Therapists in Columbia, MO

Photo of Mia K Snyder, Licensed Professional Counselor in Columbia, MO
Mia K Snyder
Licensed Professional Counselor, MEd, LPC
Verified Verified
Columbia, MO 65203
Relationships are central to our core being. Our pain, agony, and joy is embedded in our relationships. Therapy is the navigation of relationships. Whether it is the lack of support from our parents or our partners, unresolved trauma or PTSD, persistent anxiety or depression, or the desire to live more authentically with those closest to us, embarking on a path toward healing is a courageous first step. As you begin on this path, you will learn to communicate more authentically, feel more centered, and develop multiple ways of dealing with life’s challenges.
Relationships are central to our core being. Our pain, agony, and joy is embedded in our relationships. Therapy is the navigation of relationships. Whether it is the lack of support from our parents or our partners, unresolved trauma or PTSD, persistent anxiety or depression, or the desire to live more authentically with those closest to us, embarking on a path toward healing is a courageous first step. As you begin on this path, you will learn to communicate more authentically, feel more centered, and develop multiple ways of dealing with life’s challenges.
(573) 745-4037 View (573) 745-4037
Photo of Emily Arth, Clinical Social Work/Therapist in Columbia, MO
Emily Arth
Clinical Social Work/Therapist, MSW, LCSW, CDWF, RTTP, CHyp
Verified Verified
2 Endorsed
Columbia, MO 65203  (Online Only)
Stuck in cycles of people-pleasing, perfectionism, and over functioning? Do you desire to step beyond past trauma? Ready to break up with those old cycles that keep holding you back from a life of greater joy and authenticity? If these questions pull on your heartstrings, you’ve found me for a reason. I’ve been helping people overcome relational trauma since 2011, as I facilitate proven, world-class methods to deliver the powerful life change you seek. I work adeptly with those recovering from mother and father wounds, relationship trauma, as well as sexual abuse.
Stuck in cycles of people-pleasing, perfectionism, and over functioning? Do you desire to step beyond past trauma? Ready to break up with those old cycles that keep holding you back from a life of greater joy and authenticity? If these questions pull on your heartstrings, you’ve found me for a reason. I’ve been helping people overcome relational trauma since 2011, as I facilitate proven, world-class methods to deliver the powerful life change you seek. I work adeptly with those recovering from mother and father wounds, relationship trauma, as well as sexual abuse.
(573) 229-0579 View (573) 229-0579
Photo of Mikayla Wichern, Clinical Social Work/Therapist in Columbia, MO
Mikayla Wichern
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Columbia, MO 65202  (Online Only)
It's starting to feel like your day-to-day challenges are taking over your life, and you're looking for a way to make sense of the chaos. It's starting to feel like there's no end in sight. You're seeking some kind of relief from constant anxiety, a break from overwhelming thoughts, and a path to regain control. Your goal is to find balance, rediscover normalcy, and confidently move forward. You desire effective strategies tailored to your personal experience and a therapist who genuinely understands – someone committed to walking this journey with you, offering both understanding and practical, supportive steps.
It's starting to feel like your day-to-day challenges are taking over your life, and you're looking for a way to make sense of the chaos. It's starting to feel like there's no end in sight. You're seeking some kind of relief from constant anxiety, a break from overwhelming thoughts, and a path to regain control. Your goal is to find balance, rediscover normalcy, and confidently move forward. You desire effective strategies tailored to your personal experience and a therapist who genuinely understands – someone committed to walking this journey with you, offering both understanding and practical, supportive steps.
(573) 490-3460 View (573) 490-3460
Photo of Leigh Miller Counseling, Licensed Professional Counselor in Columbia, MO
Leigh Miller Counseling
Licensed Professional Counselor, MEd, LPC
Verified Verified
Columbia, MO 65203
What makes counseling work? A study found that resilience, relationship and faith make a difference. Together we can figure out your capacity for resilience - yes you have a capacity for change. One of the best things about counseling is building relationship. You can't know someone without allowing them to know you. Building that relationship is my primary focus and greatest strength. Believing that change is possible and using that belief can help your process. What are your values and beliefs? How do they guide you? I use my faith in my process, I will encourage you to use yours, whatever it may be - all are welcome.
What makes counseling work? A study found that resilience, relationship and faith make a difference. Together we can figure out your capacity for resilience - yes you have a capacity for change. One of the best things about counseling is building relationship. You can't know someone without allowing them to know you. Building that relationship is my primary focus and greatest strength. Believing that change is possible and using that belief can help your process. What are your values and beliefs? How do they guide you? I use my faith in my process, I will encourage you to use yours, whatever it may be - all are welcome.
(573) 410-1015 View (573) 410-1015
Photo of Barbara J. Scott, Pre-Licensed Professional in Columbia, MO
Barbara J. Scott
Pre-Licensed Professional, PLPC, NCC, MSCC, CGP
Verified Verified
Columbia, MO 65203
Counseling is a wonderful investment in yourself and your relationships, but finding the right counselor is tough. I provide a safe space for clients to pause, reflect, feel, and find their way... Struggling with anxiety, relationship conflict/divorce, loneliness, grief, major life changes, or lingering issues from past trauma? I bring a depth of experience and professional training in communication, de-escalating & healing relationships, and trauma. I will bring an open, caring, inquisitive, and deeply compassionate presence to our time together. I'm here to sit with you—sometimes to challenge you—but always to really listen.
Counseling is a wonderful investment in yourself and your relationships, but finding the right counselor is tough. I provide a safe space for clients to pause, reflect, feel, and find their way... Struggling with anxiety, relationship conflict/divorce, loneliness, grief, major life changes, or lingering issues from past trauma? I bring a depth of experience and professional training in communication, de-escalating & healing relationships, and trauma. I will bring an open, caring, inquisitive, and deeply compassionate presence to our time together. I'm here to sit with you—sometimes to challenge you—but always to really listen.
(573) 515-2986 View (573) 515-2986
Photo of Lauren Ripley, Licensed Professional Counselor in Columbia, MO
Lauren Ripley
Licensed Professional Counselor, LPC
Verified Verified
Columbia, MO 65203  (Online Only)
I provide a genuine and authentic space to validate your feelings, and help you figure out what your strengths are, allowing us to use that to your advantage. Everyone goes through tough times and just because you may think that people have it 'worse' than you, doesn't discount your experiences. Life is complicated and difficult, the last thing anyone needs is any shame or pressure for struggling. You're stronger than you realize and I'll be here along side you to remind you!
I provide a genuine and authentic space to validate your feelings, and help you figure out what your strengths are, allowing us to use that to your advantage. Everyone goes through tough times and just because you may think that people have it 'worse' than you, doesn't discount your experiences. Life is complicated and difficult, the last thing anyone needs is any shame or pressure for struggling. You're stronger than you realize and I'll be here along side you to remind you!
(573) 570-3559 View (573) 570-3559
Photo of Rooted Therapy Services, LLC, Occupational Therapist in Columbia, MO
Rooted Therapy Services, LLC
Occupational Therapist, OTR/L
Verified Verified
Columbia, MO 65203
We offer mobile occupational therapy services to meet the needs of children, families and parents faced with mental, emotional and behavioral health challenges. No more traveling to a clinic for services. Trauma-informed. Neurodiversity-affirming. Non-compliance based success. Empowering families.
We offer mobile occupational therapy services to meet the needs of children, families and parents faced with mental, emotional and behavioral health challenges. No more traveling to a clinic for services. Trauma-informed. Neurodiversity-affirming. Non-compliance based success. Empowering families.
(573) 646-8090 View (573) 646-8090
Photo of Joshua Parmenter, Psychologist in Columbia, MO
Joshua Parmenter
Psychologist, PhD
Verified Verified
Columbia, MO 65203
The road we travel towards living as our truest self is by no means smooth. Often, we have learned messages that get in the way of living authentically, whether it be messages from society, family, peers, strangers, or even ourselves. We may feel lost and uncertain of finding a way forward. We will work together to find ways that you can feel empowered to break free from these messages to live openly and authentically. I love working with many different concerns including healing from traumatic experiences, being present with our emotions, creating positive self-narratives, and providing affirming LGBTQ+ care.
The road we travel towards living as our truest self is by no means smooth. Often, we have learned messages that get in the way of living authentically, whether it be messages from society, family, peers, strangers, or even ourselves. We may feel lost and uncertain of finding a way forward. We will work together to find ways that you can feel empowered to break free from these messages to live openly and authentically. I love working with many different concerns including healing from traumatic experiences, being present with our emotions, creating positive self-narratives, and providing affirming LGBTQ+ care.
(573) 279-2864 View (573) 279-2864
Photo of Emily Paulsen, Licensed Professional Counselor in Columbia, MO
Emily Paulsen
Licensed Professional Counselor, MA, LPC, SEP, NARM
Verified Verified
1 Endorsed
Columbia, MO 65203
Waitlist for new clients
I believe fear of judgment and shame often make us feel like we have to go through things alone. I provide a nonjudgmental and supportive environment for you to be able to process your struggles. We will work together to explore how we can address what is getting in the way of what you truly want for yourself. I have worked with clients with many different types of problems but my specialties are in working with eating disorders, trauma, and anxiety disorders. Regardless of the type of struggle, my hope is to help empower my clients to realize their true inner strength and resiliency.
I believe fear of judgment and shame often make us feel like we have to go through things alone. I provide a nonjudgmental and supportive environment for you to be able to process your struggles. We will work together to explore how we can address what is getting in the way of what you truly want for yourself. I have worked with clients with many different types of problems but my specialties are in working with eating disorders, trauma, and anxiety disorders. Regardless of the type of struggle, my hope is to help empower my clients to realize their true inner strength and resiliency.
(573) 575-4025 View (573) 575-4025
Photo of Sheri L. Taylor, Clinical Social Work/Therapist in Columbia, MO
Sheri L. Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
Columbia, MO 65203
I will work with you as an individual/couple/family by assessing what is most important to you in achieving a positive outcome that you decide you would like to achieve. I have been in private practice since 1993 completing post graduate work at Menninger Foundation. I am a Certified Master Practitioner and Trainer of NLP and Ericksonian hypnosis, both which facilitate change as defined by the client with issues such as PTSD, stress, anxiety, depression, OCD, eating disorders, sexual dysfunction, unwanted addictive behaviors as well as behaviors that just aren't working for you. I work with individuals and couples.
I will work with you as an individual/couple/family by assessing what is most important to you in achieving a positive outcome that you decide you would like to achieve. I have been in private practice since 1993 completing post graduate work at Menninger Foundation. I am a Certified Master Practitioner and Trainer of NLP and Ericksonian hypnosis, both which facilitate change as defined by the client with issues such as PTSD, stress, anxiety, depression, OCD, eating disorders, sexual dysfunction, unwanted addictive behaviors as well as behaviors that just aren't working for you. I work with individuals and couples.
(785) 260-6084 View (785) 260-6084
Photo of Brittany Berry, Pre-Licensed Professional in Columbia, MO
Brittany Berry
Pre-Licensed Professional, LMSW
Verified Verified
Columbia, MO 65201  (Online Only)
I create an open and comforting space for clients to discuss their thoughts and feelings. I listen and help individuals develop goals, and provide support as they develop a plan. I use a combination of therapy techniques including Cognitive Behavioral Therapy, Strengths Based Approach, and Family Systems theory to accommodate each individual that I see.
I create an open and comforting space for clients to discuss their thoughts and feelings. I listen and help individuals develop goals, and provide support as they develop a plan. I use a combination of therapy techniques including Cognitive Behavioral Therapy, Strengths Based Approach, and Family Systems theory to accommodate each individual that I see.
(573) 637-4802 x713 View (573) 637-4802 x713
Photo of Jason L Edwards, Psychologist in Columbia, MO
Jason L Edwards
Psychologist, PhD
Verified Verified
Columbia, MO 65203
I have a decade of experience treating adults of various racial backgrounds who are dealing with anxiety, depression, interpersonal conflict, identity development, family conflict, and career concerns. I also focus on BIPOC individuals and their struggles related to race and racial trauma. I approach clients from both a cognitive and emotion-focused perspective but overall, I aim to help individuals feel free.
I have a decade of experience treating adults of various racial backgrounds who are dealing with anxiety, depression, interpersonal conflict, identity development, family conflict, and career concerns. I also focus on BIPOC individuals and their struggles related to race and racial trauma. I approach clients from both a cognitive and emotion-focused perspective but overall, I aim to help individuals feel free.
(573) 463-6626 View (573) 463-6626
Photo of Kim Oliver, Clinical Social Work/Therapist in Columbia, MO
Kim Oliver
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Columbia, MO 65203
I have learned that no one is immune to mental health stress, trauma, OR substance abuse. Most really can find recovery and wellness. In 2000, I began my career providing counseling services in a treatment center and have continued to specialize in coping methods vs. "using." Relationships are sacred. I work with all arrangements of families (CNM & polyamory). Expert family/couples counseling requires expert training. The Gottman Method is taught in three levels and I completed all three in 2017. My intensive couples approach is successful in improving communication and provides many tools and results in a reasonable time frame.
I have learned that no one is immune to mental health stress, trauma, OR substance abuse. Most really can find recovery and wellness. In 2000, I began my career providing counseling services in a treatment center and have continued to specialize in coping methods vs. "using." Relationships are sacred. I work with all arrangements of families (CNM & polyamory). Expert family/couples counseling requires expert training. The Gottman Method is taught in three levels and I completed all three in 2017. My intensive couples approach is successful in improving communication and provides many tools and results in a reasonable time frame.
(573) 340-4179 View (573) 340-4179
Photo of Cheryl Arens, Licensed Professional Counselor in Columbia, MO
Cheryl Arens
Licensed Professional Counselor, MEd, LPC
Verified Verified
Columbia, MO 65203
Hi, I'm Cheryl. In the counseling journey, I hope to come alongside you as you wrestle with the inherent difficulties and struggles associated with life. Damaged relationships, disappointments, insecurities, hurt, trauma, and anxieties... it all can be overwhelming and debilitating as times. But I believe healing is possible! I also bring my Christian faith to our work together for those desiring to include their Christian faith.
Hi, I'm Cheryl. In the counseling journey, I hope to come alongside you as you wrestle with the inherent difficulties and struggles associated with life. Damaged relationships, disappointments, insecurities, hurt, trauma, and anxieties... it all can be overwhelming and debilitating as times. But I believe healing is possible! I also bring my Christian faith to our work together for those desiring to include their Christian faith.
(573) 608-1306 View (573) 608-1306
Photo of Suzan Franck, Clinical Social Work/Therapist in Columbia, MO
Suzan Franck
Clinical Social Work/Therapist, MEd, MSW, LCSW
Verified Verified
2 Endorsed
Columbia, MO 65201
Jungian analytic work understands that life is unpredictable. Everyone struggles at some point in life. Sometimes the accompanying suffering tears at the very fabric of our understanding of ourselves and how we fit in the world. Life no longer makes sense. Life is not the way you thought it would be or should be. Unbidden desires, anxieties or depression come in to interfere with your ability to live the life you want. Others in your life behave in ways that disrupt your peace of mind and ability to live a meaningful life. Issues you thought you had dealt with long ago resurface in the present.
Jungian analytic work understands that life is unpredictable. Everyone struggles at some point in life. Sometimes the accompanying suffering tears at the very fabric of our understanding of ourselves and how we fit in the world. Life no longer makes sense. Life is not the way you thought it would be or should be. Unbidden desires, anxieties or depression come in to interfere with your ability to live the life you want. Others in your life behave in ways that disrupt your peace of mind and ability to live a meaningful life. Issues you thought you had dealt with long ago resurface in the present.
(573) 535-5614 View (573) 535-5614
Photo of Tara Freeman, Pre-Licensed Professional in Columbia, MO
Tara Freeman
Pre-Licensed Professional, MA, PLPC, NCC
Verified Verified
1 Endorsed
Columbia, MO 65203
I am passionate about joining people where they are, hearing their stories, and helping them process pain, confusion, disappointment, and loss. Some of us want someone to sit with us and listen to our hidden life, while others want some help finding answers or guidance. All of us want and need a safe person to help us see ourselves and our situations a bit more clearly, without fear of judgement. It would be my honor to be that person for you.
I am passionate about joining people where they are, hearing their stories, and helping them process pain, confusion, disappointment, and loss. Some of us want someone to sit with us and listen to our hidden life, while others want some help finding answers or guidance. All of us want and need a safe person to help us see ourselves and our situations a bit more clearly, without fear of judgement. It would be my honor to be that person for you.
(573) 641-2529 View (573) 641-2529
Photo of Emily Crawford-Thompson, Psychologist in Columbia, MO
Emily Crawford-Thompson
Psychologist, PhD
Verified Verified
1 Endorsed
Columbia, MO 65202
You are a unique individual wonderfully created to do amazing things. It is my passion to get to know you through a thorough, collaborative evaluation that facilitates your healing journey to your true identity. A psychological evaluation is the closest thing we have in the mental health field to a full physical health exam. You deserve more than just a surface look at what makes you YOU. Dr. Emily has experience since 2009 doing comprehensive psychological evaluations with teens (ages 16 and up) and adults. Note: NOT in insurance networks.
You are a unique individual wonderfully created to do amazing things. It is my passion to get to know you through a thorough, collaborative evaluation that facilitates your healing journey to your true identity. A psychological evaluation is the closest thing we have in the mental health field to a full physical health exam. You deserve more than just a surface look at what makes you YOU. Dr. Emily has experience since 2009 doing comprehensive psychological evaluations with teens (ages 16 and up) and adults. Note: NOT in insurance networks.
(573) 262-8248 View (573) 262-8248
Photo of Jemika Gardner, Clinical Social Work/Therapist in Columbia, MO
Jemika Gardner
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Columbia, MO 65201  (Online Only)
Have you reached a pivotal moment in your life, recognizing that the patterns that you have been stuck in no longer serve you? Maybe you have been trying to navigate the complexities of life alone, struggling with self-esteem, self-concept, and the overwhelming feeling that life isn't unfolding as it should. Despite enduring trauma, challenging relationships and struggles in both personal and professional spheres you have tried your best to "keep it all together" and you are exhausted. Each day it gets more difficult to put on the mask and get through the day.
Have you reached a pivotal moment in your life, recognizing that the patterns that you have been stuck in no longer serve you? Maybe you have been trying to navigate the complexities of life alone, struggling with self-esteem, self-concept, and the overwhelming feeling that life isn't unfolding as it should. Despite enduring trauma, challenging relationships and struggles in both personal and professional spheres you have tried your best to "keep it all together" and you are exhausted. Each day it gets more difficult to put on the mask and get through the day.
(573) 994-3720 View (573) 994-3720
Photo of Kristal Allen in Columbia, MO
Kristal Allen
PLPC
Verified Verified
Columbia, MO 65201  (Online Only)
Kristal is a telehealth therapist and has a variety of professional experience that she brings with her to Counseling Associates. She has worked in community settings working with pregnant women as well as has experience as a community support specialist working with adolescents and children. Kristal has completed her certification as a Tobacco Treatment Specialist with the Mayo Clinic Nicotine Dependence Center, and the facilitator certification with the American Lung Association Freedom From Smoking Program. Kristal has experience leading weekly nicotine dependence groups and smoking cessation education.
Kristal is a telehealth therapist and has a variety of professional experience that she brings with her to Counseling Associates. She has worked in community settings working with pregnant women as well as has experience as a community support specialist working with adolescents and children. Kristal has completed her certification as a Tobacco Treatment Specialist with the Mayo Clinic Nicotine Dependence Center, and the facilitator certification with the American Lung Association Freedom From Smoking Program. Kristal has experience leading weekly nicotine dependence groups and smoking cessation education.
(573) 524-9002 View (573) 524-9002
Photo of Virginia Almon, Clinical Social Work/Therapist in Columbia, MO
Virginia Almon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Columbia, MO 65201  (Online Only)
If you find yourself struggling with feeling overwhelmed, depressed, confused, disconnected, or anxious, I can provide effective therapy for your distress. Life can be extremely challenging and it is healthy to reach out for help when we feel stuck and unable to make changes. As I listen carefully to your concerns and your story, we will work together to achieve your goals in a safe, supportive atmosphere.
If you find yourself struggling with feeling overwhelmed, depressed, confused, disconnected, or anxious, I can provide effective therapy for your distress. Life can be extremely challenging and it is healthy to reach out for help when we feel stuck and unable to make changes. As I listen carefully to your concerns and your story, we will work together to achieve your goals in a safe, supportive atmosphere.
(573) 575-8139 View (573) 575-8139

How does your Therapist compare?

Number of Therapists in Columbia, MO

200+

Average cost per session

$120

Therapists in Columbia, MO who prioritize treating:

89% Anxiety
84% Depression
74% Relationship Issues
71% Self Esteem
71% Stress
69% Coping Skills
67% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

82% UnitedHealthcare UHC | UBH
71% Aetna
69% Cigna and Evernorth

How Therapists in Columbia, MO see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.