Therapists in Ballwin, MO

Photo of Rachel C Smith, MA, LPC, Licensed Professional Counselor
Rachel C Smith
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Ballwin, MO 63011
I am a passionate and dedicated counselor who longs to see healing and redemption in the lives of the wounded and the broken. My clients are those who have experienced trauma, abuse, and suffering and consequently have seen the affects of their suffering result in anxiety, depression, addictions, eating disorders, personality disorders, mood disorders, and more. My clients often have little awareness of just how resilient and courageous they are, but enduring and surviving trauma is not an easy thing. It is my greatest honor to walk alongside survivors as they fight for hope and healing and discover just how strong they are.
I am a passionate and dedicated counselor who longs to see healing and redemption in the lives of the wounded and the broken. My clients are those who have experienced trauma, abuse, and suffering and consequently have seen the affects of their suffering result in anxiety, depression, addictions, eating disorders, personality disorders, mood disorders, and more. My clients often have little awareness of just how resilient and courageous they are, but enduring and surviving trauma is not an easy thing. It is my greatest honor to walk alongside survivors as they fight for hope and healing and discover just how strong they are.
(636) 431-5985 View (636) 431-5985
Photo of Farin Swan, LPC, RPT, Licensed Professional Counselor
Farin Swan
Licensed Professional Counselor, LPC, RPT
Verified Verified
1 Endorsed
Ballwin, MO 63021
I believe in the therapeutic power of building connections through being heard and truly understood to facilitate personal growth and change. I strongly believe that the therapeutic relationship is key in your healing process. I provide an eclectic mix of therapeutic modalities to support you through the highs and lows of life. I aim to continually learn and grow with my clients, while supporting them through life’s transformations and challenges. Ultimately, through our sessions I hope you feel validated, empowered and supported on your journey to wellness.
I believe in the therapeutic power of building connections through being heard and truly understood to facilitate personal growth and change. I strongly believe that the therapeutic relationship is key in your healing process. I provide an eclectic mix of therapeutic modalities to support you through the highs and lows of life. I aim to continually learn and grow with my clients, while supporting them through life’s transformations and challenges. Ultimately, through our sessions I hope you feel validated, empowered and supported on your journey to wellness.
(636) 434-2763 View (636) 434-2763
Photo of Sharon Moehle, EdS, BCIA, Psychologist
Sharon Moehle
Psychologist, EdS, BCIA
Verified Verified
Ballwin, MO 63011
Sharon Moehle provides conventional counseling services and she offers additional therapies such as Biofeedback (several Biofeedback services are offered including Neurotherapy/EEG Biofeedback) and EMDR. Some clients request these newer counseling techniques because they can shorten treatment time. Traditional therapy successfully resolves many issues, yet in cases such as: -issues not responding well to talk therapy alone -clients not responding well to medication -individuals preferring to be medication free...then Sharon provides additional therapies to better address client concerns and better meet individual needs. Sharon has been providing Biofeedback services for 18 years and has been practicing EMDR for 13 years.
Sharon Moehle provides conventional counseling services and she offers additional therapies such as Biofeedback (several Biofeedback services are offered including Neurotherapy/EEG Biofeedback) and EMDR. Some clients request these newer counseling techniques because they can shorten treatment time. Traditional therapy successfully resolves many issues, yet in cases such as: -issues not responding well to talk therapy alone -clients not responding well to medication -individuals preferring to be medication free...then Sharon provides additional therapies to better address client concerns and better meet individual needs. Sharon has been providing Biofeedback services for 18 years and has been practicing EMDR for 13 years.
(314) 561-7075 View (314) 561-7075
Photo of Kimela Kluthe, LMFT, Marriage & Family Therapist
Kimela Kluthe
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Ballwin, MO 63021
Life comes at you fast, and whatever you didn’t fix in 2023 will continue to hold you back in 2024! It’s time to take action. Stop carrying around the fear, sadness, anxiety, anger, shame, etc, that has been holding you back. Let’s face those issues head-on … I’ll help.
Life comes at you fast, and whatever you didn’t fix in 2023 will continue to hold you back in 2024! It’s time to take action. Stop carrying around the fear, sadness, anxiety, anger, shame, etc, that has been holding you back. Let’s face those issues head-on … I’ll help.
(636) 336-1363 View (636) 336-1363
Photo of Cassie Galmiche, PLPC, NCC, Licensed Professional Counselor
Cassie Galmiche
Licensed Professional Counselor, PLPC, NCC
Verified Verified
Ballwin, MO 63011
Finding, and accepting, your authentic self takes some work, and it gets messy. It can be even more difficult to show up as that person consistently. We are always receiving messages about who we are supposed to be. The shame and guilt that come from not fitting the mold can be overwhelming. Not everything happens the way we hope, and the pressure to reach our goals as quickly as possible seems daunting. The feelings that come up with these challenges can be hard to navigate, much less being present in the moment when everything you want seems far away. Let’s work together to help you be more true to the person you want to be!
Finding, and accepting, your authentic self takes some work, and it gets messy. It can be even more difficult to show up as that person consistently. We are always receiving messages about who we are supposed to be. The shame and guilt that come from not fitting the mold can be overwhelming. Not everything happens the way we hope, and the pressure to reach our goals as quickly as possible seems daunting. The feelings that come up with these challenges can be hard to navigate, much less being present in the moment when everything you want seems far away. Let’s work together to help you be more true to the person you want to be!
(314) 804-3365 View (314) 804-3365
Photo of William G Collins, PhD, BCIAEEG, BCN, LMFT, Marriage & Family Therapist
William G Collins
Marriage & Family Therapist, PhD, BCIAEEG, BCN, LMFT
Verified Verified
Ballwin, MO 63011
For over 40 years, we have been serving Saint Louis with neurofeedback (28 years), marriage and family counseling (40 years), and testing services with QEEG (20 years). We combine state-of-the-art technology with experienced, knowledgeable clinicians in a client-focused environment to provide non-invasive, drug-free and pain-free treatments for: ADHD, Autism, Aspergers, Sensory Integration Disorders, Depression, Stress, Marital Issues, Migraine/Headaches and Learning Disabilities.
For over 40 years, we have been serving Saint Louis with neurofeedback (28 years), marriage and family counseling (40 years), and testing services with QEEG (20 years). We combine state-of-the-art technology with experienced, knowledgeable clinicians in a client-focused environment to provide non-invasive, drug-free and pain-free treatments for: ADHD, Autism, Aspergers, Sensory Integration Disorders, Depression, Stress, Marital Issues, Migraine/Headaches and Learning Disabilities.
(314) 485-9978 View (314) 485-9978
Photo of Erin Buckallew - Mental Health Specialist For Women, LPC, PMH-C, Licensed Professional Counselor
Erin Buckallew - Mental Health Specialist For Women
Licensed Professional Counselor, LPC, PMH-C
Verified Verified
5 Endorsed
Ballwin, MO 63011
Are you overwhelmed by always putting others first, struggling with old traumas, or finding life transitions difficult? My clients often feel lost, battling negative emotions and unsure of their direction in life. In therapy, they discover how to prioritize self-care, manage anxiety and anger, set healthy boundaries, and regain joy and confidence. If you want to heal, find purpose, and enjoy life again, take the first step. Schedule your initial session today and start your journey towards a happier, more fulfilling life.
Are you overwhelmed by always putting others first, struggling with old traumas, or finding life transitions difficult? My clients often feel lost, battling negative emotions and unsure of their direction in life. In therapy, they discover how to prioritize self-care, manage anxiety and anger, set healthy boundaries, and regain joy and confidence. If you want to heal, find purpose, and enjoy life again, take the first step. Schedule your initial session today and start your journey towards a happier, more fulfilling life.
(314) 207-8530 View (314) 207-8530
Photo of James Keeton, MACM, MA, LPC, Licensed Professional Counselor
James Keeton
Licensed Professional Counselor, MACM, MA, LPC
Verified Verified
Ballwin, MO 63011
Life can be unpredictable, stress can create toxic cycles in your life with relationships, your job, your health, and your emotions.
Life can be unpredictable, stress can create toxic cycles in your life with relationships, your job, your health, and your emotions.
(314) 408-6215 View (314) 408-6215
Photo of Dr. Deb Crawford, PhD, LPC, Licensed Professional Counselor
Dr. Deb Crawford
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Ballwin, MO 63011  (Online Only)
Are you confused about what is going wrong in your life and don't know what to do anymore? Are you experiencing shame around who you are? If you are trying to understand your past emotional hurt and trauma that has gotten you to where you are and how to fix it, I can help.
Are you confused about what is going wrong in your life and don't know what to do anymore? Are you experiencing shame around who you are? If you are trying to understand your past emotional hurt and trauma that has gotten you to where you are and how to fix it, I can help.
(636) 306-3459 View (636) 306-3459
Photo of Abbe L Bassin, LCSW, MSW, RYT, Clinical Social Work/Therapist
Abbe L Bassin
Clinical Social Work/Therapist, LCSW, MSW, RYT
Verified Verified
1 Endorsed
Ballwin, MO 63011
My goal is to help my clients work towards achieving their highest possible state of emotional and physical well-being. My professional training and background include working with adolescents and adults in both short and longer term therapy. I value the diversity and flexibility of a generalist practice. I offer challenging insight with compassion and practical solutions aimed at developing a new awareness and fulfilling life.
My goal is to help my clients work towards achieving their highest possible state of emotional and physical well-being. My professional training and background include working with adolescents and adults in both short and longer term therapy. I value the diversity and flexibility of a generalist practice. I offer challenging insight with compassion and practical solutions aimed at developing a new awareness and fulfilling life.
(844) 937-1774 View (844) 937-1774
Photo of Shayla Brosch, MA, PLPC, Pre-Licensed Professional
Shayla Brosch
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Ballwin, MO 63011
Anxiety. Depression. Life transitions. These challenges often feel insurmountable, weighed down by the myriad emotions they stir up. The questions persist: 'How can I help my child through this?' 'Is there a way forward?' 'Will things ever get better?' In the midst of these overwhelming thoughts, it's easy to feel lost, anxious, and alone. As a dedicated play therapist, I’m here to guide children and teens through these difficult times, providing a safe, supportive space where they can heal and grow.
Anxiety. Depression. Life transitions. These challenges often feel insurmountable, weighed down by the myriad emotions they stir up. The questions persist: 'How can I help my child through this?' 'Is there a way forward?' 'Will things ever get better?' In the midst of these overwhelming thoughts, it's easy to feel lost, anxious, and alone. As a dedicated play therapist, I’m here to guide children and teens through these difficult times, providing a safe, supportive space where they can heal and grow.
(636) 434-2299 View (636) 434-2299
Photo of Skyler Martin, MSW, LMSW, Clinical Social Work/Therapist
Skyler Martin
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Ballwin, MO 63011
Tension. Fights. Frustrations. No fun. This is what your relationship feels like now. What once felt like an easy partnership now is on the edge of uncertainty. Perhaps it's the constant arguments over trivial matters or the growing distance between intimate moments. Maybe your relationship has too much silence and piles of resentments are building. It's always something: the kids; the house; the chores; extended family. But as hard as you two try, you can't seem to "get back to each other." Whatever the struggle, the decision to seek couples counseling arises from a shared acknowledgment that something important has been lost.
Tension. Fights. Frustrations. No fun. This is what your relationship feels like now. What once felt like an easy partnership now is on the edge of uncertainty. Perhaps it's the constant arguments over trivial matters or the growing distance between intimate moments. Maybe your relationship has too much silence and piles of resentments are building. It's always something: the kids; the house; the chores; extended family. But as hard as you two try, you can't seem to "get back to each other." Whatever the struggle, the decision to seek couples counseling arises from a shared acknowledgment that something important has been lost.
(636) 228-6378 View (636) 228-6378
Photo of Marissa Barbeau, MEd, PLPC, Pre-Licensed Professional
Marissa Barbeau
Pre-Licensed Professional, MEd, PLPC
Verified Verified
1 Endorsed
Ballwin, MO 63011
Infertility. Postpartum depression. Relationship struggles. These moments can feel isolating and overwhelming, wrapped in layers of anxiety, sadness, and self-doubt. You might be asking, ‘Why is this so hard?’ or ‘Will things ever get better?’
Infertility. Postpartum depression. Relationship struggles. These moments can feel isolating and overwhelming, wrapped in layers of anxiety, sadness, and self-doubt. You might be asking, ‘Why is this so hard?’ or ‘Will things ever get better?’
(636) 264-9455 View (636) 264-9455
Photo of Susan Robson, LCSW, Clinical Social Work/Therapist
Susan Robson
Clinical Social Work/Therapist, LCSW
Verified Verified
Ballwin, MO 63011
Every person has their own set of skills and their own unique challenges. Working from a foundation of respect for individual and family strengths and abilities, I can provide a comfortable place for folks to identify and explore issues that may be getting in the way of happy and healthy relationships. Issues could be life changes such as divorce or a death, struggles in school or work, or problems with friends and family. It could also be due to issues of neurodiversity which can impact communication. Together we can work to address the present day issues as well as the underlying causes.
Every person has their own set of skills and their own unique challenges. Working from a foundation of respect for individual and family strengths and abilities, I can provide a comfortable place for folks to identify and explore issues that may be getting in the way of happy and healthy relationships. Issues could be life changes such as divorce or a death, struggles in school or work, or problems with friends and family. It could also be due to issues of neurodiversity which can impact communication. Together we can work to address the present day issues as well as the underlying causes.
(636) 336-1335 View (636) 336-1335
Photo of John Rapp, MSW, LCSW, Clinical Social Work/Therapist
John Rapp
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Ballwin, MO 63011
Waitlist for new clients
Therapy can offer more than symptom-reduction, altering your life's trajectory. Those who contact me tend to need help to face fears, abandon rumination/worry, confront painful feelings, deal with difficult people, resolve grief, navigate life transitions, restore a sense of safety/trust, and process disaffection and alienation. I am likely a best fit for those who believe their thoughts/feelings/actions originate from their (lack of a fuller) understanding of themselves & others, such that a process of self-discovery will drive growth and change. I may be less appealing to those primarily seeking advice, strategies, coaching, etc.
Therapy can offer more than symptom-reduction, altering your life's trajectory. Those who contact me tend to need help to face fears, abandon rumination/worry, confront painful feelings, deal with difficult people, resolve grief, navigate life transitions, restore a sense of safety/trust, and process disaffection and alienation. I am likely a best fit for those who believe their thoughts/feelings/actions originate from their (lack of a fuller) understanding of themselves & others, such that a process of self-discovery will drive growth and change. I may be less appealing to those primarily seeking advice, strategies, coaching, etc.
(314) 310-2723 View (314) 310-2723
Photo of Susan T. Masi - Susan Masi Counseling Solutions, LLC, MA, LPC, Licensed Professional Counselor
Susan Masi Counseling Solutions, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Ballwin, MO 63011
If you are looking for a therapist who can provide some insight regarding an issue, a relationship or other distress, you have come to the right place. I became a licensed professional counselor after working in the corporate and non-profit sectors because I have a passion in helping others to overcome life's challenges they are facing. I believe in using a collaborative approach with each client and meeting each individual where he or she is at. In our first session, we will explore what treatment approach is appropriate to best suit your needs.
If you are looking for a therapist who can provide some insight regarding an issue, a relationship or other distress, you have come to the right place. I became a licensed professional counselor after working in the corporate and non-profit sectors because I have a passion in helping others to overcome life's challenges they are facing. I believe in using a collaborative approach with each client and meeting each individual where he or she is at. In our first session, we will explore what treatment approach is appropriate to best suit your needs.
(636) 428-3946 View (636) 428-3946
Photo of Karissa Mueller, MA, LPC, Licensed Professional Counselor
Karissa Mueller
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Ballwin, MO 63011
You cram a handful of cashews in your mouth on the way to get your next client. If you end this session on time, you can pee before the next one. Ope - your phone’s buzzing - crap, it’s daycare. “So much for peeing,” you think, as you answer the call. Two degrees, a practicum, three internships, and 3,000 supervised hours to birth the therapist inside you. Yet no one told you the woman/mother/daughter/sister/wife/friend parts of you might wither and die in the process. So when they quip “You can’t pour from an empty cup”, you inwardly roll your eyes because here you are, at this very moment, pouring.
You cram a handful of cashews in your mouth on the way to get your next client. If you end this session on time, you can pee before the next one. Ope - your phone’s buzzing - crap, it’s daycare. “So much for peeing,” you think, as you answer the call. Two degrees, a practicum, three internships, and 3,000 supervised hours to birth the therapist inside you. Yet no one told you the woman/mother/daughter/sister/wife/friend parts of you might wither and die in the process. So when they quip “You can’t pour from an empty cup”, you inwardly roll your eyes because here you are, at this very moment, pouring.
(636) 597-5935 View (636) 597-5935
Photo of Jill Baechle, MSW, LCSW, Clinical Social Work/Therapist
Jill Baechle
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Ballwin, MO 63011
I am here to put you at ease and truly listen as you share your own experiences of grief, loss, life transitions, anxiety, depression, and/or learning a work-life balance. As each person has a unique story, I will listen and provide feedback and support. We will navigate your journey together. I use a variety of approaches including a Strength-Based therapeutic approach, Narrative Therapy, Companioning model, and Interpersonal Therapy.
I am here to put you at ease and truly listen as you share your own experiences of grief, loss, life transitions, anxiety, depression, and/or learning a work-life balance. As each person has a unique story, I will listen and provide feedback and support. We will navigate your journey together. I use a variety of approaches including a Strength-Based therapeutic approach, Narrative Therapy, Companioning model, and Interpersonal Therapy.
(636) 422-0306 View (636) 422-0306
Photo of Heidi Hubbard, LPC, Licensed Professional Counselor
Heidi Hubbard
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Ballwin, MO 63011
You're juggling so many balls in the air that it feels like you might drop them any moment. You keep three calendars to manage everything for your family. You keep everything together for everyone...but you know something isn't working anymore. As a mom, you're the CEO of your household, but lately, it seems like chaos is wreaking havoc everywhere. Maybe your child is struggling in school, or your teenager's behavior has you worried sick. What you do know is this: your mom guilt is everywhere; your identity is nowhere to be found; and you just are out of ideas on how to fix it anymore. You've got to find a way for things to improve.
You're juggling so many balls in the air that it feels like you might drop them any moment. You keep three calendars to manage everything for your family. You keep everything together for everyone...but you know something isn't working anymore. As a mom, you're the CEO of your household, but lately, it seems like chaos is wreaking havoc everywhere. Maybe your child is struggling in school, or your teenager's behavior has you worried sick. What you do know is this: your mom guilt is everywhere; your identity is nowhere to be found; and you just are out of ideas on how to fix it anymore. You've got to find a way for things to improve.
(636) 429-4810 View (636) 429-4810
Photo of Whitney Palmer Griggs, MSW, LCSW, Clinical Social Work/Therapist
Whitney Palmer Griggs
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Ballwin, MO 63011
Big Feelings. Little Kids. Whether it’s more tantrums; more notes coming home from teachers; or more stories about issues with friends and classmates, you know something is going on with your child. It makes you sad, worried, and maybe even a little anxious. And worse: you don't know how to help them anymore. The calming techniques of old aren't working; soothing attempts from you seem to change too little; and you're out of ideas of where to go next. This doesn't make you a bad parent, but sometimes you feel like one, and all you're looking for is the right help for your child.
Big Feelings. Little Kids. Whether it’s more tantrums; more notes coming home from teachers; or more stories about issues with friends and classmates, you know something is going on with your child. It makes you sad, worried, and maybe even a little anxious. And worse: you don't know how to help them anymore. The calming techniques of old aren't working; soothing attempts from you seem to change too little; and you're out of ideas of where to go next. This doesn't make you a bad parent, but sometimes you feel like one, and all you're looking for is the right help for your child.
(636) 242-6394 View (636) 242-6394
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How does your Therapist compare?

Number of Therapists in Ballwin, MO

200+

Average cost per session

$120

Therapists in Ballwin, MO who prioritize treating:

93% Anxiety
83% Depression
70% Stress
67% Trauma and PTSD
62% Relationship Issues
59% Grief
59% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

89% UnitedHealthcare UHC | UBH
87% Aetna
80% Cigna and Evernorth

How Therapists in Ballwin, MO see their clients

65% In Person and Online
35% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ballwin?

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.