Therapists in Saint Louis, MO

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Photo of Gina L Jackson, Clinical Social Work/Therapist, PhD, LMSW
Gina L Jackson
Clinical Social Work/Therapist, PhD, LMSW
Saint Louis, MO 63139
Are you struggling through life or feeling lost and directionless? Almost everyone needs help along life’s journey. Knowing ourselves deeply and understanding how our early experiences influence our current relationships and behaviors can help us improve our mood and change our lives. In my psychotherapy practice, I use a non-judgmental approach to help you open-mindedly evaluate your own life and to help you find alternative ways to view and solve your problems.
Are you struggling through life or feeling lost and directionless? Almost everyone needs help along life’s journey. Knowing ourselves deeply and understanding how our early experiences influence our current relationships and behaviors can help us improve our mood and change our lives. In my psychotherapy practice, I use a non-judgmental approach to help you open-mindedly evaluate your own life and to help you find alternative ways to view and solve your problems.
(314) 748-1498 View (314) 748-1498
Photo of Richelle Shorter - Restore Counseling and Wellness Services, LLC, Counselor, MEd, LPC, NCC
Restore Counseling and Wellness Services, LLC
Counselor, MEd, LPC, NCC
Online Only
Many times one just needs to know that "it is OK, to not be OK" sometimes. Life happens as life is happening to all of us, and it’s not uncommon to find oneself stuck. In these moments, I believe in the importance of validating feelings and experiences, and allowing one a safe space to express. Mental health maintenance, awareness and wellness is a vital part of life and how one moves and functions in the world. Maintaining your mental health contributes to your overall wholeness and wellbeing.
Many times one just needs to know that "it is OK, to not be OK" sometimes. Life happens as life is happening to all of us, and it’s not uncommon to find oneself stuck. In these moments, I believe in the importance of validating feelings and experiences, and allowing one a safe space to express. Mental health maintenance, awareness and wellness is a vital part of life and how one moves and functions in the world. Maintaining your mental health contributes to your overall wholeness and wellbeing.
(314) 798-7295 View (314) 798-7295
Photo of Nicole Morgan Ely, Counselor, MA, LPC, NCC
Nicole Morgan Ely
Counselor, MA, LPC, NCC
Online Only
Virtual appointments only. I believe that we live in a complex world of beauty and brokenness. My goal is to come alongside you in your suffering while encouraging you towards growing in hope and healing. Relationships are important and I care deeply about my clients and I strive to bring light to my client's strengths to help them face their challenges and start feeling better.
Virtual appointments only. I believe that we live in a complex world of beauty and brokenness. My goal is to come alongside you in your suffering while encouraging you towards growing in hope and healing. Relationships are important and I care deeply about my clients and I strive to bring light to my client's strengths to help them face their challenges and start feeling better.
(314) 325-1405 View (314) 325-1405
Photo of Bayla M. Myer, Psychologist, PhD
Bayla M. Myer
Psychologist, PhD
1 Endorsed
Saint Louis, MO 63128
I have over thirty-five years of experience treating individuals, couples, and families dealing with depression, anxiety disorders, marital discord, and family dysfunction. Changing oneself, therefore changing others around you, can lead to happier relationships. Understanding and insight can raise self-esteem. I provide a safe, confidential, and trusting environment to explore one's feelings and consider options to produce different and improved results. Video and telehealth sessions have been added to accommodate the COVID-19 safety protocols.
I have over thirty-five years of experience treating individuals, couples, and families dealing with depression, anxiety disorders, marital discord, and family dysfunction. Changing oneself, therefore changing others around you, can lead to happier relationships. Understanding and insight can raise self-esteem. I provide a safe, confidential, and trusting environment to explore one's feelings and consider options to produce different and improved results. Video and telehealth sessions have been added to accommodate the COVID-19 safety protocols.
(314) 828-2354 View (314) 828-2354
Photo of Melody Kim, Pre-Licensed Professional, PLPC
Melody Kim
Pre-Licensed Professional, PLPC
Saint Louis, MO 63104
Sometimes, we just need a safe space where we can speak from the heart. My passion is to create that compassionate space with you. While I am all about meeting you wherever you are in life, I am also trained in helping people shift their relationship with anxiety, OCD, depression, and body-focused repetitive behaviors. Over time, my clients begin to feel more empowered to live in a way that aligns with their values rather than their fears. As a second-generation Asian American, I also bring a culturally informed perspective to therapy.
Sometimes, we just need a safe space where we can speak from the heart. My passion is to create that compassionate space with you. While I am all about meeting you wherever you are in life, I am also trained in helping people shift their relationship with anxiety, OCD, depression, and body-focused repetitive behaviors. Over time, my clients begin to feel more empowered to live in a way that aligns with their values rather than their fears. As a second-generation Asian American, I also bring a culturally informed perspective to therapy.
(314) 296-3222 View (314) 296-3222
Photo of Jeanine Taylor, Clinical Social Work/Therapist
Jeanine Taylor
Clinical Social Work/Therapist
Online Only
I have been working with individuals, families, and couples both online and in private practice for 18 years. My personality is warm and genuine, I will draw upon your strengths while at the same time offering support and guidance. I believe in looking at the whole person to help them reach their fullest potential. I have a strong passion for helping others manage and resolve their depression, anxiety, stress, parenting and relationship issues, trauma, and couples issues.
I have been working with individuals, families, and couples both online and in private practice for 18 years. My personality is warm and genuine, I will draw upon your strengths while at the same time offering support and guidance. I believe in looking at the whole person to help them reach their fullest potential. I have a strong passion for helping others manage and resolve their depression, anxiety, stress, parenting and relationship issues, trauma, and couples issues.
(417) 670-2142 View (417) 670-2142
Photo of Amy L. Miller, Clinical Social Work/Therapist, MSW, LCSW
Amy L. Miller
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Saint Louis, MO 63108
First of all: I always respond to emails, you can always get in within a few days, AND I always offer reduced fees. I make things easy. I was a solution-focused therapist; coaching is a close cousin. It honestly just suits me to be more free & authentic. Coaching focuses on solving the current problems in your life; clients typically report feeling better after just a few sessions. If you're looking for practical, nonjudgemental support for life, relationships, or work, check me out. I work well with men, perimenopausal women, couples, and business leaders. You can just book yourself on my calendar if it feels like a fit.
First of all: I always respond to emails, you can always get in within a few days, AND I always offer reduced fees. I make things easy. I was a solution-focused therapist; coaching is a close cousin. It honestly just suits me to be more free & authentic. Coaching focuses on solving the current problems in your life; clients typically report feeling better after just a few sessions. If you're looking for practical, nonjudgemental support for life, relationships, or work, check me out. I work well with men, perimenopausal women, couples, and business leaders. You can just book yourself on my calendar if it feels like a fit.
(314) 470-3666 View (314) 470-3666
Photo of Jasmin Maurer, Licensed Professional Counselor
Jasmin Maurer
Licensed Professional Counselor
1 Endorsed
Saint Louis, MO 63118
If you’ve been feeling stuck, you’ve come to the right place. I work with clients who feel stuck in heavy emotions, in relationship patterns that are no longer serving them, or even in the world at large as they navigate oppressive systems. If you’ve been questioning the dominant narratives of your life, trying to undo past trauma, or questioning who you are, I’m here to listen.
If you’ve been feeling stuck, you’ve come to the right place. I work with clients who feel stuck in heavy emotions, in relationship patterns that are no longer serving them, or even in the world at large as they navigate oppressive systems. If you’ve been questioning the dominant narratives of your life, trying to undo past trauma, or questioning who you are, I’m here to listen.
(314) 936-2205 View (314) 936-2205
Photo of Elton Priddy, Licensed Professional Counselor, LPC
Elton Priddy
Licensed Professional Counselor, LPC
Online Only
Michael Priddy Missouri License 2002008095 My approach to counseling is CBT (Cognitive Behavioral Therapy) I work with adults who struggle with most issues including depression, anxiety, self-confidence, and relational issues. My approach to therapy is relational interventions to help people understand their worth and values as individuals and in relationships. I utilize CBT, Solution Focused Therapy, Acceptance and Commitment Therapy. I work with adults who struggle with most issues including depression, anxiety, self-confidence, and relational issues.
Michael Priddy Missouri License 2002008095 My approach to counseling is CBT (Cognitive Behavioral Therapy) I work with adults who struggle with most issues including depression, anxiety, self-confidence, and relational issues. My approach to therapy is relational interventions to help people understand their worth and values as individuals and in relationships. I utilize CBT, Solution Focused Therapy, Acceptance and Commitment Therapy. I work with adults who struggle with most issues including depression, anxiety, self-confidence, and relational issues.
(314) 464-7200 View (314) 464-7200
Photo of Nick Platipodis, Licensed Professional Counselor, LPC
Nick Platipodis
Licensed Professional Counselor, LPC
Saint Louis, MO 63122
Nick Platipodis is a Licensed Professional Counselor in Missouri who has been practicing since 2021. He has an MA in counseling from Maryville University and a doctorate in clinical psychology from California Southern University. Nick believes in a person-centered approach to therapy believing that each individual comes with the capacity to grow and change in their own unique way. He collaborates with individuals, couples, and families to create a non-judgmental space where they can explore and gain a better understanding of their own capabilities and utilize those capabilities to create a happy and fulfilling life.
Nick Platipodis is a Licensed Professional Counselor in Missouri who has been practicing since 2021. He has an MA in counseling from Maryville University and a doctorate in clinical psychology from California Southern University. Nick believes in a person-centered approach to therapy believing that each individual comes with the capacity to grow and change in their own unique way. He collaborates with individuals, couples, and families to create a non-judgmental space where they can explore and gain a better understanding of their own capabilities and utilize those capabilities to create a happy and fulfilling life.
(314) 384-5099 View (314) 384-5099
Photo of Tamara Wright, Clinical Social Work/Therapist
Tamara Wright
Clinical Social Work/Therapist
Online Only
Hello, I'm Tamara Wright, MSW, a Licensed Clinical Social Worker. I understand that life's transitions can be incredibly challenging, and I'm here to support you through them. Whether you're dealing with perinatal mental health issues, postpartum depression, anxiety, career shifts, or relationship changes, you don't have to face these challenges alone. My goal is to help you navigate these difficulties and find a path to a more fulfilling and meaningful life. With my extensive experience and specialized training, I am equipped to assist you in overcoming your struggles and achieving your goals.
Hello, I'm Tamara Wright, MSW, a Licensed Clinical Social Worker. I understand that life's transitions can be incredibly challenging, and I'm here to support you through them. Whether you're dealing with perinatal mental health issues, postpartum depression, anxiety, career shifts, or relationship changes, you don't have to face these challenges alone. My goal is to help you navigate these difficulties and find a path to a more fulfilling and meaningful life. With my extensive experience and specialized training, I am equipped to assist you in overcoming your struggles and achieving your goals.
(314) 886-7584 View (314) 886-7584
Photo of Christine Balliett McEvoy, Licensed Professional Counselor, MA, LPC
Christine Balliett McEvoy
Licensed Professional Counselor, MA, LPC
Saint Louis, MO 63117
Waitlist for new clients
Christine McEvoy has been a Counselor for over 20 years. Her straight- forward and non-judgemental approach makes it easier for a person to address topics that often bring up feelings of shame and embarrassment. She has extensive experience working with individuals who struggle with addiction issues and eating struggles. Christine has years of experience helping others implement specific techniques that help prevent relapse.
Christine McEvoy has been a Counselor for over 20 years. Her straight- forward and non-judgemental approach makes it easier for a person to address topics that often bring up feelings of shame and embarrassment. She has extensive experience working with individuals who struggle with addiction issues and eating struggles. Christine has years of experience helping others implement specific techniques that help prevent relapse.
(314) 884-1822 View (314) 884-1822
Photo of Erick Kenneth French, Clinical Social Work/Therapist, MSW, LCSW, ACHT
Erick Kenneth French
Clinical Social Work/Therapist, MSW, LCSW, ACHT
Saint Louis, MO 63123
I like to work with people who are internally motivated to learn and grow and desire to live meaningful and fulfilling lives. Whatever challenges they are facing I want them to know that working with me will at some point mean paying attention to and allowing themselves to feel their feelings. A conscious relationship with self is had through attending to the feelings we have about ourselves. Understanding feelings will be essential in generating improved self-awareness and a sense of personal integrity.
I like to work with people who are internally motivated to learn and grow and desire to live meaningful and fulfilling lives. Whatever challenges they are facing I want them to know that working with me will at some point mean paying attention to and allowing themselves to feel their feelings. A conscious relationship with self is had through attending to the feelings we have about ourselves. Understanding feelings will be essential in generating improved self-awareness and a sense of personal integrity.
(314) 310-8414 View (314) 310-8414
Photo of Danielle Silver, Licensed Professional Counselor, MA, LPC
Danielle Silver
Licensed Professional Counselor, MA, LPC
1 Endorsed
Saint Louis, MO 63132
Not accepting new clients
Inquiring Minds Counseling & Consultation was founded under the inherent reciprocity between human connection. In our process together we will collaborate, inquire into your story, curiously reflect on the uniqueness that is you and the experiences that have led you to this point. Together we will work to piece together the webs of connection between your formative experiences, family, culture, gender identity, religious or spiritual orientation, community influences and trauma. Together we will find that you are not defective, broken or in need of repair—in fact, you are coming more fully into who you are meant to be.
Inquiring Minds Counseling & Consultation was founded under the inherent reciprocity between human connection. In our process together we will collaborate, inquire into your story, curiously reflect on the uniqueness that is you and the experiences that have led you to this point. Together we will work to piece together the webs of connection between your formative experiences, family, culture, gender identity, religious or spiritual orientation, community influences and trauma. Together we will find that you are not defective, broken or in need of repair—in fact, you are coming more fully into who you are meant to be.
(314) 866-8066 View (314) 866-8066
Photo of Christine Sibilla, Licensed Professional Counselor, MA, LPC
Christine Sibilla
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
My name is Christine Sibilla, MA, LPC with Intuitive Movement Counseling and EMDR, and I understand that self-care and the health of our minds is incredibly important, especially when it doesn't feel like there is a path forward. During moments of uncertainty, additional anxieties, fears, and doubts can be brought to light. Sometimes the skills we utilized are no longer enough, and we require additional help navigating our situation. Healing and understanding comes from within, by forming a connection to your body and your self.
My name is Christine Sibilla, MA, LPC with Intuitive Movement Counseling and EMDR, and I understand that self-care and the health of our minds is incredibly important, especially when it doesn't feel like there is a path forward. During moments of uncertainty, additional anxieties, fears, and doubts can be brought to light. Sometimes the skills we utilized are no longer enough, and we require additional help navigating our situation. Healing and understanding comes from within, by forming a connection to your body and your self.
(314) 936-4122 View (314) 936-4122
Photo of Allison Cayne - Allison Cayne Counseling, LLC, Clinical Social Work/Therapist, LCSW, MEd
Allison Cayne Counseling, LLC
Clinical Social Work/Therapist, LCSW, MEd
Saint Louis, MO 63105
Not accepting new clients
Welcome! I offer counseling services for adolescents and young adults who are struggling with relationships (including IPV), life changes, identity, PTSD, anxiety, and depression. My approach to therapy is compassionate, client centered, and emphasizes the mutual development of goals for better emotional, physical, and relationship health. In our initial consultation, we can talk through where you’re at right now, where you’d like to be, and how we can get there in a way that feels comfortable for you. I like to spend time really getting to know you because a solid therapeutic relationship is built upon trust and understanding.
Welcome! I offer counseling services for adolescents and young adults who are struggling with relationships (including IPV), life changes, identity, PTSD, anxiety, and depression. My approach to therapy is compassionate, client centered, and emphasizes the mutual development of goals for better emotional, physical, and relationship health. In our initial consultation, we can talk through where you’re at right now, where you’d like to be, and how we can get there in a way that feels comfortable for you. I like to spend time really getting to know you because a solid therapeutic relationship is built upon trust and understanding.
(314) 697-2139 View (314) 697-2139
Photo of Nancy Straatmann, Counselor, LPC
Nancy Straatmann
Counselor, LPC
Saint Louis, MO 63106
Self discovery is the bridge to contentment and purpose in life. In a supportive and accepting environment, you will be able to explore thoughts, emotions, and behaviors that can be adapted toward a more positive. Many people are feeling anxiety, depression or confusion about their next steps; or you may be experiencing grief or loss. Together we'll identify your strengths, discover insights, and gain clarity to move toward a greater sense of wellbeing. I empower clients to achieve your goals and follow your heart toward joy. Your past does not have to dictate the future.
Self discovery is the bridge to contentment and purpose in life. In a supportive and accepting environment, you will be able to explore thoughts, emotions, and behaviors that can be adapted toward a more positive. Many people are feeling anxiety, depression or confusion about their next steps; or you may be experiencing grief or loss. Together we'll identify your strengths, discover insights, and gain clarity to move toward a greater sense of wellbeing. I empower clients to achieve your goals and follow your heart toward joy. Your past does not have to dictate the future.
(314) 834-6980 View (314) 834-6980
Photo of Kathryn Stinson, Licensed Professional Counselor, MEd, LPC
Kathryn Stinson
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Saint Louis, MO 63143
You're living a different story. Maybe you always knew you would, because something about you has always been unusual. Maybe you planned to travel a well known path, but something happened, and you can't just go back to the way things were. Maybe you're burned out because something that was working for a long time just doesn't work anymore. Maybe you feel anxiety or depression or trauma is holding you back. You want to talk to someone comfortable with unconventional terrain, someone who doesn't insist that returning to the paved road is the answer but joins with you in the difficult work of mapping out new territory together.
You're living a different story. Maybe you always knew you would, because something about you has always been unusual. Maybe you planned to travel a well known path, but something happened, and you can't just go back to the way things were. Maybe you're burned out because something that was working for a long time just doesn't work anymore. Maybe you feel anxiety or depression or trauma is holding you back. You want to talk to someone comfortable with unconventional terrain, someone who doesn't insist that returning to the paved road is the answer but joins with you in the difficult work of mapping out new territory together.
(314) 827-6803 View (314) 827-6803
Photo of Ronald Laney, Licensed Professional Counselor, MA, LPC
Ronald Laney
Licensed Professional Counselor, MA, LPC
2 Endorsed
Saint Louis, MO 63139
If you’ve been longing to develop a deeper understanding of self and others in the context of a more longterm, intimate therapeutic relationship—one in which you are free and encouraged to be your authentic self, we may very well be a good fit. I’m certified in existential-humanistic therapy from the Existential-Humanistic Institute in California, and while I do incorporate other modalities of therapy, I take a predominantly philosophical approach, focusing on the human condition and how we might best navigate a variety of existential concerns that may hinder us from living fully—engaging in self-sabotage for example.
If you’ve been longing to develop a deeper understanding of self and others in the context of a more longterm, intimate therapeutic relationship—one in which you are free and encouraged to be your authentic self, we may very well be a good fit. I’m certified in existential-humanistic therapy from the Existential-Humanistic Institute in California, and while I do incorporate other modalities of therapy, I take a predominantly philosophical approach, focusing on the human condition and how we might best navigate a variety of existential concerns that may hinder us from living fully—engaging in self-sabotage for example.
(314) 912-4575 View (314) 912-4575
Photo of Raquel Cabral - Washington University Psychological Service Center, Psychologist, PhD
Possible openings for individual therapy; call for availability! The Washington University Psychological Service Center (PSC) offers psychotherapy and neuropsychological/cognitive testing. Therapists are trained to treat a variety of concerns including: Anxiety, Panic, Depression, Obsessive Compulsive Disorder, Trauma/Post-Traumatic Stress, Eating Disorders, Relationship problems, Aging-related issues, Grief and loss, Insomnia, and Behavioral health (e.g., pain). Neuropsychological testing can assess concerns like ADHD, learning disability, memory complaints, or cognitive problems after stroke, brain injury, or other condition.
Possible openings for individual therapy; call for availability! The Washington University Psychological Service Center (PSC) offers psychotherapy and neuropsychological/cognitive testing. Therapists are trained to treat a variety of concerns including: Anxiety, Panic, Depression, Obsessive Compulsive Disorder, Trauma/Post-Traumatic Stress, Eating Disorders, Relationship problems, Aging-related issues, Grief and loss, Insomnia, and Behavioral health (e.g., pain). Neuropsychological testing can assess concerns like ADHD, learning disability, memory complaints, or cognitive problems after stroke, brain injury, or other condition.
(314) 858-5195 View (314) 858-5195

See more therapy options for Saint Louis

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

92% Anxiety
87% Depression
70% Stress
69% Trauma and PTSD
68% Relationship Issues
63% Self Esteem
62% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

87% Aetna
82% Cigna and Evernorth
82% UnitedHealthcare UHC | UBH

How Therapists in Saint Louis, MO see their clients

56% In Person and Online
44% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 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.