(309) 761-5742 View (309) 761-5742
Photo of Tasha Easley, Counselor, LPC
Tasha Easley
Counselor, LPC
Online Only
Hello and welcome! Starting therapy can be scary and intimidating and so I'd like to share a little bit about myself that way you have a chance to know more about me before your first session! I completed my Bachelor of Science degree from Monmouth College and my Master of Science degree in counseling from Western Illinois University. I'm a licensed clinical professional counselor in the state of Illinois and Texas.I have worked in the mental health field as a counselor since 2010.
Hello and welcome! Starting therapy can be scary and intimidating and so I'd like to share a little bit about myself that way you have a chance to know more about me before your first session! I completed my Bachelor of Science degree from Monmouth College and my Master of Science degree in counseling from Western Illinois University. I'm a licensed clinical professional counselor in the state of Illinois and Texas.I have worked in the mental health field as a counselor since 2010.
(309) 300-3539 View (309) 300-3539
Photo of Jeanine Fox, Counselor, MSEd, LCPC, CADC
Jeanine Fox
Counselor, MSEd, LCPC, CADC
Galesburg, IL 61401
I am certified in alcohol and drug counseling (CADC) as well as am a Licensed Clinical Professional Counselor (LCPC) in the state of Illinois and an LPC in Colorado. I am a certified shame-informed treatment specialist (CSTS) with an emphasis on eating disorders and body disorders, trained in EMDR (eye movement desensitization reprocessing) and certified in Dialectical Behavioral Therapy (C-DBT). I am an LGBTQIA+ affirming therapist and continue to educate myself in ways that I can be a supportive ally to the community.
I am certified in alcohol and drug counseling (CADC) as well as am a Licensed Clinical Professional Counselor (LCPC) in the state of Illinois and an LPC in Colorado. I am a certified shame-informed treatment specialist (CSTS) with an emphasis on eating disorders and body disorders, trained in EMDR (eye movement desensitization reprocessing) and certified in Dialectical Behavioral Therapy (C-DBT). I am an LGBTQIA+ affirming therapist and continue to educate myself in ways that I can be a supportive ally to the community.
(309) 722-1399 View (309) 722-1399
Photo of Pamella Bess-Tabb - Bess-Tabb & Associates, LLC, Clinical Social Work/Therapist, C-ASWCM, LCSW
Bess-Tabb & Associates, LLC
Clinical Social Work/Therapist, C-ASWCM, LCSW
Galesburg, IL 61401
Do you have that feeling of being overwhelmed, distracted, or stuck in anxiety loops? I specialize in working with children and adults navigating ADHD and anxiety who want practical tools—not just insight—to create real change. Using mindfulness-based strategies, executive functioning support, and collaborative goal-setting, I help clients slow down, gain clarity, and build sustainable habits. If you’re ready to dig deep, learn new skills, and actively partner in your growth, I’m here to support you in becoming the best, most grounded version of yourself!
Do you have that feeling of being overwhelmed, distracted, or stuck in anxiety loops? I specialize in working with children and adults navigating ADHD and anxiety who want practical tools—not just insight—to create real change. Using mindfulness-based strategies, executive functioning support, and collaborative goal-setting, I help clients slow down, gain clarity, and build sustainable habits. If you’re ready to dig deep, learn new skills, and actively partner in your growth, I’m here to support you in becoming the best, most grounded version of yourself!
(309) 247-8366 View (309) 247-8366
Photo of Brittany L Dean, Clinical Social Work/Therapist, LCPC
Brittany L Dean
Clinical Social Work/Therapist, LCPC
Galesburg, IL 61401
I am committed to providing the most effective support, having pursued extensive training and certifications in evidence-based practices such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Expressive Art Therapy, and Sexual Assault Crisis Intervention. Her primary therapeutic approach is solution-focused and rooted in CBT, creating a warm and welcoming space where clients feel safe to explore their authentic selves.
I am committed to providing the most effective support, having pursued extensive training and certifications in evidence-based practices such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Expressive Art Therapy, and Sexual Assault Crisis Intervention. Her primary therapeutic approach is solution-focused and rooted in CBT, creating a warm and welcoming space where clients feel safe to explore their authentic selves.
(309) 727-8052 View (309) 727-8052
Photo of Rebecca Cotton, Clinical Social Work/Therapist, LCSW
Rebecca Cotton
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
I specialize in working with veterans and first responders who carry the invisible weight of service. Many of my clients are high-functioning and dependable, yet quietly struggling with anxiety, irritability, sleep difficulties, or relationship strain. You may look like you have it all together on the outside while feeling overwhelmed, on edge, or disconnected on the inside. In our work together, we focus on practical tools to manage stress, improve communication, and help you regain a sense of control and balance. My approach is structured, collaborative, and grounded in real-life strategies that fit your world — not just theory.
I specialize in working with veterans and first responders who carry the invisible weight of service. Many of my clients are high-functioning and dependable, yet quietly struggling with anxiety, irritability, sleep difficulties, or relationship strain. You may look like you have it all together on the outside while feeling overwhelmed, on edge, or disconnected on the inside. In our work together, we focus on practical tools to manage stress, improve communication, and help you regain a sense of control and balance. My approach is structured, collaborative, and grounded in real-life strategies that fit your world — not just theory.
(630) 556-8794 View (630) 556-8794
Photo of Katherine Ferrara, Clinical Social Work/Therapist, LCSW, PhD
Katherine Ferrara
Clinical Social Work/Therapist, LCSW, PhD
Altona, IL 61414
Waitlist for new clients
This is a non VA affiliated practice solely treating veterans, service members, and their families. This practice specializes in treating trauma, depression and anxiety.
This is a non VA affiliated practice solely treating veterans, service members, and their families. This practice specializes in treating trauma, depression and anxiety.
(303) 529-2201 View (303) 529-2201
Photo of Lisa Schwab, Counselor, LCPC, NCC, CTC, DCC, EAS-C
Lisa Schwab
Counselor, LCPC, NCC, CTC, DCC, EAS-C
3 Endorsed
Galesburg, IL 61401
Life is complex. At times, it can feel heavy, disorienting, and deeply painful. Unexpected events and unresolved wounds can leave us navigating a sea of emotions grief, fear, shame, uncertainty, and self-doubt. We may find ourselves stuck in patterns that no longer serve us, holding onto limiting beliefs, fractured relationships, or behaviors that mask the pain rather than heal it. You don’t have to navigate this alone.I’ve found that people often come to us in some of their darkest, most painful, and vulnerable moments — and I consider that sacred. To be trusted in those moments is an honor I do not take lightly. This work is
Life is complex. At times, it can feel heavy, disorienting, and deeply painful. Unexpected events and unresolved wounds can leave us navigating a sea of emotions grief, fear, shame, uncertainty, and self-doubt. We may find ourselves stuck in patterns that no longer serve us, holding onto limiting beliefs, fractured relationships, or behaviors that mask the pain rather than heal it. You don’t have to navigate this alone.I’ve found that people often come to us in some of their darkest, most painful, and vulnerable moments — and I consider that sacred. To be trusted in those moments is an honor I do not take lightly. This work is
(309) 351-5255 View (309) 351-5255
Photo of Carol Ann Peppers-Taylor, Counselor
Carol Ann Peppers-Taylor
Counselor
Galesburg, IL 61401
Are you feeling more worried, stressed, or irritable than usual — either at home, at work, or with the people you care about? Many of us find ourselves overwhelmed during major life transitions or even during the day-to-day routines that slowly wear us down. These experiences can affect mood, sleep, relationships, and overall health. Together, we’ll explore what’s been weighing on you, how it’s impacting your life, and what you truly want moving forward so you can feel more grounded, capable, and confident in your daily experiences.
Are you feeling more worried, stressed, or irritable than usual — either at home, at work, or with the people you care about? Many of us find ourselves overwhelmed during major life transitions or even during the day-to-day routines that slowly wear us down. These experiences can affect mood, sleep, relationships, and overall health. Together, we’ll explore what’s been weighing on you, how it’s impacting your life, and what you truly want moving forward so you can feel more grounded, capable, and confident in your daily experiences.
(773) 839-7247 View (773) 839-7247
Photo of Jason Davis, Counselor, MA, LCPC, NCC
Jason Davis
Counselor, MA, LCPC, NCC
2 Endorsed
Galesburg, IL 61401
I believe counseling is a collaborative process that's rooted in a supportive, therapeutic relationship. I focus on creating a sense of safety and trust that allows for exploration of vulnerabilities, recognition of strengths/weaknesses, and increasing insight into your patterns of thinking and behavior. I bring an individualized, eclectic approach that utilizes multiple theoretical orientations into my personal therapeutic style. My main goal is for you to feel like you're healing and growing as a person in all areas of life.
I believe counseling is a collaborative process that's rooted in a supportive, therapeutic relationship. I focus on creating a sense of safety and trust that allows for exploration of vulnerabilities, recognition of strengths/weaknesses, and increasing insight into your patterns of thinking and behavior. I bring an individualized, eclectic approach that utilizes multiple theoretical orientations into my personal therapeutic style. My main goal is for you to feel like you're healing and growing as a person in all areas of life.
(309) 271-1696 View (309) 271-1696
Photo of Dr. Eleni Malamis, Psychologist, PsyD, MA
Dr. Eleni Malamis
Psychologist, PsyD, MA
Galesburg, IL 61401
I am a licensed clinical psychologist who has devoted my clinical work to assisting adult individuals with a broad spectrum of concerns. I provide warm and caring support to those struggling with life's challenges. Specifically, I enjoy working with individuals in the following areas: depression, anxiety, substance abuse, life transitions, low self-esteem, communication, and relationship concerns.
I am a licensed clinical psychologist who has devoted my clinical work to assisting adult individuals with a broad spectrum of concerns. I provide warm and caring support to those struggling with life's challenges. Specifically, I enjoy working with individuals in the following areas: depression, anxiety, substance abuse, life transitions, low self-esteem, communication, and relationship concerns.
(630) 506-3906 View (630) 506-3906
Photo of Nick Riehlmann - Nick Riehlmann: Men's Therapy, Anxiety, Substances, Clinical Social Work/Therapist, LCSW
Nick Riehlmann: Men's Therapy, Anxiety, Substances
Clinical Social Work/Therapist, LCSW
6 Endorsed
Galesburg, IL 61401
I specialize in helping men and couples navigate the pressure of modern life. From high-functioning anxiety and anger to disconnection, communication issues, or feeling stuck. Whether you’re trying to rebuild your confidence, work through relationship tension, or just figure out why you feel so irritable and burnt out, we’ll cut through the noise and get to what actually works. My approach is direct, grounded, and practical. No fluff, no endless venting. Just focused, evidence-based support, so you can understand what’s going on beneath the surface, feel more in control, and finally start moving forward.
I specialize in helping men and couples navigate the pressure of modern life. From high-functioning anxiety and anger to disconnection, communication issues, or feeling stuck. Whether you’re trying to rebuild your confidence, work through relationship tension, or just figure out why you feel so irritable and burnt out, we’ll cut through the noise and get to what actually works. My approach is direct, grounded, and practical. No fluff, no endless venting. Just focused, evidence-based support, so you can understand what’s going on beneath the surface, feel more in control, and finally start moving forward.
(847) 925-7406 View (847) 925-7406
Photo of Catherine Strunge, Clinical Social Work/Therapist, MSW, LCSW
Catherine Strunge
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Feeling anxious, burnt out, stuck, or just not quite like yourself? I'm a Chicago therapist working with adults across Illinois navigating the real weight of everyday life — relationships, transitions, depression, stress, and everything in between. I'm relaxed, open-minded, and genuinely nonjudgmental; I'll create a space where you can just be honest. There’s no “right way” to do therapy—my goal is to adapt to what you need, whether that’s processing difficult emotions, developing coping skills, or gaining insight into patterns that aren’t serving you.
Feeling anxious, burnt out, stuck, or just not quite like yourself? I'm a Chicago therapist working with adults across Illinois navigating the real weight of everyday life — relationships, transitions, depression, stress, and everything in between. I'm relaxed, open-minded, and genuinely nonjudgmental; I'll create a space where you can just be honest. There’s no “right way” to do therapy—my goal is to adapt to what you need, whether that’s processing difficult emotions, developing coping skills, or gaining insight into patterns that aren’t serving you.
(312) 598-8653 View (312) 598-8653
Photo of Jill Martinez, Clinical Social Work/Therapist, LCSW
Jill Martinez
Clinical Social Work/Therapist, LCSW
Online Only
Hi! I'm Jill Martinez, a licensed clinical social worker with over 20 years of experience. I am dedicated to helping you navigate life’s challenges with clarity, confidence, and compassion. Whether you’re feeling overwhelmed, stuck, or simply ready for change, I provide a safe, supportive space where your story is heard and your growth is the priority.
Hi! I'm Jill Martinez, a licensed clinical social worker with over 20 years of experience. I am dedicated to helping you navigate life’s challenges with clarity, confidence, and compassion. Whether you’re feeling overwhelmed, stuck, or simply ready for change, I provide a safe, supportive space where your story is heard and your growth is the priority.
(630) 884-5843 View (630) 884-5843
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Serves Area
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(309) 893-8447 View (309) 893-8447

How does your Therapist compare?

Number of Therapists in Knox County, IL

20+

Average cost per session

$125

Therapists in Knox County, IL who prioritize treating:

90% Depression
90% Anxiety
72% Trauma and PTSD
69% Self Esteem
66% Relationship Issues
66% Stress
62% Grief

Average years in practice

13 Years

Top 3 insurances accepted

92% Aetna
73% BlueCross and BlueShield
73% Cigna and Evernorth

How Therapists in Knox County, IL see their clients

69% In Person and Online
31% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Knox County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.