Therapists in Strafford, MO

Photo of Alpha Omega Delta Sexual Health and Recovery, Counselor in Strafford, MO
Alpha Omega Delta Sexual Health and Recovery
Counselor, LPC, NCC, CSAT®, CPTT®, CMAT®
Verified Verified
Strafford, MO 65757
Healthy sexuality is our objective. Sex is an integral and balanced part of life experience. Sexual behaviors become problematic when they violate vows and values, are dishonest, harmful to others, put you at risk, diminish your joy in life, act as a barrier filled with shame, self-contempt, and isolation. Sexual health creates intimacy and closeness, characterized by trust, respect, joy and safety. Sexual health can be achieved by sex addicts in recovery. The trauma and addiction model identifies the abuse, trauma and internal system that underwrites addiction and does not view problematic behavior as personal or moral failure.
Healthy sexuality is our objective. Sex is an integral and balanced part of life experience. Sexual behaviors become problematic when they violate vows and values, are dishonest, harmful to others, put you at risk, diminish your joy in life, act as a barrier filled with shame, self-contempt, and isolation. Sexual health creates intimacy and closeness, characterized by trust, respect, joy and safety. Sexual health can be achieved by sex addicts in recovery. The trauma and addiction model identifies the abuse, trauma and internal system that underwrites addiction and does not view problematic behavior as personal or moral failure.
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More Therapists Nearby

Photo of Shannon Ethridge-Myers, M.A. in Strafford, MO
Shannon Ethridge-Myers, M.A.
MA
Verified Verified
Fair Grove, MO 65648
I enjoy helping people overcome the sexual and emotional hurdles that hold them back -- sex addiction, porn/fantasy addiction, infidelity/betrayal, body image issues, sexual abuse, spiritual guilt, low self-esteem, lack of sexual confidence, family of origin issues, trust issues, etc. I believe EVERYONE deserves to be a sexually connected, sexually satisfied partner. Healthy sexual relationships can heal a multitude of wounds and bond a couple together in an incredibly synergistic way if they are both willing to do the work to overcome their own fears, anxieties, hurts, and hang-ups.
I enjoy helping people overcome the sexual and emotional hurdles that hold them back -- sex addiction, porn/fantasy addiction, infidelity/betrayal, body image issues, sexual abuse, spiritual guilt, low self-esteem, lack of sexual confidence, family of origin issues, trust issues, etc. I believe EVERYONE deserves to be a sexually connected, sexually satisfied partner. Healthy sexual relationships can heal a multitude of wounds and bond a couple together in an incredibly synergistic way if they are both willing to do the work to overcome their own fears, anxieties, hurts, and hang-ups.
(417) 212-5409 View (417) 212-5409
Photo of Stephen F Benintendi, Licensed Professional Counselor in Strafford, MO
Stephen F Benintendi
Licensed Professional Counselor, MA, LPC, SRT, EMDR
Verified Verified
Springfield, MO 65809  (Online Only)
I changed my career late in life because I wanted to walk with people through life's challenges. I enjoy helping people navigate a broken relationship, addiction, trauma, depression and anxiety. Married 45 years, I enjoy seeing a couple build something new and wonderful in their relationship. I know it can happen, it happened to me.
I changed my career late in life because I wanted to walk with people through life's challenges. I enjoy helping people navigate a broken relationship, addiction, trauma, depression and anxiety. Married 45 years, I enjoy seeing a couple build something new and wonderful in their relationship. I know it can happen, it happened to me.
(417) 612-9508 View (417) 612-9508
Photo of April D Sutton in Strafford, MO
April D Sutton
MS, PLPC
Verified Verified
1 Endorsed
Springfield, MO 65803
My goal is to always provide a place of acceptance and safety. I work to empower others to feel a sense of belonging and explore their potential. We are all two sides of the same coin; both strong and vulnerable, confident and insecure, emotional and logical. None of these are more important or valuable than the other, but all are intricate pieces that make up the human experience deserving of a voice and validation.
My goal is to always provide a place of acceptance and safety. I work to empower others to feel a sense of belonging and explore their potential. We are all two sides of the same coin; both strong and vulnerable, confident and insecure, emotional and logical. None of these are more important or valuable than the other, but all are intricate pieces that make up the human experience deserving of a voice and validation.
(417) 465-3584 View (417) 465-3584
Photo of Emily Ballew, Licensed Professional Counselor in Strafford, MO
Emily Ballew
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Springfield, MO 65809  (Online Only)
Do you find yourself stuck in patterns of people-pleasing, addictive or self-destructive behaviors, or negative thought loops? Struggle with feeling hopeless, worthless, furious, anxious, or just numb? Do you ever wonder WHY you feel the way that you feel? Together we can explore how your past informs your present, how your nervous system has been primed to react, and the messages that operate beneath the surface. I seek to help my clients feel deeply understood and worthy, but don't take myself too seriously and am well-acquainted with the funny side of life.
Do you find yourself stuck in patterns of people-pleasing, addictive or self-destructive behaviors, or negative thought loops? Struggle with feeling hopeless, worthless, furious, anxious, or just numb? Do you ever wonder WHY you feel the way that you feel? Together we can explore how your past informs your present, how your nervous system has been primed to react, and the messages that operate beneath the surface. I seek to help my clients feel deeply understood and worthy, but don't take myself too seriously and am well-acquainted with the funny side of life.
(217) 834-1555 View (217) 834-1555
Photo of Quenten Visser, Pre-Licensed Professional in Strafford, MO
Quenten Visser
Pre-Licensed Professional, MA
Verified Verified
4 Endorsed
Springfield, MO 65806
I have worked with a wide array of clients, especially in my past career in Adventure Based Counseling. I have walked therapeutic, and literal, paths with people from all walks of life and with concerns ranging from depression and anxiety to personality disorders and trauma survivors. My ideal client is one that shows up physically, mentally, and emotionally for themselves. Healing, repairing, and integrating can be hard work. I'm here to join with you and walk the path hand in hand.
I have worked with a wide array of clients, especially in my past career in Adventure Based Counseling. I have walked therapeutic, and literal, paths with people from all walks of life and with concerns ranging from depression and anxiety to personality disorders and trauma survivors. My ideal client is one that shows up physically, mentally, and emotionally for themselves. Healing, repairing, and integrating can be hard work. I'm here to join with you and walk the path hand in hand.
(417) 272-4029 View (417) 272-4029
Photo of Jillian Nisely, Clinical Social Work/Therapist in Strafford, MO
Jillian Nisely
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Springfield, MO 65809
Does someone acting “off” ignite your anxiety? Exploring your ADHD? Or an adoptee navigating complex feelings? Deal with all 3? I’m here to help guide your quest to heal. Attachment issues leave you cautious & uneasy with others. Your mind struggles to stop the spiral of fears it creates. You’ve learned to mask to seem “fine” to others-but now see how much it affected you. As a fellow adoptee & ADHDer, I too know the confusion & hurt these wounds bring. Ready to leave the guilt behind & finally embrace the full you? Here you’ll learn skills to confidently handle what life throws at you & take time to heal the hurt in a healthy way.
Does someone acting “off” ignite your anxiety? Exploring your ADHD? Or an adoptee navigating complex feelings? Deal with all 3? I’m here to help guide your quest to heal. Attachment issues leave you cautious & uneasy with others. Your mind struggles to stop the spiral of fears it creates. You’ve learned to mask to seem “fine” to others-but now see how much it affected you. As a fellow adoptee & ADHDer, I too know the confusion & hurt these wounds bring. Ready to leave the guilt behind & finally embrace the full you? Here you’ll learn skills to confidently handle what life throws at you & take time to heal the hurt in a healthy way.
(417) 216-6303 View (417) 216-6303
Photo of Hannah L Littlepage, Licensed Professional Counselor in Strafford, MO
Hannah L Littlepage
Licensed Professional Counselor, MS , LPC
Verified Verified
6 Endorsed
Springfield, MO 65803  (Online Only)
My aim is to be with you as you do the brave work of healing and growth. I consider it an honor to walk with you down this road. Women, families, and couples addressing a wide rage of problems including but not limited to depression, anxiety, grief and loss, childhood trauma, spirituality, relational stressors and marital crisis. Strong emphasis on maternal mental health including pre-pregnancy, infertility, birth trauma, and postpartum issues. Are you ready to dig deep and reach the fullness of who you are designed to be?
My aim is to be with you as you do the brave work of healing and growth. I consider it an honor to walk with you down this road. Women, families, and couples addressing a wide rage of problems including but not limited to depression, anxiety, grief and loss, childhood trauma, spirituality, relational stressors and marital crisis. Strong emphasis on maternal mental health including pre-pregnancy, infertility, birth trauma, and postpartum issues. Are you ready to dig deep and reach the fullness of who you are designed to be?
(417) 216-6943 View (417) 216-6943
Photo of Emily Arth, Clinical Social Work/Therapist in Strafford, MO
Emily Arth
Clinical Social Work/Therapist, MSW, LCSW, CDWF, RTTP, CHyp
Verified Verified
2 Endorsed
Springfield, MO 65809  (Online Only)
Stuck in cycles of people-pleasing, perfectionism, and over functioning? Do you desire to step beyond past trauma? Ready to break up with those old cycles that keep holding you back from a life of greater joy and authenticity? If these questions pull on your heartstrings, you’ve found me for a reason. I’ve been helping people overcome relational trauma since 2011, as I facilitate proven, world-class methods to deliver the powerful life change you seek. I work adeptly with those recovering from mother and father wounds, relationship trauma, as well as sexual abuse.
Stuck in cycles of people-pleasing, perfectionism, and over functioning? Do you desire to step beyond past trauma? Ready to break up with those old cycles that keep holding you back from a life of greater joy and authenticity? If these questions pull on your heartstrings, you’ve found me for a reason. I’ve been helping people overcome relational trauma since 2011, as I facilitate proven, world-class methods to deliver the powerful life change you seek. I work adeptly with those recovering from mother and father wounds, relationship trauma, as well as sexual abuse.
(573) 229-0579 View (573) 229-0579
Photo of Kristal McCleary, Licensed Professional Counselor in Strafford, MO
Kristal McCleary
Licensed Professional Counselor, LPC, MAADCII
Verified Verified
Rogersville, MO 65742
"What lies behind us and what lies before us are tiny matters compared to what lies within us." - Unknown I believe that we have the answers to our own struggles, but sometimes we just need help accessing those answers. My approach to counseling is one of helping my clients understand themselves better so that they can face life's difficulties with confidence.
"What lies behind us and what lies before us are tiny matters compared to what lies within us." - Unknown I believe that we have the answers to our own struggles, but sometimes we just need help accessing those answers. My approach to counseling is one of helping my clients understand themselves better so that they can face life's difficulties with confidence.
(417) 812-4440 View (417) 812-4440
Photo of Shelby Benz, Licensed Professional Counselor in Strafford, MO
Shelby Benz
Licensed Professional Counselor, MS, PLPC
Verified Verified
3 Endorsed
Springfield, MO 65809
Not accepting new clients
Welcome. I think we all strive to find safety, wholeness and connection. Many of us feel alone or misunderstood in our struggles or have had experiences that tell us connection isn’t safe. Life can be discouraging and overwhelming. I hope to provide a space that is non-judgmental where you are able to tell your story and feel seen and heard. Within this therapeutic relationship the healing process may begin to take place.
Welcome. I think we all strive to find safety, wholeness and connection. Many of us feel alone or misunderstood in our struggles or have had experiences that tell us connection isn’t safe. Life can be discouraging and overwhelming. I hope to provide a space that is non-judgmental where you are able to tell your story and feel seen and heard. Within this therapeutic relationship the healing process may begin to take place.
(417) 457-2474 View (417) 457-2474
Photo of Carol Loya - Not Your Ordinary Therapist, Licensed Professional Counselor in Strafford, MO
Carol Loya - Not Your Ordinary Therapist
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Springfield, MO 65803
Looking for a therapist who is open, warm, transparent and genuine? Someone easy to connect with and talk to? As someone who’s been there, I understand how difficult it can be to take the first step to see a counselor. I am here to help you feel comfortable and safe navigating through life’s struggles by providing non-judgmental ears and decades of life experience. Your story is yours alone, but I would feel privileged to come along side you to help you understand yourself from a Biblical perspective, find freedom from the pain that holds you back and help you do the brave work of healing, growth, and change.
Looking for a therapist who is open, warm, transparent and genuine? Someone easy to connect with and talk to? As someone who’s been there, I understand how difficult it can be to take the first step to see a counselor. I am here to help you feel comfortable and safe navigating through life’s struggles by providing non-judgmental ears and decades of life experience. Your story is yours alone, but I would feel privileged to come along side you to help you understand yourself from a Biblical perspective, find freedom from the pain that holds you back and help you do the brave work of healing, growth, and change.
(417) 640-2860 View (417) 640-2860
Photo of Erin Bachus, Pre-Licensed Professional in Strafford, MO
Erin Bachus
Pre-Licensed Professional, PLPC
Verified Verified
Springfield, MO 65803
So many of us struggle with low self-esteem and feelings of powerlessness over our lives. These can affect the quality of our relationships, communication, work-life balance, stress, physical problems, the feeling of being understood, the ability to heal from trauma, and a sense of living up to our values. If you are feeling frustrated or lost from experiencing the same problems with no relief, I can help. I believe that feeling more empowered and confident in your personal life is the key to developing mental, emotional, physical, and spiritual freedom.
So many of us struggle with low self-esteem and feelings of powerlessness over our lives. These can affect the quality of our relationships, communication, work-life balance, stress, physical problems, the feeling of being understood, the ability to heal from trauma, and a sense of living up to our values. If you are feeling frustrated or lost from experiencing the same problems with no relief, I can help. I believe that feeling more empowered and confident in your personal life is the key to developing mental, emotional, physical, and spiritual freedom.
(417) 473-3532 View (417) 473-3532
Photo of Cecily Mitchell, Licensed Professional Counselor in Strafford, MO
Cecily Mitchell
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Fair Grove, MO 65648
Since 2012 I have been working with adolescents and young adults navigating various different struggles of their life. Together, with their families (when appropriate) we work to develop a plan and a path towards health and healing. It isn't always easy, in fact it’s often counterintuitive and confusing. Healing isn't linear, but what I can offer is a chance to communicate better, connect, and return your home to a peaceful place. Whether you are struggling with relationships, yourself, school or work, I am ready to help you navigate whatever it is that is going on in your mind, and move you towards a more meaningful life.
Since 2012 I have been working with adolescents and young adults navigating various different struggles of their life. Together, with their families (when appropriate) we work to develop a plan and a path towards health and healing. It isn't always easy, in fact it’s often counterintuitive and confusing. Healing isn't linear, but what I can offer is a chance to communicate better, connect, and return your home to a peaceful place. Whether you are struggling with relationships, yourself, school or work, I am ready to help you navigate whatever it is that is going on in your mind, and move you towards a more meaningful life.
(417) 739-0674 View (417) 739-0674
Photo of Keeley Casteel, Clinical Social Work/Therapist in Strafford, MO
Keeley Casteel
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Springfield, MO 65809  (Online Only)
There is no universal blueprint for getting through life without a scratch. Life gets hard and sometimes it can feel like your entire world is spinning out of control. As your fellow human, I too, know feelings of pain, suffering, and disconnection. The heartache and confusion that often comes with broken relationships, addiction, and life transitions. The sense of emptiness, and lack of identity and direction that ebbs and flows as we move through our existence. None of us are exempt, but I’m here to tell you that you are not alone and that there is hope.
There is no universal blueprint for getting through life without a scratch. Life gets hard and sometimes it can feel like your entire world is spinning out of control. As your fellow human, I too, know feelings of pain, suffering, and disconnection. The heartache and confusion that often comes with broken relationships, addiction, and life transitions. The sense of emptiness, and lack of identity and direction that ebbs and flows as we move through our existence. None of us are exempt, but I’m here to tell you that you are not alone and that there is hope.
(417) 387-2083 View (417) 387-2083
Photo of Thomas Ryan Todd, Pre-Licensed Professional in Strafford, MO
Thomas Ryan Todd
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
1 Endorsed
Springfield, MO 65809
Counseling is not about "fixing" yourself, rather it is about using the past to help guide the present to a fulfilling future. Using a holistic approach to ensure individualized therapy, we will walk through thoughts, opportunities, mistakes, and achievements to better understand why you are experiencing life in the way that you are. Therapy is a unique time to fully dive into your own personal well-being.
Counseling is not about "fixing" yourself, rather it is about using the past to help guide the present to a fulfilling future. Using a holistic approach to ensure individualized therapy, we will walk through thoughts, opportunities, mistakes, and achievements to better understand why you are experiencing life in the way that you are. Therapy is a unique time to fully dive into your own personal well-being.
(417) 796-4735 View (417) 796-4735
Photo of Beyond Healing Center, Licensed Professional Counselor in Strafford, MO
Beyond Healing Center
Licensed Professional Counselor, LPC, PLPC, LCSW
Verified Verified
5 Endorsed
Springfield, MO 65809
Beyond Healing Center is a therapy group committed to helping people find safety in connection through embodied healing practices. We practice an interdisciplinary health care approach that invites healers from various disciplines to join together under a shared language and conceptualization approach where interventions can be thoughtfully co-discovered and contextualized in the therapeutic journey. Our team is constantly growing which brings rich new disciplines to the treatment setting including psychotherapy, movement and yoga, massage, art, and physical wellness.
Beyond Healing Center is a therapy group committed to helping people find safety in connection through embodied healing practices. We practice an interdisciplinary health care approach that invites healers from various disciplines to join together under a shared language and conceptualization approach where interventions can be thoughtfully co-discovered and contextualized in the therapeutic journey. Our team is constantly growing which brings rich new disciplines to the treatment setting including psychotherapy, movement and yoga, massage, art, and physical wellness.
(417) 765-0556 View (417) 765-0556
Photo of Dala Hemeyer, Clinical Social Work/Therapist in Strafford, MO
Dala Hemeyer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Springfield, MO 65809  (Online Only)
Does your life feel like a performance? Like you're constantly striving to "do it all and have it all" all while making it look effortless? If people knew how you felt, they'd find you stressed, worried, burned out, overwhelmed, irritable, disconnected, or depressed. Has the grind of life left your feeling defeated and disappointment but you life with the pressure that “the show must go on?" I say: “Eff. That!”. When you work with me we prioritize purpose, meaning, and intentional living . I believe you can HAVE it all without DOING it all.
Does your life feel like a performance? Like you're constantly striving to "do it all and have it all" all while making it look effortless? If people knew how you felt, they'd find you stressed, worried, burned out, overwhelmed, irritable, disconnected, or depressed. Has the grind of life left your feeling defeated and disappointment but you life with the pressure that “the show must go on?" I say: “Eff. That!”. When you work with me we prioritize purpose, meaning, and intentional living . I believe you can HAVE it all without DOING it all.
(573) 345-2485 View (573) 345-2485
Photo of Sheila Fontenot, Licensed Professional Counselor in Strafford, MO
Sheila Fontenot
Licensed Professional Counselor, MA, LPC, CLC
Verified Verified
Springfield, MO 65802
Are you feeling anxious, overwhelmed, or depressed? Do you have trouble saying no to others? Are you grieving a loss or life change? If so, and you are ready to make changes I can help.
Are you feeling anxious, overwhelmed, or depressed? Do you have trouble saying no to others? Are you grieving a loss or life change? If so, and you are ready to make changes I can help.
(417) 352-2903 View (417) 352-2903
Photo of Jennifer Weiberg, Licensed Professional Counselor in Strafford, MO
Jennifer Weiberg
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Springfield, MO 65802
Life can be challenging and cause us to question why things are happening a certain way. You may be experiencing some of these difficulties right now and don't know which way to turn. Maybe you have experienced loss, struggling with fluctuating moods, depression, anxiety, past trauma, or just feel unsteady. Working collaboratively through counseling we can find ways to heal from the unease and work to develop harmony in your daily life.
Life can be challenging and cause us to question why things are happening a certain way. You may be experiencing some of these difficulties right now and don't know which way to turn. Maybe you have experienced loss, struggling with fluctuating moods, depression, anxiety, past trauma, or just feel unsteady. Working collaboratively through counseling we can find ways to heal from the unease and work to develop harmony in your daily life.
(417) 473-2532 View (417) 473-2532

How does your Therapist compare?

Number of Therapists in Strafford, MO

< 10

Therapists in Strafford, MO who prioritize treating:

100% Relationship Issues
100% Depression
100% Addiction
100% Trauma and PTSD
100% Other
100% Divorce
100% Autism

Average years in practice

18 Years

Gender breakdown

100% Female

How Therapists in Strafford, MO see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Strafford?

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.