Therapists in Omaha, NE

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Photo of Kristina Jensen, Clinical Social Work/Therapist in Omaha, NE
Kristina Jensen
Clinical Social Work/Therapist, LIMSW
Verified Verified
1 Endorsed
Omaha, NE 68154
I am glad you are here, taking steps toward putting yourself first. As a clinical therapist, I provide a person-centered approach to therapy, by creating a supportive and encouraging environment to help you move towards your optimal health. It is my belief that we need to develop protective parts to help us navigate through traumatic and stressful times. Our past can keep us stuck in old patterns. My goal is that together we reprocess past experiences to recreate new, healthier patterns for relationships, or other vulnerable areas in your life.
I am glad you are here, taking steps toward putting yourself first. As a clinical therapist, I provide a person-centered approach to therapy, by creating a supportive and encouraging environment to help you move towards your optimal health. It is my belief that we need to develop protective parts to help us navigate through traumatic and stressful times. Our past can keep us stuck in old patterns. My goal is that together we reprocess past experiences to recreate new, healthier patterns for relationships, or other vulnerable areas in your life.
(402) 542-5725 View (402) 542-5725
Photo of Gail Parker Cahill (Gail Cahill) Private Practice, Clinical Social Work/Therapist in Omaha, NE
Gail Parker Cahill (Gail Cahill) Private Practice
Clinical Social Work/Therapist, ACSW, LIMHP
Verified Verified
Omaha, NE 68132
I am a Licensed Independent Mental HeaIth Professional and I have been in private practice for over 31 years. I am experienced in treating a wide variety of emotional, psychological and relational struggles. I am a preferred provider with most all insurances. Daytime and early evening sessions available.
I am a Licensed Independent Mental HeaIth Professional and I have been in private practice for over 31 years. I am experienced in treating a wide variety of emotional, psychological and relational struggles. I am a preferred provider with most all insurances. Daytime and early evening sessions available.
(531) 204-2235 View (531) 204-2235
Photo of Magnolia Therapy & Consultation Services, LLC, Clinical Social Work/Therapist in Omaha, NE
Magnolia Therapy & Consultation Services, LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Omaha, NE 68127
It is my honor and privilege to bear witness to the stories of others through therapy. After working with hundreds of clients over the last two decades who have faced anxiety, depression, PTSD, grief and medical complications, it is my belief that the human experience is complicated and filled with both triumph and tragedy as we each make our own journeys. My goal as a therapist is to help you live your life to the fullest with intention and meaning, while also helping you to show up as the best version of yourself.
It is my honor and privilege to bear witness to the stories of others through therapy. After working with hundreds of clients over the last two decades who have faced anxiety, depression, PTSD, grief and medical complications, it is my belief that the human experience is complicated and filled with both triumph and tragedy as we each make our own journeys. My goal as a therapist is to help you live your life to the fullest with intention and meaning, while also helping you to show up as the best version of yourself.
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Photo of Maydee Griffy, Provisional Mental Health Practitioner in Omaha, NE
Maydee Griffy
Provisional Mental Health Practitioner, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68154
Most of my clients are dealing with anxiety, depression, and suicide ideation. They tend to struggle with feeling hopelessness, worthlessness, and emptiness.
Most of my clients are dealing with anxiety, depression, and suicide ideation. They tend to struggle with feeling hopelessness, worthlessness, and emptiness.
(402) 923-8274 View (402) 923-8274
John F Granger
Counselor, MS, LIMHP, LMHC, LDAC, IADC
Verified Verified
Omaha, NE 68106
I view being a Psychotherapist as being more than simply a job, I view it as a vocation. I have worked in both residential and outpatient settings. I help individuals with symptoms and behaviors arising from anxiety, depression, psychosis, obsessions & compulsions, traumatic experiences, addictions, Personality Disorders, low self-esteem, and anger. I also help individuals cope with daily problems or stress in order to lead more productive lives. I am licensed to treat Mental Health issues, as well as Chemical Dependency issues, in the states of Nebraska & Iowa. I am currently accepting new patients (for in-office visits only).
I view being a Psychotherapist as being more than simply a job, I view it as a vocation. I have worked in both residential and outpatient settings. I help individuals with symptoms and behaviors arising from anxiety, depression, psychosis, obsessions & compulsions, traumatic experiences, addictions, Personality Disorders, low self-esteem, and anger. I also help individuals cope with daily problems or stress in order to lead more productive lives. I am licensed to treat Mental Health issues, as well as Chemical Dependency issues, in the states of Nebraska & Iowa. I am currently accepting new patients (for in-office visits only).
(531) 466-2326 View (531) 466-2326
Photo of Jea Theis Therapy LLC, Clinical Social Work/Therapist in Omaha, NE
Jea Theis Therapy LLC
Clinical Social Work/Therapist, MSW, LIMHP, LCSW
Verified Verified
5 Endorsed
Omaha, NE 68124
Now accepting new telehealth clients. "Your present circumstances do not determine where you will go, they merely determine where you have been " - Nido Qubein. I am so glad you are here. I believe in a strengths-based approach that honors the experiences and unique aspects of you. I have received specialized training in EMDR, Brainspotting, Expressive Arts Therapies, Trauma-focused Cognitive Behavioral Therapy, Parent-child Interaction Therapy, Reflective Practice and Compassion Fatigue. I seek to create the most supportive and effective environment for your desired change.
Now accepting new telehealth clients. "Your present circumstances do not determine where you will go, they merely determine where you have been " - Nido Qubein. I am so glad you are here. I believe in a strengths-based approach that honors the experiences and unique aspects of you. I have received specialized training in EMDR, Brainspotting, Expressive Arts Therapies, Trauma-focused Cognitive Behavioral Therapy, Parent-child Interaction Therapy, Reflective Practice and Compassion Fatigue. I seek to create the most supportive and effective environment for your desired change.
(402) 875-5219 View (402) 875-5219
Photo of Amy Phillips, Counselor in Omaha, NE
Amy Phillips
Counselor, LICSW, LISW
Verified Verified
1 Endorsed
Omaha, NE 68124
Waitlist for new clients
I am flexible to accommodate most schedules. I believe everyone can benefit from therapy; at its core, therapy is about building a relationship in which we feel safe to embrace and become our authentic selves. I enjoy working with people to explore life experiences and identify past trauma that may be preventing them from living their best life. I am passionate about issues surrounding individual freedoms, specifically relating to gender/sexuality. As a queer professional, I enjoy working with clients who identify as LGBTQIA+ and/or who practice nontraditional relationships, including polyamory and kink.
I am flexible to accommodate most schedules. I believe everyone can benefit from therapy; at its core, therapy is about building a relationship in which we feel safe to embrace and become our authentic selves. I enjoy working with people to explore life experiences and identify past trauma that may be preventing them from living their best life. I am passionate about issues surrounding individual freedoms, specifically relating to gender/sexuality. As a queer professional, I enjoy working with clients who identify as LGBTQIA+ and/or who practice nontraditional relationships, including polyamory and kink.
(402) 539-5719 x2 View (402) 539-5719 x2
Photo of Kristi Tackett-Newburg, Counselor in Omaha, NE
Kristi Tackett-Newburg
Counselor, PhD, LIMHP, LPC
Verified Verified
4 Endorsed
Omaha, NE 68114
Welcome! Thank you for visiting my profile. I am a licensed independent mental health practitioner and have been working in the psychology field for approximately 16 years. In 2011, I founded Counseling Connections & Associates; a group practice offering mental health, substance abuse, and medication management services. I pride myself on being a passionate and energetic therapist focused on helping clients take steps towards making positive, long-lasting changes in their life. My goal is to assist clients in being able to live up to their fullest potential in a safe and therapeutic environment.
Welcome! Thank you for visiting my profile. I am a licensed independent mental health practitioner and have been working in the psychology field for approximately 16 years. In 2011, I founded Counseling Connections & Associates; a group practice offering mental health, substance abuse, and medication management services. I pride myself on being a passionate and energetic therapist focused on helping clients take steps towards making positive, long-lasting changes in their life. My goal is to assist clients in being able to live up to their fullest potential in a safe and therapeutic environment.
(402) 298-5150 x103 View (402) 298-5150 x103
Photo of Scarlett K Shockley, Counselor in Omaha, NE
Scarlett K Shockley
Counselor, RN-BC, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68144
"Moody", "Overly Sensitive", or "Needy"- Are these words people use to describe you, or maybe how you describe yourself? Do you feel like your life is one stressful event after another? Does it seem like no one 'gets' you or people have given up on you? If you are looking for a therapist who wants to help you understand your feelings and improve your relationships, I might be the one for you.
"Moody", "Overly Sensitive", or "Needy"- Are these words people use to describe you, or maybe how you describe yourself? Do you feel like your life is one stressful event after another? Does it seem like no one 'gets' you or people have given up on you? If you are looking for a therapist who wants to help you understand your feelings and improve your relationships, I might be the one for you.
(402) 382-9323 View (402) 382-9323
Photo of Megan Schwartz, Provisional Mental Health Practitioner in Omaha, NE
Megan Schwartz
Provisional Mental Health Practitioner, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68105
I'm Megan, a dedicated therapist committed to your well-being. Whether you're navigating new or existing challenges, I'm here to provide empathetic support. Together, we'll navigate your mental health journey, focusing on your goals and using personalized coping skills and techniques to foster change in your day to day life.
I'm Megan, a dedicated therapist committed to your well-being. Whether you're navigating new or existing challenges, I'm here to provide empathetic support. Together, we'll navigate your mental health journey, focusing on your goals and using personalized coping skills and techniques to foster change in your day to day life.
(402) 809-5203 View (402) 809-5203
Photo of Laura Stoner, Counselor in Omaha, NE
Laura Stoner
Counselor, MS, LMHP, LPC, LADC, NCC
Verified Verified
2 Endorsed
Omaha, NE 68154
Not accepting new clients
Therapy can be life-altering. Scheduling the first appointment is intimidating, but it can significantly improve your quality of life if you open your mind to it. Engaging in therapy with a qualified therapist can enhance your ability to handle life stressors, overcome distressing emotions, and deal with difficult relationships. It is my mission to provide a healthy, supportive therapeutic environment for my clients so they can empower themselves to take control of their lives and increase their emotional well-being. I believe you deserve to feel good about yourself and your surroundings. Let me help you achieve that.
Therapy can be life-altering. Scheduling the first appointment is intimidating, but it can significantly improve your quality of life if you open your mind to it. Engaging in therapy with a qualified therapist can enhance your ability to handle life stressors, overcome distressing emotions, and deal with difficult relationships. It is my mission to provide a healthy, supportive therapeutic environment for my clients so they can empower themselves to take control of their lives and increase their emotional well-being. I believe you deserve to feel good about yourself and your surroundings. Let me help you achieve that.
(402) 509-8199 View (402) 509-8199
Photo of Deborah Osmanson, Counselor in Omaha, NE
Deborah Osmanson
Counselor, MA, LMHP, LIMHP
Verified Verified
Omaha, NE 68154
Going to a counselor can be pretty frightening; my goal is to make it as comfortable as possible. I believe that we all need help at times to work through difficult issues in our lives. I count it a privilege to help clients with the stresses of life. Beginning therapy can be a big step toward being the healthiest version of yourself and living the best life possible-no matter what challenges you may be facing. Through therapy, you can change self-destructive behaviors and habits, resolve painful feelings, improve your relationships, and more.
Going to a counselor can be pretty frightening; my goal is to make it as comfortable as possible. I believe that we all need help at times to work through difficult issues in our lives. I count it a privilege to help clients with the stresses of life. Beginning therapy can be a big step toward being the healthiest version of yourself and living the best life possible-no matter what challenges you may be facing. Through therapy, you can change self-destructive behaviors and habits, resolve painful feelings, improve your relationships, and more.
(402) 951-9935 View (402) 951-9935
Photo of Nedu Izuegbunam, Counselor in Omaha, NE
Nedu Izuegbunam
Counselor, MEd, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68154
Encountering stressors on a weekly basis - or even daily basis - are common human experiences. Whether it's at work, school, home, sport, or various other public settings, you can learn ways to gradually feel relief and move forward through therapy. Sometimes it can feel as if our problems may never go away, especially if we feel we are the only ones going through it. But having a person there to talk to and be a listening ear can help ease that tension slightly, or more preferred, tremendously. My approach to counseling begins with meeting the client where they are and walking with them on their journey to where they want to be.
Encountering stressors on a weekly basis - or even daily basis - are common human experiences. Whether it's at work, school, home, sport, or various other public settings, you can learn ways to gradually feel relief and move forward through therapy. Sometimes it can feel as if our problems may never go away, especially if we feel we are the only ones going through it. But having a person there to talk to and be a listening ear can help ease that tension slightly, or more preferred, tremendously. My approach to counseling begins with meeting the client where they are and walking with them on their journey to where they want to be.
(402) 814-8345 View (402) 814-8345
Photo of Jodi L. Gentleman, Clinical Social Work/Therapist in Omaha, NE
Jodi L. Gentleman
Clinical Social Work/Therapist, LCSW, LIMHP, LISW, (Iowa)
Verified Verified
8 Endorsed
Omaha, NE 68127  (Online Only)
NOW Accepting new clients for Nebraska and Iowa; with convenient Telehealth! You have found a friendly, compassionate, and insightful therapist! Today is the day to take a step...for YOU. Every person has their own unique journey. I HEAR you. I understand. I meet you where you ARE. Together we will get you where you want to BE. Specialty areas; women (and partners) facing conception, pregnancy, postpartum, NICU, birth, first-time parenting, menopause & everything-in-between difficulties. All stressful life transitions, ADHD, depression, anxiety, chronic mental and medical illness, and Health Professional support.
NOW Accepting new clients for Nebraska and Iowa; with convenient Telehealth! You have found a friendly, compassionate, and insightful therapist! Today is the day to take a step...for YOU. Every person has their own unique journey. I HEAR you. I understand. I meet you where you ARE. Together we will get you where you want to BE. Specialty areas; women (and partners) facing conception, pregnancy, postpartum, NICU, birth, first-time parenting, menopause & everything-in-between difficulties. All stressful life transitions, ADHD, depression, anxiety, chronic mental and medical illness, and Health Professional support.
(402) 313-4432 View (402) 313-4432
Photo of Nathan J Seadore, Counselor in Omaha, NE
Nathan J Seadore
Counselor, LIMHP, CSAT, LPC, LMHC
Verified Verified
2 Endorsed
Omaha, NE 68154
Does something need to change in your life, or are you making promises that seem harder and harder to keep? Feel like a cartoon character walking around with a storm cloud following you? Perhaps something happened to you that you didn't deserve, or you experienced something painful that feels fresh? Mental Health can be a mysterious stranger who lingers in your life unexamined or unquestioned, and it can impact every aspect of self and the different contexts you exist within (work-setting, family/kids, and other significant relationships). Most importantly it can distort what you see in the mirror everyday.
Does something need to change in your life, or are you making promises that seem harder and harder to keep? Feel like a cartoon character walking around with a storm cloud following you? Perhaps something happened to you that you didn't deserve, or you experienced something painful that feels fresh? Mental Health can be a mysterious stranger who lingers in your life unexamined or unquestioned, and it can impact every aspect of self and the different contexts you exist within (work-setting, family/kids, and other significant relationships). Most importantly it can distort what you see in the mirror everyday.
(712) 522-4572 View (712) 522-4572
Photo of Gary Lehmer, Clinical Social Work/Therapist in Omaha, NE
Gary Lehmer
Clinical Social Work/Therapist, MSW, LCSW, LMHP, LIMHP
Verified Verified
Omaha, NE 68154
If you are feeling stressed, depressed, anxious, frustrated, trapped, or like your life is out of control, help is on the way. I am here to tell you that you don't have to go through the rest of your life feeling this way. If you are willing to show up and work hard in therapy, you will be amazed how much better you will feel, and how quickly. After our first scheduled therapy appointment, you will know exactly what the problem is, why it's happening and some idea of what the treatment process will look like.
If you are feeling stressed, depressed, anxious, frustrated, trapped, or like your life is out of control, help is on the way. I am here to tell you that you don't have to go through the rest of your life feeling this way. If you are willing to show up and work hard in therapy, you will be amazed how much better you will feel, and how quickly. After our first scheduled therapy appointment, you will know exactly what the problem is, why it's happening and some idea of what the treatment process will look like.
(402) 875-5518 View (402) 875-5518
Photo of Pamela Susan Kohll, Counselor in Omaha, NE
Pamela Susan Kohll
Counselor, MS, LPCC, LMHC, CST, CSAT-S
Verified Verified
2 Endorsed
Omaha, NE 68102  (Online Only)
As an AASECT Certified Sex Therapist as well as a Certified Sex Addiction Therapist- Supervisor, I am dedicated to helping you identify and overcome any intimacy challenges within the sex therapy realm, including sex/love addiction. This encompasses behaviors such as desire discrepency, successive unfulfilling relationships, affairs, excessive internet porn usage and intimacy anorexia. I also am a Certified Partner of Sex Addicts Specialist, and through a trauma based model, am able to help the Partner work through their own painful experience of loving and being involved with someone with out of control sexual compulsivity.
As an AASECT Certified Sex Therapist as well as a Certified Sex Addiction Therapist- Supervisor, I am dedicated to helping you identify and overcome any intimacy challenges within the sex therapy realm, including sex/love addiction. This encompasses behaviors such as desire discrepency, successive unfulfilling relationships, affairs, excessive internet porn usage and intimacy anorexia. I also am a Certified Partner of Sex Addicts Specialist, and through a trauma based model, am able to help the Partner work through their own painful experience of loving and being involved with someone with out of control sexual compulsivity.
(415) 384-9758 View (415) 384-9758
Photo of Kendra McCallie, Clinical Social Work/Therapist in Omaha, NE
Kendra McCallie
Clinical Social Work/Therapist, LIMHP, LICSW, SEP
Verified Verified
2 Endorsed
Omaha, NE 68104
Not accepting new clients
Do you have painful experiences from your past or present that impact how you live? Do you wish you felt more satisfied or content with your life? Are you struggling? If any of these sound like you, I can help. I've been a therapist for twenty-three years and have helped hundreds of people find their voice, learn new skills and grow in to who they were meant to be.
Do you have painful experiences from your past or present that impact how you live? Do you wish you felt more satisfied or content with your life? Are you struggling? If any of these sound like you, I can help. I've been a therapist for twenty-three years and have helped hundreds of people find their voice, learn new skills and grow in to who they were meant to be.
(402) 313-3849 View (402) 313-3849
Photo of Susan Ann Meyer, Counselor in Omaha, NE
Susan Ann Meyer
Counselor, MS, LIMHP, LMHC
Verified Verified
1 Endorsed
Omaha, NE 68102
I work best with adolescent and adult clients who appreciate a direct, to-the-point approach. I give lots of feedback and make my thoughts known. This approach tends to open up awarenesses that may have been unknown for a very long time. It is exciting to see this process unfold in individual psychotherapy.
I work best with adolescent and adult clients who appreciate a direct, to-the-point approach. I give lots of feedback and make my thoughts known. This approach tends to open up awarenesses that may have been unknown for a very long time. It is exciting to see this process unfold in individual psychotherapy.
(402) 609-7141 View (402) 609-7141
Photo of Maddie Moore, Counselor in Omaha, NE
Maddie Moore
Counselor, MS, LIMHP, LPC
Verified Verified
1 Endorsed
Omaha, NE 68102  (Online Only)
My primary goal in therapy is to provide a safe space where you feel you can be open and curious - our work starts there. My therapy approach is warm, collaborative, and holistic. My greatest focus will be on helping you develop a deeper awareness of and compassion for yourself, so you can feel more empowered to make the choices in your life that feel aligned with your values and purpose. If you'd like to dive deeper into understanding my style as a therapist and to determine if we might be a good fit, please visit my website! You'll find lots of details there on my style, expertise, and therapy offerings.
My primary goal in therapy is to provide a safe space where you feel you can be open and curious - our work starts there. My therapy approach is warm, collaborative, and holistic. My greatest focus will be on helping you develop a deeper awareness of and compassion for yourself, so you can feel more empowered to make the choices in your life that feel aligned with your values and purpose. If you'd like to dive deeper into understanding my style as a therapist and to determine if we might be a good fit, please visit my website! You'll find lots of details there on my style, expertise, and therapy offerings.
(402) 524-5945 View (402) 524-5945

How does your Therapist compare?

Number of Therapists in Omaha, NE

900+

Average cost per session

$150

Therapists in Omaha, NE who prioritize treating:

93% Anxiety
91% Depression
79% Self Esteem
77% Relationship Issues
76% Trauma and PTSD
74% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
67% Aetna

How Therapists in Omaha, NE see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Omaha?

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.