Therapists in Lake Saint Louis, MO

Photo of Sonya Paramore, MA, LPC, Licensed Professional Counselor
Sonya Paramore
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Saint Louis, MO 63367  (Online Only)
If you have been in relationship with a person with narcissistic traits or feel like you are in a toxic relationship, I understand the confusion, pain, fear, and self-doubt you may be feeling. I am a Christian therapist with training in grief, trauma and narcissistic abuse and want to assure you that you are not crazy.
If you have been in relationship with a person with narcissistic traits or feel like you are in a toxic relationship, I understand the confusion, pain, fear, and self-doubt you may be feeling. I am a Christian therapist with training in grief, trauma and narcissistic abuse and want to assure you that you are not crazy.
(636) 435-2533 View (636) 435-2533
Photo of Heather Michelle Hampton, MA, LPC, Licensed Professional Counselor
Heather Michelle Hampton
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Saint Louis, MO 63367  (Online Only)
Is your marriage struggling, or a child having issues at home/school/bullying/anxiety or just need help? You might have some doubts about whether therapy can truly benefit your specific situation. Drawing from my personal life experiences and my educational background, I can provide assurance that therapy is indeed effective. We'll work together to gain a deep understanding of your current position, the journey that brought you here, and the direction you wish to move in the future. The path to improvement varies for each individual, which is why my counseling approach is not fixed but adaptable to meet you at your unique point.
Is your marriage struggling, or a child having issues at home/school/bullying/anxiety or just need help? You might have some doubts about whether therapy can truly benefit your specific situation. Drawing from my personal life experiences and my educational background, I can provide assurance that therapy is indeed effective. We'll work together to gain a deep understanding of your current position, the journey that brought you here, and the direction you wish to move in the future. The path to improvement varies for each individual, which is why my counseling approach is not fixed but adaptable to meet you at your unique point.
(636) 385-5378 View (636) 385-5378
Photo of Karen Gniadek- Ellie Mental Health Lake St. Louis, MA, LPC, Licensed Professional Counselor
Karen Gniadek- Ellie Mental Health Lake St. Louis
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Saint Louis, MO 63367
I believe everyone deserves to be genuinely heard and understood. Before joining Ellie as an LPC, my career was anchored within the public school system as a parent, substitute teacher, special education teacher, psychological examiner, and school-based therapist. Although children, teens, and young adults were my focus, I often found myself equally supporting guardians. My desire is to help clients of all ages use their strengths to find creative, practical, realistic ways to approach life's challenges.
I believe everyone deserves to be genuinely heard and understood. Before joining Ellie as an LPC, my career was anchored within the public school system as a parent, substitute teacher, special education teacher, psychological examiner, and school-based therapist. Although children, teens, and young adults were my focus, I often found myself equally supporting guardians. My desire is to help clients of all ages use their strengths to find creative, practical, realistic ways to approach life's challenges.
(636) 428-5174 View (636) 428-5174
Photo of Melissa Maer, PLPC, Pre-Licensed Professional
Melissa Maer
Pre-Licensed Professional, PLPC
Verified Verified
Lake Saint Louis, MO 63367  (Online Only)
My passion is Couples therapy! Do you feel overwhelmed and experiencing anxiety as a result? Does anxiety and depression affect you in life? I believe that by empowering yourself while learning coping skills through therapy are important to improve your life. As someone who has experienced therapy herself, I believe that it's very important to experience the coping skills needed to learn different ways to handle difficult situations.
My passion is Couples therapy! Do you feel overwhelmed and experiencing anxiety as a result? Does anxiety and depression affect you in life? I believe that by empowering yourself while learning coping skills through therapy are important to improve your life. As someone who has experienced therapy herself, I believe that it's very important to experience the coping skills needed to learn different ways to handle difficult situations.
(314) 804-0801 View (314) 804-0801
Photo of Andy Anderson, MA, LPC, KPMT, Licensed Professional Counselor
Andy Anderson
Licensed Professional Counselor, MA, LPC, KPMT
Verified Verified
6 Endorsed
Lake Saint Louis, MO 63367  (Online Only)
My ideal client would be parents or caregivers seeking treatment for their children with behavioral, emotional, and social problems, such as ODD, ADHD, anxiety, depression, and other typical childhood issues. These clients would be interested in a parent training format for the treatments, indicating a willingness to actively participate in the therapy process and work collaboratively with the therapist. Additionally, the ideal client would be open to utilizing technology for teletherapy sessions, as my services are presented in an online therapy platform.
My ideal client would be parents or caregivers seeking treatment for their children with behavioral, emotional, and social problems, such as ODD, ADHD, anxiety, depression, and other typical childhood issues. These clients would be interested in a parent training format for the treatments, indicating a willingness to actively participate in the therapy process and work collaboratively with the therapist. Additionally, the ideal client would be open to utilizing technology for teletherapy sessions, as my services are presented in an online therapy platform.
(636) 614-1673 View (636) 614-1673
Photo of Carolyn Tinker, MA, NCC, LPC, Licensed Professional Counselor
Carolyn Tinker
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Lake Saint Louis, MO 63367
Waitlist for new clients
Carolyn operates from a systems way of thinking. I believe that there are many aspects that can affect each individual and exploring these aspects best helps the individual. I use therapies such as CBT, DBT, Solution-Focused Therapy, EFT with couples and other modalities. I work with children ages 10+, adolescents, individuals, couples and families. I have experience working with anxiety, depression, divorce, marital separation, premarital counseling, marriage counseling, sexual issues including addiction, affairs, pornography, abuse and LGBTQ+, grief and other situations that may arise.
Carolyn operates from a systems way of thinking. I believe that there are many aspects that can affect each individual and exploring these aspects best helps the individual. I use therapies such as CBT, DBT, Solution-Focused Therapy, EFT with couples and other modalities. I work with children ages 10+, adolescents, individuals, couples and families. I have experience working with anxiety, depression, divorce, marital separation, premarital counseling, marriage counseling, sexual issues including addiction, affairs, pornography, abuse and LGBTQ+, grief and other situations that may arise.
(636) 306-4196 View (636) 306-4196
Photo of Karla Pollock-Smith, MSW, LCSW, Clinical Social Work/Therapist
Karla Pollock-Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lake Saint Louis, MO 63367  (Online Only)
You are a successful career woman who is fighting anxiety every stinking day. You say “yes” without considering your schedule or your needs. You worry all of the time about what others think about you and you tend to act differently depending on who you are around. You are scared of being rejected or abandoned, and you spend way too much time in your head replaying conversations you’ve had, fearful that you said something wrong. You doubt yourself frequently and hate to make decisions! Your body has a lot of tension and you’ve been to your doctor or an ER because you thought you were having a heart attack. Time to invest in you.
You are a successful career woman who is fighting anxiety every stinking day. You say “yes” without considering your schedule or your needs. You worry all of the time about what others think about you and you tend to act differently depending on who you are around. You are scared of being rejected or abandoned, and you spend way too much time in your head replaying conversations you’ve had, fearful that you said something wrong. You doubt yourself frequently and hate to make decisions! Your body has a lot of tension and you’ve been to your doctor or an ER because you thought you were having a heart attack. Time to invest in you.
(636) 597-6290 View (636) 597-6290
Photo of Latonia Coates-Smith, MSW, LCSW, Clinical Social Work/Therapist
Latonia Coates-Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Lake Saint Louis, MO 63367
Embracing healing and wellness is key to maximizing your potential. Serving as a therapist and educator, I help clients understand the underlying factor(s) contributing to unresolved issues within their personal & professional lives. My goal is to provide a holistic approach to treatment by assessing the individual's environment as well as their mental, physical, and spiritual well being. The whelm of my practice has been demonstrated in both psychiatric and medical settings offering crisis intervention, intensive case management, and counseling to a diverse population.
Embracing healing and wellness is key to maximizing your potential. Serving as a therapist and educator, I help clients understand the underlying factor(s) contributing to unresolved issues within their personal & professional lives. My goal is to provide a holistic approach to treatment by assessing the individual's environment as well as their mental, physical, and spiritual well being. The whelm of my practice has been demonstrated in both psychiatric and medical settings offering crisis intervention, intensive case management, and counseling to a diverse population.
(636) 238-5944 View (636) 238-5944
Photo of Ryan Michael Schwartzmeyer, MSc, LPC, LCPC, Licensed Professional Counselor
Ryan Michael Schwartzmeyer
Licensed Professional Counselor, MSc, LPC, LCPC
Verified Verified
Lake Saint Louis, MO 63367
I work with people who have trouble regulating emotion. I am skilled in several different types of therapy, however, I have a significant amount of advanced training in Dialectical Behavioral Therapy and Gottman Method couples therapy. I tend to work with people who are experiencing depression, suicidal ideation, self harming behavior, trauma and anxiety. I focus on providing Autism assessments, ADHD assessment and treatment, clinical supervision and marathon therapy. I'm based in LSL now and offer telehealth for people located in Montana. Now enrolling new members for adult and teen DBT groups starting in June!
I work with people who have trouble regulating emotion. I am skilled in several different types of therapy, however, I have a significant amount of advanced training in Dialectical Behavioral Therapy and Gottman Method couples therapy. I tend to work with people who are experiencing depression, suicidal ideation, self harming behavior, trauma and anxiety. I focus on providing Autism assessments, ADHD assessment and treatment, clinical supervision and marathon therapy. I'm based in LSL now and offer telehealth for people located in Montana. Now enrolling new members for adult and teen DBT groups starting in June!
(314) 648-8007 View (314) 648-8007
Photo of Amy Ratican, MA, PLPC, Licensed Professional Counselor
Amy Ratican
Licensed Professional Counselor, MA, PLPC
Verified Verified
Lake Saint Louis, MO 63367
My philosophy of counseling is to let others know they are not alone. Clients will always have someone to talk to about anything troublesome. I believe all people need someone to be there for them, to comfort them and give them tools to self-sooth and learn to succeed to the best of their ability. Through unconditional positive regard, creating a safe space which is nonjudgmental and confidential, and by using active listening and other techniques clients can continue to learn to improve themselves and their environment.
My philosophy of counseling is to let others know they are not alone. Clients will always have someone to talk to about anything troublesome. I believe all people need someone to be there for them, to comfort them and give them tools to self-sooth and learn to succeed to the best of their ability. Through unconditional positive regard, creating a safe space which is nonjudgmental and confidential, and by using active listening and other techniques clients can continue to learn to improve themselves and their environment.
(636) 251-3323 View (636) 251-3323
Photo of Linda Duree, MA, LPC, Licensed Professional Counselor
Linda Duree
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Lake Saint Louis, MO 63367
My name is Linda Duree with Crossroads Counseling & Mediation LLC. I am passionate about assisting individuals and families in achieving a state of wellness. It is my goal to provide the comprehensive tools and techniques necessary for you to navigate your journey. I provide counseling services to individuals, couples and families. I have specialized training in conflict resolution to help you find a middle ground through mediation and parent coordination. I am registered as a Domestic Relations Dispute Resolution Neutral & Parent Coordinator with the Missouri Bar.
My name is Linda Duree with Crossroads Counseling & Mediation LLC. I am passionate about assisting individuals and families in achieving a state of wellness. It is my goal to provide the comprehensive tools and techniques necessary for you to navigate your journey. I provide counseling services to individuals, couples and families. I have specialized training in conflict resolution to help you find a middle ground through mediation and parent coordination. I am registered as a Domestic Relations Dispute Resolution Neutral & Parent Coordinator with the Missouri Bar.
(636) 487-5718 View (636) 487-5718
Photo of Justin Cook, PhD, LPC, CCATP, Licensed Professional Counselor
Justin Cook
Licensed Professional Counselor, PhD, LPC, CCATP
Verified Verified
Lake Saint Louis, MO 63367
There are many reasons that we find ourselves in need of help. I believe that we all have a desire for our lives to be better, but many times we are unsure of how to reach those goals. Whether you are experiencing anxiety, depression, other mental health needs, or have experienced trauma in your life reaching out for help is the first step toward a better life.
There are many reasons that we find ourselves in need of help. I believe that we all have a desire for our lives to be better, but many times we are unsure of how to reach those goals. Whether you are experiencing anxiety, depression, other mental health needs, or have experienced trauma in your life reaching out for help is the first step toward a better life.
(636) 597-6067 View (636) 597-6067
Photo of Susan Zimmerling, MA, LPC, Licensed Professional Counselor
Susan Zimmerling
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Saint Louis, MO 63367
Hi! I'm Susan. I am a licensed professional counselor providing caring therapy for kids and adults. I have experience working with clients that are struggling with symptoms of anxiety, grief, and PTSD as well as complex trauma and parenting related issues. I take a relationship focused, developmentally sensitive, and trauma informed approach to counseling. I am TF-CBT certified and trained in play therapy, PCIT, and EMDR.
Hi! I'm Susan. I am a licensed professional counselor providing caring therapy for kids and adults. I have experience working with clients that are struggling with symptoms of anxiety, grief, and PTSD as well as complex trauma and parenting related issues. I take a relationship focused, developmentally sensitive, and trauma informed approach to counseling. I am TF-CBT certified and trained in play therapy, PCIT, and EMDR.
(636) 330-1755 View (636) 330-1755
Photo of Paige Enke, MSW, LMSW, Clinical Social Work/Therapist
Paige Enke
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Lake Saint Louis, MO 63367
Hello! I'm a therapist with a passion for empowering people to embrace their authentic selves. I tailor my methods to your needs and primarily utilize CBT from a trauma informed perspective.
Hello! I'm a therapist with a passion for empowering people to embrace their authentic selves. I tailor my methods to your needs and primarily utilize CBT from a trauma informed perspective.
(636) 339-4475 View (636) 339-4475
Photo of Victoria Powell, MA, LPC, Licensed Professional Counselor
Victoria Powell
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Saint Louis, MO 63367
We all go through times in our lives when we feel lost and overwhelmed. In our individually focused therapy sessions we will work together to gain insight into your current struggles. We will also explore and discover where you want to be in your life and collaborate in developing and implementing a plan to get you to your goals. I have a very eclectic approach and believe you are the expert on your experience. Become the best you by changing the way you view yourself, your situation, and the world around you.
We all go through times in our lives when we feel lost and overwhelmed. In our individually focused therapy sessions we will work together to gain insight into your current struggles. We will also explore and discover where you want to be in your life and collaborate in developing and implementing a plan to get you to your goals. I have a very eclectic approach and believe you are the expert on your experience. Become the best you by changing the way you view yourself, your situation, and the world around you.
(636) 433-8478 View (636) 433-8478
Photo of Karissa Curtis, MA, LPC, CST, Licensed Professional Counselor
Karissa Curtis
Licensed Professional Counselor, MA, LPC, CST
Verified Verified
1 Endorsed
Lake Saint Louis, MO 63367
Waitlist for new clients
I believe people's pain is holy and sacred ground and that every individual's story has value. I work with individuals and couples, and I'm passionate about understanding my clients' struggles and giving them hope for healing and redemption. In coming to counseling, my clients can be assured that I'll provide a safe, non-judgmental space for them to grow and find healing. Of particular interest to me is helping people who struggle with relationship difficulties, sexual intimacy issues, vaginismus, sexual shame, religious and sexual identity conflicts, spirituality, and conflict and boundary issues.
I believe people's pain is holy and sacred ground and that every individual's story has value. I work with individuals and couples, and I'm passionate about understanding my clients' struggles and giving them hope for healing and redemption. In coming to counseling, my clients can be assured that I'll provide a safe, non-judgmental space for them to grow and find healing. Of particular interest to me is helping people who struggle with relationship difficulties, sexual intimacy issues, vaginismus, sexual shame, religious and sexual identity conflicts, spirituality, and conflict and boundary issues.
(636) 306-3471 View (636) 306-3471
Photo of Karen Reeves, MA, LPC, Licensed Professional Counselor
Karen Reeves
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Lake Saint Louis, MO 63367
I am passionate about helping people uncover and heal emotional wounds contributing to anxiety, depression, and anger. In addition, through assessments and exploration, I can help you discover the life patterns that have kept you "stuck". Awareness of these patterns is a step toward freedom. One way to discover these patterns is through the use of the Enneagram. I am an Enneagram CP Certified Professional. See information about a group currently forming below.
I am passionate about helping people uncover and heal emotional wounds contributing to anxiety, depression, and anger. In addition, through assessments and exploration, I can help you discover the life patterns that have kept you "stuck". Awareness of these patterns is a step toward freedom. One way to discover these patterns is through the use of the Enneagram. I am an Enneagram CP Certified Professional. See information about a group currently forming below.
(314) 593-2507 View (314) 593-2507
Photo of undefined - Deanna Self, MA, LPC, MA, LPC, Licensed Professional Counselor
Deanna Self, MA, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Saint Louis, MO 63367
Counseling is about helping strong people become stronger. Sometimes, you just need a little peace, time, and a place to sort things out. When life is painful or hurts, get an objective viewpoint and tools to get back on track. My specialties include: Cognitive Behavior Therapy, Depression, Anxiety, Improving Communications and Relationships, Recovery from Body-Focused Repetitive Behaviors, Bereavement, Grief and Loss, and Christian Counseling . Regain your peace and improve your ability to better manage life stress. Call now, and through a relatively short time, get help to achieve your goals.
Counseling is about helping strong people become stronger. Sometimes, you just need a little peace, time, and a place to sort things out. When life is painful or hurts, get an objective viewpoint and tools to get back on track. My specialties include: Cognitive Behavior Therapy, Depression, Anxiety, Improving Communications and Relationships, Recovery from Body-Focused Repetitive Behaviors, Bereavement, Grief and Loss, and Christian Counseling . Regain your peace and improve your ability to better manage life stress. Call now, and through a relatively short time, get help to achieve your goals.
(314) 667-4569 View (314) 667-4569
Photo of undefined - Mental Toughness Counseling and Mentoring, MA, LPC, CCTP, Licensed Professional Counselor
Mental Toughness Counseling and Mentoring
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
Lake Saint Louis, MO 63367  (Online Only)
Isaac is a passionate, professionally trained, and highly motivated therapist who is committed to being an agent of change. For the past 16 years, he has accumulated valuable experience with group, family, individual, and trauma therapy. In addition, he has work experience with the 22nd Judicial Family Court, Division of Youth Services, and Youth in Need. In 2014, Isaac began his own practice, Mental Toughness Counseling & Mentoring, where he has continued to perform virtual individual psychotherapy.
Isaac is a passionate, professionally trained, and highly motivated therapist who is committed to being an agent of change. For the past 16 years, he has accumulated valuable experience with group, family, individual, and trauma therapy. In addition, he has work experience with the 22nd Judicial Family Court, Division of Youth Services, and Youth in Need. In 2014, Isaac began his own practice, Mental Toughness Counseling & Mentoring, where he has continued to perform virtual individual psychotherapy.
(314) 551-9212 View (314) 551-9212
Photo of Natalie Webb, MA, LPC, Licensed Professional Counselor
Natalie Webb
Licensed Professional Counselor, MA, LPC
Verified Verified
Lake Saint Louis, MO 63367
Life has a unique way of tossing us around with waves of confusion, frustration, and pain. In the midst of the chaos, it is hard to tell which way is which at times. Know that whatever situation you are facing, you are not alone and my hope is that we can navigate a way through together. As a counselor, my priority is you.The most important part of counseling is for you to feel safe, understood, and able to express yourself and what you are facing.
Life has a unique way of tossing us around with waves of confusion, frustration, and pain. In the midst of the chaos, it is hard to tell which way is which at times. Know that whatever situation you are facing, you are not alone and my hope is that we can navigate a way through together. As a counselor, my priority is you.The most important part of counseling is for you to feel safe, understood, and able to express yourself and what you are facing.
(636) 205-5264 View (636) 205-5264

See more therapy options for Lake Saint Louis

How does your Therapist compare?

Number of Therapists in Lake Saint Louis, MO

60+

Average cost per session

$125

Therapists in Lake Saint Louis, MO who prioritize treating:

95% Anxiety
84% Depression
77% Relationship Issues
74% Coping Skills
74% Self Esteem
71% Trauma and PTSD
69% Stress

Average years in practice

11 Years

Top 3 insurances accepted

85% Cigna and Evernorth
80% Aetna
73% UnitedHealthcare UHC | UBH

How Therapists in Lake Saint Louis, MO see their clients

78% In Person and Online
22% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lake Saint Louis?

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.