Therapists in Cape Girardeau County, MO

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Photo of Ashlee Sitze, Licensed Professional Counselor, MA, LPC
Ashlee Sitze
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
Waitlist for new clients
Many clients come to me exhausted. They are exhausted of old cycles, unhelpful patterns and their tendencies to "fake it til' you make it". In sessions we will strive to work towards the authentic self, providing the self support to make changes that have been tough to succeed in the past. We work together as a team to identify what may be contributing to these internal and external struggles and what next steps to take, moving forward together to achieve your mental wellness goals.
Many clients come to me exhausted. They are exhausted of old cycles, unhelpful patterns and their tendencies to "fake it til' you make it". In sessions we will strive to work towards the authentic self, providing the self support to make changes that have been tough to succeed in the past. We work together as a team to identify what may be contributing to these internal and external struggles and what next steps to take, moving forward together to achieve your mental wellness goals.
(573) 772-5617 View (573) 772-5617
Photo of Shannon Anderson - Heartland Counseling Center, Licensed Professional Counselor, MA, LPC, NCC
Heartland Counseling Center
Licensed Professional Counselor, MA, LPC, NCC
Cape Girardeau, MO 63703
SPECIALIZING IN COUPLES/MARRIAGE COUNSELING... WE ARE THE RELATIONSHIP EXPERTS! Is your marriage or relationship failing? Maybe issues like cheating and infidelity have put a major strain on your relationship? Or maybe you're seeking individual help for Anxiety or Depression symptoms that are now controlling your life? Our trained experts offer Evidence-Based individual counseling for anxiety, depression, and many of life's emotional challenges.
SPECIALIZING IN COUPLES/MARRIAGE COUNSELING... WE ARE THE RELATIONSHIP EXPERTS! Is your marriage or relationship failing? Maybe issues like cheating and infidelity have put a major strain on your relationship? Or maybe you're seeking individual help for Anxiety or Depression symptoms that are now controlling your life? Our trained experts offer Evidence-Based individual counseling for anxiety, depression, and many of life's emotional challenges.
(573) 250-4691 View (573) 250-4691
Photo of Heather Attaway, Licensed Professional Counselor, LPC
Heather Attaway
Licensed Professional Counselor, LPC
Online Only
Hello, I'm Heather Attaway. I earned a Bachelor of Science in Psychology from McKendree University in 2008. Then I obtained a Masters in Professional Counseling, also from McKendree University in 2011. I have been practicing counseling since 2015 in private practice settings with a solution focused approach. As a licensed professional counselor, I am dedicated to creating a safe and supportive environment where all clients can feel comfortable exploring their emotions and working towards their goals.
Hello, I'm Heather Attaway. I earned a Bachelor of Science in Psychology from McKendree University in 2008. Then I obtained a Masters in Professional Counseling, also from McKendree University in 2011. I have been practicing counseling since 2015 in private practice settings with a solution focused approach. As a licensed professional counselor, I am dedicated to creating a safe and supportive environment where all clients can feel comfortable exploring their emotions and working towards their goals.
(573) 889-3625 View (573) 889-3625
Photo of Erin Randol - Sunrise Therapy Services, LLC, Clinical Social Work/Therapist, MSW, LCSW
Sunrise Therapy Services, LLC
Clinical Social Work/Therapist, MSW, LCSW
15 Endorsed
Cape Girardeau, MO 63701
We specialize in supporting women and mothers navigating the heavy weight of anxiety, burnout, and the complexities of parenting. You might come to us feeling disconnected, overwhelmed, or stuck in a cycle of stress that impacts your daily joy and health. Our team takes a holistic approach, looking beyond symptoms to your entire life system. By integrating mental wellness with physical health and support networks, we create a personalized path forward for you. Through accessible online sessions and a collaborative expert network, we provide the tools and steady support you need to reclaim your balance and thrive.
We specialize in supporting women and mothers navigating the heavy weight of anxiety, burnout, and the complexities of parenting. You might come to us feeling disconnected, overwhelmed, or stuck in a cycle of stress that impacts your daily joy and health. Our team takes a holistic approach, looking beyond symptoms to your entire life system. By integrating mental wellness with physical health and support networks, we create a personalized path forward for you. Through accessible online sessions and a collaborative expert network, we provide the tools and steady support you need to reclaim your balance and thrive.
(573) 679-4350 View (573) 679-4350
Photo of Teresa Campbell, Licensed Professional Counselor, MA, LPC, NCC
Teresa Campbell
Licensed Professional Counselor, MA, LPC, NCC
Cape Girardeau, MO 63701
I'm convinced healing begins in a space where you feel seen, heard, and safe. As a Licensed Professional Counselor, I support preteens through adults who may feel anxious, struggle with effectively communicating, overthinking situations, overwhelmed by choices, stuck and looking for direction. Or you may be weighed down by anxiety, depression, trauma, grief or life transitions such as career changes , relationship concerns or school. Together we can develop a trusting relationship that will allow you to be the best version of who you desire to be and the confidence to live life with no apologies! You are the author of your life!
I'm convinced healing begins in a space where you feel seen, heard, and safe. As a Licensed Professional Counselor, I support preteens through adults who may feel anxious, struggle with effectively communicating, overthinking situations, overwhelmed by choices, stuck and looking for direction. Or you may be weighed down by anxiety, depression, trauma, grief or life transitions such as career changes , relationship concerns or school. Together we can develop a trusting relationship that will allow you to be the best version of who you desire to be and the confidence to live life with no apologies! You are the author of your life!
(573) 490-3800 View (573) 490-3800
Photo of Mary Ann Robertson - A Step at a Time Counseling, Licensed Professional Counselor, MA, LPC
A Step at a Time Counseling
Licensed Professional Counselor, MA, LPC
Cape Girardeau, MO 63701
My office can become your “safe space”. Trusting your therapist is vital for finding solutions for your mental health issues. I have been creating a “safe place” for women for 14 years. YOU are an expert on your own life, but sometimes choices create temporary chaos and blur your journey, and your growth.
My office can become your “safe space”. Trusting your therapist is vital for finding solutions for your mental health issues. I have been creating a “safe place” for women for 14 years. YOU are an expert on your own life, but sometimes choices create temporary chaos and blur your journey, and your growth.
(573) 270-7113 View (573) 270-7113
Photo of John D Cooley, Counselor, Ph.D,, LPC
John D Cooley
Counselor, Ph.D,, LPC
Online Only
I work with young to middle-age adults who are dealing with PTSD, anxiety, depression, and the lasting effects of traumatic stress and couples who want to build a stronger relationship. Many of my clients struggle with flashbacks, night terrors, panic attacks, trouble sleeping, feeling triggered, or getting stuck in thoughts they cannot seem to quiet. Some are also coping through substance use, addiction, emotional shutdown, or trust and relationship difficulties, communication skills and want a healthier way forward.
I work with young to middle-age adults who are dealing with PTSD, anxiety, depression, and the lasting effects of traumatic stress and couples who want to build a stronger relationship. Many of my clients struggle with flashbacks, night terrors, panic attacks, trouble sleeping, feeling triggered, or getting stuck in thoughts they cannot seem to quiet. Some are also coping through substance use, addiction, emotional shutdown, or trust and relationship difficulties, communication skills and want a healthier way forward.
(920) 956-0711 View (920) 956-0711
Photo of Andrea Crafton - Pregnancy, Postpartum & Fertility Therapist, Licensed Professional Counselor, MA, LPC, PMH-C
Pregnancy, Postpartum & Fertility Therapist
Licensed Professional Counselor, MA, LPC, PMH-C
Online Only
Becoming a mother can shake your world in unexpected ways. You may find yourself overwhelmed by anxiety, sadness, intrusive thoughts, fertility struggles, or a sense that you've lost yourself in the process. You may lie awake at night worrying you're not a good mom, replaying your birth experience over and over, feeling disconnected from your baby, struggling with the transition back to work, or facing the emotional ups and downs of trying to conceive. You're carrying the emotional weight of motherhood while trying to hold everything together, yet something still feels off and you're longing to feel more like yourself again.
Becoming a mother can shake your world in unexpected ways. You may find yourself overwhelmed by anxiety, sadness, intrusive thoughts, fertility struggles, or a sense that you've lost yourself in the process. You may lie awake at night worrying you're not a good mom, replaying your birth experience over and over, feeling disconnected from your baby, struggling with the transition back to work, or facing the emotional ups and downs of trying to conceive. You're carrying the emotional weight of motherhood while trying to hold everything together, yet something still feels off and you're longing to feel more like yourself again.
(314) 451-5795 View (314) 451-5795
Photo of Haley Wills - Haley Wills Counseling, LLC, Clinical Social Work/Therapist, LCSW
Haley Wills Counseling, LLC
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
You might feel trapped in your own thoughts, constantly second-guessing yourself or seeking reassurance just to get through the day. You may be watching your child struggle with focus, behavior, or anxiety and wondering if you’re doing something wrong. Perhaps you’re carrying a deep, private grief after infertility or miscarriage, feeling disconnected from your body, your future, or from people who don’t know what to say. If you or your child are navigating anxiety, OCD, ADHD, I am here to help. I can provide a supportive and safe space for navigating life through the profound difficulties of infertility and loss.
You might feel trapped in your own thoughts, constantly second-guessing yourself or seeking reassurance just to get through the day. You may be watching your child struggle with focus, behavior, or anxiety and wondering if you’re doing something wrong. Perhaps you’re carrying a deep, private grief after infertility or miscarriage, feeling disconnected from your body, your future, or from people who don’t know what to say. If you or your child are navigating anxiety, OCD, ADHD, I am here to help. I can provide a supportive and safe space for navigating life through the profound difficulties of infertility and loss.
(573) 262-8124 View (573) 262-8124
Photo of Jamie Elizabeth Howard, Licensed Professional Counselor, EdS, LPC
Jamie Elizabeth Howard
Licensed Professional Counselor, EdS, LPC
1 Endorsed
Cape Girardeau, MO 63701
Life can feel overwhelming when you're carrying the weight of anxiety, trauma, grief, self-doubt, relationship challenges, or major life transitions. My goal is to provide a compassionate, supportive space where you can slow down, reconnect with yourself, and move toward healing at your own pace…. My approach is collaborative, trauma-informed, and grounded in the belief that healing happens through authentic connection. I strive to create an environment where you feel seen, heard, and accepted exactly as you are. I also provide Animal Assisted Therapy in addition to talk therapy.
Life can feel overwhelming when you're carrying the weight of anxiety, trauma, grief, self-doubt, relationship challenges, or major life transitions. My goal is to provide a compassionate, supportive space where you can slow down, reconnect with yourself, and move toward healing at your own pace…. My approach is collaborative, trauma-informed, and grounded in the belief that healing happens through authentic connection. I strive to create an environment where you feel seen, heard, and accepted exactly as you are. I also provide Animal Assisted Therapy in addition to talk therapy.
(573) 409-8501 View (573) 409-8501
Photo of Heather Attaway, Licensed Professional Counselor, MA, LPC
Heather Attaway
Licensed Professional Counselor, MA, LPC
Jackson, MO 63755
As a licensed professional counselor, I'm committed to providing a safe, supportive space for individuals of all ages and backgrounds, to explore life's challenges and work toward personal growth.
As a licensed professional counselor, I'm committed to providing a safe, supportive space for individuals of all ages and backgrounds, to explore life's challenges and work toward personal growth.
(573) 549-4463 View (573) 549-4463
Photo of Amy Elfrink, Licensed Professional Counselor, LPC, NCC, MA
Amy Elfrink
Licensed Professional Counselor, LPC, NCC, MA
Jackson, MO 63755
Hello! As a counselor who began counseling as a second career, I have a wealth of life experience that I find helpful when meeting with clients. I will combine this life experience with my formal training in order to help you find healing. I enjoy working with clients who have various challenges including grief, trauma, relationship issues, depression, and anxiety. Because I believe our spiritual beliefs are an integral part of who we are, I specialize in helping clients consider how their spiritual beliefs might impact their journey to wholeness.
Hello! As a counselor who began counseling as a second career, I have a wealth of life experience that I find helpful when meeting with clients. I will combine this life experience with my formal training in order to help you find healing. I enjoy working with clients who have various challenges including grief, trauma, relationship issues, depression, and anxiety. Because I believe our spiritual beliefs are an integral part of who we are, I specialize in helping clients consider how their spiritual beliefs might impact their journey to wholeness.
(573) 262-9343 View (573) 262-9343
Photo of Sarah Landers, Clinical Social Work/Therapist, LCSW
Sarah Landers
Clinical Social Work/Therapist, LCSW
Online Only
My name is Sarah Landers. In my personal life, I have many hats, but in my role as your potential therapist, I am here to help you reach your mental health goals. I value creating a space where you feel you can share openly and without judgment. My goal for you in therapy with me is to see you grow. I will help teach you coping skills and ways to change behaviors or thoughts as needed. I will listen to any stressors or problems that you need to share. I can also assist you with any hardships or traumas from our past that might have lingered longer than you'd like.
My name is Sarah Landers. In my personal life, I have many hats, but in my role as your potential therapist, I am here to help you reach your mental health goals. I value creating a space where you feel you can share openly and without judgment. My goal for you in therapy with me is to see you grow. I will help teach you coping skills and ways to change behaviors or thoughts as needed. I will listen to any stressors or problems that you need to share. I can also assist you with any hardships or traumas from our past that might have lingered longer than you'd like.
(573) 282-8030 View (573) 282-8030
Photo of Dr. Britt Brooks-Dantley, Marriage & Family Therapist, PsyD, LMFT, CCTP
Dr. Britt Brooks-Dantley
Marriage & Family Therapist, PsyD, LMFT, CCTP
2 Endorsed
Online Only
If you’re struggling to cope with past traumas, I can help you identify how this is showing up in your present and offer the tools that will create the path to your desired future. Trauma impedes our natural ability as humans to be able to identify and reach goals, and connect and form relationships with others. I believe with a positive therapeutic relationship and guidance to rediscovering the inner knowing you possess about what you truly need to thrive. My approach to therapy is what allows for others to connect with me- I am laid-back, direct, funny, caring, & most importantly I create a non-judgement environmental space!
If you’re struggling to cope with past traumas, I can help you identify how this is showing up in your present and offer the tools that will create the path to your desired future. Trauma impedes our natural ability as humans to be able to identify and reach goals, and connect and form relationships with others. I believe with a positive therapeutic relationship and guidance to rediscovering the inner knowing you possess about what you truly need to thrive. My approach to therapy is what allows for others to connect with me- I am laid-back, direct, funny, caring, & most importantly I create a non-judgement environmental space!
(708) 809-2289 View (708) 809-2289
Photo of Jennifer Jarrett, Clinical Social Work/Therapist, MSW, LCSW
Jennifer Jarrett
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Cape Girardeau, MO 63701
Somewhere along the way things have gotten dark, stressful, and painful. The light seems to be too far out of reach and part of you might not think you deserve to get better. Anxiety and depression compound negative experiences and make you feel smothered. Finding your light and regaining your life after trauma and negative experiences is possible and you are worth it. I work specifically with adults helping them find their light and deal with their past, present, and future. Overcoming what is hurting you mentally is a strength that already lives inside you. You deserve to live life on your terms, and not be burdened by the past.
Somewhere along the way things have gotten dark, stressful, and painful. The light seems to be too far out of reach and part of you might not think you deserve to get better. Anxiety and depression compound negative experiences and make you feel smothered. Finding your light and regaining your life after trauma and negative experiences is possible and you are worth it. I work specifically with adults helping them find their light and deal with their past, present, and future. Overcoming what is hurting you mentally is a strength that already lives inside you. You deserve to live life on your terms, and not be burdened by the past.
(573) 992-2565 View (573) 992-2565
Photo of Faye Marie Burger, Licensed Professional Counselor, LPC
Faye Marie Burger
Licensed Professional Counselor, LPC
Cape Girardeau, MO 63701
I work with adults who feel emotionally worn down by anxiety, relationship patterns, or the lasting effects of past experiences. They’re often self-aware but stuck, and want to understand why they feel and react the way they do—not just learn surface-level coping skills. Their goal is to feel more grounded, steady, and intentional in their lives.
I work with adults who feel emotionally worn down by anxiety, relationship patterns, or the lasting effects of past experiences. They’re often self-aware but stuck, and want to understand why they feel and react the way they do—not just learn surface-level coping skills. Their goal is to feel more grounded, steady, and intentional in their lives.
(573) 898-6070 View (573) 898-6070
Photo of Laura Brown, Clinical Social Work/Therapist, LCSW
Laura Brown
Clinical Social Work/Therapist, LCSW
Online Only
Hello! I believe that sometimes the beauty of life gets clouded by the temporary thunderstorms. My goal is to empower my clients to feel comfortable, confident, and safe, in sessions and in the world. I have 4 years of clinical experience working with teens and young adults through a variety of challenges. I have found that most clients enjoy working with a therapist they can relate to. I would be honored to get to know you and your story, and help you with however the next chapter looks.
Hello! I believe that sometimes the beauty of life gets clouded by the temporary thunderstorms. My goal is to empower my clients to feel comfortable, confident, and safe, in sessions and in the world. I have 4 years of clinical experience working with teens and young adults through a variety of challenges. I have found that most clients enjoy working with a therapist they can relate to. I would be honored to get to know you and your story, and help you with however the next chapter looks.
(573) 648-3750 View (573) 648-3750
Photo of Dr. Andrew Johnson, Licensed Professional Counselor, PhD, LPC, NCC, ACS, EMDR-CT
Dr. Andrew Johnson
Licensed Professional Counselor, PhD, LPC, NCC, ACS, EMDR-CT
Cape Girardeau, MO 63701
Waitlist for new clients
Hello there! I'm Dr Andrew Johnson, a Licensed Professional Counselor and Certified EMDR Therapist. Clients need someone who listens to them without judgment and shows them respect and unconditional positive regard. Individuals who struggle with trauma, dissociation, addictions, grief, etc., can find a safe space here. I strive to be a therapist who can support and guide my clients to a brighter way of living. To help them live again rather than just exist. This counselor aims to understand what happened to you, not what is wrong with you.
Hello there! I'm Dr Andrew Johnson, a Licensed Professional Counselor and Certified EMDR Therapist. Clients need someone who listens to them without judgment and shows them respect and unconditional positive regard. Individuals who struggle with trauma, dissociation, addictions, grief, etc., can find a safe space here. I strive to be a therapist who can support and guide my clients to a brighter way of living. To help them live again rather than just exist. This counselor aims to understand what happened to you, not what is wrong with you.
(573) 531-5115 View (573) 531-5115
Photo of Matthew T. Tompkins, Counselor, EdS, LPC, NCC
Matthew T. Tompkins
Counselor, EdS, LPC, NCC
2 Endorsed
Online Only
Are you feeling overwhelmed, stuck, or unsure of your next steps? My goal is to provide a safe, supportive space where you can explore your thoughts, emotions, and challenges without judgment. I specialize in helping individuals navigate life transitions, manage anxiety, and build healthier relationships. Together, we’ll identify your goals, uncover your strengths, and develop strategies to create lasting, positive change. Whether you’re seeking clarity, healing, or growth, I’m here to help you move forward with confidence and purpose.
Are you feeling overwhelmed, stuck, or unsure of your next steps? My goal is to provide a safe, supportive space where you can explore your thoughts, emotions, and challenges without judgment. I specialize in helping individuals navigate life transitions, manage anxiety, and build healthier relationships. Together, we’ll identify your goals, uncover your strengths, and develop strategies to create lasting, positive change. Whether you’re seeking clarity, healing, or growth, I’m here to help you move forward with confidence and purpose.
(573) 633-4148 View (573) 633-4148
Photo of Cynthia Keesee, Licensed Professional Counselor, LPC
Cynthia Keesee
Licensed Professional Counselor, LPC
Online Only
Life does not come with a manual. Life is hard. Sometimes we just wish there was someone who would just listen. We don't need anyone to take sides. We just need to explain our situation and see if our feelings are valid. Sometimes we are too worried about what others will think of us that we stay in our own heads. Chances are we have judged ourselves enough that we just want to be heard by someone else.
Life does not come with a manual. Life is hard. Sometimes we just wish there was someone who would just listen. We don't need anyone to take sides. We just need to explain our situation and see if our feelings are valid. Sometimes we are too worried about what others will think of us that we stay in our own heads. Chances are we have judged ourselves enough that we just want to be heard by someone else.
(573) 685-4192 View (573) 685-4192

See more therapy options for Cape Girardeau County

How does your Therapist compare?

Number of Therapists in Cape Girardeau County, MO

60+

Average cost per session

$120

Therapists in Cape Girardeau County, MO who prioritize treating:

89% Anxiety
89% Social Anxiety
89% Health Anxiety
89% Driving Anxiety
83% Depression
74% Grief
71% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

92% Aetna
84% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in Cape Girardeau County, MO see their clients

63% Online Only
37% In Person and Online

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cape Girardeau 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.