Therapists in Saint Johns, MI

Photo of ASK Counseling, Pastoral Counselor in Saint Johns, MI
ASK Counseling
Pastoral Counselor, MA, LPC, NCE
Verified Verified
Saint Johns, MI 48879
ASK Counseling stands for Ask, Seek, and Knock. I can help you ask, seek, and knock to grow and flourish. If what you feel, see and do now in your life, family or marriage, is painful, call me. Together we can bring about change and growth.
ASK Counseling stands for Ask, Seek, and Knock. I can help you ask, seek, and knock to grow and flourish. If what you feel, see and do now in your life, family or marriage, is painful, call me. Together we can bring about change and growth.
(517) 878-4580 View (517) 878-4580
Photo of Amanda Schulze, Counselor in Saint Johns, MI
Amanda Schulze
Counselor, LLPC
Not Verified Not Verified
Saint Johns, MI 48879
I believe that clients know themselves the best and I'm here to guide them to reach their fullest potential.
I believe that clients know themselves the best and I'm here to guide them to reach their fullest potential.
(989) 224-3000 x1 View (989) 224-3000 x1
Photo of Heather R. Horvath, Licensed Professional Counselor in Saint Johns, MI
Heather R. Horvath
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Johns, MI 48879
Oh the healing power of therapy! I feel passionate that everyone has a unique life story, and that some of life's chapters deserve a closer look to bring about improved coping, healing, and positive change. My approach is eclectic and trauma informed. I draw upon reality theory and the study of behaviors and neurocognitive development. I use CBT, mindfulness, and other practices as appropriate. The goals of therapy and the techniques used are based on each client's individual needs. I am proud to be working with community agencies, corrections and families for over 15 years.
Oh the healing power of therapy! I feel passionate that everyone has a unique life story, and that some of life's chapters deserve a closer look to bring about improved coping, healing, and positive change. My approach is eclectic and trauma informed. I draw upon reality theory and the study of behaviors and neurocognitive development. I use CBT, mindfulness, and other practices as appropriate. The goals of therapy and the techniques used are based on each client's individual needs. I am proud to be working with community agencies, corrections and families for over 15 years.
(989) 447-2566 View (989) 447-2566
Photo of Rosie Spagnuolo Bickert, Clinical Social Work/Therapist in Saint Johns, MI
Rosie Spagnuolo Bickert
Clinical Social Work/Therapist, LMSW, ACSW, EGCM
Verified Verified
1 Endorsed
Saint Johns, MI 48879
Not accepting new clients
Not accepting new clients: I gravitate to "working outside the box" with individuals, groups, couples, and families whose lives have been negatively impacted by trauma. I have focused on women and men who were physically, emotionally or sexually abused as children or individuals traumatized as adults. Treating veterans and/or active duty military personnel who have served in war zones is of special interest to me. I have seen first hand the difficulty so many of them have reintegrating into their families and into civilian life. I find a tremendous amount of fulfillment and joy walking with them on their journey back into life.
Not accepting new clients: I gravitate to "working outside the box" with individuals, groups, couples, and families whose lives have been negatively impacted by trauma. I have focused on women and men who were physically, emotionally or sexually abused as children or individuals traumatized as adults. Treating veterans and/or active duty military personnel who have served in war zones is of special interest to me. I have seen first hand the difficulty so many of them have reintegrating into their families and into civilian life. I find a tremendous amount of fulfillment and joy walking with them on their journey back into life.
(517) 459-7199 View (517) 459-7199
Photo of Spicer Counseling Services, PLLC, Licensed Professional Counselor in Saint Johns, MI
Spicer Counseling Services, PLLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Saint Johns, MI 48879
Are you struggling with anxiety, depression, attention problems or relationship issues? Do you wish you had some additional support, coping skills or strategies? I help my clients let go of fears, establish strong boundaries, and create healthier more fulfilling relationships. I assist my clients in developing more self-awareness, self-confidence, and emotional connection to themselves and others. You deserve to be happy in your journey through life and develop meaningful relationships. Feel free to call or email me and we can determine if I would be a good fit for you and your needs.
Are you struggling with anxiety, depression, attention problems or relationship issues? Do you wish you had some additional support, coping skills or strategies? I help my clients let go of fears, establish strong boundaries, and create healthier more fulfilling relationships. I assist my clients in developing more self-awareness, self-confidence, and emotional connection to themselves and others. You deserve to be happy in your journey through life and develop meaningful relationships. Feel free to call or email me and we can determine if I would be a good fit for you and your needs.
(989) 292-3432 View (989) 292-3432
Photo of Riley Caudill Nickerson, Clinical Social Work/Therapist in Saint Johns, MI
Riley Caudill Nickerson
Clinical Social Work/Therapist, LMSW
Not Verified Not Verified
2 Endorsed
Saint Johns, MI 48879
If you are like me, the step of reaching out to someone when you're struggling is the hardest part. I do my best to offer a welcoming environment to all people. I have training in helping people who have experienced trauma or stress in their life, teaching skills to help clients feel more in control of their emotions, and guiding people to learn what coping skills they can use to get through more difficult times in their life! I know that each person is unique, so my treatment approach is different for each individual.
If you are like me, the step of reaching out to someone when you're struggling is the hardest part. I do my best to offer a welcoming environment to all people. I have training in helping people who have experienced trauma or stress in their life, teaching skills to help clients feel more in control of their emotions, and guiding people to learn what coping skills they can use to get through more difficult times in their life! I know that each person is unique, so my treatment approach is different for each individual.
(517) 793-5910 View (517) 793-5910
Photo of Fox Therapy Solutions, LLC, Licensed Professional Counselor in Saint Johns, MI
Fox Therapy Solutions, LLC
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
Saint Johns, MI 48879  (Online Only)
I believe that everyone desires to live their best life. We all share the desire to be happy and content. I believe that the therapeutic process is collaborative and interactive. The process should also be relaxing and enjoyable...even when tackling difficult topics. I would like to help you to achieve whatever goals you have for yourself and help you to overcome the obstacles that are standing in your way. These obstacles can be depression, anxiety, grief, trauma, PTSD, and substance abuse... just to name a few. Let me help you work through those.
I believe that everyone desires to live their best life. We all share the desire to be happy and content. I believe that the therapeutic process is collaborative and interactive. The process should also be relaxing and enjoyable...even when tackling difficult topics. I would like to help you to achieve whatever goals you have for yourself and help you to overcome the obstacles that are standing in your way. These obstacles can be depression, anxiety, grief, trauma, PTSD, and substance abuse... just to name a few. Let me help you work through those.
(517) 236-8594 View (517) 236-8594
Photo of Kimberly Cena, Clinical Social Work/Therapist in Saint Johns, MI
Kimberly Cena
Clinical Social Work/Therapist, LMSW, IMH-E
Verified Verified
Saint Johns, MI 48879
Everyone deserves a sense of control over their lives. When terrible things happen it can feel like the wind has been knocked out of you. The world feels unsafe. Feelings of deep sadness, fear, shame and a rawness seem to linger. Many people feel as though they are damaged goods and wonder if they will ever be themselves again, or if they will ever be happy again. Imagine what it will be like when you have more good days then bad, when you feel the laughter, when you hear your child start to sing again. In a relaxed, safe environment you will receive support, encouragement, and the skills you need to thrive not just survive.
Everyone deserves a sense of control over their lives. When terrible things happen it can feel like the wind has been knocked out of you. The world feels unsafe. Feelings of deep sadness, fear, shame and a rawness seem to linger. Many people feel as though they are damaged goods and wonder if they will ever be themselves again, or if they will ever be happy again. Imagine what it will be like when you have more good days then bad, when you feel the laughter, when you hear your child start to sing again. In a relaxed, safe environment you will receive support, encouragement, and the skills you need to thrive not just survive.
(517) 201-2834 View (517) 201-2834
Photo of Brianne Dangc, Clinical Social Work/Therapist in Saint Johns, MI
Brianne Dangc
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Saint Johns, MI 48879
Life changes happen to all of us. Sometimes they happen all at once and sometimes they happen over a long period of time. Maybe you've found yourself struggling to adjust to a major life change or maybe you've realized that it's time to talk about issues that have been building over many years. Whatever the case, I believe that now is the just the right time to begin the process of healing, building connection, and living wholeheartedly.
Life changes happen to all of us. Sometimes they happen all at once and sometimes they happen over a long period of time. Maybe you've found yourself struggling to adjust to a major life change or maybe you've realized that it's time to talk about issues that have been building over many years. Whatever the case, I believe that now is the just the right time to begin the process of healing, building connection, and living wholeheartedly.
(517) 300-0957 View (517) 300-0957
Photo of Maggie May Meister, Counselor in Saint Johns, MI
Maggie May Meister
Counselor, LLPC, CCM
Verified Verified
2 Endorsed
Saint Johns, MI 48879  (Online Only)
Accepting New Clients! Immediate openings once your paperwork is completed! It takes a lot of strength and courage to seek out therapy. I want to welcome you to online therapy. My name is Maggie Meister (she/her/hers). I enjoy helping others by creating a safe space, building a therapeutic relationship, listening, understanding, and allowing you to unpack your emotions. As a clinician, I use evidence-based/informed practices to achieve the goals you have set. Our sessions will be from the comfort of your own home on a virtual platform where you can express your emotions and yourself without judgement.
Accepting New Clients! Immediate openings once your paperwork is completed! It takes a lot of strength and courage to seek out therapy. I want to welcome you to online therapy. My name is Maggie Meister (she/her/hers). I enjoy helping others by creating a safe space, building a therapeutic relationship, listening, understanding, and allowing you to unpack your emotions. As a clinician, I use evidence-based/informed practices to achieve the goals you have set. Our sessions will be from the comfort of your own home on a virtual platform where you can express your emotions and yourself without judgement.
(616) 383-2974 View (616) 383-2974

Online Therapists

Photo of Tiana Kennedy, Licensed Professional Counselor in Saint Johns, MI
Tiana Kennedy
Licensed Professional Counselor, LPC
Verified Verified
Royal Oak, MI 48067
Do you find yourself struggling with anxiety that disrupts your daily life? Are you a parent feeling overwhelmed by your child's behaviors? Are you facing relationship challenges? Or perhaps you're contending with intense emotional upheaval and difficulty regulating your feelings? I specialize in assisting individuals dealing with PTSD and other significant mental health concerns.
Do you find yourself struggling with anxiety that disrupts your daily life? Are you a parent feeling overwhelmed by your child's behaviors? Are you facing relationship challenges? Or perhaps you're contending with intense emotional upheaval and difficulty regulating your feelings? I specialize in assisting individuals dealing with PTSD and other significant mental health concerns.
(248) 845-1713 View (248) 845-1713
Photo of I.R. Horn & Associates, LLC, Licensed Professional Counselor in Saint Johns, MI
I.R. Horn & Associates, LLC
Licensed Professional Counselor, MA, LPC, EdSpec
Verified Verified
Southfield, MI 48076  (Online Only)
I am Ivy Horn, a Licensed Professional Counselor who has been counseling for over 30 years. I have provided Personal and Academic guidance during an amazing career. My mission is to provide genuine, caring, realistic and a safe space for clients to feel comfortable in being open and honest, while exploring their concerns. I specialize in working with youths, teens, young adults, and adults in assisting them in understanding, managing life issues and working through difficult emotions and experiences, both past and present. Discovering what tools will help towards crafting a balance and successful presence in life.
I am Ivy Horn, a Licensed Professional Counselor who has been counseling for over 30 years. I have provided Personal and Academic guidance during an amazing career. My mission is to provide genuine, caring, realistic and a safe space for clients to feel comfortable in being open and honest, while exploring their concerns. I specialize in working with youths, teens, young adults, and adults in assisting them in understanding, managing life issues and working through difficult emotions and experiences, both past and present. Discovering what tools will help towards crafting a balance and successful presence in life.
(947) 218-6921 View (947) 218-6921
Photo of Sarah R. Adair Williams, Clinical Social Work/Therapist in Saint Johns, MI
Sarah R. Adair Williams
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Southfield, MI 48076
After our first session, most of my clients express feeling relief and hope. Later in therapy, they tell me that sessions have changed their lives in surprising ways, and that they have learned things about themselves they didn't know before. It's very important to me that therapy is useful and helpful. During our first session, we'll explore your goals and needs in therapy, and how you would like to feel better. At the end of our first hour together, you'll have someone on your side to help, and a plan to move forward. I look forward to connecting with you soon!
After our first session, most of my clients express feeling relief and hope. Later in therapy, they tell me that sessions have changed their lives in surprising ways, and that they have learned things about themselves they didn't know before. It's very important to me that therapy is useful and helpful. During our first session, we'll explore your goals and needs in therapy, and how you would like to feel better. At the end of our first hour together, you'll have someone on your side to help, and a plan to move forward. I look forward to connecting with you soon!
(313) 251-2517 View (313) 251-2517
Photo of Kara Bunton, Clinical Social Work/Therapist in Saint Johns, MI
Kara Bunton
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Ann Arbor, MI 48105
Our mission at Inspire Behavioral Health is to inspire balance, hope and personal growth. Mental health therapy can be an important part of your journey toward emotional well-being and healing. We believe that each individual is unique in their experiences, strengths and needs, and thus brings a different perspective to session. We look forward to collaborating with you to begin to explore thoughts, feelings and behaviors related to anxiety, work and family stress, grief and loss, self-esteem, trauma, substance abuse and co-occurring disorders. Please call so we can discuss your needs and preferences.
Our mission at Inspire Behavioral Health is to inspire balance, hope and personal growth. Mental health therapy can be an important part of your journey toward emotional well-being and healing. We believe that each individual is unique in their experiences, strengths and needs, and thus brings a different perspective to session. We look forward to collaborating with you to begin to explore thoughts, feelings and behaviors related to anxiety, work and family stress, grief and loss, self-esteem, trauma, substance abuse and co-occurring disorders. Please call so we can discuss your needs and preferences.
(734) 294-0715 View (734) 294-0715
Photo of Wilcox Wellness , Clinical Social Work/Therapist in Saint Johns, MI
Wilcox Wellness
Clinical Social Work/Therapist, LMSW
Verified Verified
Detroit, MI 48221
As a product of the Child Welfare System, I knew at a young age that I wanted to give back and help others. I attended Wagner College where I studied Sociology and later pursued a master's degree in Social Work from Michigan State University. I value the importance of mental health and provide a comprehensive set of services to help you secure, maintain, and nurture peace of mind. Wilcox Wellness provides the tools to help you Master the Art of Living as you navigate your mental health and wellness journey.
As a product of the Child Welfare System, I knew at a young age that I wanted to give back and help others. I attended Wagner College where I studied Sociology and later pursued a master's degree in Social Work from Michigan State University. I value the importance of mental health and provide a comprehensive set of services to help you secure, maintain, and nurture peace of mind. Wilcox Wellness provides the tools to help you Master the Art of Living as you navigate your mental health and wellness journey.
(313) 513-1752 View (313) 513-1752
Photo of Josephine L. Parrish Leftwich, Licensed Professional Counselor in Saint Johns, MI
Josephine L. Parrish Leftwich
Licensed Professional Counselor, MA, LLP, LPC
Verified Verified
6 Endorsed
Warren, MI 48093
I provide counseling for clients experiencing concerns such as anxiety, depression, difficult life transitions, social impairment, and academic difficulty. I provide psychological assessments for those undergoing bariatric (weight loss) surgery, spinal cord stimulator implants for pain management, and other medical procedures.
I provide counseling for clients experiencing concerns such as anxiety, depression, difficult life transitions, social impairment, and academic difficulty. I provide psychological assessments for those undergoing bariatric (weight loss) surgery, spinal cord stimulator implants for pain management, and other medical procedures.
(586) 522-4039 View (586) 522-4039
Photo of Alternative Approach Therapy , Clinical Social Work/Therapist in Saint Johns, MI
Alternative Approach Therapy
Clinical Social Work/Therapist, LLMSW
Verified Verified
Clare, MI 48617
I’m just going to be real with you: Therapy is hard! Finding someone who understands you and is non-judgmental is also hard. That’s why we give up on therapy. No one gets us, and quite frankly, all the noise inside our heads and all the stuff happening around us is so overwhelming it can all become too much to manage, so we quit therapy and find ways to manage alone. I have been there! I understand your frustration. I would love nothing more than to restore your faith in therapy and help you find honor and acceptance in your journey. I know you have tried before and might be skeptical, but I see you and I understand you.
I’m just going to be real with you: Therapy is hard! Finding someone who understands you and is non-judgmental is also hard. That’s why we give up on therapy. No one gets us, and quite frankly, all the noise inside our heads and all the stuff happening around us is so overwhelming it can all become too much to manage, so we quit therapy and find ways to manage alone. I have been there! I understand your frustration. I would love nothing more than to restore your faith in therapy and help you find honor and acceptance in your journey. I know you have tried before and might be skeptical, but I see you and I understand you.
(989) 313-3549 View (989) 313-3549
Photo of Esra Karaca, Psychologist in Saint Johns, MI
Esra Karaca
Psychologist, MA, PsyD, LP
Verified Verified
Bloomfield Hills, MI 48304  (Online Only)
Teletherapy has become increasingly preferred by many individuals and can be an excellent way to incorporate self-care and help manage anxiety and other emotions, whether chronic or situation based. Please call me to learn about this valuable telehealth option. Esra Karaca, PsyD LP is a licensed clinical psychologist specializing in psychotherapy and neuropsychological assessment. She provides psychotherapy and psychological evaluations to individuals, couples and families.
Teletherapy has become increasingly preferred by many individuals and can be an excellent way to incorporate self-care and help manage anxiety and other emotions, whether chronic or situation based. Please call me to learn about this valuable telehealth option. Esra Karaca, PsyD LP is a licensed clinical psychologist specializing in psychotherapy and neuropsychological assessment. She provides psychotherapy and psychological evaluations to individuals, couples and families.
(248) 918-0762 View (248) 918-0762
Photo of Claudia Hall, Counselor in Saint Johns, MI
Claudia Hall
Counselor, MA, LLPC
Verified Verified
Ann Arbor, MI 48104
I am a Limited Licensed Professional Counselor (LLPC). I have experience with various different populations with more of a focus on young adults. My clinical training and experiences include working with anxiety, depression, trauma, grief and loss, identity issues, LGBTQ2S+, addiction, and relationship issues. I have earned my Bachelor’s of Art in Psychology from Southern Illinois University and a Master’s of Art in Clinical Mental Health Counseling from Eastern Michigan University. My primary interest is working with adults of all ages; however I also offer counseling to adolescents. I work with an integrated theoretical approach.
I am a Limited Licensed Professional Counselor (LLPC). I have experience with various different populations with more of a focus on young adults. My clinical training and experiences include working with anxiety, depression, trauma, grief and loss, identity issues, LGBTQ2S+, addiction, and relationship issues. I have earned my Bachelor’s of Art in Psychology from Southern Illinois University and a Master’s of Art in Clinical Mental Health Counseling from Eastern Michigan University. My primary interest is working with adults of all ages; however I also offer counseling to adolescents. I work with an integrated theoretical approach.
(734) 270-6664 View (734) 270-6664
Photo of Emily Kay Voelker, Clinical Social Work/Therapist in Saint Johns, MI
Emily Kay Voelker
Clinical Social Work/Therapist, LMSW, QMHP, CMHP
Verified Verified
Midland, MI 48642
I am currently welcoming new clients of all ages who are seeking treatment for various conditions and symptoms. I would be a great fit for clients looking to cope with Anxiety, OCD, Insomnia, Perfectionism, Pre/Postnatal Anxiety, Postpartum Depression and the transition to early parenthood. I offer over 10 years of experience working as a mental health professional. I believe in the importance of the mind/body connection and incorporate it into the healing process. I use models including Cognitive Behavioral Therapy, Mindfulness, Exposure Techniques and Equine Assisted Therapy.
I am currently welcoming new clients of all ages who are seeking treatment for various conditions and symptoms. I would be a great fit for clients looking to cope with Anxiety, OCD, Insomnia, Perfectionism, Pre/Postnatal Anxiety, Postpartum Depression and the transition to early parenthood. I offer over 10 years of experience working as a mental health professional. I believe in the importance of the mind/body connection and incorporate it into the healing process. I use models including Cognitive Behavioral Therapy, Mindfulness, Exposure Techniques and Equine Assisted Therapy.
(989) 625-9601 View (989) 625-9601

See more therapy options for Saint Johns

How does your Therapist compare?

Number of Therapists in Saint Johns, MI

10+

Average cost per session

$150

Therapists in Saint Johns, MI who prioritize treating:

100% Depression
100% Anxiety
90% Grief
90% Coping Skills
80% Self Esteem
70% Life Coaching
60% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
89% McLaren
78% Blue Care Network

How Therapists in Saint Johns, MI see their clients

80% In Person and Online
20% Online Only

Gender breakdown

100% Female

FAQs - About Therapy and Counseling

How can I find a therapist in Saint Johns?

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.