Therapists in Saint Matthews, KY

Photo of Eric Steven Sharp, LMFT, Marriage & Family Therapist
Eric Steven Sharp
Marriage & Family Therapist, LMFT
Verified Verified
Saint Matthews, KY 40207
You’ve thought about therapy, but you hear a voice inside that is hesitant. It asks, "Will they judge my sexual orientation, my gender identity, my dating life, my choices, or my views on faith? Will they see me as an entire person with a complex web of interests, hopes, and desires; or will they just see me as my presenting problems? Will they work with me to reach creative solutions; or will they just label me with a diagnosis and try to ‘fix’ me with a workbook?” You deserve a therapist who celebrates your individuality, who views YOU as the expert of your own experience, and who honors the unique parts of your life.
You’ve thought about therapy, but you hear a voice inside that is hesitant. It asks, "Will they judge my sexual orientation, my gender identity, my dating life, my choices, or my views on faith? Will they see me as an entire person with a complex web of interests, hopes, and desires; or will they just see me as my presenting problems? Will they work with me to reach creative solutions; or will they just label me with a diagnosis and try to ‘fix’ me with a workbook?” You deserve a therapist who celebrates your individuality, who views YOU as the expert of your own experience, and who honors the unique parts of your life.
(502) 892-0414 View (502) 892-0414
Photo of Allie Morris, MA, LPCC
Allie Morris
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Saint Matthews, KY 40207
My ideal client is someone who recognizes the need for change in their life, but may not know how to go about it to produce positive results. I treat adults and teens who are struggling with trauma, mood disorders, anxiety, and relationship /situationship issues. In addition, cultivating self-awareness and figuring out what goals you have is a big part of therapy no matter what you come in with and is something everyone could benefit from. Being open to talk about hard things is difficult, but also very brave. I see it as a privilege to get to work with those who are ready to make that step in a safe validating environment.
My ideal client is someone who recognizes the need for change in their life, but may not know how to go about it to produce positive results. I treat adults and teens who are struggling with trauma, mood disorders, anxiety, and relationship /situationship issues. In addition, cultivating self-awareness and figuring out what goals you have is a big part of therapy no matter what you come in with and is something everyone could benefit from. Being open to talk about hard things is difficult, but also very brave. I see it as a privilege to get to work with those who are ready to make that step in a safe validating environment.
(606) 328-6028 View (606) 328-6028
Photo of Caroline Kelly, LPCC-S, Licensed Professional Counselor
Caroline Kelly
Licensed Professional Counselor, LPCC-S
Verified Verified
1 Endorsed
Saint Matthews, KY 40207
Trauma can impact anyone, from children to adults, leaving lasting effects on emotional and mental well-being. These effects permeate your mood, your relationships, your reactions to friends, coworkers and kids. You may find yourself feeling like each day is an uphill battle to get through. Same for kids! While kids do the best they can, upsetting events and changes show up in their big feelings and bigger behaviors. Whether you are a parent seeking help for your child or an adult ready to confront your own past, you deserve the support and space to move towards healing.
Trauma can impact anyone, from children to adults, leaving lasting effects on emotional and mental well-being. These effects permeate your mood, your relationships, your reactions to friends, coworkers and kids. You may find yourself feeling like each day is an uphill battle to get through. Same for kids! While kids do the best they can, upsetting events and changes show up in their big feelings and bigger behaviors. Whether you are a parent seeking help for your child or an adult ready to confront your own past, you deserve the support and space to move towards healing.
(502) 498-8391 View (502) 498-8391
Photo of Tiffany Farmer, MSSW, LMFT, Marriage & Family Therapist
Tiffany Farmer
Marriage & Family Therapist, MSSW, LMFT
Verified Verified
Saint Matthews, KY 40207
Though you may be reluctant, you’ve noticed a pattern in your life of a lack of fulfillment in your relationships. You have wondered about why this might be, you have tried to look inward, to get advice... for some reason, it seems that you've not been able to get at the root of the issue. You find that this has led to feelings of unrest in your life. During the best times, you're able to focus on your other accomplishments, but have a nagging insecurity about not being able to conquer intimacy. At the worst of times, you feel despair, fear abandonment and have anxious thoughts that feel uncontrollable.
Though you may be reluctant, you’ve noticed a pattern in your life of a lack of fulfillment in your relationships. You have wondered about why this might be, you have tried to look inward, to get advice... for some reason, it seems that you've not been able to get at the root of the issue. You find that this has led to feelings of unrest in your life. During the best times, you're able to focus on your other accomplishments, but have a nagging insecurity about not being able to conquer intimacy. At the worst of times, you feel despair, fear abandonment and have anxious thoughts that feel uncontrollable.
(502) 443-9947 View (502) 443-9947
Photo of Kevin Snellen, MEd, LPCC
Kevin Snellen
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
1 Endorsed
Saint Matthews, KY 40207
Waitlist for new clients
I provide EMDR therapy and integrate CBT, DBT, and other treatment approaches as needed. I have several years of experience providing counseling services in inpatient and outpatient treatment settings to individuals who suffer from a wide range of mental health disorders. I specialize in PTSD, personality disorders, mood and thought disorders, life adjustments, and LGBTQ+ issues.
I provide EMDR therapy and integrate CBT, DBT, and other treatment approaches as needed. I have several years of experience providing counseling services in inpatient and outpatient treatment settings to individuals who suffer from a wide range of mental health disorders. I specialize in PTSD, personality disorders, mood and thought disorders, life adjustments, and LGBTQ+ issues.
(502) 785-9649 View (502) 785-9649
Photo of Brent Colwick - Colwick Family Counseling, LPCC, Counselor
Colwick Family Counseling
Counselor, LPCC
Verified Verified
Saint Matthews, KY 40207
Creating a safe space for growth and transformation Working primarily with children, young adults, men and families seeking counseling for issues of: depression, divorce recovery, grief and loss counseling, life transitions, adoption, mood disorders, relationship problems, self esteem issues, sexual identity, pornography, anxiety and spiritual concerns.
Creating a safe space for growth and transformation Working primarily with children, young adults, men and families seeking counseling for issues of: depression, divorce recovery, grief and loss counseling, life transitions, adoption, mood disorders, relationship problems, self esteem issues, sexual identity, pornography, anxiety and spiritual concerns.
(502) 317-2355 View (502) 317-2355
Photo of Colleen Halloran, Colleen Halloran, LMFT, Marriage & Family Therapist
Colleen Halloran
Marriage & Family Therapist, Colleen Halloran, LMFT
Verified Verified
Saint Matthews, KY 40207
Welcome! I’m so glad you’re here. Taking the first step toward therapy is a courageous choice, and I’m committed to helping you make meaningful changes. If you're feeling stuck, overwhelmed, or trapped in negative patterns, I can help. Whether you're struggling with conflict in your relationships or feeling drained by anxiety, together we’ll work to find solutions that bring lasting relief.
Welcome! I’m so glad you’re here. Taking the first step toward therapy is a courageous choice, and I’m committed to helping you make meaningful changes. If you're feeling stuck, overwhelmed, or trapped in negative patterns, I can help. Whether you're struggling with conflict in your relationships or feeling drained by anxiety, together we’ll work to find solutions that bring lasting relief.
(737) 299-0689 View (737) 299-0689
Photo of Denise Shannon Hutchins - Acadia Counseling Louisville
Acadia Counseling Louisville
Licensed Professional Clinical Counselor
Verified Verified
4 Endorsed
Saint Matthews, KY 40207
The team of helpers at Acadia Counseling is ready to assist you with whatever is weighing you down. Maybe you have never attended counseling before. Maybe you tried it once or twice and didn't like the professional you saw. Whatever your situation, we are ready to help!
The team of helpers at Acadia Counseling is ready to assist you with whatever is weighing you down. Maybe you have never attended counseling before. Maybe you tried it once or twice and didn't like the professional you saw. Whatever your situation, we are ready to help!
(502) 825-1375 View (502) 825-1375
Photo of Alyssa Collina, LPAT, ATR-BC, Art Therapist
Alyssa Collina
Art Therapist, LPAT, ATR-BC
Verified Verified
2 Endorsed
Saint Matthews, KY 40207
I believe treatment should be navigated delicately and without judgement. We are more than our current situation, which is why I work to understand what it took to get you where you are today, including your strengths. I take a holistic approach to healing, while also utilizing evidence-based methods such as EMDR, art therapy, ketamine-assisted therapy, and various talk therapy modalities, helping you process and tap into feelings that you may have struggled to find or articulate. Sometimes our human experience can affect us in ways we wish it didn’t, and I'd like to help you improve in areas that need most attention.
I believe treatment should be navigated delicately and without judgement. We are more than our current situation, which is why I work to understand what it took to get you where you are today, including your strengths. I take a holistic approach to healing, while also utilizing evidence-based methods such as EMDR, art therapy, ketamine-assisted therapy, and various talk therapy modalities, helping you process and tap into feelings that you may have struggled to find or articulate. Sometimes our human experience can affect us in ways we wish it didn’t, and I'd like to help you improve in areas that need most attention.
(502) 414-8103 View (502) 414-8103
Photo of Meghan E Wnorowski-Bogle, MEd, LPAT, ATR-BC, Art Therapist
Meghan E Wnorowski-Bogle
Art Therapist, MEd, LPAT, ATR-BC
Verified Verified
Saint Matthews, KY 40207
Beginning therapy can be an overwhelming and courageous step, which can lead to powerful change for those doing the work. I believe we are at our bravest when we feel it the least. The therapy process can help individuals gain additional perspectIve, identify unknown parts, reinterpret fears and weaknesses, recognize and nurture strengths.
Beginning therapy can be an overwhelming and courageous step, which can lead to powerful change for those doing the work. I believe we are at our bravest when we feel it the least. The therapy process can help individuals gain additional perspectIve, identify unknown parts, reinterpret fears and weaknesses, recognize and nurture strengths.
(502) 804-2613 View (502) 804-2613
Photo of Maria Cristal Encarnación, MAMFT, MDiv, Marriage & Family Therapist Associate
Maria Cristal Encarnación
Marriage & Family Therapist Associate, MAMFT, MDiv
Verified Verified
Saint Matthews, KY 40207
Waitlist for new clients
Working with you means having someone who truly listens to your pain, no matter its form. Whether it's anxiety, depression, shame, or fear, I'm here to walk beside you, helping you not just cope - but thrive. In a world that often tells us to bear our burdens alone, especially under the pressures of society, culture, or family, it can all become overwhelming. This pain can seep into every facet of our lives. You deserve a compassionate, empathetic space to release the pain you've been carrying for so long.
Working with you means having someone who truly listens to your pain, no matter its form. Whether it's anxiety, depression, shame, or fear, I'm here to walk beside you, helping you not just cope - but thrive. In a world that often tells us to bear our burdens alone, especially under the pressures of society, culture, or family, it can all become overwhelming. This pain can seep into every facet of our lives. You deserve a compassionate, empathetic space to release the pain you've been carrying for so long.
(502) 399-4108 View (502) 399-4108
Photo of David Tarullo, LCSW, LCADC, CSAT, Clinical Social Work/Therapist
David Tarullo
Clinical Social Work/Therapist, LCSW, LCADC, CSAT
Verified Verified
1 Endorsed
Saint Matthews, KY 40207
As the owner and founder of The Revolution in Counseling I have sought to understand, develop, and implement the most effective and innovative therapies in the field. I work to treat problems at their core to enable real and sustainable change. I have treated a wide range of mental health disorders, but I primarily specialize in treating Trauma, Anxiety, PTSD, Substance Use Disorders, Sex Addiction, Personality Disorders, Betrayal Trauma, Co-Dependency, and Families with Addiction.
As the owner and founder of The Revolution in Counseling I have sought to understand, develop, and implement the most effective and innovative therapies in the field. I work to treat problems at their core to enable real and sustainable change. I have treated a wide range of mental health disorders, but I primarily specialize in treating Trauma, Anxiety, PTSD, Substance Use Disorders, Sex Addiction, Personality Disorders, Betrayal Trauma, Co-Dependency, and Families with Addiction.
(502) 890-9511 View (502) 890-9511
Photo of Eric White Baker Jr, LCSW, LCADC, Clinical Social Work/Therapist
Eric White Baker Jr
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
6 Endorsed
Saint Matthews, KY 40207
Are you struggling to figure out what makes you happy or to find motivation to make the changes that would greatly improve your life? Are you trying to figure out your purpose in an ever changing and complicated world? Do you struggle in navigating your personal / family relationships, or wish to improve how you relate with others? Are you just stuck and confused on what to do? The clients that I consider a best fit are those who are wanting to change themselves but are finding themselves stuck because of anxiety, depression or relational problems.
Are you struggling to figure out what makes you happy or to find motivation to make the changes that would greatly improve your life? Are you trying to figure out your purpose in an ever changing and complicated world? Do you struggle in navigating your personal / family relationships, or wish to improve how you relate with others? Are you just stuck and confused on what to do? The clients that I consider a best fit are those who are wanting to change themselves but are finding themselves stuck because of anxiety, depression or relational problems.
(502) 237-4121 View (502) 237-4121
Photo of Oreatha Hurt, MEd, LPCA, TCADC
Oreatha Hurt
Licensed Professional Counselor Associate, MEd, LPCA, TCADC
Verified Verified
1 Endorsed
Saint Matthews, KY 40207
Accepting new clients! Have you ever wondered if therapy is for you? Well, I'm here to tell you that therapy is for everyone. Whether you are struggling with adjusting to life's curve balls, anxiety, depression, or substance use; My goal as a therapist is to create a safe space where you and I can reduce any mental suffering that you may be facing, and help develop new ways to live life to your fullest potential.
Accepting new clients! Have you ever wondered if therapy is for you? Well, I'm here to tell you that therapy is for everyone. Whether you are struggling with adjusting to life's curve balls, anxiety, depression, or substance use; My goal as a therapist is to create a safe space where you and I can reduce any mental suffering that you may be facing, and help develop new ways to live life to your fullest potential.
(502) 747-1685 View (502) 747-1685
Photo of Donna Lynch Russow, LCSW, ACSW, CLC, Clinical Social Work/Therapist
Donna Lynch Russow
Clinical Social Work/Therapist, LCSW, ACSW, CLC
Verified Verified
Online Only
Looking for hope, strategies and understanding? I am a Certified Life Coach and Licensed Therapist of 35 years and Past President of the Ky. Assn for Marriage and Family Therapy. My website lists my specialised trainings. Current openings for individual and couples. Develop specific action plans to get back on track, regulate your emotions, gain clarity and create solutions. I offer a safe, supportive, affordable healing environment. Helping couples recover from issues such as betrayal and individuals navigate transitions and create fresh starts. If you’re not sure where to begin, a consultation may be just what you need!
Looking for hope, strategies and understanding? I am a Certified Life Coach and Licensed Therapist of 35 years and Past President of the Ky. Assn for Marriage and Family Therapy. My website lists my specialised trainings. Current openings for individual and couples. Develop specific action plans to get back on track, regulate your emotions, gain clarity and create solutions. I offer a safe, supportive, affordable healing environment. Helping couples recover from issues such as betrayal and individuals navigate transitions and create fresh starts. If you’re not sure where to begin, a consultation may be just what you need!
(502) 305-7585 View (502) 305-7585
Photo of Melanie A Albin, PsyS, LMFT, Marriage & Family Therapist
Melanie A Albin
Marriage & Family Therapist, PsyS, LMFT
Verified Verified
Saint Matthews, KY 40207
The essence of my work is to facilitate self-growth that benefits you and your relationship with others. I specialize in couples and family therapy with children of all ages. I provide tools to guide you and your spouse to communicate and resolve issues including infidelity or grief. I work with couples who want to prevent a breakup or improve their relationship. I provide family therapy for children and teens who are anxious, hyperactive or underperforming in school or who are difficult to manage in school or at home. I also specialize with individuals who have anxiety, panic attacks or depression. ​
The essence of my work is to facilitate self-growth that benefits you and your relationship with others. I specialize in couples and family therapy with children of all ages. I provide tools to guide you and your spouse to communicate and resolve issues including infidelity or grief. I work with couples who want to prevent a breakup or improve their relationship. I provide family therapy for children and teens who are anxious, hyperactive or underperforming in school or who are difficult to manage in school or at home. I also specialize with individuals who have anxiety, panic attacks or depression. ​
(502) 797-2424 View (502) 797-2424
Photo of Ashley Vaden, LMFT, Marriage & Family Therapist
Ashley Vaden
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Saint Matthews, KY 40207
Accepting new clients! If you feel that past therapy has been “directionless,” I am the provider for you. My approach is rooted in compassion, and heavily skills-based. You’ll leave our sessions with tools, choices, and an increased understanding of yourself, your relationship, or your teen, My experience with attachment-based modalities, Internal Family Systems techniques, and complex PTSD, has helped me to incorporate somatic practices into my therapy session, as well as techniques to reprogram deep subconscious wiring that keeps us stuck in harmful patterns and ruts. I specialize in working with those struggling with anxiety.
Accepting new clients! If you feel that past therapy has been “directionless,” I am the provider for you. My approach is rooted in compassion, and heavily skills-based. You’ll leave our sessions with tools, choices, and an increased understanding of yourself, your relationship, or your teen, My experience with attachment-based modalities, Internal Family Systems techniques, and complex PTSD, has helped me to incorporate somatic practices into my therapy session, as well as techniques to reprogram deep subconscious wiring that keeps us stuck in harmful patterns and ruts. I specialize in working with those struggling with anxiety.
(502) 791-5108 View (502) 791-5108
Photo of Nicholas Bach - Grace Psychological Services, LLC, PsyD
Grace Psychological Services, LLC
PsyD
Verified Verified
1 Endorsed
Saint Matthews, KY 40207
We are psychologists specializing in Couples Counseling (premarital and marital), Individual Counseling, and Christian Counseling. As trained and experienced clinical psychologists, we are committed to the belief that fostering well-being includes paying attention to all parts of the self: physical, emotional, relational, and spiritual. We can help couples rebuild intimacy, repair communication, and recover from betrayals. For individuals, we can assess and provide therapy for anxiety, depression, panic attacks, trauma, relational issues, stress, and many other day-to-day issues.
We are psychologists specializing in Couples Counseling (premarital and marital), Individual Counseling, and Christian Counseling. As trained and experienced clinical psychologists, we are committed to the belief that fostering well-being includes paying attention to all parts of the self: physical, emotional, relational, and spiritual. We can help couples rebuild intimacy, repair communication, and recover from betrayals. For individuals, we can assess and provide therapy for anxiety, depression, panic attacks, trauma, relational issues, stress, and many other day-to-day issues.
(502) 513-7428 View (502) 513-7428
Photo of Gail Bibb, LMFT, LCSW, MA, Clinical Social Work/Therapist
Gail Bibb
Clinical Social Work/Therapist, LMFT, LCSW, MA
Verified Verified
Saint Matthews, KY 40207
Do you feel like the same scene is playing out in your life over and over again, but an inability to change the script? Do you feel powerless in managing confusing and intense feelings and difficulty in understanding why you feel this way? ARE YOU STRUGGLING IN RELATIONSHIPS? I am a psychotherapist specializing in Holistic trauma-focused treatments for adults, and couples. I believe that most people who walk into the therapist's office have difficulties that are rooted in trauma. Most traumatic experiences happen in the context of a relationship and can also be healed in the context of a safe therapeutic relationship.
Do you feel like the same scene is playing out in your life over and over again, but an inability to change the script? Do you feel powerless in managing confusing and intense feelings and difficulty in understanding why you feel this way? ARE YOU STRUGGLING IN RELATIONSHIPS? I am a psychotherapist specializing in Holistic trauma-focused treatments for adults, and couples. I believe that most people who walk into the therapist's office have difficulties that are rooted in trauma. Most traumatic experiences happen in the context of a relationship and can also be healed in the context of a safe therapeutic relationship.
(502) 829-7479 View (502) 829-7479
Photo of Steven Coleman, LPCA, Counselor
Steven Coleman
Counselor, LPCA
Verified Verified
1 Endorsed
Saint Matthews, KY 40207
I work with a wide arrange of clients, from couples, anger management, Alcohol addiction, and mental health in general. My goal is to help you become a better you. I focus on the "why" of the problem.
I work with a wide arrange of clients, from couples, anger management, Alcohol addiction, and mental health in general. My goal is to help you become a better you. I focus on the "why" of the problem.
(502) 747-9497 View (502) 747-9497
1

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How does your Therapist compare?

Number of Therapists in Saint Matthews, KY

40+

Average cost per session

$130

Therapists in Saint Matthews, KY who prioritize treating:

96% Anxiety
83% Self Esteem
81% Relationship Issues
79% Trauma and PTSD
75% Stress
73% Depression
73% Grief

Average years in practice

12 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
76% Humana
76% Anthem

How Therapists in Saint Matthews, KY see their clients

98% In Person and Online
2% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Matthews?

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.