Therapists in Shawnee, KS

Photo of Colby Bruner, Marriage & Family Therapist, MS, LCMFT, ADHDCSP
Colby Bruner
Marriage & Family Therapist, MS, LCMFT, ADHDCSP
5 Endorsed
Shawnee, KS 66203
Many people struggle feeling like they need to hold it all together and push through, all while trying to navigate the overwhelming realities of life. My passion is in helping you lift the burden you’ve been carrying and truly see and hear your story. You don't need a reason to start therapy; sometimes you just need someone to talk to and process relationship struggles or even current events. As an attachment-based therapist, we’ll reflect on how your symptoms are not a reflection of some personal flaw, but rather as a symptom of a larger relational problem. My goal is to become a safe and consistent attachment figure for you.
Many people struggle feeling like they need to hold it all together and push through, all while trying to navigate the overwhelming realities of life. My passion is in helping you lift the burden you’ve been carrying and truly see and hear your story. You don't need a reason to start therapy; sometimes you just need someone to talk to and process relationship struggles or even current events. As an attachment-based therapist, we’ll reflect on how your symptoms are not a reflection of some personal flaw, but rather as a symptom of a larger relational problem. My goal is to become a safe and consistent attachment figure for you.
(913) 347-4850 View (913) 347-4850
Photo of Subrena S Hicks, Licensed Professional Counselor, MA, LCPC, NCC
Subrena S Hicks
Licensed Professional Counselor, MA, LCPC, NCC
Shawnee, KS 66203
Love in Gray Counseling Services is about finding the strength, hope, and love for yourself or loved ones in the midst of a storm. Everyone's situation looks different, and today you are one step closer to discovering positive growth, and well-being. I am a Licensed Professional Counselor with a Master of Arts in Counseling from MidAmerica Nazarene University. I work with a variety of clients such as individuals, couples, families, and adolescents. My treatment approach to therapy is Experiential, and Attachment based. To learn more about this approach visit my website. Book with me now by clicking on my website
Love in Gray Counseling Services is about finding the strength, hope, and love for yourself or loved ones in the midst of a storm. Everyone's situation looks different, and today you are one step closer to discovering positive growth, and well-being. I am a Licensed Professional Counselor with a Master of Arts in Counseling from MidAmerica Nazarene University. I work with a variety of clients such as individuals, couples, families, and adolescents. My treatment approach to therapy is Experiential, and Attachment based. To learn more about this approach visit my website. Book with me now by clicking on my website
(913) 305-4420 View (913) 305-4420
Photo of Bridgette D Mavec, Clinical Social Work/Therapist, LSCSW, LCSW, LISW
Bridgette D Mavec
Clinical Social Work/Therapist, LSCSW, LCSW, LISW
Online Only
I am a Licensed Clinical Social Worker in 5 states including: Kansas, Missouri, South Carolina, New York and Tennessee. I have been practicing therapy for over 25 years, specializing in anxiety, depression, and trauma. I believe in creating a safe and supportive therapeutic environment where you can feel comfortable exploring your thoughts and emotions.
I am a Licensed Clinical Social Worker in 5 states including: Kansas, Missouri, South Carolina, New York and Tennessee. I have been practicing therapy for over 25 years, specializing in anxiety, depression, and trauma. I believe in creating a safe and supportive therapeutic environment where you can feel comfortable exploring your thoughts and emotions.
(913) 404-4650 View (913) 404-4650
Photo of Jenni Mahurin, Clinical Social Work/Therapist, LMSW
Jenni Mahurin
Clinical Social Work/Therapist, LMSW
2 Endorsed
Shawnee, KS 66203
Hello! I offer individual counseling services in Shawnee, KS. I am a queer Filipina-American with a military childhood, and I enjoy connecting with diverse clients and discovering our similarities and differences! I feel honored when working amongst those who value personal growth and inner healing.
Hello! I offer individual counseling services in Shawnee, KS. I am a queer Filipina-American with a military childhood, and I enjoy connecting with diverse clients and discovering our similarities and differences! I feel honored when working amongst those who value personal growth and inner healing.
(913) 430-9506 View (913) 430-9506
Photo of Michael Lloyd McGaugh, Licensed Professional Counselor, LPC
Michael Lloyd McGaugh
Licensed Professional Counselor, LPC
Shawnee, KS 66216
Hello: Many of my clients arrive at therapy carrying weight they've held for a long time — the quiet heaviness of depression, the restlessness of anxiety, or the ache of grief that doesn't seem to lift no matter how much time passes. Whether you're a teenager navigating a world that feels overwhelming, an adult wondering why things still feel this hard, or a couple struggling to find your way back to each other — you don't have to figure it out alone. I've spent 14 years walking alongside people through exactly these kinds of moments, and I know that reaching out is often the hardest step. My approach is grounded in the belief th
Hello: Many of my clients arrive at therapy carrying weight they've held for a long time — the quiet heaviness of depression, the restlessness of anxiety, or the ache of grief that doesn't seem to lift no matter how much time passes. Whether you're a teenager navigating a world that feels overwhelming, an adult wondering why things still feel this hard, or a couple struggling to find your way back to each other — you don't have to figure it out alone. I've spent 14 years walking alongside people through exactly these kinds of moments, and I know that reaching out is often the hardest step. My approach is grounded in the belief th
(913) 513-2531 View (913) 513-2531
Photo of Abigail Toy, Clinical Social Work/Therapist, LCSW, LSCSW
Abigail Toy
Clinical Social Work/Therapist, LCSW, LSCSW
2 Endorsed
Shawnee, KS 66203
Are you having sex or sexuality concerns? Exploring your gender? Or dealing with depression, anxiety, or trauma symptoms? If so we may be the perfect fit! As a member of queer community myself, I love the opportunity to work with individuals from the community.
Are you having sex or sexuality concerns? Exploring your gender? Or dealing with depression, anxiety, or trauma symptoms? If so we may be the perfect fit! As a member of queer community myself, I love the opportunity to work with individuals from the community.
(913) 320-5497 View (913) 320-5497
Photo of Brooke Adamek, Licensed Professional Counselor, LPC
Brooke Adamek
Licensed Professional Counselor, LPC
2 Endorsed
Shawnee, KS 66226
Hello, I’m Brooke Adamek, a Licensed Professional Counselor. I’m glad you’re here. Starting therapy can feel intimidating, and you don't need to have everything figured out to begin. I work with individuals navigating anxiety, stress, life transitions, and patterns that feel hard to break. Many people come in feeling overwhelmed, stuck, or unsure how to move forward, and want something to actually feel different. Your patterns developed for a reason. They helped you cope or stay safe. Even your nervous system has learned to respond in certain ways based on what you have experienced. The goal is not to judge that, but to understand.
Hello, I’m Brooke Adamek, a Licensed Professional Counselor. I’m glad you’re here. Starting therapy can feel intimidating, and you don't need to have everything figured out to begin. I work with individuals navigating anxiety, stress, life transitions, and patterns that feel hard to break. Many people come in feeling overwhelmed, stuck, or unsure how to move forward, and want something to actually feel different. Your patterns developed for a reason. They helped you cope or stay safe. Even your nervous system has learned to respond in certain ways based on what you have experienced. The goal is not to judge that, but to understand.
(913) 799-3136 View (913) 799-3136
Photo of Jordan Berry, Clinical Social Work/Therapist, LCSW, MAT, MA
Jordan Berry
Clinical Social Work/Therapist, LCSW, MAT, MA
4 Endorsed
Online Only
You want more from your therapy. You might be thinking, "I've done some work to understand myself and my childhood and it all makes sense, but I don't feel any better." Or, "I want support for what I'm going through right now, but I don't want to just cope with it forever. I'm ready to go deeper.” You're motivated to understand yourself and your relationships, but also to get to the bottom of what really hurts and actually heal—for good. Here's the thing: when you can finally honor all parts of yourself, you can transform pain and release it, empowering you to have more confidence, agency, and authenticity. I'm here to help.
You want more from your therapy. You might be thinking, "I've done some work to understand myself and my childhood and it all makes sense, but I don't feel any better." Or, "I want support for what I'm going through right now, but I don't want to just cope with it forever. I'm ready to go deeper.” You're motivated to understand yourself and your relationships, but also to get to the bottom of what really hurts and actually heal—for good. Here's the thing: when you can finally honor all parts of yourself, you can transform pain and release it, empowering you to have more confidence, agency, and authenticity. I'm here to help.
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Photo of Marcela Flynn, Clinical Social Work/Therapist, LSCSW
Marcela Flynn
Clinical Social Work/Therapist, LSCSW
Online Only
Hello! I'm Marcela Flynn, a Licensed Specialist Clinical Social Worker (LSCSW). Since beginning my mental health career in 2016, I've had the privilege of working with children, adolescents, adults, and families in community mental health, hospice care, psychiatric hospital settings, crisis intervention, and schools. I earned my degree from the University of Missouri–Columbia and am passionate about helping individuals navigate anxiety, depression, life transitions, relationship challenges, emotional and behavioral concerns, and other life stressors.
Hello! I'm Marcela Flynn, a Licensed Specialist Clinical Social Worker (LSCSW). Since beginning my mental health career in 2016, I've had the privilege of working with children, adolescents, adults, and families in community mental health, hospice care, psychiatric hospital settings, crisis intervention, and schools. I earned my degree from the University of Missouri–Columbia and am passionate about helping individuals navigate anxiety, depression, life transitions, relationship challenges, emotional and behavioral concerns, and other life stressors.
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Photo of Nicole Shaddix-Olsen, Counselor, LCPC
Nicole Shaddix-Olsen
Counselor, LCPC
Online Only
Relationship difficulties, intense emotions, anxiety, stress and depression -- these are issues that many face each day. If you are struggling, know that you are not alone and that you are stronger and wiser than you likely feel. Pain is inevitable in life, but we can learn from our experiences, adapt and create a life that is more peaceful and enjoyable. I want to provide a safe space for you to talk about your current and past experiences, to express the thoughts and feelings you are struggling with and to feel inspired and empowered to continue working on yourself and improving your life.
Relationship difficulties, intense emotions, anxiety, stress and depression -- these are issues that many face each day. If you are struggling, know that you are not alone and that you are stronger and wiser than you likely feel. Pain is inevitable in life, but we can learn from our experiences, adapt and create a life that is more peaceful and enjoyable. I want to provide a safe space for you to talk about your current and past experiences, to express the thoughts and feelings you are struggling with and to feel inspired and empowered to continue working on yourself and improving your life.
(913) 347-4769 View (913) 347-4769
Photo of Julie Nielsen-Thomason, Clinical Social Work/Therapist, LSCSW, LCSW
Julie Nielsen-Thomason
Clinical Social Work/Therapist, LSCSW, LCSW
1 Endorsed
Shawnee, KS 66216
I believe true healing comes from caring for the whole person—mind, body, and soul. Because every part of our being is interconnected, our experiences shape not only how we see ourselves but also how we relate to others. My goal is to help clients reconnect with their inner strength by healing the wounded parts within, creating space for lasting growth, resilience, and wholeness.
I believe true healing comes from caring for the whole person—mind, body, and soul. Because every part of our being is interconnected, our experiences shape not only how we see ourselves but also how we relate to others. My goal is to help clients reconnect with their inner strength by healing the wounded parts within, creating space for lasting growth, resilience, and wholeness.
(913) 393-9477 View (913) 393-9477
Photo of Angela McKeever, Clinical Social Work/Therapist, LSCSW
Angela McKeever
Clinical Social Work/Therapist, LSCSW
3 Endorsed
Shawnee, KS 66203
I believe a positive relationship with your therapist is one of the most important factors in the success of treatment. I ask you to bring an open mind and commitment to your journey to each session. Respecting where the individual is in their own process as well as respect for the individual who walks through the door, is of up most importance to me. Giving yourself permission to trust the process of therapy is a first step toward receiving positive benefits from therapy. It is an honor to for me to accompany you on your journey.
I believe a positive relationship with your therapist is one of the most important factors in the success of treatment. I ask you to bring an open mind and commitment to your journey to each session. Respecting where the individual is in their own process as well as respect for the individual who walks through the door, is of up most importance to me. Giving yourself permission to trust the process of therapy is a first step toward receiving positive benefits from therapy. It is an honor to for me to accompany you on your journey.
(785) 227-9005 View (785) 227-9005
Photo of Tanise Smith, Licensed Professional Counselor, MS, LPC, LCPC
Tanise Smith
Licensed Professional Counselor, MS, LPC, LCPC
4 Endorsed
Online Only
Are you feeling persistently low, stuck, or unmotivated? Do racing or intrusive thoughts make it difficult to rest at night? Are relationship challenges affecting your sense of connection or emotional safety? You may be navigating life transitions, loss, or recovering from narcissistic or emotionally abusive relationships. These experiences can leave you feeling overwhelmed, confused, or disconnected from yourself. Support can be an important part of healing—and you don’t have to do this alone.
Are you feeling persistently low, stuck, or unmotivated? Do racing or intrusive thoughts make it difficult to rest at night? Are relationship challenges affecting your sense of connection or emotional safety? You may be navigating life transitions, loss, or recovering from narcissistic or emotionally abusive relationships. These experiences can leave you feeling overwhelmed, confused, or disconnected from yourself. Support can be an important part of healing—and you don’t have to do this alone.
(913) 347-5540 View (913) 347-5540
Photo of Mimi Bachman, Clinical Social Work/Therapist, LCSW, LSCSW
Mimi Bachman
Clinical Social Work/Therapist, LCSW, LSCSW
2 Endorsed
Online Only
I help parents and caregivers get unstuck from a life of disconnection. Maybe you feel guilty for wanting more. Don't you already have the job, the partner, maybe kids? Even still, the edges are starting to fray and you don't feel connected to yourself and others in the ways you want. The self-help books, podcasts, and the mindfulness apps help, but there is still something missing.
I help parents and caregivers get unstuck from a life of disconnection. Maybe you feel guilty for wanting more. Don't you already have the job, the partner, maybe kids? Even still, the edges are starting to fray and you don't feel connected to yourself and others in the ways you want. The self-help books, podcasts, and the mindfulness apps help, but there is still something missing.
(913) 430-8768 View (913) 430-8768
Photo of Jen Lympus, Clinical Social Work/Therapist, LSCSW, LCSW
Jen Lympus
Clinical Social Work/Therapist, LSCSW, LCSW
Shawnee, KS 66203
We all experience intense emotions, and it has always been by goal to help clients find the essential tools to decrease suffering and build a quality-of-life worth living. I am a clinical social worker in MO and KS with nearly 20 years of experience in the mental health field. My professional experience and training have primary focused on treating children starting at age 12, adolescents, families and adults who struggle with mood and anxiety disorders, depression, trauma, personality disorders, and interpersonal conflict.
We all experience intense emotions, and it has always been by goal to help clients find the essential tools to decrease suffering and build a quality-of-life worth living. I am a clinical social worker in MO and KS with nearly 20 years of experience in the mental health field. My professional experience and training have primary focused on treating children starting at age 12, adolescents, families and adults who struggle with mood and anxiety disorders, depression, trauma, personality disorders, and interpersonal conflict.
(913) 395-8460 View (913) 395-8460
Photo of Briana West, Counselor, LCPC
Briana West
Counselor, LCPC
1 Endorsed
Shawnee, KS 66216
I am here to provide a warm space for those struggling with anxiety, avoiding emotions, relationship conflicts, and trying to heal from past traumas. If you feel "stuck" repeating old patterns in your life and relationships it can feel disheartening to find yourself in the same place or having the same fight you swore you wouldn't come back to again. Shame can make us feel alone and like we are the only one who deals with the struggles we face while everyone else has it figured out, it keeps us stuck. If you are ready to break out of cycles of shame and find a way forward we can start that journey together.
I am here to provide a warm space for those struggling with anxiety, avoiding emotions, relationship conflicts, and trying to heal from past traumas. If you feel "stuck" repeating old patterns in your life and relationships it can feel disheartening to find yourself in the same place or having the same fight you swore you wouldn't come back to again. Shame can make us feel alone and like we are the only one who deals with the struggles we face while everyone else has it figured out, it keeps us stuck. If you are ready to break out of cycles of shame and find a way forward we can start that journey together.
(913) 347-4286 View (913) 347-4286
Photo of Bridgette Mavec, Clinical Social Work/Therapist, LCSW
Bridgette Mavec
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker. I have been practicing therapy for over 25 years, specializing in anxiety, depression, and trauma. I believe in creating a safe and supportive therapeutic environment where you can feel comfortable exploring your thoughts and emotions. I have been practicing for over 25 years, specializing in anxiety, depression, and trauma.
I am a Licensed Clinical Social Worker. I have been practicing therapy for over 25 years, specializing in anxiety, depression, and trauma. I believe in creating a safe and supportive therapeutic environment where you can feel comfortable exploring your thoughts and emotions. I have been practicing for over 25 years, specializing in anxiety, depression, and trauma.
(913) 270-3465 View (913) 270-3465
Photo of Elizabeth Vondemkamp, Clinical Social Work/Therapist, LCSW, LICSW
Elizabeth Vondemkamp
Clinical Social Work/Therapist, LCSW, LICSW
Online Only
Hello! My name is Elizabeth Vondemkamp; and I have been delivering therapy services to individuals and families since 2000. I am a generalist practitioner; and enjoy working with adults with a variety of issues and topics. Some of the issues include anxiety; depression; life changes; job and school issues; peer issues; family and friend issues; relationships; grief/loss; self esteem; etc. I am grateful for the opportunity to help empower my clients to make healthy life choices; and be the best they can be. In my free time; I enjoy long walks; watching my kids’ events with my husband; and traveling.
Hello! My name is Elizabeth Vondemkamp; and I have been delivering therapy services to individuals and families since 2000. I am a generalist practitioner; and enjoy working with adults with a variety of issues and topics. Some of the issues include anxiety; depression; life changes; job and school issues; peer issues; family and friend issues; relationships; grief/loss; self esteem; etc. I am grateful for the opportunity to help empower my clients to make healthy life choices; and be the best they can be. In my free time; I enjoy long walks; watching my kids’ events with my husband; and traveling.
Photo of Connor O'Shea, Counselor, MA, LCPC, LPC
Connor O'Shea
Counselor, MA, LCPC, LPC
1 Endorsed
Shawnee, KS 66203
Waitlist for new clients
Our emotions are a part of our lives, and they can not disappear or be ignored. Struggling with emotions can lead to a wide variety of mental health difficulties. Your experience may be a numbing of emotions, which can lead to depression, fatigue, feelings of worthlessness, guilt, or lack of drive. Or you may experience overwhelming emotions, which can lead to anxiety, PTSD, trauma responses, grief, panic attacks, obsessive-compulsive behaviors, or eating disorder behaviors. Either way, becoming whole-hearted and getting into good relationship with your emotions can lead to emotional relief and a more enjoyable and fulfilling life.
Our emotions are a part of our lives, and they can not disappear or be ignored. Struggling with emotions can lead to a wide variety of mental health difficulties. Your experience may be a numbing of emotions, which can lead to depression, fatigue, feelings of worthlessness, guilt, or lack of drive. Or you may experience overwhelming emotions, which can lead to anxiety, PTSD, trauma responses, grief, panic attacks, obsessive-compulsive behaviors, or eating disorder behaviors. Either way, becoming whole-hearted and getting into good relationship with your emotions can lead to emotional relief and a more enjoyable and fulfilling life.
(913) 430-1950 View (913) 430-1950
Photo of Jordanne Ehrhart - Summit Ranch, Clinical Social Work/Therapist, LCSW, LSCSW
Summit Ranch
Clinical Social Work/Therapist, LCSW, LSCSW
Shawnee, KS 66217
Summit Ranch is a nonprofit outpatient mental health organization located on 100 acres in Shawnee, Kansas, serving youth ages 8–18. We provide therapy, executive function coaching, and experiential programs and classes in a unique healing environment. We integrate clinical mental health support with nature, movement, animals, creativity, and hands-on experiences. Adolescents are supported in building confidence, strengthening coping skills, improving emotional regulation, and developing the tools they need to thrive.
Summit Ranch is a nonprofit outpatient mental health organization located on 100 acres in Shawnee, Kansas, serving youth ages 8–18. We provide therapy, executive function coaching, and experiential programs and classes in a unique healing environment. We integrate clinical mental health support with nature, movement, animals, creativity, and hands-on experiences. Adolescents are supported in building confidence, strengthening coping skills, improving emotional regulation, and developing the tools they need to thrive.
(913) 318-3563 View (913) 318-3563

See more therapy options for Shawnee

How does your Therapist compare?

Number of Therapists in Shawnee, KS

100+

Average cost per session

$130

Therapists in Shawnee, KS who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
88% Depression
76% Relationship Issues
74% Stress

Average years in practice

9 Years

Top 3 insurances accepted

78% Aetna
70% BlueCross and BlueShield
57% UnitedHealthcare UHC | UBH

How Therapists in Shawnee, KS see their clients

75% In Person and Online
25% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Shawnee?

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.