Therapists in Destrehan, LA

Photo of Nicole Cook-Ficaro, Licensed Professional Counselor, LPCS
Nicole Cook-Ficaro
Licensed Professional Counselor, LPCS
Online Only
Hi, I’m Nicole Cook-Ficaro, and I’ve spent over 15 years working with children, teens, and adults cope with life’s challenges. I work with clients from diverse backgrounds and specialize in supporting those experiencing anxiety, depression, trauma, grief, ADD/ADHD, relationship issues, behavior issues, and other mental health challenges. Clients often describe me as empathetic, approachable, and grounding — someone who makes it easier to share what’s on your mind. I would be happy to set up a meeting to discuss your goals!
Hi, I’m Nicole Cook-Ficaro, and I’ve spent over 15 years working with children, teens, and adults cope with life’s challenges. I work with clients from diverse backgrounds and specialize in supporting those experiencing anxiety, depression, trauma, grief, ADD/ADHD, relationship issues, behavior issues, and other mental health challenges. Clients often describe me as empathetic, approachable, and grounding — someone who makes it easier to share what’s on your mind. I would be happy to set up a meeting to discuss your goals!
(985) 602-3683 View (985) 602-3683
Photo of Natosha Pena, Licensed Professional Counselor, LPC-S
Natosha Pena
Licensed Professional Counselor, LPC-S
3 Endorsed
Online Only
Not accepting new clients
Welcome. Seeking counseling can feel daunting, whether it’s your first time or you’ve been in therapy before. I applaud you for taking this courageous step toward support. I believe deeply in the healing power of the counseling relationship, and I strive to offer a safe, supportive space where you can feel seen, heard, and empowered to explore life’s challenges without judgment.
Welcome. Seeking counseling can feel daunting, whether it’s your first time or you’ve been in therapy before. I applaud you for taking this courageous step toward support. I believe deeply in the healing power of the counseling relationship, and I strive to offer a safe, supportive space where you can feel seen, heard, and empowered to explore life’s challenges without judgment.
(985) 772-6133 View (985) 772-6133
Photo of Kaitlyn Hay, Licensed Professional Counselor, PhD, LPC-S, NCC, CCTP-II
Kaitlyn Hay
Licensed Professional Counselor, PhD, LPC-S, NCC, CCTP-II
6 Endorsed
Destrehan, LA 70047
Clients begin counseling for a number of reasons and as the owner of Guided Growth Counseling, LLC, my aim is to ensure that when you begin your growth process with me you will feel that your needs are met with the compassion you deserve. I view the therapeutic bond as the most important aspect of counseling. Together we will work to understand what brings you to counseling and develop a plan to achieve your goals. I specialize in working with children and teens struggling with social skills, anxiety, behavioral issues, and mood disorder, individuals with trauma including trafficking, and individuals on the autism spectrum.
Clients begin counseling for a number of reasons and as the owner of Guided Growth Counseling, LLC, my aim is to ensure that when you begin your growth process with me you will feel that your needs are met with the compassion you deserve. I view the therapeutic bond as the most important aspect of counseling. Together we will work to understand what brings you to counseling and develop a plan to achieve your goals. I specialize in working with children and teens struggling with social skills, anxiety, behavioral issues, and mood disorder, individuals with trauma including trafficking, and individuals on the autism spectrum.
(985) 336-5389 View (985) 336-5389
Photo of Sherry Ward, Licensed Professional Counselor, LPC-S, NCC, NCSC
Sherry Ward
Licensed Professional Counselor, LPC-S, NCC, NCSC
3 Endorsed
Destrehan, LA 70047
You are not broken. You are becoming. I support clients navigating anxiety, grief, heartbreak, divorce, relationship struggles, life transitions, identity, self-worth, and feeling disconnected from themselves. Therapy with me is a place where you can finally let your shoulders drop and be met with warmth, honesty, humor, and zero judgment.
You are not broken. You are becoming. I support clients navigating anxiety, grief, heartbreak, divorce, relationship struggles, life transitions, identity, self-worth, and feeling disconnected from themselves. Therapy with me is a place where you can finally let your shoulders drop and be met with warmth, honesty, humor, and zero judgment.
(985) 441-8632 View (985) 441-8632
Photo of Bonny Maise, Licensed Professional Counselor, MA, LPC-S
Bonny Maise
Licensed Professional Counselor, MA, LPC-S
2 Endorsed
Destrehan, LA 70047
Thank you for visiting my profile. I recognize counseling as a process in which the client and counselor develop a relationship to explore and define the client’s presenting problem. I believe it is essential for both parties to work as a team to examine client issues and to develop counseling goals to improve client welfare. It is my goal to create an environment, which provides warmth, genuineness, and understanding toward the client. Establishing and maintaining a rapport is essential for effective counseling to transpire. Trust and mutual respect are also needed components to enhance the counseling experience.
Thank you for visiting my profile. I recognize counseling as a process in which the client and counselor develop a relationship to explore and define the client’s presenting problem. I believe it is essential for both parties to work as a team to examine client issues and to develop counseling goals to improve client welfare. It is my goal to create an environment, which provides warmth, genuineness, and understanding toward the client. Establishing and maintaining a rapport is essential for effective counseling to transpire. Trust and mutual respect are also needed components to enhance the counseling experience.
(985) 238-3722 View (985) 238-3722
Photo of Matthew Exnicios, MA, LPC, NCC
Matthew Exnicios
Verified Verified
1 Endorsed
Destrehan, LA 70047
Being “fine” on the outside while struggling inside is exhausting. Maybe you’re overwhelmed with anxiety, burnt out from trying to meet everyone’s expectations, or stuck in patterns that keep repeating in your relationships. You don’t have to keep carrying all of it alone. I help adults work through anxiety, depression, trauma, ADHD, autism, and relationship issues so they can live with more clarity, confidence, and connection.
Being “fine” on the outside while struggling inside is exhausting. Maybe you’re overwhelmed with anxiety, burnt out from trying to meet everyone’s expectations, or stuck in patterns that keep repeating in your relationships. You don’t have to keep carrying all of it alone. I help adults work through anxiety, depression, trauma, ADHD, autism, and relationship issues so they can live with more clarity, confidence, and connection.
(985) 304-8963 View (985) 304-8963
Photo of Helena Thomas, Provisional Licensed Professional Counselor, PLPC
Helena Thomas
Provisional Licensed Professional Counselor, PLPC
1 Endorsed
Serves Area
Hello Welcome, I am committed to helping adolescents and adults navigate life’s challenges with compassion, honesty, and practical support. I specialize in working with individuals experiencing anxiety, depression, stress, trauma, substance use, emotional dysregulation, life transitions, and relationship difficulties. My goal is to provide a safe, nonjudgmental space where clients feel heard, understood, and empowered to grow.
Hello Welcome, I am committed to helping adolescents and adults navigate life’s challenges with compassion, honesty, and practical support. I specialize in working with individuals experiencing anxiety, depression, stress, trauma, substance use, emotional dysregulation, life transitions, and relationship difficulties. My goal is to provide a safe, nonjudgmental space where clients feel heard, understood, and empowered to grow.
(504) 732-9365 View (504) 732-9365
Photo of Victoria Townsend, Clinical Social Work/Therapist, LCSW
Victoria Townsend
Clinical Social Work/Therapist, LCSW
9 Endorsed
Online Only
Waitlist for new clients
Navigating adversity while maintaining self-compassion can be difficult. I strive to provide person centered care to individuals, families and couples. My approach to therapy is individualized, with consideration of the uniqueness of each client's preferences and needs. I utilize trauma informed care with traditional therapeutic methods such as DBT, CBT, and EFT. I am also trained in attachment focused EMDR. I received my BA from Louisiana State University and my Master’s in Social Work from Southern University at New Orleans..
Navigating adversity while maintaining self-compassion can be difficult. I strive to provide person centered care to individuals, families and couples. My approach to therapy is individualized, with consideration of the uniqueness of each client's preferences and needs. I utilize trauma informed care with traditional therapeutic methods such as DBT, CBT, and EFT. I am also trained in attachment focused EMDR. I received my BA from Louisiana State University and my Master’s in Social Work from Southern University at New Orleans..
(504) 420-8281 View (504) 420-8281
Photo of Nicole Goldin, Drug & Alcohol Counselor, MMT, LAC, CCS, AADC, CCGC
Nicole Goldin
Drug & Alcohol Counselor, MMT, LAC, CCS, AADC, CCGC
8 Endorsed
Serves Area
Improving your quality of life comes naturally when regaining control. Life will continue to throw curveballs at you, and counseling is one of the many tools that can prepare you to withstand both the expected and unexpected. I am a bilingual Licensed Addiction Counselor, Certified Compulsive Gambling Counselor, and Board-Certified Music Therapist offering therapeutic services in both English and Spanish. Although I specialize in addiction, I work daily with individuals struggling with anxiety, depression, and other mood disorders, and will assist you in reaching your personal goals for mental health and recovery.
Improving your quality of life comes naturally when regaining control. Life will continue to throw curveballs at you, and counseling is one of the many tools that can prepare you to withstand both the expected and unexpected. I am a bilingual Licensed Addiction Counselor, Certified Compulsive Gambling Counselor, and Board-Certified Music Therapist offering therapeutic services in both English and Spanish. Although I specialize in addiction, I work daily with individuals struggling with anxiety, depression, and other mood disorders, and will assist you in reaching your personal goals for mental health and recovery.
(504) 946-1369 View (504) 946-1369
Photo of Brenda Durbin, Clinical Social Work/Therapist, LCSW
Brenda Durbin
Clinical Social Work/Therapist, LCSW
Online Only
Not accepting new clients
"When I let go of what I am, I become what I might be"( Lao Tzu). Life transitions are a constant thread in our lives, and sometimes a person needs a little guidance to help them make the transition and evolve from their efforts. As a social worker for more than 24 years, my clinical practice has enabled me to work with a diverse group of people representing all ages and stages of their lives and careers. I have appreciated helping each one with their challenges as they worked through their changes to evolve to their next stage of life.
"When I let go of what I am, I become what I might be"( Lao Tzu). Life transitions are a constant thread in our lives, and sometimes a person needs a little guidance to help them make the transition and evolve from their efforts. As a social worker for more than 24 years, my clinical practice has enabled me to work with a diverse group of people representing all ages and stages of their lives and careers. I have appreciated helping each one with their challenges as they worked through their changes to evolve to their next stage of life.
Photo of Alexis Gonzalez, Licensed Professional Counselor, LPC, LAC, SAP, AADC, NCC
Alexis Gonzalez
Licensed Professional Counselor, LPC, LAC, SAP, AADC, NCC
Serves Area
Hey I'm Alexis, and I am here to help you navigate and overcome the challenges of life by helping you feel heard, understood, and confident within a safe space. It takes a lot of courage to reach out for help, and I want to help you gain the confidence and faith you need to accomplish the life you want to live. If you are tired of addiction being in control of your life, struggling to cope with loved ones who are addicted, experiencing anxiety or depression that makes life overwhelming, or trying to pick up the pieces from domestic abuse, I’m here to listen and support you through the healing process.
Hey I'm Alexis, and I am here to help you navigate and overcome the challenges of life by helping you feel heard, understood, and confident within a safe space. It takes a lot of courage to reach out for help, and I want to help you gain the confidence and faith you need to accomplish the life you want to live. If you are tired of addiction being in control of your life, struggling to cope with loved ones who are addicted, experiencing anxiety or depression that makes life overwhelming, or trying to pick up the pieces from domestic abuse, I’m here to listen and support you through the healing process.
(504) 788-2768 View (504) 788-2768
Photo of Sharell Warren-Veal, Licensed Professional Counselor, LPC
Sharell Warren-Veal
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
Embarking on the journey of therapy can represent a significant step forward, and I would like to extend my congratulations to you for taking this initiative. I am committed to ensuring that this experience is both meaningful and beneficial. My area of expertise lies in assisting individuals who are navigating life transitions, anxiety, depression, and trauma. I employ a client-centered and collaborative approach to therapy, tailoring each session to address your specific needs and objectives. I encourage you to reach out at your convenience whenever you feel prepared to commence this process.
Embarking on the journey of therapy can represent a significant step forward, and I would like to extend my congratulations to you for taking this initiative. I am committed to ensuring that this experience is both meaningful and beneficial. My area of expertise lies in assisting individuals who are navigating life transitions, anxiety, depression, and trauma. I employ a client-centered and collaborative approach to therapy, tailoring each session to address your specific needs and objectives. I encourage you to reach out at your convenience whenever you feel prepared to commence this process.
(213) 423-4914 View (213) 423-4914
Photo of Dr. Monique Matherne, Psychologist, PhD
Dr. Monique Matherne
Psychologist, PhD
Serves Area
Hi! Finding the right Psychologist for individuals may be challenging. It is imperative to find a good fit to help you achieve your desired goals in therapy. We all need to prioritize mental health. I have been in my own practice for over 16 years and want you to feel comfortable in our warm environment. My specialties include anxiety, depression, wellness, ADHD, coaching, sleep, stress, life adjustment, college adjustment, life transition, quality of life, self-esteem, Executive Coaching, and work related issues. Typically, I work with adults, college students, adolescents, children 8 years or older, and companies.
Hi! Finding the right Psychologist for individuals may be challenging. It is imperative to find a good fit to help you achieve your desired goals in therapy. We all need to prioritize mental health. I have been in my own practice for over 16 years and want you to feel comfortable in our warm environment. My specialties include anxiety, depression, wellness, ADHD, coaching, sleep, stress, life adjustment, college adjustment, life transition, quality of life, self-esteem, Executive Coaching, and work related issues. Typically, I work with adults, college students, adolescents, children 8 years or older, and companies.
(504) 800-8336 View (504) 800-8336
Photo of Debbie Granier - Empowered Path Counseling , Licensed Professional Counselor, MA, LPC-S, NCC
Empowered Path Counseling
Licensed Professional Counselor, MA, LPC-S, NCC
2 Endorsed
Serves Area
Through my life experience and education I believe developing supportive relationships has the power to reduce the effects of trauma for a child, parents and families. I approach therapy sessions differently depending on the client’s needs and goals. If it is the client’s goal to work on a current obstacle in life or lifetime of trauma I see it as an honor to help the client navigate the process of healing. Allowing a safe space for people to explore their emotions and develop skills to create a congruent environment around them and navigate the unknowns in life.
Through my life experience and education I believe developing supportive relationships has the power to reduce the effects of trauma for a child, parents and families. I approach therapy sessions differently depending on the client’s needs and goals. If it is the client’s goal to work on a current obstacle in life or lifetime of trauma I see it as an honor to help the client navigate the process of healing. Allowing a safe space for people to explore their emotions and develop skills to create a congruent environment around them and navigate the unknowns in life.
(504) 732-1546 View (504) 732-1546
Photo of Noelle Raymond, Clinical Social Work/Therapist, LCSW
Noelle Raymond
Clinical Social Work/Therapist, LCSW
Serves Area
Hi there. My name is Noelle Raymond and I am a licensed and skilled psychotherapist with several years of clinical experience. In my practice, I utilize various approaches to meet the individual needs of each client which most often include those rooted in psychodynamic, interpersonal, and existential therapy. I also incorporate CBT and DBT skills into my practice to help my clients develop coping tools to take with them outside of the therapy room.
Hi there. My name is Noelle Raymond and I am a licensed and skilled psychotherapist with several years of clinical experience. In my practice, I utilize various approaches to meet the individual needs of each client which most often include those rooted in psychodynamic, interpersonal, and existential therapy. I also incorporate CBT and DBT skills into my practice to help my clients develop coping tools to take with them outside of the therapy room.
(504) 788-1577 View (504) 788-1577
Photo of Katie Abadie, Licensed Professional Counselor, MS, LPC, NCC
Katie Abadie
Licensed Professional Counselor, MS, LPC, NCC
Serves Area
Not accepting new clients
Are you wanting change, but you're feeling stuck? Are you grieving a traumatic childhood or experience? Do you have difficulties with anxiety, self-worth, and relationships? Do you struggle feeling connected to your core self? Are you seeking new meaning, perspectives, and engagement in life? Trauma and disconnection are epidemics, impacting our families, communities, our bodies, and minds. If you are seeking relief from coping mechanisms that lead to more disconnection, or if any of these questions resonated with you, we may be a great fit for the collaborative journey towards wellness together.
Are you wanting change, but you're feeling stuck? Are you grieving a traumatic childhood or experience? Do you have difficulties with anxiety, self-worth, and relationships? Do you struggle feeling connected to your core self? Are you seeking new meaning, perspectives, and engagement in life? Trauma and disconnection are epidemics, impacting our families, communities, our bodies, and minds. If you are seeking relief from coping mechanisms that lead to more disconnection, or if any of these questions resonated with you, we may be a great fit for the collaborative journey towards wellness together.
(985) 306-8539 View (985) 306-8539
Photo of Laura Choate - Creative Family Solutions, Licensed Professional Counselor, MA, LPC
Creative Family Solutions
Licensed Professional Counselor, MA, LPC
Serves Area
Creative Family Solutions empowers individuals to make good choices, reclaim self esteem, trust others and achieve goals in the home and in the educational and judicial systems.
Creative Family Solutions empowers individuals to make good choices, reclaim self esteem, trust others and achieve goals in the home and in the educational and judicial systems.
(985) 303-2669 View (985) 303-2669

More Therapists Nearby

Photo of Myra Hidalgo, Clinical Social Work/Therapist, LCSW, BACS
Myra Hidalgo
Clinical Social Work/Therapist, LCSW, BACS
New Orleans, LA 70119
Not accepting new clients
Limited in-person availability. Psychotherapy can be one of the most valuable life experiences a person can have. Yet finding the right therapist may seem like an overwhelming task. I believe that establishing trust in the therapeutic relationship is critical before any meaningful or lasting change can result from a particular "technique." It is important to feel confident in your therapist's competency, compassion and character in order to build a safe, trusting relationship in which growth and change can occur. I hope that the personal statements made by therapists here will help you find a good match for your particular needs.
Limited in-person availability. Psychotherapy can be one of the most valuable life experiences a person can have. Yet finding the right therapist may seem like an overwhelming task. I believe that establishing trust in the therapeutic relationship is critical before any meaningful or lasting change can result from a particular "technique." It is important to feel confident in your therapist's competency, compassion and character in order to build a safe, trusting relationship in which growth and change can occur. I hope that the personal statements made by therapists here will help you find a good match for your particular needs.
(504) 380-9466 View (504) 380-9466
Photo of Suzette Ermler, Clinical Social Work/Therapist, LCSW
Suzette Ermler
Clinical Social Work/Therapist, LCSW
New Orleans, LA 70115
The foundation of my practice lies in open acceptance, while accompanying you on a path to growth and peace in your daily life. I focus on resiliency and trauma based care, striving for holistic healing and growth, while finding joy and meaning together. My passion is in exploring nature based therapy modules and trauma informed practices. I have worked for over 20 years in community based projects, ranging from children and families navigating immigration and legal systems, to school social work and hospice care. In addition, I've worked with adults and children on the autism spectrum and those identifying as neurodiverse.
The foundation of my practice lies in open acceptance, while accompanying you on a path to growth and peace in your daily life. I focus on resiliency and trauma based care, striving for holistic healing and growth, while finding joy and meaning together. My passion is in exploring nature based therapy modules and trauma informed practices. I have worked for over 20 years in community based projects, ranging from children and families navigating immigration and legal systems, to school social work and hospice care. In addition, I've worked with adults and children on the autism spectrum and those identifying as neurodiverse.
(504) 608-6865 View (504) 608-6865
Photo of Caroline Rausch, Counselor, MEd, LPC, NCC
Caroline Rausch
Counselor, MEd, LPC, NCC
2 Endorsed
New Orleans, LA 70116
Waitlist for new clients
Hi, I'm Caroline! I work with people pleasers, ruminators, and people who identify with complex PTSD. I also work with neurodivergent clients who have struggled to find a good therapeutic fit in the past. Whether you are looking for validation, strategies to deal with specific issues, or want to seek deeper understanding of yourself, I aim to make therapy as useful for you as possible. My style is direct, supportive, and focused on tangible change. We'll confront challenges head-on, build your inner strength, and create a path forward that feels authentic to you.
Hi, I'm Caroline! I work with people pleasers, ruminators, and people who identify with complex PTSD. I also work with neurodivergent clients who have struggled to find a good therapeutic fit in the past. Whether you are looking for validation, strategies to deal with specific issues, or want to seek deeper understanding of yourself, I aim to make therapy as useful for you as possible. My style is direct, supportive, and focused on tangible change. We'll confront challenges head-on, build your inner strength, and create a path forward that feels authentic to you.
(504) 474-6642 View (504) 474-6642

See more therapy options for Destrehan

How does your Therapist compare?

Number of Therapists in Destrehan, LA

10+

Average cost per session

$125

Therapists in Destrehan, LA who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
88% Depression
76% Relationship Issues
76% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

100% Aetna
82% BlueCross and BlueShield
82% UnitedHealthcare UHC | UBH

How Therapists in Destrehan, LA see their clients

71% In Person and Online
29% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Destrehan?

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.