Therapists in Midland County, MI

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Photo of Dalila M Solis, Clinical Social Work/Therapist, LMSW, PMH-C
Dalila M Solis
Clinical Social Work/Therapist, LMSW, PMH-C
Verified Verified
Midland, MI 48640
Many women experience mild mood changes during or after the birth of a child and 1 in 5 women experience more significant mental health concerns. I am passionate about serving women who have perinatal mood and anxiety disorders including grief from pregnancy and infant loss. I am a certified Perinatal Mental Health Clinician. I work at Partners in Change: Psychological & Community Services, PLC. At our agency, we are committed to offering compassionate evidenced based treatments. We are accepting new clients - virtually or in person.
Many women experience mild mood changes during or after the birth of a child and 1 in 5 women experience more significant mental health concerns. I am passionate about serving women who have perinatal mood and anxiety disorders including grief from pregnancy and infant loss. I am a certified Perinatal Mental Health Clinician. I work at Partners in Change: Psychological & Community Services, PLC. At our agency, we are committed to offering compassionate evidenced based treatments. We are accepting new clients - virtually or in person.
(989) 747-4593 View (989) 747-4593
Photo of Marissa Curtis, Clinical Social Work/Therapist, LMSW
Marissa Curtis
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Midland, MI 48640
At Big Sky Wellness, my colleagues, Martina Ricards Marks, Cassie Herzberger, and I are dedicated to understanding the specifics of your journey, challenges, and aspirations. Together, we will build a partnership aimed at fostering significant change, customized to your specific needs. My key areas of focus include anxiety, attention deficit hyperactivity disorder (ADHD), depression, eating disorders, grief and loss, life transitions, and relationship issues.
At Big Sky Wellness, my colleagues, Martina Ricards Marks, Cassie Herzberger, and I are dedicated to understanding the specifics of your journey, challenges, and aspirations. Together, we will build a partnership aimed at fostering significant change, customized to your specific needs. My key areas of focus include anxiety, attention deficit hyperactivity disorder (ADHD), depression, eating disorders, grief and loss, life transitions, and relationship issues.
(989) 342-1803 View (989) 342-1803
Photo of Brad Hebert, Counselor, LLPC
Brad Hebert
Counselor, LLPC
Verified Verified
1 Endorsed
Midland, MI 48640
In this world you will have trouble. There is great truth to this verse. Life can be difficult and be filled with challenges. This trouble can show up externally such as a death of a loved one or it can show up more internally such as experiencing significant anxiety or depression. Unfortunately, these troubles are an inevitable part of life. But, Christ also shares: "Take heart! For I have overcome the world!." So how do we face and overcome this trouble? I believe that answer lies in exploring and maturing our relationship with God in tandem with discovering the values and plans He has written uniquely upon each of our hearts.
In this world you will have trouble. There is great truth to this verse. Life can be difficult and be filled with challenges. This trouble can show up externally such as a death of a loved one or it can show up more internally such as experiencing significant anxiety or depression. Unfortunately, these troubles are an inevitable part of life. But, Christ also shares: "Take heart! For I have overcome the world!." So how do we face and overcome this trouble? I believe that answer lies in exploring and maturing our relationship with God in tandem with discovering the values and plans He has written uniquely upon each of our hearts.
(989) 340-3984 View (989) 340-3984
Photo of Denise Hoffman, Clinical Social Work/Therapist, LMSW, LPC
Denise Hoffman
Clinical Social Work/Therapist, LMSW, LPC
Verified Verified
Midland, MI 48640
Life can present us with challenges that feel overwhelming. Whether it's navigating the complexities of relationships, coping with the loss of a loved one, or facing the impact of major life changes, you deserve support on your journey. My approach to counseling is tailored to address your unique needs and goals. I understand that seeking help is a courageous step, and I'm here to provide a compassionate and understanding space for you to explore and overcome the challenges that life has thrown your way.
Life can present us with challenges that feel overwhelming. Whether it's navigating the complexities of relationships, coping with the loss of a loved one, or facing the impact of major life changes, you deserve support on your journey. My approach to counseling is tailored to address your unique needs and goals. I understand that seeking help is a courageous step, and I'm here to provide a compassionate and understanding space for you to explore and overcome the challenges that life has thrown your way.
(989) 999-7398 View (989) 999-7398
Photo of Bianca Hernandez, Clinical Social Work/Therapist, LLMSW
Bianca Hernandez
Clinical Social Work/Therapist, LLMSW
Verified Verified
Coleman, MI 48618
Bianca Hernandez is a clinical social worker who obtained her MSW from Michigan State University in 2019. Bianca spent the majority of her career working in child welfare, namely Children’s Protective Services. She has experience working with children, families, and adults. Her focus has been working with people who have experienced trauma, grief, anxiety, and depression. She enjoys walking beside her clients and meeting people where they are to assist them in healing. Therapeutic settings include Behavioral Health, CMH, Home Visits, and school. I see clients of all ages and have experience in individual and group therapy.
Bianca Hernandez is a clinical social worker who obtained her MSW from Michigan State University in 2019. Bianca spent the majority of her career working in child welfare, namely Children’s Protective Services. She has experience working with children, families, and adults. Her focus has been working with people who have experienced trauma, grief, anxiety, and depression. She enjoys walking beside her clients and meeting people where they are to assist them in healing. Therapeutic settings include Behavioral Health, CMH, Home Visits, and school. I see clients of all ages and have experience in individual and group therapy.
(989) 479-8054 View (989) 479-8054
Photo of Jodi L Harwood - Artichoke Heart Counseling, Counselor, MA, LPC
Artichoke Heart Counseling
Counselor, MA, LPC
Verified Verified
2 Endorsed
Midland, MI 48640
I am a Licensed Professional Counselor. I serve adult individuals and couples. I work with a variety of emotional and behavioral issues affecting people across the lifespan: therapy for depression and anxiety, post-partum depression, parenting support, psycho-education, counseling for stress reduction/stress management, career counseling, behavioral interventions, etc. I personalize each treatment approach to the individual client's situation. I also have specialized training in issues of Domestic Violence, Sexual Assault, Depression, Anxiety, PTSD, as well as Borderline Personality Disorder.
I am a Licensed Professional Counselor. I serve adult individuals and couples. I work with a variety of emotional and behavioral issues affecting people across the lifespan: therapy for depression and anxiety, post-partum depression, parenting support, psycho-education, counseling for stress reduction/stress management, career counseling, behavioral interventions, etc. I personalize each treatment approach to the individual client's situation. I also have specialized training in issues of Domestic Violence, Sexual Assault, Depression, Anxiety, PTSD, as well as Borderline Personality Disorder.
(989) 625-1159 View (989) 625-1159
Photo of Stephanie Lynn Smith, Licensed Professional Counselor, LPC, MA
Stephanie Lynn Smith
Licensed Professional Counselor, LPC, MA
Verified Verified
2 Endorsed
Online Only
With 20 years of experience in the mental health field, I work with adults, teenagers, and families to navigate challenges such as anxiety, depression, trauma, relationship difficulties, and life transitions. As a compassionate and dedicated therapist, I am committed to supporting individuals through their personal journeys of healing, growth, and self-discovery, and at times can add some humor to sessions. I believe in creating a safe, nonjudgmental space where clients can explore their thoughts and emotions, gain insight, and develop practical tools to improve their well -being.
With 20 years of experience in the mental health field, I work with adults, teenagers, and families to navigate challenges such as anxiety, depression, trauma, relationship difficulties, and life transitions. As a compassionate and dedicated therapist, I am committed to supporting individuals through their personal journeys of healing, growth, and self-discovery, and at times can add some humor to sessions. I believe in creating a safe, nonjudgmental space where clients can explore their thoughts and emotions, gain insight, and develop practical tools to improve their well -being.
(989) 613-7634 View (989) 613-7634
Photo of Sara K​n​u​t​s​o​n - Middle Path, Licensed Professional Counselor
Middle Path
Licensed Professional Counselor
Verified Verified
Midland, MI 48640
Life can be brutal. At Middle Path, we understand the exhaustion that comes from carrying the weight of painful memories, the anxiety that comes from setting boundaries, and the disconnection that can come from feeling overwhelmed. Whether you're feeling stuck, overwhelmed, or weighed down by the past, you don’t have to face it alone. We’re here to help you navigate the hard stuff and find a way forward.
Life can be brutal. At Middle Path, we understand the exhaustion that comes from carrying the weight of painful memories, the anxiety that comes from setting boundaries, and the disconnection that can come from feeling overwhelmed. Whether you're feeling stuck, overwhelmed, or weighed down by the past, you don’t have to face it alone. We’re here to help you navigate the hard stuff and find a way forward.
(989) 656-1826 View (989) 656-1826
Photo of Broderick David Allan, Masters Social Worker, LMSW
Broderick David Allan
Masters Social Worker, LMSW
Verified Verified
Midland, MI 48640
I have experience working with individuals with ADHD, anger issues, anxiety, depression or autism spectrum disorders. I am fully trained to work with adults, children, and adolescents. I am trained to evaluate individuals for ADHD. I have also worked extensively with individuals struggling with severe mental illnesses, such as bipolar disorder and schizophrenia.
I have experience working with individuals with ADHD, anger issues, anxiety, depression or autism spectrum disorders. I am fully trained to work with adults, children, and adolescents. I am trained to evaluate individuals for ADHD. I have also worked extensively with individuals struggling with severe mental illnesses, such as bipolar disorder and schizophrenia.
(989) 200-5780 View (989) 200-5780
Photo of Sue Williams - Shelterhouse, MSW
Shelterhouse
MSW
Verified Verified
Midland, MI 48642
Committed to providing safety, shelter, advocacy, and counseling to survivors of domestic violence & sexual assault.
Committed to providing safety, shelter, advocacy, and counseling to survivors of domestic violence & sexual assault.
(989) 789-0054 x268 View (989) 789-0054 x268
Photo of Krista McCowen, Counselor, MA, LLC, CSC, CCTP, NCC
Krista McCowen
Counselor, MA, LLC, CSC, CCTP, NCC
Verified Verified
1 Endorsed
Midland, MI 48642
As a passionate and dedicated Michigan Limited Licensed Counselor (LLC), I am a skilled and empathetic professional committed to supporting individuals and couples on their journey towards healing and hope. I work with individual clients experiencing anxiety, depression, postpartum depression, and grief. While specializing in couples counseling, pre-martial and marriage counseling. My goal is to provide compassionate counseling services that foster personal growth and improve mental well-being.
As a passionate and dedicated Michigan Limited Licensed Counselor (LLC), I am a skilled and empathetic professional committed to supporting individuals and couples on their journey towards healing and hope. I work with individual clients experiencing anxiety, depression, postpartum depression, and grief. While specializing in couples counseling, pre-martial and marriage counseling. My goal is to provide compassionate counseling services that foster personal growth and improve mental well-being.
(989) 850-2001 View (989) 850-2001
Photo of Teresa J Lynch - Success Behavioral Health, Psychologist, PhD, LP, CCHT, CMHIMP
Success Behavioral Health
Psychologist, PhD, LP, CCHT, CMHIMP
Verified Verified
Midland, MI 48642
You are on your way to better health and we can help by ​providing evidence-based and ​innovative psychological services focusing ​on the ​Mind-Body Health Connection. I treat the whole person by addressing the individual difficulties being faced, particularly when illness occurs.
You are on your way to better health and we can help by ​providing evidence-based and ​innovative psychological services focusing ​on the ​Mind-Body Health Connection. I treat the whole person by addressing the individual difficulties being faced, particularly when illness occurs.
(989) 268-2804 View (989) 268-2804
Photo of Dr. Michael Verona, Counselor, PhD, LPC, CAADC, NCC
Dr. Michael Verona
Counselor, PhD, LPC, CAADC, NCC
Verified Verified
1 Endorsed
Midland, MI 48642
I am a Licensed Professional Counselor (LPC) and a Certified Advanced Alcohol and Drug Counselor (CAADC) in the state of Michigan. I am currently providing in-person and telemental health services to individuals struggling with ongoing mental health issues including anxiety, depression, PTSD, addiction, grief, and more. I work with adolescent and adult populations and utilize both humanistic and cognitive behavioral approaches to counseling which honor an individual’s strengths, build upon existing capabilities, and encourage autonomy.
I am a Licensed Professional Counselor (LPC) and a Certified Advanced Alcohol and Drug Counselor (CAADC) in the state of Michigan. I am currently providing in-person and telemental health services to individuals struggling with ongoing mental health issues including anxiety, depression, PTSD, addiction, grief, and more. I work with adolescent and adult populations and utilize both humanistic and cognitive behavioral approaches to counseling which honor an individual’s strengths, build upon existing capabilities, and encourage autonomy.
(989) 632-7850 View (989) 632-7850
Photo of Tammy L Norris - Lotus Therapy Center, PLLC, Clinical Social Work/Therapist, LLMSW
Lotus Therapy Center, PLLC
Clinical Social Work/Therapist, LLMSW
Verified Verified
Midland, MI 48640
Not accepting new clients
Thank you for visiting. I don't believe mental health should be expensive so I only charge $50 an hour for individual and $95 for couples. I do not accept any insurance at this time. I have in person appointments open every Friday from 8:00 am through 5:00 pm!! I have been working in the mental health field since 2008. I strive to help individuals improve their wellbeing and help them on the road to recovery. My goal is to walk along side of you to help you achieve your hopes, dreams and support you on your wellness journey. Empathy, mutual understanding and a nonjudgmental stance is my objective.
Thank you for visiting. I don't believe mental health should be expensive so I only charge $50 an hour for individual and $95 for couples. I do not accept any insurance at this time. I have in person appointments open every Friday from 8:00 am through 5:00 pm!! I have been working in the mental health field since 2008. I strive to help individuals improve their wellbeing and help them on the road to recovery. My goal is to walk along side of you to help you achieve your hopes, dreams and support you on your wellness journey. Empathy, mutual understanding and a nonjudgmental stance is my objective.
(989) 394-1547 View (989) 394-1547
Photo of Sarah Rudel - Sarah Rudel LMSW (Wellrooted Counseling, LLC), Clinical Social Work/Therapist, LMSW
Sarah Rudel LMSW (Wellrooted Counseling, LLC)
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Midland, MI 48640
As a therapist, my goal is to create a space where you can feel truly seen and heard—where you don’t have to hide parts of yourself. Whether you're struggling with anxiety, self-esteem, or other challenges, I'm here to walk alongside you, offering empathy, understanding, and practical tools to help you heal and grow. Together, we’ll build a path that honors your unique experience, helps you rediscover your strength, and empowers you to make meaningful, lasting changes.
As a therapist, my goal is to create a space where you can feel truly seen and heard—where you don’t have to hide parts of yourself. Whether you're struggling with anxiety, self-esteem, or other challenges, I'm here to walk alongside you, offering empathy, understanding, and practical tools to help you heal and grow. Together, we’ll build a path that honors your unique experience, helps you rediscover your strength, and empowers you to make meaningful, lasting changes.
(989) 637-6235 View (989) 637-6235
Photo of Kathalina Goniea, Clinical Social Work/Therapist, LMSW
Kathalina Goniea
Clinical Social Work/Therapist, LMSW
Verified Verified
Online Only
I am a Licensed Master's Social worker with over 30 years of experience. I work with individual adults, couples and families. I bring authenticity, respect and compassion to my work. My practical clinical approach blends cognitive behavioral skills and techniques with a focus on how mindfulness can bring immediate relief and long term wellness benefits. I help you look at your challenges with a three-pronged approach. What in your environment or behaviors might be changed? When a challenge cannot be changed, how can you change the way you think about it, restructuring and reframing your thinking to bring greater ease?
I am a Licensed Master's Social worker with over 30 years of experience. I work with individual adults, couples and families. I bring authenticity, respect and compassion to my work. My practical clinical approach blends cognitive behavioral skills and techniques with a focus on how mindfulness can bring immediate relief and long term wellness benefits. I help you look at your challenges with a three-pronged approach. What in your environment or behaviors might be changed? When a challenge cannot be changed, how can you change the way you think about it, restructuring and reframing your thinking to bring greater ease?
(989) 467-3831 View (989) 467-3831
Photo of Kristy Nelson, Licensed Professional Counselor, MA, LPC, CAADC
Kristy Nelson
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
Midland, MI 48642
Hello, I am Kristy Nelson, a compassionate and dedicated Licensed Professional Counselor (LPC) with over 9 years of experience in guiding individuals through life's challenges and helping them discover their true potential. I specialize in providing support for those facing substance use disorders and trauma, but I also work with a diverse range of clients seeking assistance with various mental health concerns.
Hello, I am Kristy Nelson, a compassionate and dedicated Licensed Professional Counselor (LPC) with over 9 years of experience in guiding individuals through life's challenges and helping them discover their true potential. I specialize in providing support for those facing substance use disorders and trauma, but I also work with a diverse range of clients seeking assistance with various mental health concerns.
(989) 299-7248 View (989) 299-7248
Photo of Sondra Kern, Licensed Professional Counselor, MA, LPC, CCATP, CCTP
Sondra Kern
Licensed Professional Counselor, MA, LPC, CCATP, CCTP
Verified Verified
1 Endorsed
Midland, MI 48640
Anxiety, trauma, OCD, panic and low self-esteem can disrupt our sleep, daily lives, goals and relationships. My hope is to equip clients with coping skills, an empowering mindset, and knowledge to chase their aspirations without the burden of fear, shame, or panic. I enjoy helping individuals from all walks of life define and achieve their own idea of success. Genuine growth happens when we can express ourselves authentically and not live in fear. To support my clients, I utilize a range of therapeutic methods, including EMDR (eye movement desensitization and reprocessing), DBT, ACT, CBT and exposures.
Anxiety, trauma, OCD, panic and low self-esteem can disrupt our sleep, daily lives, goals and relationships. My hope is to equip clients with coping skills, an empowering mindset, and knowledge to chase their aspirations without the burden of fear, shame, or panic. I enjoy helping individuals from all walks of life define and achieve their own idea of success. Genuine growth happens when we can express ourselves authentically and not live in fear. To support my clients, I utilize a range of therapeutic methods, including EMDR (eye movement desensitization and reprocessing), DBT, ACT, CBT and exposures.
(989) 455-8256 View (989) 455-8256
Photo of Taylor Gilson, Licensed Professional Counselor, MA, LPC, NCC
Taylor Gilson
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Midland, MI 48640
HELLO! My name is Taylor Gilson. I am the Midland Michigan Marriage/Couples Counseling expert and am a native to Midland. I utilize a Person-Centered Approach when working with couples in developing a plan to meet your goals in a way that is comfortable and effective. Whether you are curious about receiving mental health services for the first time or have already had experience with counseling, I am here to support you and/or your marriage through life's challenges with a tailored approach to fit your needs.
HELLO! My name is Taylor Gilson. I am the Midland Michigan Marriage/Couples Counseling expert and am a native to Midland. I utilize a Person-Centered Approach when working with couples in developing a plan to meet your goals in a way that is comfortable and effective. Whether you are curious about receiving mental health services for the first time or have already had experience with counseling, I am here to support you and/or your marriage through life's challenges with a tailored approach to fit your needs.
(989) 481-4472 View (989) 481-4472
Photo of Ann Date - Partners in Change Psychological & Comm Svcs PLC, Psychologist, PhD, LP, LMSW, LPC
Partners in Change Psychological & Comm Svcs PLC
Psychologist, PhD, LP, LMSW, LPC
Verified Verified
Midland, MI 48640
Welcoming new clients! Partners in Change provides individual, couples, family, and group therapies to all ages. This team of therapists provide state-of-the-art treatment for a variety of concerns including anxiety disorders, depressive disorders, anger management issues, substance abuse, trauma/PTSD, eating disorders, pain services, perinatal/postnatal concerns, as well as marital and familial difficulties, and challenges experienced by emergency responders and public safety officers. Psychological assessments and psychiatric care for a variety of purposes are also available.
Welcoming new clients! Partners in Change provides individual, couples, family, and group therapies to all ages. This team of therapists provide state-of-the-art treatment for a variety of concerns including anxiety disorders, depressive disorders, anger management issues, substance abuse, trauma/PTSD, eating disorders, pain services, perinatal/postnatal concerns, as well as marital and familial difficulties, and challenges experienced by emergency responders and public safety officers. Psychological assessments and psychiatric care for a variety of purposes are also available.
(989) 884-0740 View (989) 884-0740

See more therapy options for Midland County

How does your Therapist compare?

Number of Therapists in Midland County, MI

100+

Average cost per session

$150

Therapists in Midland County, MI who prioritize treating:

96% Anxiety
89% Depression
75% Trauma and PTSD
75% Self Esteem
74% Coping Skills
73% Relationship Issues
71% Stress

Average years in practice

9 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
75% Aetna
56% Blue Care Network

How Therapists in Midland County, MI see their clients

77% In Person and Online
23% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Midland County?

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.