Therapists in Kalamazoo, MI

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Photo of Tim Meyer - New Horizon Counseling, Clinical Social Work/Therapist, LMSW
New Horizon Counseling
Clinical Social Work/Therapist, LMSW
1 Endorsed
Kalamazoo, MI 49001
Are you or your child struggling with long-lasting periods of sadness; are you/they becoming more isolated, or having thoughts of self-harm? Do you find yourself or your child worrying excessively? Maybe you're just finding it difficult to connect with your child or partner? Are you looking to find relief from day-to-day stressors, increase healthy communication skills, find more effective ways to receive compliance from your child?
Are you or your child struggling with long-lasting periods of sadness; are you/they becoming more isolated, or having thoughts of self-harm? Do you find yourself or your child worrying excessively? Maybe you're just finding it difficult to connect with your child or partner? Are you looking to find relief from day-to-day stressors, increase healthy communication skills, find more effective ways to receive compliance from your child?
(269) 682-2135 x100 View (269) 682-2135 x100
Photo of Madelynn Lauck, Clinical Social Work/Therapist, LLMSW
Madelynn Lauck
Clinical Social Work/Therapist, LLMSW
2 Endorsed
Kalamazoo, MI 49009
Do anxiety, trauma, self-esteem, life transitions, relationship struggles, or shifts to college/ young adulthood feel overwhelming? Your 20s and 30s are a special time of change and you don’t have to face it alone. I specialize in young adults and honor the vulnerability it takes to share your story. I work collaboratively with individuals to process emotions and gain insight on how past experiences shape current thoughts, feelings, and behaviors. While meeting you where you’re at, we’ll build coping skills to reduce anxiety, explore & heal attachment styles, uncover root causes, and build confidence to as you move towards healing.
Do anxiety, trauma, self-esteem, life transitions, relationship struggles, or shifts to college/ young adulthood feel overwhelming? Your 20s and 30s are a special time of change and you don’t have to face it alone. I specialize in young adults and honor the vulnerability it takes to share your story. I work collaboratively with individuals to process emotions and gain insight on how past experiences shape current thoughts, feelings, and behaviors. While meeting you where you’re at, we’ll build coping skills to reduce anxiety, explore & heal attachment styles, uncover root causes, and build confidence to as you move towards healing.
(269) 895-6086 View (269) 895-6086
Photo of Kimberly C Thorpe - Dr. Kimberly Thorpe DSW, LMSW Counseling , Clinical Social Work/Therapist, DSW, LMSW
Dr. Kimberly Thorpe DSW, LMSW Counseling
Clinical Social Work/Therapist, DSW, LMSW
Online Only
Thanks For Stopping By! Are you looking for an experienced Doctorate level clinician like me? I provide Urgent Care Christian Counseling for couples who are experiencing a relationship crisis or seeking premarital support. I will create a safe space for you to step away from your everyday routines and distractions and refocus on your relationship with God, you, and your marriage. Urgent Care Counseling does NOT require a long-term commitment. Let me help you guys get back on track with what God says, while addressing: communication, infidelity, intimacy, financial strains, stress, anxiety, depression, & blended families.
Thanks For Stopping By! Are you looking for an experienced Doctorate level clinician like me? I provide Urgent Care Christian Counseling for couples who are experiencing a relationship crisis or seeking premarital support. I will create a safe space for you to step away from your everyday routines and distractions and refocus on your relationship with God, you, and your marriage. Urgent Care Counseling does NOT require a long-term commitment. Let me help you guys get back on track with what God says, while addressing: communication, infidelity, intimacy, financial strains, stress, anxiety, depression, & blended families.
(269) 247-4910 View (269) 247-4910
Photo of Lisa Wright, Master Social Worker, LLMSW, CAADC
Lisa Wright
Master Social Worker, LLMSW, CAADC
1 Endorsed
Online Only
Are you feeling overwhelmed, stuck, or disconnected? Whether you’re dealing with anxiety, trauma, or substance use, you deserve a space where you can feel safe, understood, and supported. Are you someone who wants to regain control of their life, find balance, and work toward healing and personal growth. Together, we’ll help you build the confidence and resilience you need to face life’s challenges and create healthier, more fulfilling relationships. You don't have to do it alone—let’s work through this together.
Are you feeling overwhelmed, stuck, or disconnected? Whether you’re dealing with anxiety, trauma, or substance use, you deserve a space where you can feel safe, understood, and supported. Are you someone who wants to regain control of their life, find balance, and work toward healing and personal growth. Together, we’ll help you build the confidence and resilience you need to face life’s challenges and create healthier, more fulfilling relationships. You don't have to do it alone—let’s work through this together.
(269) 233-3974 View (269) 233-3974
Photo of Michelle Earhart, Clinical Social Work/Therapist, LMSW
Michelle Earhart
Clinical Social Work/Therapist, LMSW
2 Endorsed
Online Only
Waitlist for new clients
I’m happy you’re here! Seeking therapy is a brave and compassionate step toward caring for yourself. My aim is to provide a safe and supportive space where you can explore your thoughts and feelings, feel heard, and work toward healing. I specialize in treating anxiety, Obsessive Compulsive Disorder, phobias, panic attacks, depression, and psychosis. I am also passionate about helping healthcare professionals navigate secondary trauma and find a work/life balance! I prioritize ongoing training and consultation to ensure my clinical skills are current, ethical, and effective.
I’m happy you’re here! Seeking therapy is a brave and compassionate step toward caring for yourself. My aim is to provide a safe and supportive space where you can explore your thoughts and feelings, feel heard, and work toward healing. I specialize in treating anxiety, Obsessive Compulsive Disorder, phobias, panic attacks, depression, and psychosis. I am also passionate about helping healthcare professionals navigate secondary trauma and find a work/life balance! I prioritize ongoing training and consultation to ensure my clinical skills are current, ethical, and effective.
(269) 256-1663 View (269) 256-1663
Photo of Nicole Parker, Clinical Social Work/Therapist, LMSW
Nicole Parker
Clinical Social Work/Therapist, LMSW
Kalamazoo, MI 49007
Trauma is defined differently by everyone and NO ONE understands what you are going through like you do. As a therapist trained in EMDR I can use my knowledge to help you process life experiences and provide realistic tools to manage reactions caused by trauma. I have previous work experience in healthcare and I enjoy working with teenagers and adults. My training and work experience include individuals with histories of complex trauma, first responders, personality disorders, trauma affiliated with a religion, addiction(s), grief, sexual health, and medical trauma.
Trauma is defined differently by everyone and NO ONE understands what you are going through like you do. As a therapist trained in EMDR I can use my knowledge to help you process life experiences and provide realistic tools to manage reactions caused by trauma. I have previous work experience in healthcare and I enjoy working with teenagers and adults. My training and work experience include individuals with histories of complex trauma, first responders, personality disorders, trauma affiliated with a religion, addiction(s), grief, sexual health, and medical trauma.
(269) 430-2464 View (269) 430-2464
Photo of Alcione Vasconcelos Wright, Clinical Social Work/Therapist, PhD, LMSW
Alcione Vasconcelos Wright
Clinical Social Work/Therapist, PhD, LMSW
Kalamazoo, MI 49001
Are you feeling weighed down by the heavy layers of anxiety, depression, or a recent loss? Perhaps you are navigating the profound transitions of aging or end-of-life and find yourself searching for meaning amidst the pain. My ideal client is often someone standing at a crossroads, seeking not just relief from daily stress, but a deeper understanding of their own journey. You may be longing for a sense of harmony between your physical health and your spiritual self, wanting to feel whole, grounded, and understood as you face life’s biggest questions.
Are you feeling weighed down by the heavy layers of anxiety, depression, or a recent loss? Perhaps you are navigating the profound transitions of aging or end-of-life and find yourself searching for meaning amidst the pain. My ideal client is often someone standing at a crossroads, seeking not just relief from daily stress, but a deeper understanding of their own journey. You may be longing for a sense of harmony between your physical health and your spiritual self, wanting to feel whole, grounded, and understood as you face life’s biggest questions.
(269) 649-8871 View (269) 649-8871
Photo of Emily Dean, Licensed Professional Counselor, LPC
Emily Dean
Licensed Professional Counselor, LPC
1 Endorsed
Kalamazoo, MI 49009
Waitlist for new clients
My goal as a therapist is to create a warm, safe, collaborative, authentic, and trusting environment for my clients. I am passionate about working with those who are experiencing challenges with their sexuality/gender identity, sexual self, relationships, self-esteem, and trauma. My clients can expect a genuine therapeutic relationship where all parts of them are welcome.
My goal as a therapist is to create a warm, safe, collaborative, authentic, and trusting environment for my clients. I am passionate about working with those who are experiencing challenges with their sexuality/gender identity, sexual self, relationships, self-esteem, and trauma. My clients can expect a genuine therapeutic relationship where all parts of them are welcome.
(231) 202-3469 View (231) 202-3469
Photo of Lisa M Klein - Awakenings Christian Counseling, Licensed Professional Counselor, MA, LPC, ACS
Awakenings Christian Counseling
Licensed Professional Counselor, MA, LPC, ACS
Kalamazoo, MI 49008
Life can quickly take a turn leaving us in shock, feeling like our future is uncertain and out of control. Seeking help processing is the first step to healing. Knowing that you are not alone as you navigate through the process brings a sense of comfort and reassurance needed in difficult times.
Life can quickly take a turn leaving us in shock, feeling like our future is uncertain and out of control. Seeking help processing is the first step to healing. Knowing that you are not alone as you navigate through the process brings a sense of comfort and reassurance needed in difficult times.
(269) 215-6687 View (269) 215-6687
Photo of Lesa Brenner, Clinical Social Work/Therapist, LMSW
Lesa Brenner
Clinical Social Work/Therapist, LMSW
8 Endorsed
Kalamazoo, MI 49008
Therapy is hard. My job is to make you feel confident with your decision to reach out for help while guiding you through your own personal growth and healing. Healing from trauma will be the hardest and most worthwhile decision of your life, and you do not have to go through it alone. I offer individual therapy for adolescents and adults in a LGBTQ+ open and affirming practice. Please reach out if you would like to connect about the therapy process.
Therapy is hard. My job is to make you feel confident with your decision to reach out for help while guiding you through your own personal growth and healing. Healing from trauma will be the hardest and most worthwhile decision of your life, and you do not have to go through it alone. I offer individual therapy for adolescents and adults in a LGBTQ+ open and affirming practice. Please reach out if you would like to connect about the therapy process.
(269) 248-7774 View (269) 248-7774
Photo of Carrie Dall, Clinical Social Work/Therapist, LMSW
Carrie Dall
Clinical Social Work/Therapist, LMSW
2 Endorsed
Kalamazoo, MI 49008
Waitlist for new clients
It is safe to say, life doesn’t always go according to plan. And at times seeking help and support is the most courageous step you can take. YOU are the narrator of your story, and it is my hope to guide you to be the best possible version of yourself. Over the past 11 years I have worked with clients dealing with chronic illness, situational stress, anxiety, relationship issues, motivation, self-esteem & depression through an eclectic approach using CBT, motivational interviewing and EMDR.
It is safe to say, life doesn’t always go according to plan. And at times seeking help and support is the most courageous step you can take. YOU are the narrator of your story, and it is my hope to guide you to be the best possible version of yourself. Over the past 11 years I have worked with clients dealing with chronic illness, situational stress, anxiety, relationship issues, motivation, self-esteem & depression through an eclectic approach using CBT, motivational interviewing and EMDR.
(269) 367-8645 View (269) 367-8645
Photo of Angie Scholten, Clinical Social Work/Therapist, LLMSW
Angie Scholten
Clinical Social Work/Therapist, LLMSW
Kalamazoo, MI 49007
Are you feeling uncertain about who you are or what comes next? Whether you're questioning aspects of your identity, navigating a major life transition, or simply feeling overwhelmed, you don’t have to figure it out alone. I'm here to co-create a collaborative, affirming space where you can explore your thoughts and experiences with curiosity and compassion. I work with individuals across the lifespan (ages 13–65) who are seeking clarity, healing, or change. Many of my clients come to therapy to explore gender identity, sexual orientation, anxiety, trauma, self-esteem, and life transitions.
Are you feeling uncertain about who you are or what comes next? Whether you're questioning aspects of your identity, navigating a major life transition, or simply feeling overwhelmed, you don’t have to figure it out alone. I'm here to co-create a collaborative, affirming space where you can explore your thoughts and experiences with curiosity and compassion. I work with individuals across the lifespan (ages 13–65) who are seeking clarity, healing, or change. Many of my clients come to therapy to explore gender identity, sexual orientation, anxiety, trauma, self-esteem, and life transitions.
(269) 520-7487 View (269) 520-7487
Photo of Christy Heffron, Clinical Social Work/Therapist, LMSW
Christy Heffron
Clinical Social Work/Therapist, LMSW
Kalamazoo, MI 49009
It is important to me that I offer a safe, respectful and confidential environment for clients as they process challenges in their lives. I believe that every individual has the ability to recognize their internal self-worth, which external factors often impede. I believe in focusing on the person as a whole, with attention to the emotional, physical, and spiritual components of wellness. I have a great deal of respect for my clients, and I recognize the strength it takes to address concerns and seek assistance. It is my goal to offer encouragement and support as clients work towards making positive changes to their lives.
It is important to me that I offer a safe, respectful and confidential environment for clients as they process challenges in their lives. I believe that every individual has the ability to recognize their internal self-worth, which external factors often impede. I believe in focusing on the person as a whole, with attention to the emotional, physical, and spiritual components of wellness. I have a great deal of respect for my clients, and I recognize the strength it takes to address concerns and seek assistance. It is my goal to offer encouragement and support as clients work towards making positive changes to their lives.
(269) 215-4221 View (269) 215-4221
Photo of Steve Klein, Master Social Worker, LLMSW
Steve Klein
Master Social Worker, LLMSW
Online Only
Are you feeling stuck, anxious, or weighed down by the past? You don’t have to carry that alone. Whether you’re dealing with trauma, anxiety, or depression, I work with individuals—especially military members, first responders, and those on the front lines of life—who need a space to unpack, reflect, and grow. I’m a combat veteran and spent 17 years as a sheriff’s deputy. That experience gives me a unique understanding of the challenges that come with serving others—whether it’s on the battlefield or in your own community. I became a therapist because I wanted to help people in a deeper, more lasting way.
Are you feeling stuck, anxious, or weighed down by the past? You don’t have to carry that alone. Whether you’re dealing with trauma, anxiety, or depression, I work with individuals—especially military members, first responders, and those on the front lines of life—who need a space to unpack, reflect, and grow. I’m a combat veteran and spent 17 years as a sheriff’s deputy. That experience gives me a unique understanding of the challenges that come with serving others—whether it’s on the battlefield or in your own community. I became a therapist because I wanted to help people in a deeper, more lasting way.
(269) 371-7760 View (269) 371-7760
Photo of Terri Ratliff, Licensed Professional Counselor, PhD, LPC, NPT-C™, NCC
Terri Ratliff
Licensed Professional Counselor, PhD, LPC, NPT-C™, NCC
Online Only
Life can change in a flash. Transitions are not always expected. Job loss, chronic illness, death of a loved one, a pandemic - not to mention those we do plan, such as moving, empty nest, retirement, and others. We often try to avoid transitions because change can be hard. Even a positive change can cause feelings of loss, anxiety, overwhelmed and often leads to anxiety or depression. Those suffering from emotional instability, trauma & loss, or other life stressors causing mental health disturbance, acquiring new skills through tools and meeting goals, will allow for greater self-understanding, offering an enhanced quality of life.
Life can change in a flash. Transitions are not always expected. Job loss, chronic illness, death of a loved one, a pandemic - not to mention those we do plan, such as moving, empty nest, retirement, and others. We often try to avoid transitions because change can be hard. Even a positive change can cause feelings of loss, anxiety, overwhelmed and often leads to anxiety or depression. Those suffering from emotional instability, trauma & loss, or other life stressors causing mental health disturbance, acquiring new skills through tools and meeting goals, will allow for greater self-understanding, offering an enhanced quality of life.
(269) 256-1536 View (269) 256-1536
Photo of Allyn Witchell, Marriage & Family Therapist, MA, LMFT
Allyn Witchell
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Kalamazoo, MI 49007
Immediate evening openings for new clients. Are you looking for couples counseling, family therapy, or help for yourself to improve your relationships? Couples counseling can be a great avenue to improve and grow in a relationship; even before serious issues arise. Every family has challenges; through the therapeutic process, families can learn new techniques and skills to better support their loved ones.
Immediate evening openings for new clients. Are you looking for couples counseling, family therapy, or help for yourself to improve your relationships? Couples counseling can be a great avenue to improve and grow in a relationship; even before serious issues arise. Every family has challenges; through the therapeutic process, families can learn new techniques and skills to better support their loved ones.
(269) 215-2819 View (269) 215-2819
Photo of Katrine Michele Cabell, Clinical Social Work/Therapist, LMSW, LCSW
Katrine Michele Cabell
Clinical Social Work/Therapist, LMSW, LCSW
Online Only
“As a therapist, I believe that at our core, we are all human—regardless of our backgrounds, race, or experiences, we share common struggles and emotions. My approach is rooted in this understanding: no matter who you are, you deserve to be seen, heard, and supported.
“As a therapist, I believe that at our core, we are all human—regardless of our backgrounds, race, or experiences, we share common struggles and emotions. My approach is rooted in this understanding: no matter who you are, you deserve to be seen, heard, and supported.
(269) 431-2424 View (269) 431-2424
Photo of Katie Jensen, Clinical Social Work/Therapist, LCSW, CST
Katie Jensen
Clinical Social Work/Therapist, LCSW, CST
Kalamazoo, MI 49009
I am a Certified Sex Therapist who believes in creating a welcoming therapeutic space that is both person-centered and affirming. Therapy is a place for you and I work together to identify challenges and develop more effective ways of addressing those challenges. My services are always tailored to the individual and I work to maintain a collaborative and strengths-based environment where trust and safety are a top priority. Ultimately, I hope that our work together helps you feel comfortable and confident as you navigate the world.
I am a Certified Sex Therapist who believes in creating a welcoming therapeutic space that is both person-centered and affirming. Therapy is a place for you and I work together to identify challenges and develop more effective ways of addressing those challenges. My services are always tailored to the individual and I work to maintain a collaborative and strengths-based environment where trust and safety are a top priority. Ultimately, I hope that our work together helps you feel comfortable and confident as you navigate the world.
(269) 430-4849 View (269) 430-4849
Morgyn Rose Poehlman
Licensed Professional Counselor, MA, LPC
Kalamazoo, MI 49009
“You cannot heal what you refuse to confront.” Is this a phrase that resonates with you? If so, then you are in the right place. Sometimes in life we get to a point where we realize that we are not living our truest life or our most actualized self. This can be anything from dealing with our daily turmoil and tribulations to confronting deep insecurities, distressing anxiety and depression, or past trauma. One of the key steps to overcoming these concerns is to turn inward and examine the self. In our counseling relationship, I promise to provide you with my most authentic self so that you can discover yours.
“You cannot heal what you refuse to confront.” Is this a phrase that resonates with you? If so, then you are in the right place. Sometimes in life we get to a point where we realize that we are not living our truest life or our most actualized self. This can be anything from dealing with our daily turmoil and tribulations to confronting deep insecurities, distressing anxiety and depression, or past trauma. One of the key steps to overcoming these concerns is to turn inward and examine the self. In our counseling relationship, I promise to provide you with my most authentic self so that you can discover yours.
(269) 215-2903 View (269) 215-2903
Photo of Gisela Rodriguez Lawson, Clinical Social Work/Therapist, LMSW-C
Gisela Rodriguez Lawson
Clinical Social Work/Therapist, LMSW-C
2 Endorsed
Kalamazoo, MI 49008
Are you feeling overwhelmed, confused, and/or unsure? As a licensed clinical therapist I can help you address these feelings by using a variety of therapeutic methods to help you gain an understanding of the root cause of your concerns, develop healthy coping techniques, & enhance overall mental health. I specialize in working with children and adults who experienced trauma, struggle with anxiety, depression, behavioral issues, trouble concentrating, irritability, anger, substance use issues or overall life dissatisfaction.
Are you feeling overwhelmed, confused, and/or unsure? As a licensed clinical therapist I can help you address these feelings by using a variety of therapeutic methods to help you gain an understanding of the root cause of your concerns, develop healthy coping techniques, & enhance overall mental health. I specialize in working with children and adults who experienced trauma, struggle with anxiety, depression, behavioral issues, trouble concentrating, irritability, anger, substance use issues or overall life dissatisfaction.
(269) 533-7050 View (269) 533-7050

See more therapy options for Kalamazoo

How does your Therapist compare?

Number of Therapists in Kalamazoo, MI

600+

Average cost per session

$158

Therapists in Kalamazoo, MI who prioritize treating:

95% Anxiety
89% Depression
73% Relationship Issues
72% Trauma and PTSD
71% Self Esteem
71% Stress
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
74% Priority Health
73% Aetna

How Therapists in Kalamazoo, MI see their clients

73% In Person and Online
27% Online Only

Gender breakdown

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

How can I find a therapist in Kalamazoo?

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.