Therapists in Munfordville, KY

Photo of Michael Jennings - Bluegrass Professional Counseling, MEd, LPCC, NCC
Bluegrass Professional Counseling
Licensed Professional Clinical Counselor, MEd, LPCC, NCC
Verified Verified
Munfordville, KY 42765  (Online Only)
Regardless of the issue, our Munfordville office boasts over 15 mental health professionals trained in a variety of specialties. Whether you need individual therapy, family counseling, court mandated treatment, substance use treatment, or targeted case management, we have someone for you. If a specialized need arises that we can't meet, we have four other offices full of professionals for referrals and consultations. The goal is tailored, root-cause solutions for improved well-being and life quality.
Regardless of the issue, our Munfordville office boasts over 15 mental health professionals trained in a variety of specialties. Whether you need individual therapy, family counseling, court mandated treatment, substance use treatment, or targeted case management, we have someone for you. If a specialized need arises that we can't meet, we have four other offices full of professionals for referrals and consultations. The goal is tailored, root-cause solutions for improved well-being and life quality.
(270) 290-0743 View (270) 290-0743
Photo of Janice Netherland - A.I.M. Wellness
A.I.M. Wellness
Licensed Professional Clinical Counselor
Verified Verified
Munfordville, KY 42765
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 Amanda Kay Burd - Isaiah 43 Christian Counseling Services, PLLC, LPCC-S, MEd, Counselor
Isaiah 43 Christian Counseling Services, PLLC
Counselor, LPCC-S, MEd
Verified Verified
Munfordville, KY 42765
Are you feeling exhausted in this game of life? Do you feel defeated? Do you feel alone and isolated? Are you feeling like some things never change? Contact me today so that we can get a collaborative plan in place to help you experience some positive changes in your daily life! Some of the challenges I have the most experience with are: anxiety, depression, somatic symptoms, isolation, sadness, tearfulness, panic, life changes, burnout, addiction, self confidence issues, ADD/ADHD, stress management, work place challenges, PTSD, Childhood behavioral problems and every day stressors.
Are you feeling exhausted in this game of life? Do you feel defeated? Do you feel alone and isolated? Are you feeling like some things never change? Contact me today so that we can get a collaborative plan in place to help you experience some positive changes in your daily life! Some of the challenges I have the most experience with are: anxiety, depression, somatic symptoms, isolation, sadness, tearfulness, panic, life changes, burnout, addiction, self confidence issues, ADD/ADHD, stress management, work place challenges, PTSD, Childhood behavioral problems and every day stressors.
(502) 237-7403 View (502) 237-7403

Online Therapists

Photo of Tim Thornberry, PhD, Psychologist
Tim Thornberry
Psychologist, PhD
Verified Verified
Frankfort, KY 40601
Dr. Tim Thornberry, Jr. is a Psychologist in Kentucky who has been practicing since 2022. He has a PhD in Clinical Psychology from Auburn University, an MS in Clinical Psychology from Auburn University, and a BA in Psychology from Western Kentucky University. Dr. Thornberry can provide psychotherapy and psychological assessment services for individuals and families across the lifespan with a variety of mental health problems and/or problems with adjusting to stressors, life transitions, academic or vocational concerns, or medical issues.
Dr. Tim Thornberry, Jr. is a Psychologist in Kentucky who has been practicing since 2022. He has a PhD in Clinical Psychology from Auburn University, an MS in Clinical Psychology from Auburn University, and a BA in Psychology from Western Kentucky University. Dr. Thornberry can provide psychotherapy and psychological assessment services for individuals and families across the lifespan with a variety of mental health problems and/or problems with adjusting to stressors, life transitions, academic or vocational concerns, or medical issues.
(502) 673-1055 View (502) 673-1055
Photo of Maria R Maupin, MSSW, MSCFT, Marriage & Family Therapist Associate
Maria R Maupin
Marriage & Family Therapist Associate, MSSW, MSCFT
Verified Verified
1 Endorsed
Louisville, KY 40207
Many of us find ourselves vowing to raise our children without the pain we experienced in our own childhoods. Despite this deep commitment to ending destructive family cycles, we may find ourselves repeating old patterns with our own partners and children. We may have lost touch with our own inner child and creative center along the way. With the right healing, support, and new tools for our toolbox, we can become the individuals, partners, and parents that we want to be.
Many of us find ourselves vowing to raise our children without the pain we experienced in our own childhoods. Despite this deep commitment to ending destructive family cycles, we may find ourselves repeating old patterns with our own partners and children. We may have lost touch with our own inner child and creative center along the way. With the right healing, support, and new tools for our toolbox, we can become the individuals, partners, and parents that we want to be.
(502) 289-5726 View (502) 289-5726
Photo of Leah Klensch, LPCC-KY, LCPC-IL, LPCC OH, PMH-C, CRC, Counselor
Leah Klensch
Counselor, LPCC-KY, LCPC-IL, LPCC OH, PMH-C, CRC
Verified Verified
1 Endorsed
Louisville, KY 40207
For the last 15 years, Leah has specialized in eating disorders, working in higher levels of care and outpatient. She also has experience providing support for those who are grieving the loss of their loved ones from eating disorders. In addition, Leah is certified in perinatal mental health and supports women and their support person(s) who are going through infertility, pregnancy, postpartum, and infant loss. While Leah works in an office in Louisville, KY, she continues to meet with clients in the virtual space who not only live in Kentucky, but also Illinois and Ohio.
For the last 15 years, Leah has specialized in eating disorders, working in higher levels of care and outpatient. She also has experience providing support for those who are grieving the loss of their loved ones from eating disorders. In addition, Leah is certified in perinatal mental health and supports women and their support person(s) who are going through infertility, pregnancy, postpartum, and infant loss. While Leah works in an office in Louisville, KY, she continues to meet with clients in the virtual space who not only live in Kentucky, but also Illinois and Ohio.
(502) 586-6885 View (502) 586-6885
Photo of Benjamin Edwards, LCSW, Clinical Social Work/Therapist
Benjamin Edwards
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40207
Benjamin Edwards is a licensed clinical social worker. He received his master's degree in social work from the University of Louisville. He has worked with clients of all ages in outpatient and inpatient settings and specializes in therapy with child, adolescent and young adult clients. His areas of interest include trauma, mood disorders, oppositional defiant disorder (ODD), self-injurious behaviors, anxiety and depression. His therapeutic approach includes cognitive behavioral therapy (CBT), mindfulness exercises, frustration tolerance and motivational interviewing. Benjamin Edwards treats patients between the ages of 10 and 35.
Benjamin Edwards is a licensed clinical social worker. He received his master's degree in social work from the University of Louisville. He has worked with clients of all ages in outpatient and inpatient settings and specializes in therapy with child, adolescent and young adult clients. His areas of interest include trauma, mood disorders, oppositional defiant disorder (ODD), self-injurious behaviors, anxiety and depression. His therapeutic approach includes cognitive behavioral therapy (CBT), mindfulness exercises, frustration tolerance and motivational interviewing. Benjamin Edwards treats patients between the ages of 10 and 35.
(502) 273-5940 View (502) 273-5940
Photo of John Nathan Anderson, MEd, LPCC, Licensed Professional Counselor
John Nathan Anderson
Licensed Professional Counselor, MEd, LPCC
Verified Verified
Lexington, KY 40504  (Online Only)
I assess my client's enviroment, resources and support to prepare a treatment program to help my client have the best outcome possible. I understand each client is an individual and has his or her own individual needs. I treat all client's with the respect and dignity they deserve.
I assess my client's enviroment, resources and support to prepare a treatment program to help my client have the best outcome possible. I understand each client is an individual and has his or her own individual needs. I treat all client's with the respect and dignity they deserve.
(606) 887-2680 View (606) 887-2680
Photo of Melissa Dianne Jones, LPCC, NCC, CCMHC, NCCE, RPT
Melissa Dianne Jones
LPCC, NCC, CCMHC, NCCE, RPT
Verified Verified
Franklin, KY 42134
I enjoy working with children, teens, and their families to achieve their goals through supporting healthier and happier relationships. Clients often tell me that our work has helped them to sort through their thoughts and feelings to gain clarity, to grow, to learn about themselves, to develop confidence, and to feel empowered to make important decisions. I employ a flexible approach tailored to the needs of each client. I use an eclectic approach to therapy, guided by the needs of the client. When trust is established, change happens.
I enjoy working with children, teens, and their families to achieve their goals through supporting healthier and happier relationships. Clients often tell me that our work has helped them to sort through their thoughts and feelings to gain clarity, to grow, to learn about themselves, to develop confidence, and to feel empowered to make important decisions. I employ a flexible approach tailored to the needs of each client. I use an eclectic approach to therapy, guided by the needs of the client. When trust is established, change happens.
(270) 847-4475 View (270) 847-4475
Photo of Lily Dunn, MS, LAMFT, Pre-Licensed Professional
Lily Dunn
Pre-Licensed Professional, MS, LAMFT
Verified Verified
Lexington, KY 40509
It's important to remember that every step you take, no matter how small or big, is a step toward growth and well-being. As a therapist, I am dedicated to creating a safe and supportive environment for your development, guided by empathy, trust, and collaboration. With a diverse background in individual, couple, family, and school-based therapy, I integrate therapeutic modalities such as Emotionally Focused, Structual, and Narrative Therapy techniques. These tools are designed to guide you in navigating life's challenges. I am deeply passionate about working with humans who, like all of us, are just trying to figure out life.
It's important to remember that every step you take, no matter how small or big, is a step toward growth and well-being. As a therapist, I am dedicated to creating a safe and supportive environment for your development, guided by empathy, trust, and collaboration. With a diverse background in individual, couple, family, and school-based therapy, I integrate therapeutic modalities such as Emotionally Focused, Structual, and Narrative Therapy techniques. These tools are designed to guide you in navigating life's challenges. I am deeply passionate about working with humans who, like all of us, are just trying to figure out life.
(859) 217-4741 View (859) 217-4741
Photo of Elizabeth Rhyne, MSW, LCSW, Clinical Social Work/Therapist
Elizabeth Rhyne
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Fisherville, KY 40023  (Online Only)
Does your life, or at least some pieces of it, seem completely overwhelming? Have you felt like you don't have the answers or you're unsure where to go from here? That's where I come in. I work with my clients by meeting them where they are emotionally. We develop and discuss goals and then work toward meeting those goals - together. I want to help you by making things seem more manageable - whether that means relationships, work, family, health related scenarios. I will help you develop individual skills that you can utilize and work with you to grow into the person and/or life that you desire.
Does your life, or at least some pieces of it, seem completely overwhelming? Have you felt like you don't have the answers or you're unsure where to go from here? That's where I come in. I work with my clients by meeting them where they are emotionally. We develop and discuss goals and then work toward meeting those goals - together. I want to help you by making things seem more manageable - whether that means relationships, work, family, health related scenarios. I will help you develop individual skills that you can utilize and work with you to grow into the person and/or life that you desire.
(618) 408-1506 View (618) 408-1506
Photo of Emma Henkel, LCSW, LCADC, CSAT, Clinical Social Work/Therapist
Emma Henkel
Clinical Social Work/Therapist, LCSW, LCADC, CSAT
Verified Verified
1 Endorsed
Louisville, KY 40299
I am a compassionate and dedicated therapist specializing in trauma recovery and the treatment of sex and porn addiction. I take a holistic and trauma-informed approach to therapy, recognizing the complex interplay between past experiences, mental health, and compulsive or addictive behaviors. Together we can create a safe and nonjudgmental space where you can explore your thoughts, feelings, and behaviors with honesty and vulnerability. I am passionate about helping clients overcome the impact of trauma and addiction, empowering them to reclaim their lives and cultivate healthy relationships and healthy sexuality.
I am a compassionate and dedicated therapist specializing in trauma recovery and the treatment of sex and porn addiction. I take a holistic and trauma-informed approach to therapy, recognizing the complex interplay between past experiences, mental health, and compulsive or addictive behaviors. Together we can create a safe and nonjudgmental space where you can explore your thoughts, feelings, and behaviors with honesty and vulnerability. I am passionate about helping clients overcome the impact of trauma and addiction, empowering them to reclaim their lives and cultivate healthy relationships and healthy sexuality.
(502) 289-0859 View (502) 289-0859
Photo of Julianne Sutter, MA, MS, LMFT, Marriage & Family Therapist
Julianne Sutter
Marriage & Family Therapist, MA, MS, LMFT
Verified Verified
Lexington, KY 40508
As a therapist who cares about her clients and their struggles, my goal is to help you achieve a fulfilling life while effectively handling any pain or suffering you may be experiencing. My method of therapy, called Acceptance and Commitment Therapy, is an empirically supported approach that has been "astoundingly effective" with improving a wide range of problems, including depression, relationship issues, family conflict, poor self-worth, and stress at work.
As a therapist who cares about her clients and their struggles, my goal is to help you achieve a fulfilling life while effectively handling any pain or suffering you may be experiencing. My method of therapy, called Acceptance and Commitment Therapy, is an empirically supported approach that has been "astoundingly effective" with improving a wide range of problems, including depression, relationship issues, family conflict, poor self-worth, and stress at work.
(859) 449-4096 View (859) 449-4096
Photo of D Bayley Thompson, BS, RYT-500, LPC Intern
D Bayley Thompson
LPC Intern, BS, RYT-500
Verified Verified
Frankfort, KY 40601
I am completing my MA in Clinical Mental Health Counseling and am taking clients as an intern during my clinical experience at TAG Healing Center in Frankfort under the supervision of Gina Turner, LPCC-S. I see adolescents and adults, specialize in grief and trauma, and I am a person-centered counselor who can be a helpful presence during the stresses and complexities of every day life. I have experience with intellectual disabilities, caregiver support, and addiction recovery.
I am completing my MA in Clinical Mental Health Counseling and am taking clients as an intern during my clinical experience at TAG Healing Center in Frankfort under the supervision of Gina Turner, LPCC-S. I see adolescents and adults, specialize in grief and trauma, and I am a person-centered counselor who can be a helpful presence during the stresses and complexities of every day life. I have experience with intellectual disabilities, caregiver support, and addiction recovery.
(502) 306-2978 View (502) 306-2978
Photo of Jonathan Keith, LCSW, Clinical Social Work/Therapist
Jonathan Keith
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40207
Life is hard and I truly believe we’re all doing the best we can. Sometimes we get stuck in a cycle that we don’t quite know how to get out of.  Have you decided to set boundaries or change some of your own behaviors? I believe that together we can discover a solution that will allow you to live a more fulfilling life. When people are able to become more in touch with their thoughts and feelings, they often make decisions that make them feel more in control, less stressed and more satisfied with life.
Life is hard and I truly believe we’re all doing the best we can. Sometimes we get stuck in a cycle that we don’t quite know how to get out of.  Have you decided to set boundaries or change some of your own behaviors? I believe that together we can discover a solution that will allow you to live a more fulfilling life. When people are able to become more in touch with their thoughts and feelings, they often make decisions that make them feel more in control, less stressed and more satisfied with life.
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Photo of Kansas Corley, LCPC, CTC, Pastoral Counselor
Kansas Corley
Pastoral Counselor, LCPC, CTC
Verified Verified
1 Endorsed
Owensboro, KY 42301  (Online Only)
If anybody asks, your life is great. But you know deep down it's chaos. You are exhausted, and you feel like giving in the towel. Life feels like it's a constant mess. Your relationship is falling apart. The family is a wreck. You're probably not satisfied in your job. Literally everything feels like it's a disaster. Luckily, it's not too late. There's still time to restore the pieces and get back to the person you want to be.
If anybody asks, your life is great. But you know deep down it's chaos. You are exhausted, and you feel like giving in the towel. Life feels like it's a constant mess. Your relationship is falling apart. The family is a wreck. You're probably not satisfied in your job. Literally everything feels like it's a disaster. Luckily, it's not too late. There's still time to restore the pieces and get back to the person you want to be.
(270) 267-4590 View (270) 267-4590
Photo of Casey Carey, CSW, Clinical Social Work/Therapist
Casey Carey
Clinical Social Work/Therapist, CSW
Verified Verified
Bardstown, KY 40004
Every individual is unique with their own thoughts and feelings. When faced with an obstacle in life we can begin to feel over whelmed. I am passionate about providing a safe space to explore these concerns. Working together to overcome lifes challenges will provide you with empowerment and allow room for personal growth.
Every individual is unique with their own thoughts and feelings. When faced with an obstacle in life we can begin to feel over whelmed. I am passionate about providing a safe space to explore these concerns. Working together to overcome lifes challenges will provide you with empowerment and allow room for personal growth.
(502) 617-1959 View (502) 617-1959
Photo of Katia Meredith, LCPC
Katia Meredith
Licensed Professional Clinical Counselor, LCPC
Verified Verified
Richmond, KY 40475
I am Katia Meredith, a Licensed Professional Clinical Counselor with 9 years of clinical experience in a variety of settings, including outpatient, community mental health, inpatient and crisis counseling. My passion is supporting my clients in their journey to overcome depression, trauma, grief, and other stressful life events to achieve their individual goals. I have a passion for working with adults struggling with history of trauma, depression, anxiety, grief, or simply needing someone to listen and offer support with any life issue.
I am Katia Meredith, a Licensed Professional Clinical Counselor with 9 years of clinical experience in a variety of settings, including outpatient, community mental health, inpatient and crisis counseling. My passion is supporting my clients in their journey to overcome depression, trauma, grief, and other stressful life events to achieve their individual goals. I have a passion for working with adults struggling with history of trauma, depression, anxiety, grief, or simply needing someone to listen and offer support with any life issue.
(859) 724-5687 View (859) 724-5687
Photo of Patricia Brown, MSW, CSW, Clinical Social Work/Therapist
Patricia Brown
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
Somerset, KY 42503
Life is challenging at times; support is just seconds away. Hello, my name is Patricia Brown. The area of focus for me is working with adults. I am trained in Gottman Couple’s Therapy Levels 1 & 2 and pursuing certification. The therapy benefits of the Gottman Method for couples are it enhances communication, intimacy, respect, problem-solving, empathy, and understanding of your partner. Along with that, if you are looking for support to deal with anxiety, depression, anger issues, parenting, etc, schedule an appointment today!
Life is challenging at times; support is just seconds away. Hello, my name is Patricia Brown. The area of focus for me is working with adults. I am trained in Gottman Couple’s Therapy Levels 1 & 2 and pursuing certification. The therapy benefits of the Gottman Method for couples are it enhances communication, intimacy, respect, problem-solving, empathy, and understanding of your partner. Along with that, if you are looking for support to deal with anxiety, depression, anger issues, parenting, etc, schedule an appointment today!
(606) 543-2655 View (606) 543-2655
Photo of Catherine Eleson, MA, LCMHCA , LPCC-S
Catherine Eleson
Licensed Professional Clinical Counselor, MA, LCMHCA , LPCC-S
Verified Verified
3 Endorsed
Louisville, KY 40213
If you are motivated to understand the conscious and unconscious forces and meanings that shape your experience and relationships; If you feel you are without choices; if you are struggling with questions of self-worth; if you are grieving; if you feel hurt, betrayed or abandoned, I encourage you to take the brave first step toward your self by entering into this safe space of non-judgment. I desire to create a safe and therapeutic space where individuals feel the safety to be seen and known.
If you are motivated to understand the conscious and unconscious forces and meanings that shape your experience and relationships; If you feel you are without choices; if you are struggling with questions of self-worth; if you are grieving; if you feel hurt, betrayed or abandoned, I encourage you to take the brave first step toward your self by entering into this safe space of non-judgment. I desire to create a safe and therapeutic space where individuals feel the safety to be seen and known.
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See more therapy options for Munfordville

How does your Therapist compare?

Number of Therapists in Munfordville, KY

< 10

Therapists in Munfordville, KY who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% ADHD
100% Obsessive-Compulsive (OCD)
100% Anger Management

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Medicaid
100% Anthem | Elevance

How Therapists in Munfordville, KY see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Munfordville?

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.