Therapists in Libby, MT

Photo of Heather Childers Arakaki - Heather Arakaki, LCSW Cognitive Healing Solutions , Clinical Social Work/Therapist, MSW, LCSW
Heather Arakaki, LCSW Cognitive Healing Solutions
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
Are you at a place in your life where you feel overwhelmed, unmotivated or just wondering what's happening to you or your relationship? Do you have personal, relationship, work or life transitions that feel overwhelming and are having difficulty resolving? I provide a safe, supportive, non judgmental environment to assist you in resolving these issues. I specialize in working with adolescents, adults, couples and families in a variety of areas including; trauma, grief, depression, anxiety, bipolar disorder, insomnia, anger management and LGBTQIA issues. My goal is to provide you the tools and support needed to reach your goal.
Are you at a place in your life where you feel overwhelmed, unmotivated or just wondering what's happening to you or your relationship? Do you have personal, relationship, work or life transitions that feel overwhelming and are having difficulty resolving? I provide a safe, supportive, non judgmental environment to assist you in resolving these issues. I specialize in working with adolescents, adults, couples and families in a variety of areas including; trauma, grief, depression, anxiety, bipolar disorder, insomnia, anger management and LGBTQIA issues. My goal is to provide you the tools and support needed to reach your goal.
(406) 215-2243 View (406) 215-2243
Photo of Joe Keller, Clinical Social Work/Therapist, LCSW
Joe Keller
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
You may be saying to yourself: "I feel stuck. I feel disengaged. The problems seem insurmountable. When I attempt conversation about difficult issues they invariably turn to gridlock. Hurtful words are used by both of us. Withdrawal, isolation and silence follow. It seems we have a crisis over something. Then we have a brief honeymoon followed by a period of tension leading to another explosion. Seems like it never ends. Seems my efforts to engage are met with distancing by my spouse. I feel more and more disconnected, more helpless and hopeless about this relationship."
You may be saying to yourself: "I feel stuck. I feel disengaged. The problems seem insurmountable. When I attempt conversation about difficult issues they invariably turn to gridlock. Hurtful words are used by both of us. Withdrawal, isolation and silence follow. It seems we have a crisis over something. Then we have a brief honeymoon followed by a period of tension leading to another explosion. Seems like it never ends. Seems my efforts to engage are met with distancing by my spouse. I feel more and more disconnected, more helpless and hopeless about this relationship."
(406) 344-8082 View (406) 344-8082
Photo of Leanna Troesh, Clinical Social Work/Therapist, SWLC, LAC
Leanna Troesh
Clinical Social Work/Therapist, SWLC, LAC
Online Only
I work with adults who feel anxious, depressed, overwhelmed, or stuck when life speeds up and starts to feel hard to manage. Many are navigating relationship challenges, separation, career shifts, or behaviors that no longer serve them. Others feel a loss of clarity, motivation, or purpose. Life may look fine on the outside, but people are starting to notice, and internally things feel unsettled or heavy. My clients often leave feeling calmer, more grounded, and emotionally steady, with clearer insight, healthier boundaries, and greater confidence in themselves and the direction they are moving in their everyday lives.
I work with adults who feel anxious, depressed, overwhelmed, or stuck when life speeds up and starts to feel hard to manage. Many are navigating relationship challenges, separation, career shifts, or behaviors that no longer serve them. Others feel a loss of clarity, motivation, or purpose. Life may look fine on the outside, but people are starting to notice, and internally things feel unsettled or heavy. My clients often leave feeling calmer, more grounded, and emotionally steady, with clearer insight, healthier boundaries, and greater confidence in themselves and the direction they are moving in their everyday lives.
(406) 641-7572 View (406) 641-7572

More Therapists Nearby

Photo of Stephanie Shawn Reeves - Paper Cranes Therapy, Licensed Clinical Professional Counselor, LCPC, M Ed
Paper Cranes Therapy
Licensed Clinical Professional Counselor, LCPC, M Ed
2 Endorsed
Serves Area
I am a Licensed Clinical Professional Counselor helping clients in Montana and Idaho. I have over 30 years experience working with children, teens and adults. I specialize in behavioral challenges, anxiety, depression, and other diagnosis. I also have experience with PTSD, and parent coaching. I have worked in juvenile justice, behavioral schools, residential treatment, and a suicide unit for teens in a hospital setting. I use Cognitive Behavioral Therapy and other modalities to assist clients in rediscovering their Peace. I have a Samoyed therapy dog in training named Zen. We would love to walk alongside you in this journey.
I am a Licensed Clinical Professional Counselor helping clients in Montana and Idaho. I have over 30 years experience working with children, teens and adults. I specialize in behavioral challenges, anxiety, depression, and other diagnosis. I also have experience with PTSD, and parent coaching. I have worked in juvenile justice, behavioral schools, residential treatment, and a suicide unit for teens in a hospital setting. I use Cognitive Behavioral Therapy and other modalities to assist clients in rediscovering their Peace. I have a Samoyed therapy dog in training named Zen. We would love to walk alongside you in this journey.
(208) 907-9030 View (208) 907-9030
Photo of Heidi Reishus, Licensed Clinical Professional Counselor, LCPC
Heidi Reishus
Licensed Clinical Professional Counselor, LCPC
Online Only
My name is Heidi Reishus, and I am a licensed clinical professional counselor (LCPC) with over 20 years of experience. I take a client-centered approach to therapy, focusing on solution-focused brief therapy, experiential techniques, and rational emotive and cognitive behavioral therapies, with a strong emphasis on resilience and personal growth.
My name is Heidi Reishus, and I am a licensed clinical professional counselor (LCPC) with over 20 years of experience. I take a client-centered approach to therapy, focusing on solution-focused brief therapy, experiential techniques, and rational emotive and cognitive behavioral therapies, with a strong emphasis on resilience and personal growth.
(406) 540-7164 View (406) 540-7164
Photo of Jenna Neve, Counselor, MS, LCPC
Jenna Neve
Counselor, MS, LCPC
3 Endorsed
Online Only
Hi, my name is Jenna and I enjoy helping people find the path to their true authentic selves! I am currently licensed in both Montana and Idaho. My ideal clients have a desire to break apart the patterns that keep themselves from being authentic and genuine in their lives. I have experience working with clients of all ages, including children, adolescents, parents and adults. In my work I highlight the importance of the therapeutic relationship as the basis of therapeutic growth and healing. My commitment to you is to always work from the perspective that you are the expert of your own experience.
Hi, my name is Jenna and I enjoy helping people find the path to their true authentic selves! I am currently licensed in both Montana and Idaho. My ideal clients have a desire to break apart the patterns that keep themselves from being authentic and genuine in their lives. I have experience working with clients of all ages, including children, adolescents, parents and adults. In my work I highlight the importance of the therapeutic relationship as the basis of therapeutic growth and healing. My commitment to you is to always work from the perspective that you are the expert of your own experience.
(406) 709-5199 View (406) 709-5199
Photo of Lori Sanders, Marriage & Family Therapist, LMFT
Lori Sanders
Marriage & Family Therapist, LMFT
Online Only
Hi! My services include telehealth individual counseling for women 18 years and up and clinical supervision, in both Montana and Idaho. We all live with patterns and behaviors that stem from years and years of life experiences, some healthy and some not so healthy. These patterns can affect present day functioning within your personal, professional and relational life. You may have anxiety, the need to control, choose friends or partners that do not serve you, as just a few examples. If you are looking for a happier, healthier and more empowered life, I would love to work with you.
Hi! My services include telehealth individual counseling for women 18 years and up and clinical supervision, in both Montana and Idaho. We all live with patterns and behaviors that stem from years and years of life experiences, some healthy and some not so healthy. These patterns can affect present day functioning within your personal, professional and relational life. You may have anxiety, the need to control, choose friends or partners that do not serve you, as just a few examples. If you are looking for a happier, healthier and more empowered life, I would love to work with you.
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Online Therapists

Photo of Shaunda R Wenger - Sensible Therapy and Wellness - Shaunda Wenger, Counselor, LCPC, LMFT
Sensible Therapy and Wellness - Shaunda Wenger
Counselor, LCPC, LMFT
1 Endorsed
Kalispell, MT 59901
Waitlist for new clients
Let me support you individually (your child/ teen), with your partner(s), or as a family as you heal and grow. Life presents us with ongoing challenges; relationships, careers, families, raising children, medical issues, trauma, grief. These can add up to emotional stressors with behavioral reactions making it difficult to function as people in our various relationships and settings. When we become unaware of our emotional state and ignore self-care, emotionally, physically, spiritually, we may become stuck and are unable to function at a level that is our best selves. I will meet you, your child, or your family where you're at.
Let me support you individually (your child/ teen), with your partner(s), or as a family as you heal and grow. Life presents us with ongoing challenges; relationships, careers, families, raising children, medical issues, trauma, grief. These can add up to emotional stressors with behavioral reactions making it difficult to function as people in our various relationships and settings. When we become unaware of our emotional state and ignore self-care, emotionally, physically, spiritually, we may become stuck and are unable to function at a level that is our best selves. I will meet you, your child, or your family where you're at.
(406) 643-4313 View (406) 643-4313
Photo of Amy Esmay, Counselor, LCPC
Amy Esmay
Counselor, LCPC
Columbia Falls, MT 59912
I help women navigate challenges and tragedies with the support and experience of a licensed clinical counselor. From managing everyday stress to overcoming serious, ongoing emotional disturbance, I can help.
I help women navigate challenges and tragedies with the support and experience of a licensed clinical counselor. From managing everyday stress to overcoming serious, ongoing emotional disturbance, I can help.
(406) 508-1869 View (406) 508-1869
Photo of Deb Lang, Psychologist, PsyD, RD
Deb Lang
Psychologist, PsyD, RD
Online Only
My joy and my passion are helping women discover how much is possible when they start loving and accepting themselves. When you love and accept yourself – light side/dark side – with all of your imperfections, that’s when things really start to move and shift. It is the key that opens the door to the wisdom and strength that is already inside of you. When you are disconnected from your love for yourself, life is scary. How will I cope? Or, avoid these uncomfortable feelings? Disconnection often shows up as anxiety, depression, anger, food issues, stress, people pleasing, etc. Are you ready to create some long lasting peace?
My joy and my passion are helping women discover how much is possible when they start loving and accepting themselves. When you love and accept yourself – light side/dark side – with all of your imperfections, that’s when things really start to move and shift. It is the key that opens the door to the wisdom and strength that is already inside of you. When you are disconnected from your love for yourself, life is scary. How will I cope? Or, avoid these uncomfortable feelings? Disconnection often shows up as anxiety, depression, anger, food issues, stress, people pleasing, etc. Are you ready to create some long lasting peace?
(406) 420-6955 View (406) 420-6955
Photo of Justin Giese, Clinical Social Work/Therapist, SWLC
Justin Giese
Clinical Social Work/Therapist, SWLC
1 Endorsed
Kalispell, MT 59901
Life can feel extra heavy sometimes — overwhelming, lonely, or just plain stuck. Maybe you or your teen have been trying to hold it all together but it’s getting harder to manage the stress, anxiety, or that numbing sense of emptiness and disconnection. Together we’ll work through the tough stuff by building tools for resiliency, self-understanding, and emotional balance — not by “fixing” you, but by helping you heal and grow into your most authentic self.
Life can feel extra heavy sometimes — overwhelming, lonely, or just plain stuck. Maybe you or your teen have been trying to hold it all together but it’s getting harder to manage the stress, anxiety, or that numbing sense of emptiness and disconnection. Together we’ll work through the tough stuff by building tools for resiliency, self-understanding, and emotional balance — not by “fixing” you, but by helping you heal and grow into your most authentic self.
(406) 812-7121 View (406) 812-7121
Photo of Christine Hurst - Integrity Counseling Group, PLLC
Integrity Counseling Group, PLLC
Verified Verified
Kalispell, MT 59901
Now accepting new clients — When life feels heavy—when anxiety, loss, or stress make it hard to feel like yourself—you don’t have to face it alone. At Integrity Counseling Group, we collaborate with a team of independent Therapy Affiliates who offer compassionate, trauma-informed care to help you find clarity, confidence, and connection again. Click on the gallery of photos for a brief introduction to the affiliate therapists and visit Integrity Counseling Group website to learn more.
Now accepting new clients — When life feels heavy—when anxiety, loss, or stress make it hard to feel like yourself—you don’t have to face it alone. At Integrity Counseling Group, we collaborate with a team of independent Therapy Affiliates who offer compassionate, trauma-informed care to help you find clarity, confidence, and connection again. Click on the gallery of photos for a brief introduction to the affiliate therapists and visit Integrity Counseling Group website to learn more.
(406) 637-7815 View (406) 637-7815
Photo of Anna K Schulz - Revive Counseling Group, Counselor, MA, LCPC, MHC
Revive Counseling Group
Counselor, MA, LCPC, MHC
1 Endorsed
Kalispell, MT 59901
Are you tired of feeling anxious and depressed? Do you find yourself constantly in negative thinking patterns? Are you done with bad relationships, poor communication skills and want to understand how to care for yourself and love others better? If you don’t know what’s happening or how to deal with these things, I’d love to help because that’s what I do, I help people.
Are you tired of feeling anxious and depressed? Do you find yourself constantly in negative thinking patterns? Are you done with bad relationships, poor communication skills and want to understand how to care for yourself and love others better? If you don’t know what’s happening or how to deal with these things, I’d love to help because that’s what I do, I help people.
(406) 840-0165 View (406) 840-0165
Photo of Kathryn Barrow, Clinical Social Work/Therapist, LCSW, CCHT
Kathryn Barrow
Clinical Social Work/Therapist, LCSW, CCHT
1 Endorsed
Kalispell, MT 59901
If you're ambitious but feel stuck in anxiety, perfectionism, people-pleasing, or self-sabotage, you're not broken—you're being called back into alignment. I support clients in understanding the deeper roots of their stress, negative self-talk, and relationship patterns. Using a variety of therapy modalities, hypnotherapy, and mind-body-spirit practices, we heal limiting beliefs and restore inner peace, confidence, and connection. If you're ready for deep, soul-level transformation—I'm here to guide you.
If you're ambitious but feel stuck in anxiety, perfectionism, people-pleasing, or self-sabotage, you're not broken—you're being called back into alignment. I support clients in understanding the deeper roots of their stress, negative self-talk, and relationship patterns. Using a variety of therapy modalities, hypnotherapy, and mind-body-spirit practices, we heal limiting beliefs and restore inner peace, confidence, and connection. If you're ready for deep, soul-level transformation—I'm here to guide you.
(406) 980-8947 View (406) 980-8947
Photo of Heidi Reynolds, Clinical Social Work/Therapist, LCSW
Heidi Reynolds
Clinical Social Work/Therapist, LCSW
1 Endorsed
Kalispell, MT 59901
Waitlist for new clients
I specialize in helping individual adults with relationship issues, developing healthy boundaries, assertive communication, and setting goals that improve their daily lives. I also have training in treating anxiety and depression with the use of psychoeducation, CBT, ACT, and additional treatment approaches. I take a holistic approach to therapy that encompasses both mind and body awareness for best results.
I specialize in helping individual adults with relationship issues, developing healthy boundaries, assertive communication, and setting goals that improve their daily lives. I also have training in treating anxiety and depression with the use of psychoeducation, CBT, ACT, and additional treatment approaches. I take a holistic approach to therapy that encompasses both mind and body awareness for best results.
(406) 407-9104 View (406) 407-9104
Photo of Sarah Irene Dempsey, Pre-Licensed Professional, MSW, SWLC
Sarah Irene Dempsey
Pre-Licensed Professional, MSW, SWLC
2 Endorsed
Saint Ignatius, MT 59865
If you are experiencing grief or bereavement, you are not alone, and support is available. As a clinician, I understand that every response to loss is unique. Grief is not something to fix or move past quickly; it requires space, care, and an approach that honors your individual experience. I work collaboratively with each client to identify their goals and create a treatment plan that feels meaningful and supportive. Grief can be overwhelming and isolating, but you don’t have to go through it alone. You deserve a space where your pain is seen, your story is heard, and your healing is respected.
If you are experiencing grief or bereavement, you are not alone, and support is available. As a clinician, I understand that every response to loss is unique. Grief is not something to fix or move past quickly; it requires space, care, and an approach that honors your individual experience. I work collaboratively with each client to identify their goals and create a treatment plan that feels meaningful and supportive. Grief can be overwhelming and isolating, but you don’t have to go through it alone. You deserve a space where your pain is seen, your story is heard, and your healing is respected.
(406) 559-2571 View (406) 559-2571
Photo of Ashley Roloff, Pre-Licensed Professional
Ashley Roloff
Pre-Licensed Professional
Kalispell, MT 59901
I believe that healing happens in connection and that everyone deserves to feel seen, heard, and supported. As a therapist, I bring specialized training in EFT, IFS, somatic experiencing, and psychodynamic therapy into my work with clients. My approach is relational, compassionate, and rooted in the belief that growth and change are always possible. Clients describe me as intuitive, warm, and down-to-earth. While I bring professional expertise to our work together, I also show up as a human. I believe therapy functions best when we can be real with each other, and when you feel empowered and engaged in your healing process.
I believe that healing happens in connection and that everyone deserves to feel seen, heard, and supported. As a therapist, I bring specialized training in EFT, IFS, somatic experiencing, and psychodynamic therapy into my work with clients. My approach is relational, compassionate, and rooted in the belief that growth and change are always possible. Clients describe me as intuitive, warm, and down-to-earth. While I bring professional expertise to our work together, I also show up as a human. I believe therapy functions best when we can be real with each other, and when you feel empowered and engaged in your healing process.
(406) 747-0325 View (406) 747-0325
Photo of Justina Grace Lichtenbarger - Justina Grace Lichtenbarger, Marriage & Family Therapist Associate
Justina Grace Lichtenbarger
Marriage & Family Therapist Associate
2 Endorsed
Kalispell, MT 59901
I am currently an LMFTA. My background includes 6+ years in the mental health field, and over 13 years' experience working with children and families utilizing Applied Behavior Analysis Therapy in schools, homes, and clinics. These modalities not only help the children with various developmental disabilities and autism, it also helps parents and siblings use everyday methods, making their day easier. I encourage and support focusing on what really matters, our relationships.
I am currently an LMFTA. My background includes 6+ years in the mental health field, and over 13 years' experience working with children and families utilizing Applied Behavior Analysis Therapy in schools, homes, and clinics. These modalities not only help the children with various developmental disabilities and autism, it also helps parents and siblings use everyday methods, making their day easier. I encourage and support focusing on what really matters, our relationships.
(406) 319-3760 View (406) 319-3760
Photo of Shaina Fairbank, Clinical Social Work/Therapist, LCSW
Shaina Fairbank
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Do you feel overwhelmed? Maybe it's stress at work or home, struggles in parenting, or anxiety and depression that has effected your work or your ability to be present in your personal life. I enjoy guiding people through life transitions and adjusting to difficult changes or new stressors. Whether you want to change your current situation or become more comfortable in what life has thrown at you, I am here to help you make sense of what your going through.
Do you feel overwhelmed? Maybe it's stress at work or home, struggles in parenting, or anxiety and depression that has effected your work or your ability to be present in your personal life. I enjoy guiding people through life transitions and adjusting to difficult changes or new stressors. Whether you want to change your current situation or become more comfortable in what life has thrown at you, I am here to help you make sense of what your going through.
(406) 341-2398 View (406) 341-2398
Photo of Cory Kohm - Parkside Counseling, Counselor, MA, MDiv, LCPC
Parkside Counseling
Counselor, MA, MDiv, LCPC
Kalispell, MT 59901
Parkside Counseling is a locally owned psychotherapy practice that offers evidence-based counseling and psychotherapy, including Individual Therapy (Grief Counseling, Relationship Counseling, Faith-Based Counseling, psychotherapy for both personality disorders as well as addiction), and Trauma-informed Psychotherapy & EMDR. From personalized treatment plans to crisis intervention to structured talk therapy and pastoral care approaches, Parkside tailors services to every stage of symptom management and emotional/spiritual wellness.
Parkside Counseling is a locally owned psychotherapy practice that offers evidence-based counseling and psychotherapy, including Individual Therapy (Grief Counseling, Relationship Counseling, Faith-Based Counseling, psychotherapy for both personality disorders as well as addiction), and Trauma-informed Psychotherapy & EMDR. From personalized treatment plans to crisis intervention to structured talk therapy and pastoral care approaches, Parkside tailors services to every stage of symptom management and emotional/spiritual wellness.
(406) 356-0954 View (406) 356-0954

How does your Therapist compare?

Number of Therapists in Libby, MT

< 10

Therapists in Libby, MT who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Substance Use
100% Self Esteem
67% Addiction
67% Grief

Average years in practice

24 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Allegiance
67% Cigna and Evernorth

How Therapists in Libby, MT see their clients

67% Online Only
33% In Person and Online

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Libby?

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.