Therapists in Leitchfield, KY

Photo of Janice Netherland - A.I.M. Wellness, Licensed Professional Clinical Counselor
A.I.M. Wellness
Licensed Professional Clinical Counselor
Leitchfield, KY 42754
Mission Statement: We treat every single person with unconditional positive regard. Our primary goal is to offer a safe place without judgement to our community. We meet people where they are and help them move forward and achieve their goals. We are currently working toward a model of treatment that includes a more complete assessment including daily living, nutrition, physical activity, and collaboration with other providers. We are excited to be offering quality mental health services to Grayson and surrounding counties.
Mission Statement: We treat every single person with unconditional positive regard. Our primary goal is to offer a safe place without judgement to our community. We meet people where they are and help them move forward and achieve their goals. We are currently working toward a model of treatment that includes a more complete assessment including daily living, nutrition, physical activity, and collaboration with other providers. We are excited to be offering quality mental health services to Grayson and surrounding counties.
(270) 321-3451 View (270) 321-3451
Photo of David Hicks, Clinical Social Work/Therapist, LCSW
David Hicks
Clinical Social Work/Therapist, LCSW
Online Only
I’m a Licensed Clinical Social Worker who helps individuals and couples work through anxiety, depression, ADHD, and relationship challenges. I take a straightforward, practical approach to therapy, focusing on real-life tools that help you think more clearly, manage emotions, and improve your daily life. I enjoy working with clients who are ready to grow, take ownership, and make meaningful changes. For those who want it, I also offer faith-based counseling and help clients incorporate their Christian beliefs into the healing process.
I’m a Licensed Clinical Social Worker who helps individuals and couples work through anxiety, depression, ADHD, and relationship challenges. I take a straightforward, practical approach to therapy, focusing on real-life tools that help you think more clearly, manage emotions, and improve your daily life. I enjoy working with clients who are ready to grow, take ownership, and make meaningful changes. For those who want it, I also offer faith-based counseling and help clients incorporate their Christian beliefs into the healing process.
(270) 817-2027 View (270) 817-2027
Photo of David T Hicks, Clinical Social Work/Therapist, MSW, LCSW
David T Hicks
Clinical Social Work/Therapist, MSW, LCSW
Online Only
I’m here for people who feel overwhelmed, stuck, or emotionally drained from anxiety, depression, trauma, or relationship stress. They may seem fine on the outside but are struggling inside. They want clarity, confidence, and tools to manage life without shutting down or losing control. Most of all, they’re looking for a safe, supportive space to be real, feel heard, and start moving forward.
I’m here for people who feel overwhelmed, stuck, or emotionally drained from anxiety, depression, trauma, or relationship stress. They may seem fine on the outside but are struggling inside. They want clarity, confidence, and tools to manage life without shutting down or losing control. Most of all, they’re looking for a safe, supportive space to be real, feel heard, and start moving forward.
(270) 580-1646 View (270) 580-1646
Photo of Christopher Longoria - Creative Counseling & Consultation, PLLC, Clinical Social Work/Therapist
Creative Counseling & Consultation, PLLC
Clinical Social Work/Therapist
1 Endorsed
Leitchfield, KY 42754
Welcome to Creative Counseling and Consultation! We are a team of licensed, qualified therapists, psychiatric APRNs, case managers, and community support associaties! We specialize in children and families but also see adults. We have providers trained in EMDR, TF-CBT, and play therapy. We are passionate about helping all people! We offer school based therapy in Hardin County and Elizabethtown Independent Schools districts.
Welcome to Creative Counseling and Consultation! We are a team of licensed, qualified therapists, psychiatric APRNs, case managers, and community support associaties! We specialize in children and families but also see adults. We have providers trained in EMDR, TF-CBT, and play therapy. We are passionate about helping all people! We offer school based therapy in Hardin County and Elizabethtown Independent Schools districts.
(270) 713-8764 View (270) 713-8764
Photo of Rebecca Kerr, Clinical Social Work/Therapist, MSW, LCSW-S, PMH-C
Rebecca Kerr
Clinical Social Work/Therapist, MSW, LCSW-S, PMH-C
1 Endorsed
Online Only
My specialties include perinatal mental health—supporting moms through anxiety, depression, birth trauma, and the challenges of NICU parenting. Whether you’re navigating pregnancy, postpartum concerns, or adjusting to life with your baby, I’m here to help. I also have years of experience helping people with anxiety, depression, trauma, and substance use.
My specialties include perinatal mental health—supporting moms through anxiety, depression, birth trauma, and the challenges of NICU parenting. Whether you’re navigating pregnancy, postpartum concerns, or adjusting to life with your baby, I’m here to help. I also have years of experience helping people with anxiety, depression, trauma, and substance use.
(270) 716-4053 View (270) 716-4053
Photo of Brittany Buckner, Licensed Professional Counselor Associate, MA, LPCA
Brittany Buckner
Licensed Professional Counselor Associate, MA, LPCA
Serves Area
My ideal clients are teens and adults who feel overwhelmed by anxiety, stress, or life challenges. Many are doing their best to manage everything but still feel stuck, worried, or emotionally drained. Some are dealing with past experiences, while others are navigating relationship stress or major life changes. I provide a supportive space where they can talk openly and begin to understand what they’re experiencing. Together, we focus on building practical coping skills, improving emotional regulation, and helping them feel more in control of their daily lives.
My ideal clients are teens and adults who feel overwhelmed by anxiety, stress, or life challenges. Many are doing their best to manage everything but still feel stuck, worried, or emotionally drained. Some are dealing with past experiences, while others are navigating relationship stress or major life changes. I provide a supportive space where they can talk openly and begin to understand what they’re experiencing. Together, we focus on building practical coping skills, improving emotional regulation, and helping them feel more in control of their daily lives.
(270) 449-0329 View (270) 449-0329
Photo of Phyllis K Lonneman, Licensed Professional Counselor, LPCC, CBIP, JD
Phyllis K Lonneman
Licensed Professional Counselor, LPCC, CBIP, JD
Serves Area
For over 43 years I have been an attorney and had clients with varying backgrounds and issues. My retirement plan from the practice of law was to use all that experience to help others so now I am an LPCC hopefully touching lives in a helpful manner. I have seen how lives can be affected in a negative manner by divorce, drugs, crimes, and health issues which include mental health issues. Society puts more pressure on our lives daily and there is always a way to deal with life on life's terms. Come sit with me awhile and we will deal with life.
For over 43 years I have been an attorney and had clients with varying backgrounds and issues. My retirement plan from the practice of law was to use all that experience to help others so now I am an LPCC hopefully touching lives in a helpful manner. I have seen how lives can be affected in a negative manner by divorce, drugs, crimes, and health issues which include mental health issues. Society puts more pressure on our lives daily and there is always a way to deal with life on life's terms. Come sit with me awhile and we will deal with life.
(270) 208-9028 View (270) 208-9028
Photo of Kim Becker, Clinical Social Work/Therapist, LCSW
Kim Becker
Clinical Social Work/Therapist, LCSW
Online Only
For more than 20 years, I've had the privilege of walking alongside adults facing anxiety and panic, depression, grief, spiritual disconnection, life transitions, relationship difficulties, and chronic pain. I have worked in both inpatient and outpatient settings, and have been in private practice since 2012. My work is rooted in deep compassion, respect for your inner wisdom, and the belief that healing happens in relationship — with ourselves, with others, and with something greater.
For more than 20 years, I've had the privilege of walking alongside adults facing anxiety and panic, depression, grief, spiritual disconnection, life transitions, relationship difficulties, and chronic pain. I have worked in both inpatient and outpatient settings, and have been in private practice since 2012. My work is rooted in deep compassion, respect for your inner wisdom, and the belief that healing happens in relationship — with ourselves, with others, and with something greater.
(270) 908-4086 View (270) 908-4086
Photo of Rachel Jillian Henry - Fuller Life Counseling Partners , Counselor, LPCA
Fuller Life Counseling Partners
Counselor, LPCA
1 Endorsed
Leitchfield, KY 42754
(270) 918-3398 View (270) 918-3398

More Therapists Nearby

Photo of Rachael Lyons, Clinical Social Work/Therapist, LCSW
Rachael Lyons
Clinical Social Work/Therapist, LCSW
Elizabethtown, KY 42701
Hi, I'm Rachael! I'm a Licensed Clinical Social Worker and have been in private practice for five years, but have been working in therapeutic settings as a social worker for 15 years. I work with a variety of individuals and have an extensive background working in the field of addiction and recovery, and I currently work with individuals navigating the stressors of everyday life, anxiety, relationship challenges, and the many constant demands of today's world that I believe affect all of us on multiple level I work with clients who are often high-functioning on the outside but may feel stuck, overwhelmed, or disconnected internally.
Hi, I'm Rachael! I'm a Licensed Clinical Social Worker and have been in private practice for five years, but have been working in therapeutic settings as a social worker for 15 years. I work with a variety of individuals and have an extensive background working in the field of addiction and recovery, and I currently work with individuals navigating the stressors of everyday life, anxiety, relationship challenges, and the many constant demands of today's world that I believe affect all of us on multiple level I work with clients who are often high-functioning on the outside but may feel stuck, overwhelmed, or disconnected internally.
(270) 207-9495 View (270) 207-9495
Photo of Barbie J Matthews, Clinical Social Work/Therapist, LCSW
Barbie J Matthews
Clinical Social Work/Therapist, LCSW
Online Only
Welcome. I am pleased to meet with you and offer you the space and opportunity to take the first step to feeling better. I am a Licensed Clinical Social Worker, authorized to practice in both Kentucky and Indiana. My approach is compassionate and client centered fostering an environment that encourages you to smile and recognize your self-worth. Life presents challenges and offers no assurances; My encounters with trauma-related events have heightened my sensitivity to those who often feel unheard. Families, children, and individuals each possess their own uniqueness, frequently emerging from fractured and dysregulated homes.
Welcome. I am pleased to meet with you and offer you the space and opportunity to take the first step to feeling better. I am a Licensed Clinical Social Worker, authorized to practice in both Kentucky and Indiana. My approach is compassionate and client centered fostering an environment that encourages you to smile and recognize your self-worth. Life presents challenges and offers no assurances; My encounters with trauma-related events have heightened my sensitivity to those who often feel unheard. Families, children, and individuals each possess their own uniqueness, frequently emerging from fractured and dysregulated homes.
(270) 513-5004 View (270) 513-5004
Photo of Hope Hendrix - Hope Hendrix (Peace In Pearl's Heart Counseling), Clinical Social Work/Therapist, Hope Hendrix, MSW, LCSW , CCATP, CTMP
Hope Hendrix (Peace In Pearl's Heart Counseling)
Clinical Social Work/Therapist, Hope Hendrix, MSW, LCSW , CCATP, CTMP
Online Only
Do you wake up with just enough energy to make it through the day? Is your day filled with feelings of insecurities, sadness, fears, shame and anger? Other days, do you rely on your intuition to manage intense emotions and excessive worries? How about avoiding certain situations, lacking concentration, or keeping yourself excessively busy; possibly anxiety? Anxiety is inevitable. However, when your worries are persistent, disruptS your daily activities, and sabotages your relationships, it maybe time to seek support. I welcome the experience to see if I could be your source of support.
Do you wake up with just enough energy to make it through the day? Is your day filled with feelings of insecurities, sadness, fears, shame and anger? Other days, do you rely on your intuition to manage intense emotions and excessive worries? How about avoiding certain situations, lacking concentration, or keeping yourself excessively busy; possibly anxiety? Anxiety is inevitable. However, when your worries are persistent, disruptS your daily activities, and sabotages your relationships, it maybe time to seek support. I welcome the experience to see if I could be your source of support.
(270) 713-1500 View (270) 713-1500
Photo of Jacob Vittitow - Midgard Mental Health, Licensed Professional Counselor Associate, LPCA, NCC
Midgard Mental Health
Licensed Professional Counselor Associate, LPCA, NCC
Elizabethtown, KY 42701
I'm happy to help anyone who is willing to put in the work required to grow. After almost 20 years working in mental health, I have a solid foundation of experience that I use to educate and support my clients in the areas they feel they want to improve. I pride myself in using uncommon strategies and therapeutic techniques. I do not use CBT. I try and create a positive therapeutic environment that is enjoyable to be in and focuses on client progress.
I'm happy to help anyone who is willing to put in the work required to grow. After almost 20 years working in mental health, I have a solid foundation of experience that I use to educate and support my clients in the areas they feel they want to improve. I pride myself in using uncommon strategies and therapeutic techniques. I do not use CBT. I try and create a positive therapeutic environment that is enjoyable to be in and focuses on client progress.
(270) 612-2268 View (270) 612-2268
Photo of Crystal Farmer, Licensed Professional Clinical Counselor
Crystal Farmer
Licensed Professional Clinical Counselor
Online Only
Hi! I'm a Licensed Professional Clinical Counselor, and I have a passion for working with adults 18 and over in developing skills to effectively manage depression, anxiety, stress, ADHD, anger issues, trauma, life transitions, relationship issues, substance abuse, and grief & loss. I understand from personal experience many of the challenges that come with these issues and strongly believe in the balance of mind, body, & spirit. My clinical approach utilizes a strengths-based foundation and a variety of therapeutic techniques to help clients understand deeper their own beliefs, thoughts, values, strengths, challenges, self-worth
Hi! I'm a Licensed Professional Clinical Counselor, and I have a passion for working with adults 18 and over in developing skills to effectively manage depression, anxiety, stress, ADHD, anger issues, trauma, life transitions, relationship issues, substance abuse, and grief & loss. I understand from personal experience many of the challenges that come with these issues and strongly believe in the balance of mind, body, & spirit. My clinical approach utilizes a strengths-based foundation and a variety of therapeutic techniques to help clients understand deeper their own beliefs, thoughts, values, strengths, challenges, self-worth
(270) 518-3787 View (270) 518-3787
Photo of Kerri Thomas, Licensed Professional Clinical Counselor, MEd, LPCC
Kerri Thomas
Licensed Professional Clinical Counselor, MEd, LPCC
Online Only
Hello, I have been a practicing therapist since I graduated in 2018 with a Masters of Education in Counseling. Prior to that I was the Prevention Education Specialist and a victim advocate at a rape crisis center in WV for 10 years. I have spent my entire adult career working as a mental health provider and case manager in Domestic violence shelters, Youth residential facilities, Substance abuse rehabilitation centers, and community, non-profit organizations. As a therapist, I work exceptionally well with teens and adults who are needing to find clarity, change, and purpose in life.
Hello, I have been a practicing therapist since I graduated in 2018 with a Masters of Education in Counseling. Prior to that I was the Prevention Education Specialist and a victim advocate at a rape crisis center in WV for 10 years. I have spent my entire adult career working as a mental health provider and case manager in Domestic violence shelters, Youth residential facilities, Substance abuse rehabilitation centers, and community, non-profit organizations. As a therapist, I work exceptionally well with teens and adults who are needing to find clarity, change, and purpose in life.
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Photo of Zack Mitchell, Licensed Professional Counselor Associate, MA, LPC-A
Zack Mitchell
Licensed Professional Counselor Associate, MA, LPC-A
4 Endorsed
Elizabethtown, KY 42701
Waitlist for new clients
Hello! I’m Zack Mitchell, a devoted therapist passionate about helping people reconnect with themselves, uncover meaning, and step into the most authentic version of who they are. Therapy is a space where you should feel seen, heard, and safe through empathy, connection, and a strong therapeutic alliance. That’s precisely what I aim to create in every session. I believe that each person’s life journey is unique, and I tailor my work to meet your individual needs. I’m committed to helping you reconnect with your strengths, explore new possibilities, and move toward a life that feels more meaningful and fulfilling.
Hello! I’m Zack Mitchell, a devoted therapist passionate about helping people reconnect with themselves, uncover meaning, and step into the most authentic version of who they are. Therapy is a space where you should feel seen, heard, and safe through empathy, connection, and a strong therapeutic alliance. That’s precisely what I aim to create in every session. I believe that each person’s life journey is unique, and I tailor my work to meet your individual needs. I’m committed to helping you reconnect with your strengths, explore new possibilities, and move toward a life that feels more meaningful and fulfilling.
(270) 632-2642 View (270) 632-2642
Photo of Ashley Huffman, Licensed Professional Counselor Associate, LPCA
Ashley Huffman
Licensed Professional Counselor Associate, LPCA
Serves Area
My ideal clients are individuals who are navigating emotional and behavioral challenges and are ready for support that feels genuine, safe, and empowering. Many of the people I work with are dealing with OCD, depression, anxiety, trauma, life transitions, or family-related stressors. Some may be involved in systems like schools or community services and need additional advocacy and guidance to feel stable and successful. My approach is rooted in meeting clients where they are. To create a supportive, nonjudgmental space where clients can be themselves. Using a blend of person-centered, CBT, and reality-based strategies.
My ideal clients are individuals who are navigating emotional and behavioral challenges and are ready for support that feels genuine, safe, and empowering. Many of the people I work with are dealing with OCD, depression, anxiety, trauma, life transitions, or family-related stressors. Some may be involved in systems like schools or community services and need additional advocacy and guidance to feel stable and successful. My approach is rooted in meeting clients where they are. To create a supportive, nonjudgmental space where clients can be themselves. Using a blend of person-centered, CBT, and reality-based strategies.
(270) 517-5312 View (270) 517-5312
Photo of Natalie Porter, Art Therapist, LPAT, ATR-BC
Natalie Porter
Art Therapist, LPAT, ATR-BC
Serves Area
Do you struggle with disordered eating? Negative thoughts and beliefs about yourself and the body you're in? Or maybe you are having a difficult time understanding what's next. Healing isn’t always about finding the perfect words—it’s about expressing yourself in a way that feels natural. As an art therapist, I provide a supportive space where creativity helps unlock emotions, build resilience, and promote healing. Whether you're struggling with an eating disorder, anxiety, stress, or perfectionism, I’m here to guide you toward greater self-understanding and emotional well-being.
Do you struggle with disordered eating? Negative thoughts and beliefs about yourself and the body you're in? Or maybe you are having a difficult time understanding what's next. Healing isn’t always about finding the perfect words—it’s about expressing yourself in a way that feels natural. As an art therapist, I provide a supportive space where creativity helps unlock emotions, build resilience, and promote healing. Whether you're struggling with an eating disorder, anxiety, stress, or perfectionism, I’m here to guide you toward greater self-understanding and emotional well-being.
(502) 362-7644 View (502) 362-7644
Photo of Kaitlyn Holden, Clinical Social Work/Therapist, CSW
Kaitlyn Holden
Clinical Social Work/Therapist, CSW
Serves Area
Waitlist for new clients
Beginning a mental health journey can often feel terrifying, confusing, or isolating. Like many others, my own mental health journey led me to help individuals navigate these difficult feelings. Many people I work with often feel misunderstood, misheard, or unseen. You may feel that your thoughts, or feelings, are too much to handle alone. Together, we will identify and manage the challenges you are facing to increase confidence, motivation, and your self-esteem. I work with a variety of ages (5-65+) and a variety of backgrounds. Feel free to book a consultation to see if I am a fit for you!
Beginning a mental health journey can often feel terrifying, confusing, or isolating. Like many others, my own mental health journey led me to help individuals navigate these difficult feelings. Many people I work with often feel misunderstood, misheard, or unseen. You may feel that your thoughts, or feelings, are too much to handle alone. Together, we will identify and manage the challenges you are facing to increase confidence, motivation, and your self-esteem. I work with a variety of ages (5-65+) and a variety of backgrounds. Feel free to book a consultation to see if I am a fit for you!
(270) 588-8433 View (270) 588-8433
Photo of Spenser Sawyers, Licensed Professional Counselor, LPCC-S
Spenser Sawyers
Licensed Professional Counselor, LPCC-S
3 Endorsed
Online Only
I help LGBTQ+ folks who struggle with anxiety, trauma and self-esteem to improve relationships with others and themselves. My clients struggle with confidence issues, overthinking, perfectionism, & have experienced trauma. You're seeking ways to support and better understand yourself. You can be your own worst enemy and you're great at being kind to others, but often make yourself the exception. You're wanting to increase self-compassion and self-love as a queer person (living in the South ain't easy!). You're ready to work on patterns and pain that prevent you from connecting to others to finally start enjoying your life.
I help LGBTQ+ folks who struggle with anxiety, trauma and self-esteem to improve relationships with others and themselves. My clients struggle with confidence issues, overthinking, perfectionism, & have experienced trauma. You're seeking ways to support and better understand yourself. You can be your own worst enemy and you're great at being kind to others, but often make yourself the exception. You're wanting to increase self-compassion and self-love as a queer person (living in the South ain't easy!). You're ready to work on patterns and pain that prevent you from connecting to others to finally start enjoying your life.
(270) 278-1417 View (270) 278-1417

See more therapy options for Leitchfield

How does your Therapist compare?

Number of Therapists in Leitchfield, KY

< 10

Therapists in Leitchfield, KY who prioritize treating:

89% Depression
89% Anxiety
89% Social Anxiety
89% Health Anxiety
89% Driving Anxiety
56% Self Esteem
56% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
75% Medicaid
63% BlueCross and BlueShield

How Therapists in Leitchfield, KY see their clients

56% In Person and Online
44% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Leitchfield?

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.