Therapists in Nicholasville, KY

Photo of Dr. Tom B Clark, PhD, MSc, MA, MBA, BSc
Dr. Tom B Clark
Verified Verified
Nicholasville, KY 40356
It is a great honor to be chosen to work with my clients and assist them in developing their wholeness and ability to achieve their full potential. I have been providing Counseling /Therapy and Individual and Executive Coaching Internationally (29 years) through BradfordClarkSolutions which I established in 1996 In Melbourne Australia. I relocated back to Lexington KY in 2010. My passion for life; my commitment to bring you best practices; my combined life experiences; academic achievements; and professional experience bring you a solid foundation to assist you in achieving your full potential. Contact me for an initial consultation
It is a great honor to be chosen to work with my clients and assist them in developing their wholeness and ability to achieve their full potential. I have been providing Counseling /Therapy and Individual and Executive Coaching Internationally (29 years) through BradfordClarkSolutions which I established in 1996 In Melbourne Australia. I relocated back to Lexington KY in 2010. My passion for life; my commitment to bring you best practices; my combined life experiences; academic achievements; and professional experience bring you a solid foundation to assist you in achieving your full potential. Contact me for an initial consultation
(859) 903-0968 View (859) 903-0968
Photo of Oswaldo Ortegon Cufino, Licensed Professional Counselor Associate , MA
Oswaldo Ortegon Cufino
Licensed Professional Counselor Associate , MA
Nicholasville, KY 40356
Servicios en español o en inglés - (Proveemos evaluaciones sicologicas para trámites de immigracion). I understand how difficult it is to talk about ourselves, especially in a noisy world full of distractions. Everyone has the need to be heard and understood, and we create a safe environment for clients to freely express themselves.
Servicios en español o en inglés - (Proveemos evaluaciones sicologicas para trámites de immigracion). I understand how difficult it is to talk about ourselves, especially in a noisy world full of distractions. Everyone has the need to be heard and understood, and we create a safe environment for clients to freely express themselves.
(859) 712-8603 View (859) 712-8603
Photo of Laura E Hylbert - Puzzle Peace Creative Counseling Solutions, LLC, Clinical Social Work/Therapist, MM, MSW, LCSW, ASDCS
Puzzle Peace Creative Counseling Solutions, LLC
Clinical Social Work/Therapist, MM, MSW, LCSW, ASDCS
Online Only
Laura Hylbert is a Licensed Clinical Social Worker qualified to practice independently of supervision. Laura has experience working with children, adolescents, and adults struggling with a variety of mental health and behavioral issues. As a Certified Autism Spectrum Disorder Clinical Specialist, she is passionate in assisting individuals, parents and siblings of children on the Autism Spectrum on their journey toward independence, self-awareness, understanding and acceptance. ADOS-2 testing/diagnosis offered. Groups available for: parenting, ASD/special needs sibling support, social skills, expressive arts, service projects
Laura Hylbert is a Licensed Clinical Social Worker qualified to practice independently of supervision. Laura has experience working with children, adolescents, and adults struggling with a variety of mental health and behavioral issues. As a Certified Autism Spectrum Disorder Clinical Specialist, she is passionate in assisting individuals, parents and siblings of children on the Autism Spectrum on their journey toward independence, self-awareness, understanding and acceptance. ADOS-2 testing/diagnosis offered. Groups available for: parenting, ASD/special needs sibling support, social skills, expressive arts, service projects
(859) 350-6676 View (859) 350-6676
Photo of Julie D'Anniballe, Licensed Professional Clinical Counselor, LPCC-S
Julie D'Anniballe
Licensed Professional Clinical Counselor, LPCC-S
Nicholasville, KY 40356
While most of the patients I serve are adults, I am experienced in providing services to teens as well. My specialty is providing concierge treatment for those with a substance use disorder while offering supportive counseling. Patient concerns addressed: challenging relationships and the need for support through a difficult life transition. I am experienced in providing care to those with serious mental health concerns including trauma, mood disorders, anxiety and depression. I value providing honesty with compassion and challenging my patients to grow. We all can become resilient; it simply takes a moment of courage to begin.
While most of the patients I serve are adults, I am experienced in providing services to teens as well. My specialty is providing concierge treatment for those with a substance use disorder while offering supportive counseling. Patient concerns addressed: challenging relationships and the need for support through a difficult life transition. I am experienced in providing care to those with serious mental health concerns including trauma, mood disorders, anxiety and depression. I value providing honesty with compassion and challenging my patients to grow. We all can become resilient; it simply takes a moment of courage to begin.
(859) 800-2597 View (859) 800-2597
Photo of Misty Kirby, Clinical Social Work/Therapist, MA, LCSW
Misty Kirby
Clinical Social Work/Therapist, MA, LCSW
Nicholasville, KY 40356
Starting therapy can feel overwhelming, especially if you’re used to being the one who holds everything together. I work with adults and older teens navigating anxiety, depression, trauma, ADHD, bipolar disorder, and complicated life transitions. Many of my clients are insightful and self-aware, yet still find themselves repeating patterns, struggling with emotional regulation. My approach is compassionate, collaborative, and grounded in real-life change. I integrate CBT, DBT, and Accelerated Resolution Therapy (ART) to help you process what’s been weighing on you, feel more steady, and reconnect with yourself in a meaningful way.
Starting therapy can feel overwhelming, especially if you’re used to being the one who holds everything together. I work with adults and older teens navigating anxiety, depression, trauma, ADHD, bipolar disorder, and complicated life transitions. Many of my clients are insightful and self-aware, yet still find themselves repeating patterns, struggling with emotional regulation. My approach is compassionate, collaborative, and grounded in real-life change. I integrate CBT, DBT, and Accelerated Resolution Therapy (ART) to help you process what’s been weighing on you, feel more steady, and reconnect with yourself in a meaningful way.
(859) 577-9786 View (859) 577-9786
Photo of Marlene Belew Huff, Clinical Social Work/Therapist, LCSW, PhD
Marlene Belew Huff
Clinical Social Work/Therapist, LCSW, PhD
1 Endorsed
Online Only
Life is about moving forward to meet our best selves! If you are ready to gain a new perspective, learn additional coping skills, and problem-solving methods, psychotherapy may be right for you. I am empathetic, warm, and highly skilled in Cognitive-Behavioral and Acceptance and Commitment Therapy, among others, to help us understand our life's challenges. I am experienced with a variety of conditions, like depression, anxiety, past traumas, and toxic relationships. If you are in the midst of managing a complicated life circumstance, I'd like to talk with you!
Life is about moving forward to meet our best selves! If you are ready to gain a new perspective, learn additional coping skills, and problem-solving methods, psychotherapy may be right for you. I am empathetic, warm, and highly skilled in Cognitive-Behavioral and Acceptance and Commitment Therapy, among others, to help us understand our life's challenges. I am experienced with a variety of conditions, like depression, anxiety, past traumas, and toxic relationships. If you are in the midst of managing a complicated life circumstance, I'd like to talk with you!
(859) 353-6616 View (859) 353-6616
Photo of Marilyn L Sails - Comfort Care Counseling with Dr Sails, Clinical Social Work/Therapist, DSW, MSW, LCSW
Comfort Care Counseling with Dr Sails
Clinical Social Work/Therapist, DSW, MSW, LCSW
1 Endorsed
Nicholasville, KY 40356
My ideal client is an older adult, perhaps in their late 50s, 60s or 70s, who has spent a lifetime caring for others but now finds themselves navigating emotional terrain that feels unfamiliar, overwhelming, or quietly painful. They may be grieving the loss of a spouse, adjusting to retirement, facing chronic health concerns, or reckoning with a terminal diagnosis. Some carry unresolved trauma from earlier chapters of life that has resurfaced with age. Others feel spiritually adrift, longing to reconnect with their faith in a way that feels authentic and healing.
My ideal client is an older adult, perhaps in their late 50s, 60s or 70s, who has spent a lifetime caring for others but now finds themselves navigating emotional terrain that feels unfamiliar, overwhelming, or quietly painful. They may be grieving the loss of a spouse, adjusting to retirement, facing chronic health concerns, or reckoning with a terminal diagnosis. Some carry unresolved trauma from earlier chapters of life that has resurfaced with age. Others feel spiritually adrift, longing to reconnect with their faith in a way that feels authentic and healing.
(859) 659-6296 View (859) 659-6296
Photo of Stuart Palmer, Psychologist, PsyD
Stuart Palmer
Psychologist, PsyD
1 Endorsed
Nicholasville, KY 40356
Life can be difficult. Sometimes we need some help. Do you need help to get back on track? Do you need assistance to overcome continual struggles and relational conflicts? I can help you get moving in the right direction. I will assist you in this process not with simple advice or a few superficial skills but with insightful interaction and relational engagement. Your life can change! I can support you each step of the way towards a life with more purpose, harmony and peace. Life can be different. Contact me. Meet with me one time and see change is possible.
Life can be difficult. Sometimes we need some help. Do you need help to get back on track? Do you need assistance to overcome continual struggles and relational conflicts? I can help you get moving in the right direction. I will assist you in this process not with simple advice or a few superficial skills but with insightful interaction and relational engagement. Your life can change! I can support you each step of the way towards a life with more purpose, harmony and peace. Life can be different. Contact me. Meet with me one time and see change is possible.
(859) 379-2769 View (859) 379-2769
Photo of Kimberly Moynahan, Marriage & Family Therapist, MDiv , MMFT, LMFT
Kimberly Moynahan
Marriage & Family Therapist, MDiv , MMFT, LMFT
Nicholasville, KY 40356
We are whole people: body, mind, heart, and soul with strengths that have helped us get through tremendous challenges in life. At some point we all hit a challenge that brings us down and at times even leads to a great unraveling of ourself. My team and I enjoy assisting in the creation of awareness through being present with you as a whole person. Present to your strengths and your challenges. Present to your process of reshaping and recapturing who you are and where you want to go.
We are whole people: body, mind, heart, and soul with strengths that have helped us get through tremendous challenges in life. At some point we all hit a challenge that brings us down and at times even leads to a great unraveling of ourself. My team and I enjoy assisting in the creation of awareness through being present with you as a whole person. Present to your strengths and your challenges. Present to your process of reshaping and recapturing who you are and where you want to go.
(859) 448-7711 x120 View (859) 448-7711 x120
Photo of Scarlet Thomas - Revay Therapy Services, Clinical Social Work/Therapist, LCSW
Revay Therapy Services
Clinical Social Work/Therapist, LCSW
Nicholasville, KY 40356
At Revay Therapy Services, we offer compassionate, personalized care for eating disorders, trauma, anxiety, depression, identity exploration, couples therapy, and ADHD testing. We are an open and affirming practice where you are welcomed as you are and met with care, curiosity, and respect. Our clinicians use EMDR, ART, and IFS to tailor therapy to your unique needs, supporting you in building healing, clarity, resilience, and meaningful growth at your own pace.
At Revay Therapy Services, we offer compassionate, personalized care for eating disorders, trauma, anxiety, depression, identity exploration, couples therapy, and ADHD testing. We are an open and affirming practice where you are welcomed as you are and met with care, curiosity, and respect. Our clinicians use EMDR, ART, and IFS to tailor therapy to your unique needs, supporting you in building healing, clarity, resilience, and meaningful growth at your own pace.
(859) 470-8531 View (859) 470-8531
Photo of Cesilee N Montgomery, Social Worker, MSW, CSW, ASDCS
Cesilee N Montgomery
Social Worker, MSW, CSW, ASDCS
1 Endorsed
Online Only
I love working with the teen and young adult population. However, I also have experience with people through all walks of life. I work with clients who may be struggling with depression, anxiety, ADHD, eating disorders, parents of children with special needs, OCD, or trauma related to their relationships or family. During our initial sessions, we will delve deeply into the issues at hand, and collaborate to create a plan for addressing them in a way that helps you get your life back.
I love working with the teen and young adult population. However, I also have experience with people through all walks of life. I work with clients who may be struggling with depression, anxiety, ADHD, eating disorders, parents of children with special needs, OCD, or trauma related to their relationships or family. During our initial sessions, we will delve deeply into the issues at hand, and collaborate to create a plan for addressing them in a way that helps you get your life back.
(859) 295-7576 View (859) 295-7576
Photo of Dan Pugel, Licensed Professional Clinical Counselor, MA, LPCC
Dan Pugel
Licensed Professional Clinical Counselor, MA, LPCC
Nicholasville, KY 40356
I'm privileged to counsel individuals, couples and families. Going through difficult times alone or without adequate help is too much for anyone to bear. Try counseling for yourself and find encouragement, support, new possibilities and change to help today and into your future. For more information go to www.journeycounseling.net
I'm privileged to counsel individuals, couples and families. Going through difficult times alone or without adequate help is too much for anyone to bear. Try counseling for yourself and find encouragement, support, new possibilities and change to help today and into your future. For more information go to www.journeycounseling.net
(859) 903-4302 View (859) 903-4302
Photo of Elyse Litton, Clinical Social Work/Therapist, MSW, CSW
Elyse Litton
Clinical Social Work/Therapist, MSW, CSW
1 Endorsed
Nicholasville, KY 40356
Elyse is a clinician with a diverse background in research, higher education, private practice, as well as residential and outpatient settings. Specializing in both teen and adult populations, Elyse offers a comprehensive, evidence-based approach to therapy that nurtures healing. Elyse earned her Master’s Degree from the University of Kentucky in 2016. She has experience working at the Center on Drug & Alcohol Research at UK College of Medicine, currently serving as an instructor for the Advanced Standing Graduate Program at UK College of Social Work. Elyse brings compassion and a holistic approach to her therapeutic work.
Elyse is a clinician with a diverse background in research, higher education, private practice, as well as residential and outpatient settings. Specializing in both teen and adult populations, Elyse offers a comprehensive, evidence-based approach to therapy that nurtures healing. Elyse earned her Master’s Degree from the University of Kentucky in 2016. She has experience working at the Center on Drug & Alcohol Research at UK College of Medicine, currently serving as an instructor for the Advanced Standing Graduate Program at UK College of Social Work. Elyse brings compassion and a holistic approach to her therapeutic work.
(859) 328-2568 View (859) 328-2568
Photo of Jan Cottrell, Pastoral Counselor, MA, MDiv, DMin, LPC
Jan Cottrell
Pastoral Counselor, MA, MDiv, DMin, LPC
Nicholasville, KY 40356
My practice focuses on those who are seeking, through a spiritual path -- healing, accountability, recovery, wholeness and balance. I have 25+ years of experience as a priest who has provided counsel and guidance to families, couples, individuals, adolescents, and children who have struggling with any variety of life issues. I have clinical training in Mental Health associated with substance abuse, PTSD, depression, grief, loss, and anxiety. I maintain a small practice with The Center for Relationships. This permits me to address each client's situation more fully and attentively.
My practice focuses on those who are seeking, through a spiritual path -- healing, accountability, recovery, wholeness and balance. I have 25+ years of experience as a priest who has provided counsel and guidance to families, couples, individuals, adolescents, and children who have struggling with any variety of life issues. I have clinical training in Mental Health associated with substance abuse, PTSD, depression, grief, loss, and anxiety. I maintain a small practice with The Center for Relationships. This permits me to address each client's situation more fully and attentively.
(859) 350-1629 View (859) 350-1629
Photo of Julie Clarke, Clinical Social Work/Therapist, MSW, LCSW
Julie Clarke
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Nicholasville, KY 40356
Waitlist for new clients
July 2025 Wait-list for new clients, 8-10 weeks. Appointments are Monday through Friday during the day. Life can be challenging! Engaging in therapy can help you increase your capacity to cope with life's ups and downs, allowing you to thrive, rather than just survive. I enjoy working with clients to increase awareness of their strengths and develop skills for coping with difficulties. I welcome and have worked with individuals from a variety of different backgrounds, including clients from other countries and cultures, Black clients and other people of color and LGBTQ+ clients.
July 2025 Wait-list for new clients, 8-10 weeks. Appointments are Monday through Friday during the day. Life can be challenging! Engaging in therapy can help you increase your capacity to cope with life's ups and downs, allowing you to thrive, rather than just survive. I enjoy working with clients to increase awareness of their strengths and develop skills for coping with difficulties. I welcome and have worked with individuals from a variety of different backgrounds, including clients from other countries and cultures, Black clients and other people of color and LGBTQ+ clients.
(859) 376-1795 View (859) 376-1795
Photo of Larry Springate, PsyD
Larry Springate
Verified Verified
Nicholasville, KY 40356
As a relationship/ADHD coach, I work with couples to help resolve communication and conflict issues, with the goal of strengthening their relationships. I also help people with life transitions, and to understand and make the best of their individual strengths. Working with ADHD individuals is a specialty, helping them be their best self. I believe that people can change and grow throughout their lifespan. My clients are primarily adults dealing with individual life challenges, couples dealing with relationship issues, and seniors adjusting to life and health changes and transitions.
As a relationship/ADHD coach, I work with couples to help resolve communication and conflict issues, with the goal of strengthening their relationships. I also help people with life transitions, and to understand and make the best of their individual strengths. Working with ADHD individuals is a specialty, helping them be their best self. I believe that people can change and grow throughout their lifespan. My clients are primarily adults dealing with individual life challenges, couples dealing with relationship issues, and seniors adjusting to life and health changes and transitions.
(859) 780-5053 View (859) 780-5053
Photo of Margo Munday, Marriage & Family Therapist Associate, MS
Margo Munday
Marriage & Family Therapist Associate, MS
Nicholasville, KY 40356
As a therapist, I have the privilege of stepping into my clients’ lives to help them make meaning of their unique experiences. I believe that all individuals have an innate capacity for growth, healing, and self-realization. My role is to help identify and gently remove the internal barriers that may be blocking that natural process. Just as a seed needs water and sunlight to grow into a tree, people need emotional balance, safety, and support to thrive.
As a therapist, I have the privilege of stepping into my clients’ lives to help them make meaning of their unique experiences. I believe that all individuals have an innate capacity for growth, healing, and self-realization. My role is to help identify and gently remove the internal barriers that may be blocking that natural process. Just as a seed needs water and sunlight to grow into a tree, people need emotional balance, safety, and support to thrive.
(859) 696-7437 View (859) 696-7437
Charles Douglas Adams
Clinical Social Work/Therapist, LCSW, MSSW , MA
Online Only
I have been married for 37 years and have four children, one grandchild, and three dogs. I am a miracle cancer survivor. I retired from being the Chief Student Support Officer with Fayette County Schools in Lexington, KY. I have three master's degrees. I have been involved in clinical work since 1998, holding various roles, including outpatient, inpatient, Crisis Stabilization, and Emergency Room Level of Care Assessment. I collect DC and Marvel decor. I love gardening. I am amazed how a little seed can grow into a plant and produce vegetables, with the process beginning again. I believe it is essential that a client become their ow
I have been married for 37 years and have four children, one grandchild, and three dogs. I am a miracle cancer survivor. I retired from being the Chief Student Support Officer with Fayette County Schools in Lexington, KY. I have three master's degrees. I have been involved in clinical work since 1998, holding various roles, including outpatient, inpatient, Crisis Stabilization, and Emergency Room Level of Care Assessment. I collect DC and Marvel decor. I love gardening. I am amazed how a little seed can grow into a plant and produce vegetables, with the process beginning again. I believe it is essential that a client become their ow
(859) 715-0711 View (859) 715-0711
Photo of Allen Conner - Kairos Christian Counseling, Pastoral Counselor, MDiv, KLPC
Kairos Christian Counseling
Pastoral Counselor, MDiv, KLPC
Nicholasville, KY 40356
I work with clients who are looking for a Christ Centered focus to overcome their life struggles. I provide a safe and gentle place to unpack your life altering hurts, habits and hang-ups.
I work with clients who are looking for a Christ Centered focus to overcome their life struggles. I provide a safe and gentle place to unpack your life altering hurts, habits and hang-ups.
(859) 518-8273 View (859) 518-8273
Photo of Crystal M. Shepherd, Pastoral Counselor, MDiv, KLPC
Crystal M. Shepherd
Pastoral Counselor, MDiv, KLPC
Nicholasville, KY 40356
Not accepting new clients
I enjoy helping my clients find peace and wholeness. I work with a variety of life issues from depression to personality disorders. I prefer to work with adolescents and adults. I have experience working with people who have experienced trauma, specifically sexual violence. I am an EMDR trained therapist. I have also worked with couples and families. I have experience working with individuals in the LGBTQ+ community.
I enjoy helping my clients find peace and wholeness. I work with a variety of life issues from depression to personality disorders. I prefer to work with adolescents and adults. I have experience working with people who have experienced trauma, specifically sexual violence. I am an EMDR trained therapist. I have also worked with couples and families. I have experience working with individuals in the LGBTQ+ community.
(502) 443-1435 View (502) 443-1435

See more therapy options for Nicholasville

How does your Therapist compare?

Number of Therapists in Nicholasville, KY

90+

Average cost per session

$120

Therapists in Nicholasville, KY who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
88% Depression
72% Self Esteem
68% Grief

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
83% Anthem
68% BlueCross and BlueShield

How Therapists in Nicholasville, KY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Nicholasville?

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.