Therapists in Murray, NE

Photo of Randy Lyle Ruhge, Provisional Mental Health Practitioner, LIMHP, MSW
Randy Lyle Ruhge
Provisional Mental Health Practitioner, LIMHP, MSW
Murray, NE 68409
I specialize in supporting First Responders and individuals who work in high stress, high impact roles. My background includes 20 years as an EMT/Firefighter (primarily volunteer), 15 years in Emergency Management, and 30 years in law enforcement across both county and city departments. These experiences allow me to understand the unique pressures, culture, and unspoken expectations that come with serving others. I am a state registered provider for drug and alcohol assessments and treatment.
I specialize in supporting First Responders and individuals who work in high stress, high impact roles. My background includes 20 years as an EMT/Firefighter (primarily volunteer), 15 years in Emergency Management, and 30 years in law enforcement across both county and city departments. These experiences allow me to understand the unique pressures, culture, and unspoken expectations that come with serving others. I am a state registered provider for drug and alcohol assessments and treatment.
(402) 256-5840 View (402) 256-5840

More Therapists Nearby

Photo of Laura Daniels - New Chance Counseling & Therapy LLC, Clinical Social Work/Therapist, LIMHP, LICSW, LISW
New Chance Counseling & Therapy LLC
Clinical Social Work/Therapist, LIMHP, LICSW, LISW
1 Endorsed
Omaha, NE 68137
It is my honor and pleasure to join with you on the journey of self-discovery, healing, and transformation as we work together to find new ways to navigate the difficulties and experience a 'New Chance' at living the life you desire. I sincerely hope that the work we do together will support you in reaching your personal goals and empower you to live your best life. You can learn to manage your emotions, your relationships, increase stability, find solutions to life problems, and gain a sense of purpose/meaning. I am experienced with multiple approaches such as; CBT, EMDR, ACT, Person-centered, and recovery-oriented modalities.
It is my honor and pleasure to join with you on the journey of self-discovery, healing, and transformation as we work together to find new ways to navigate the difficulties and experience a 'New Chance' at living the life you desire. I sincerely hope that the work we do together will support you in reaching your personal goals and empower you to live your best life. You can learn to manage your emotions, your relationships, increase stability, find solutions to life problems, and gain a sense of purpose/meaning. I am experienced with multiple approaches such as; CBT, EMDR, ACT, Person-centered, and recovery-oriented modalities.
(402) 810-1914 View (402) 810-1914
Photo of Alexa Kelly, Counselor, MS, LIMHP
Alexa Kelly
Counselor, MS, LIMHP
1 Endorsed
Omaha, NE 68137
I am passionate about supporting adolescents, and young adults as they navigate life’s challenges and transitions. I especially enjoy working with teens and find it meaningful to support them during such a formative and often complex stage of life. Many of the clients I work with are experiencing anxiety, depression, interpersonal difficulties, stress, low self-esteem, or adjustment to new life stages and changes. I strive to create a welcoming, nonjudgmental, and supportive space where clients feel safe to share their stories and be fully themselves.
I am passionate about supporting adolescents, and young adults as they navigate life’s challenges and transitions. I especially enjoy working with teens and find it meaningful to support them during such a formative and often complex stage of life. Many of the clients I work with are experiencing anxiety, depression, interpersonal difficulties, stress, low self-esteem, or adjustment to new life stages and changes. I strive to create a welcoming, nonjudgmental, and supportive space where clients feel safe to share their stories and be fully themselves.
(402) 833-3224 View (402) 833-3224
Photo of Megan VanBenCoten, LIMHP, NCC
Megan VanBenCoten
Verified Verified
5 Endorsed
Online Only
Waitlist for new clients
I am passionate about supporting clients as they navigate new chapters—whether that’s becoming a new parent, adjusting to college life, or managing the unique challenges of military life. My approach is compassionate, collaborative, and grounded in helping you find balance and confidence during times of uncertainty.
I am passionate about supporting clients as they navigate new chapters—whether that’s becoming a new parent, adjusting to college life, or managing the unique challenges of military life. My approach is compassionate, collaborative, and grounded in helping you find balance and confidence during times of uncertainty.
(402) 313-4806 View (402) 313-4806
Photo of Melinda Cole, Counselor, MS, LIMHP
Melinda Cole
Counselor, MS, LIMHP
2 Endorsed
Online Only
Life sometimes doesn’t go the way we plan and can leave one feeling distant from that feeling of wholeness. If you are looking for extra support, feeling sad, isolated, anxious, or hopeless, I commend you for seeking the care needed for greater wellness. I have been practicing as a Licensed Independent Mental Health Practitioner since 2019 and am licensed in NE, NH, and ME. My focus is helping adults manage a diverse array of therapeutic issues including anxiety, depression, bipolar disorder, borderline personality disorder, challenging life transitions, self-harm, and suicidal ideation.
Life sometimes doesn’t go the way we plan and can leave one feeling distant from that feeling of wholeness. If you are looking for extra support, feeling sad, isolated, anxious, or hopeless, I commend you for seeking the care needed for greater wellness. I have been practicing as a Licensed Independent Mental Health Practitioner since 2019 and am licensed in NE, NH, and ME. My focus is helping adults manage a diverse array of therapeutic issues including anxiety, depression, bipolar disorder, borderline personality disorder, challenging life transitions, self-harm, and suicidal ideation.
(402) 307-5673 View (402) 307-5673
Photo of Lynn Kruger, Independent Mental Health Practitioner, LIMHP, LMHP
Lynn Kruger
Independent Mental Health Practitioner, LIMHP, LMHP
La Vista, NE 68128
Waitlist for new clients
I am a Licensed Independent Mental Health Practitioner (LIMHP) with over 25 years experience working with children, adolescents, adults and families. I have experience working with populations in all levels of treatment, including residential, inpatient psychiatric, IOP, day treatment, outpatient psychiatry, juvenile justice facilities, and outpatient services. My experience includes providing individual, family and group therapy.
I am a Licensed Independent Mental Health Practitioner (LIMHP) with over 25 years experience working with children, adolescents, adults and families. I have experience working with populations in all levels of treatment, including residential, inpatient psychiatric, IOP, day treatment, outpatient psychiatry, juvenile justice facilities, and outpatient services. My experience includes providing individual, family and group therapy.
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Photo of Kim Ruiz, Counselor, MS, LIMHP, LMFT
Kim Ruiz
Counselor, MS, LIMHP, LMFT
1 Endorsed
Serves Area
Accepting new clients primarily on Mondays and Tuesdays. Recognizing you are struggling and seeking help is hard, and I appreciate you for acknowledging your pain. If you are ready to begin your healing journey or continue your process, I strive to provide a safe space where you can be seen, heard, and acknowledged. A place where it is safe to sit with the scary, dark, worrisome, happy, and hopeful parts of you and work toward a place you want to be.
Accepting new clients primarily on Mondays and Tuesdays. Recognizing you are struggling and seeking help is hard, and I appreciate you for acknowledging your pain. If you are ready to begin your healing journey or continue your process, I strive to provide a safe space where you can be seen, heard, and acknowledged. A place where it is safe to sit with the scary, dark, worrisome, happy, and hopeful parts of you and work toward a place you want to be.
(402) 538-8934 View (402) 538-8934
Photo of Janzie Mason, Clinical Social Work/Therapist, LMSW, CADC, PLMHP, PCSMW
Janzie Mason
Clinical Social Work/Therapist, LMSW, CADC, PLMHP, PCSMW
1 Endorsed
Serves Area
I get it. I life sucks sometimes. I truly believe that everyone is doing the best they can, but sometimes we need help overcoming mental and emotional challenges. You are the expert of your own life. I am dedicated to walking alongside you in order to help you build the skills and resilience needed to navigate life’s challenges. Taking the first step can be scary, but don't let that stop you from living the life you want. Accepting new clients from Iowa and Nebraska.
I get it. I life sucks sometimes. I truly believe that everyone is doing the best they can, but sometimes we need help overcoming mental and emotional challenges. You are the expert of your own life. I am dedicated to walking alongside you in order to help you build the skills and resilience needed to navigate life’s challenges. Taking the first step can be scary, but don't let that stop you from living the life you want. Accepting new clients from Iowa and Nebraska.
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Photo of Veronica Wolf, Counselor, MA, LIMHP, CPC, NBCC, LIPC
Veronica Wolf
Counselor, MA, LIMHP, CPC, NBCC, LIPC
2 Endorsed
Omaha, NE 68132
Are you feeling stuck in familiar patterns, overwhelmed by stress, or disconnected from yourself? Many women come to therapy feeling exhausted by the weight of expectations, old emotional wounds, or a persistent sense that something needs to change—but they’re not sure where to begin. I specialize in working with women who are ready to make meaningful changes in their lives. Whether you’re navigating anxiety, depression, life transitions, burnout, or a loss of direction, therapy can be a space to slow down, reflect, and reconnect with what truly matters to you.
Are you feeling stuck in familiar patterns, overwhelmed by stress, or disconnected from yourself? Many women come to therapy feeling exhausted by the weight of expectations, old emotional wounds, or a persistent sense that something needs to change—but they’re not sure where to begin. I specialize in working with women who are ready to make meaningful changes in their lives. Whether you’re navigating anxiety, depression, life transitions, burnout, or a loss of direction, therapy can be a space to slow down, reflect, and reconnect with what truly matters to you.
(531) 201-6105 View (531) 201-6105
Photo of Becky Herber - Becky Herber, LLC, Counselor, MS, LIMHP, LADC
Becky Herber, LLC
Counselor, MS, LIMHP, LADC
Omaha, NE 68137
Not accepting new clients
Have you ever thought about seeing a counselor but never followed through due to fears of change or judgement? The change process can be scary and intimidating. As a therapist I work hard to meet everyone at their level of change and guide them to a place they strive to be at, free of judgement, in an encouraging and supportive way. We all deserve a safe place to have to be validated and heard when life may become overwhelming and full of stress.
Have you ever thought about seeing a counselor but never followed through due to fears of change or judgement? The change process can be scary and intimidating. As a therapist I work hard to meet everyone at their level of change and guide them to a place they strive to be at, free of judgement, in an encouraging and supportive way. We all deserve a safe place to have to be validated and heard when life may become overwhelming and full of stress.
(402) 512-6005 View (402) 512-6005
Photo of Morgan Potter, Provisional Mental Health Practitioner, PLMHP, MS
Morgan Potter
Provisional Mental Health Practitioner, PLMHP, MS
Omaha, NE 68154
Welcome, I'm so glad you're here! I specialize in helping adolescents and adults navigate depression, anxiety, life transitions, school and work challenges, self-esteem, sleep difficulties, family challenges, sports pressures, and more. I’m committed to helping you feel in control of your life or assisting your child in finding a safe space to heal. I am passionate about helping young adults develop confidence in their voice, build effective skills, and successfully manage life's transitions. I also believe that involving families, when appropriate, can be an important part of the process and can help promote positive change.
Welcome, I'm so glad you're here! I specialize in helping adolescents and adults navigate depression, anxiety, life transitions, school and work challenges, self-esteem, sleep difficulties, family challenges, sports pressures, and more. I’m committed to helping you feel in control of your life or assisting your child in finding a safe space to heal. I am passionate about helping young adults develop confidence in their voice, build effective skills, and successfully manage life's transitions. I also believe that involving families, when appropriate, can be an important part of the process and can help promote positive change.
(402) 389-3214 View (402) 389-3214
Photo of James Smith, Counselor, LMHP, LCSW, CGT
James Smith
Counselor, LMHP, LCSW, CGT
1 Endorsed
Omaha, NE 68132
The decision to go to therapy can be a scary one. You may talk about things that you don’t like to reveal about yourself. The thought of opening up like this is frequently intimidating. So, congratulations on taking that first step! The next step is to find a therapist that fits you - let's see if that's me AND I am currently taking new clients. The clients I tend to work best with are – and stop me if you’ve heard this before -the people who want to be there. I am totally willing to build rapport and trust but would rather we not exhaust ourselves by trying to break down walls intended to keep me at arm’s length.
The decision to go to therapy can be a scary one. You may talk about things that you don’t like to reveal about yourself. The thought of opening up like this is frequently intimidating. So, congratulations on taking that first step! The next step is to find a therapist that fits you - let's see if that's me AND I am currently taking new clients. The clients I tend to work best with are – and stop me if you’ve heard this before -the people who want to be there. I am totally willing to build rapport and trust but would rather we not exhaust ourselves by trying to break down walls intended to keep me at arm’s length.
(402) 783-8227 View (402) 783-8227
Photo of Timothy Terrell, Clinical Social Work/Therapist, LICSW, LIMHP, MSW
Timothy Terrell
Clinical Social Work/Therapist, LICSW, LIMHP, MSW
1 Endorsed
Omaha, NE 68127
Not accepting new clients
Seeking guidance for your life can be difficult, I understand how hard it can be to reach out for help. I believe that self-improvement and a life of joy and hope are possible for all people, no matter their struggles. I provide psychotherapy to help my clients identify problem areas in their lives that they want to overcome, set small goals to achieve their desired outcome, and help them make connections between how events in their past are driving their emotions, thoughts, and decisions today.
Seeking guidance for your life can be difficult, I understand how hard it can be to reach out for help. I believe that self-improvement and a life of joy and hope are possible for all people, no matter their struggles. I provide psychotherapy to help my clients identify problem areas in their lives that they want to overcome, set small goals to achieve their desired outcome, and help them make connections between how events in their past are driving their emotions, thoughts, and decisions today.
(402) 595-0780 View (402) 595-0780
Photo of Nene Diallo, Clinical Social Work/Therapist, LICSW, LIMHP
Nene Diallo
Clinical Social Work/Therapist, LICSW, LIMHP
3 Endorsed
Online Only
Life is challenging. There are times when life can get the best of you. You find yourself having a hard time doing normal life routines such as getting out of bed or brushing your teeth. You seem to dread each day because of the constant reminder of feeling stuck, lost, and hopeless. You considered taking back your life but don’t know where to begin.
Life is challenging. There are times when life can get the best of you. You find yourself having a hard time doing normal life routines such as getting out of bed or brushing your teeth. You seem to dread each day because of the constant reminder of feeling stuck, lost, and hopeless. You considered taking back your life but don’t know where to begin.
(402) 251-2561 View (402) 251-2561
Photo of Heidi V Applegarth, MS, PLMHP
Heidi V Applegarth
Verified Verified
Omaha, NE 68130
When your primary relationship is difficult, it impacts every aspect of your life. You can't focus as well at work, you become short and snappy with your children and/or others, you can't sleep, you stop eating or eat too much. It can feel so threatening when someone you care about doesn't seem to care about you, or when you wonder if you even care about them anymore. All of these feelings are normal in relationships but they don't have to last forever. If you allow them to push you to growth, you can have the relationship you've always craved.
When your primary relationship is difficult, it impacts every aspect of your life. You can't focus as well at work, you become short and snappy with your children and/or others, you can't sleep, you stop eating or eat too much. It can feel so threatening when someone you care about doesn't seem to care about you, or when you wonder if you even care about them anymore. All of these feelings are normal in relationships but they don't have to last forever. If you allow them to push you to growth, you can have the relationship you've always craved.
(402) 809-9997 View (402) 809-9997
Photo of Andrew Mills, Clinical Social Work/Therapist, LIMHP
Andrew Mills
Clinical Social Work/Therapist, LIMHP
Omaha, NE 68144
Hello! I am a child therapist working exclusively with children ages 3-19. I offer parents a FREE one hour consultation prior to beginning therapy with their child. I work with children experiencing symptoms related to difficulty concentrating and focusing, physical and verbal aggression, difficulty with following directions, sadness, anxiousness, low self-esteem, anger, sibling rivalry, jealousy, being bullied, and childhood trauma. My work focuses on addressing concerns the child may be experiencing while keeping the parent/caregiver informed of the child's progress throughout the treatment process.
Hello! I am a child therapist working exclusively with children ages 3-19. I offer parents a FREE one hour consultation prior to beginning therapy with their child. I work with children experiencing symptoms related to difficulty concentrating and focusing, physical and verbal aggression, difficulty with following directions, sadness, anxiousness, low self-esteem, anger, sibling rivalry, jealousy, being bullied, and childhood trauma. My work focuses on addressing concerns the child may be experiencing while keeping the parent/caregiver informed of the child's progress throughout the treatment process.
(531) 202-5741 View (531) 202-5741
Photo of Jessica Womach, Counselor, LIMHP, LCSW
Jessica Womach
Counselor, LIMHP, LCSW
1 Endorsed
Omaha, NE 68154
Welcome! Although you may be experiencing a variety of setbacks that leave you feeling inferior in this world, you deserve every opportunity to achieve your greatest quality of life. Whether you are dealing with daily or relationship stress, or feel stuck from the past... Therapy can help you find relief and healing to overcome adversities!
Welcome! Although you may be experiencing a variety of setbacks that leave you feeling inferior in this world, you deserve every opportunity to achieve your greatest quality of life. Whether you are dealing with daily or relationship stress, or feel stuck from the past... Therapy can help you find relief and healing to overcome adversities!
(402) 814-8914 View (402) 814-8914
Photo of Anna Jeseritz, Clinical Social Work/Therapist, LCSW, LIMHP, LISW, PMH-C
Anna Jeseritz
Clinical Social Work/Therapist, LCSW, LIMHP, LISW, PMH-C
2 Endorsed
Omaha, NE 68124
Exhausted, overwhelmed, or depressed? Have you ever felt like you just want to run away from it all? Or lock yourself in the bathroom and cry? (I have!) Do you have a hard time balancing the mom/work/spouse life so much that it's hard to find enjoyment? I have been there. Lived it. Struggled through it. You are not alone! From the young adult navigating career demands and life changes, to the new mom, to the experienced mom that is burnt out, women have unique needs and demands put upon them. I am here to create space and support as we process the challenges and find solutions and balance, so you can feel like yourself again.
Exhausted, overwhelmed, or depressed? Have you ever felt like you just want to run away from it all? Or lock yourself in the bathroom and cry? (I have!) Do you have a hard time balancing the mom/work/spouse life so much that it's hard to find enjoyment? I have been there. Lived it. Struggled through it. You are not alone! From the young adult navigating career demands and life changes, to the new mom, to the experienced mom that is burnt out, women have unique needs and demands put upon them. I am here to create space and support as we process the challenges and find solutions and balance, so you can feel like yourself again.
(402) 629-6167 View (402) 629-6167
Photo of Beatres J. Mondi, Clinical Social Work/Therapist, LICSW, LIMHP
Beatres J. Mondi
Clinical Social Work/Therapist, LICSW, LIMHP
Omaha, NE 68164
As a trauma-informed mental health professional and medical social worker, I am committed to creating a therapeutic space where individuals feel genuinely seen, heard, and supported without judgment. My work is rooted in compassion, authenticity, cultural responsiveness, and an integrative approach that recognizes healing is deeply personal and never one-size-fits-all. I understand that many people carry invisible emotional burdens while continuing to appear strong, capable, and composed on the outside, often navigating pain, trauma, anxiety, grief, or emotional exhaustion in silence.
As a trauma-informed mental health professional and medical social worker, I am committed to creating a therapeutic space where individuals feel genuinely seen, heard, and supported without judgment. My work is rooted in compassion, authenticity, cultural responsiveness, and an integrative approach that recognizes healing is deeply personal and never one-size-fits-all. I understand that many people carry invisible emotional burdens while continuing to appear strong, capable, and composed on the outside, often navigating pain, trauma, anxiety, grief, or emotional exhaustion in silence.
(402) 307-4662 View (402) 307-4662
Photo of Steve Brownrigg - Addiction & Recovery Services, Counselor, LADC, LIMHP, MS
Addiction & Recovery Services
Counselor, LADC, LIMHP, MS
3 Endorsed
Omaha, NE 68114
Steve Brownrigg provides outpatient, substance abuse and chemical dependency counseling services to those affected by alcoholism and other addictions. I specialize in treating those clients with who are Dually-Diagnosed, with mental health disorders in addition to addiction issues. I am Certified by EMDRIA in the use of EMDR for Sexual Trauma and other Childhood issues. I also offer couples counseling and co-dependency counseling for significant others. Often, spouses or significant others begin counseling in advance of the alcoholic/addict to work on their own issues and to learn how to effectively deal with their loved one.
Steve Brownrigg provides outpatient, substance abuse and chemical dependency counseling services to those affected by alcoholism and other addictions. I specialize in treating those clients with who are Dually-Diagnosed, with mental health disorders in addition to addiction issues. I am Certified by EMDRIA in the use of EMDR for Sexual Trauma and other Childhood issues. I also offer couples counseling and co-dependency counseling for significant others. Often, spouses or significant others begin counseling in advance of the alcoholic/addict to work on their own issues and to learn how to effectively deal with their loved one.
(402) 318-7118 View (402) 318-7118

How does your Therapist compare?

Number of Therapists in Murray, NE

< 10

Therapists in Murray, NE who prioritize treating:

100% Relationship Issues
100% Domestic Abuse
100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Substance Use

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Medica

How Therapists in Murray, NE see their clients

100% In Person and Online

Gender breakdown

100% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Murray?

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.