Therapists in Cleveland, OH

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Photo of Group Therapy For Therapists, Psychologist in Cleveland, OH
Group Therapy For Therapists
Psychologist, PhD
Verified Verified
Cleveland, OH 44120  (Online Only)
Mondays OR Wednesdays 11:30a EST. Therapy group for therapists experiencing stress, grief, depression, anxiety, life transitions, compassion fatigue and burnout. The goal is to have a confidential space to be able to process & get support around being a mental health provider in the midst of our own mental health struggles & growth. As a member of PSYPACT, group is open to mental health providers from 38 states. States can be found here: www.drellenbronder.com. Therapists include: psychologists, therapists, counselors, social workers and psychiatrists.
Mondays OR Wednesdays 11:30a EST. Therapy group for therapists experiencing stress, grief, depression, anxiety, life transitions, compassion fatigue and burnout. The goal is to have a confidential space to be able to process & get support around being a mental health provider in the midst of our own mental health struggles & growth. As a member of PSYPACT, group is open to mental health providers from 38 states. States can be found here: www.drellenbronder.com. Therapists include: psychologists, therapists, counselors, social workers and psychiatrists.
(216) 299-3810 View (216) 299-3810
Photo of Keyoni Rates White, Licensed Professional Clinical Counselor in Cleveland, OH
Keyoni Rates White
Licensed Professional Clinical Counselor, MS, LPCC-S
Verified Verified
Cleveland, OH 44113  (Online Only)
A native of Cleveland, OH, Keyoni is a Licensed Professional Clinical Counselor (LPCC) with over 14 years of experience in the mental health field. Keyoni has worked with children, teenagers, and adults with a broad range of concerns including grief and loss, anxiety, depression, trauma, self-esteem issues, relationship issues, family distresses, attention and focus difficulties, and crisis intervention. Keyoni walks with her clients to help them learn and practice skills that will empower them to see the world through a healthier and more holistic lens, as well as become their best selves.
A native of Cleveland, OH, Keyoni is a Licensed Professional Clinical Counselor (LPCC) with over 14 years of experience in the mental health field. Keyoni has worked with children, teenagers, and adults with a broad range of concerns including grief and loss, anxiety, depression, trauma, self-esteem issues, relationship issues, family distresses, attention and focus difficulties, and crisis intervention. Keyoni walks with her clients to help them learn and practice skills that will empower them to see the world through a healthier and more holistic lens, as well as become their best selves.
(216) 616-4234 View (216) 616-4234
Photo of Molly Martin, Clinical Social Work/Therapist in Cleveland, OH
Molly Martin
Clinical Social Work/Therapist, LISW-S, LCSW
Verified Verified
Cleveland, OH 44113
As a Licensed Independent Social Worker in private practice, I work with adults in individual therapy to address issues including depression, anxiety, stress, trauma, relationship issues, and life adjustments and transitions. I value the process of working collaboratively with people to help them increase self-awareness and decrease suffering.
As a Licensed Independent Social Worker in private practice, I work with adults in individual therapy to address issues including depression, anxiety, stress, trauma, relationship issues, and life adjustments and transitions. I value the process of working collaboratively with people to help them increase self-awareness and decrease suffering.
(216) 208-7128 View (216) 208-7128
Photo of Amy Kalasunas, Counselor in Cleveland, OH
Amy Kalasunas
Counselor, LPCC-S, CCMHC
Verified Verified
5 Endorsed
Cleveland, OH 44122
I am a DBT - LBC Certified Dialectical Behavior Therapist, and use adherent Dialectical Behavior Therapy, as well as other protocol-based interventions, to help clients manage intense emotions and change problematic behaviors. An ideal match for treatment here is someone who has already worked hard at other types of therapy and is frustrated that hard-earned insight hasn't helped them change! Knowing WHY we do things is important; still, insight doesn't always help change intense emotions, stop problem behaviors, or help us focus on life's experiences.
I am a DBT - LBC Certified Dialectical Behavior Therapist, and use adherent Dialectical Behavior Therapy, as well as other protocol-based interventions, to help clients manage intense emotions and change problematic behaviors. An ideal match for treatment here is someone who has already worked hard at other types of therapy and is frustrated that hard-earned insight hasn't helped them change! Knowing WHY we do things is important; still, insight doesn't always help change intense emotions, stop problem behaviors, or help us focus on life's experiences.
(216) 208-6075 View (216) 208-6075
Photo of Luisa M. Aviv, LISW, Inc., Clinical Social Work/Therapist in Cleveland, OH
Luisa M. Aviv, LISW, Inc.
Clinical Social Work/Therapist, LISW, MSSA
Verified Verified
2 Endorsed
Cleveland, OH 44124
Hello, and welcome! You have taken the first step on your emotional journey to wellness by seeking a caring professional to partner with you. It takes tremendous courage and strength to begin therapy and I am very happy that you are beginning your journey toward healing and growth. You will be able to explore your emotions and work toward your goals in a safe and supportive space. Progress takes time as you work at your own pace. You do not need to do this work alone. My priority is to help each person leave their session with feelings of hope and the tools you need to work toward your goals. I look forward to meeting you soon.
Hello, and welcome! You have taken the first step on your emotional journey to wellness by seeking a caring professional to partner with you. It takes tremendous courage and strength to begin therapy and I am very happy that you are beginning your journey toward healing and growth. You will be able to explore your emotions and work toward your goals in a safe and supportive space. Progress takes time as you work at your own pace. You do not need to do this work alone. My priority is to help each person leave their session with feelings of hope and the tools you need to work toward your goals. I look forward to meeting you soon.
(216) 304-6975 View (216) 304-6975
Photo of Ellen Thrasher, Clinical Social Work/Therapist in Cleveland, OH
Ellen Thrasher
Clinical Social Work/Therapist, LISW
Verified Verified
Cleveland, OH 44114  (Online Only)
Hello, I am an independently licensed Clinical Social Worker in the state of Ohio with the ability to provide supervision (MSSA, LISW-S). I earned my Master of Science in Social Administration from Case Western Reserve University. I have worked with clients of all ages and backgrounds.
Hello, I am an independently licensed Clinical Social Worker in the state of Ohio with the ability to provide supervision (MSSA, LISW-S). I earned my Master of Science in Social Administration from Case Western Reserve University. I have worked with clients of all ages and backgrounds.
(216) 616-1142 View (216) 616-1142
Photo of Jessica Jenkins Thomas, Clinical Social Work/Therapist in Cleveland, OH
Jessica Jenkins Thomas
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Cleveland, OH 44121
My passion is working with individuals and families who desire to make positive changes in their lives by setting realistic and attainable goals. My passion is partnering with people who desire to work towards change not only in session but outside of sessions. I have experience working with individuals who struggle with anxiety, depression, stress, work/life balance, various life transitions and grief/loss.
My passion is working with individuals and families who desire to make positive changes in their lives by setting realistic and attainable goals. My passion is partnering with people who desire to work towards change not only in session but outside of sessions. I have experience working with individuals who struggle with anxiety, depression, stress, work/life balance, various life transitions and grief/loss.
(216) 284-7893 View (216) 284-7893
Photo of Mary Rose Tichar, Licensed Professional Counselor in Cleveland, OH
Mary Rose Tichar
Licensed Professional Counselor, MEd, LPC, CCC
Verified Verified
Cleveland, OH 44119
Hello! I am a career counselor, life coach, and a licensed professional counselor with 20 years of experience. Your natural talent and strengths, along with meaning and purpose for your work, is the cornerstone of a satisfying career. At InsideOut, we talk a lot about your natural talent and we build narratives and communication strategies for interviews and networking. We work a process that builds confidence and clarity for who you are, and the value you bring to your work. If you are an early, mid, or seasoned person seeking a pathway forward, please connect with me. I look forward to meeting you!
Hello! I am a career counselor, life coach, and a licensed professional counselor with 20 years of experience. Your natural talent and strengths, along with meaning and purpose for your work, is the cornerstone of a satisfying career. At InsideOut, we talk a lot about your natural talent and we build narratives and communication strategies for interviews and networking. We work a process that builds confidence and clarity for who you are, and the value you bring to your work. If you are an early, mid, or seasoned person seeking a pathway forward, please connect with me. I look forward to meeting you!
(216) 502-2787 View (216) 502-2787
Photo of Dr. Shu Ling, Psychologist in Cleveland, OH
Dr. Shu Ling
Psychologist, PhD
Verified Verified
Cleveland, OH 44114  (Online Only)
NOW Accepting New Patients! I am a licensed psychologist who specializes in treating mood problems (depression, anxiety), couple/family problems, dealing with chronic illnesses, and trauma. I have over 10 years of experience in providing evidence-based treatments (treatments that are based on science and proved to be effective). I was trained by world-renowned experts at institutions such as the Cleveland Clinic. I have been providing psychological services since 2012. I take pride in the quality of my work and I am eager to help you achieve your goals. Native fluency in English & Chinese.
NOW Accepting New Patients! I am a licensed psychologist who specializes in treating mood problems (depression, anxiety), couple/family problems, dealing with chronic illnesses, and trauma. I have over 10 years of experience in providing evidence-based treatments (treatments that are based on science and proved to be effective). I was trained by world-renowned experts at institutions such as the Cleveland Clinic. I have been providing psychological services since 2012. I take pride in the quality of my work and I am eager to help you achieve your goals. Native fluency in English & Chinese.
(330) 997-3493 View (330) 997-3493
Photo of Flourish CLE, Counselor in Cleveland, OH
Flourish CLE
Counselor, MA, LPCC-S, ATR, RYT-200
Verified Verified
4 Endorsed
Cleveland, OH 44111  (Online Only)
Hello! My name is Ally McCarley. I am a licensed professional clinical counselor, registered art therapist, and registered yoga teacher. I believe that everyone is capable of healing and growth if given the right tools and support. I also believe that all parts of your self and your story deserve to be heard, honored, validated and sometimes challenged in a safe, supportive space. I have extensive training in many trauma informed modalities including Art Therapy, Yoga, Mindfulness and Meditation, Therapeutic Play, parts of self and EMDR and utilize a blend of these treatments depending on a client's particular needs and experiences.
Hello! My name is Ally McCarley. I am a licensed professional clinical counselor, registered art therapist, and registered yoga teacher. I believe that everyone is capable of healing and growth if given the right tools and support. I also believe that all parts of your self and your story deserve to be heard, honored, validated and sometimes challenged in a safe, supportive space. I have extensive training in many trauma informed modalities including Art Therapy, Yoga, Mindfulness and Meditation, Therapeutic Play, parts of self and EMDR and utilize a blend of these treatments depending on a client's particular needs and experiences.
(216) 485-3781 View (216) 485-3781
Photo of Jessica Rooker, Clinical Social Work/Therapist in Cleveland, OH
Jessica Rooker
Clinical Social Work/Therapist, LISW-S
Verified Verified
Cleveland, OH 44114  (Online Only)
Hey there! :) I'm a Licensed Independent Social Worker with Supervisory distinction (LISW-S) based in central Ohio. I received my MSW from The Ohio State University and have been practicing for a decade. I began my career working as a trauma specialist for children in Treatment Foster Care and adoptions in inner city Columbus as well as my second job working in Worthington, Ohio for a private agency helping children, young adults, and families create balance in their homes and in their lives.
Hey there! :) I'm a Licensed Independent Social Worker with Supervisory distinction (LISW-S) based in central Ohio. I received my MSW from The Ohio State University and have been practicing for a decade. I began my career working as a trauma specialist for children in Treatment Foster Care and adoptions in inner city Columbus as well as my second job working in Worthington, Ohio for a private agency helping children, young adults, and families create balance in their homes and in their lives.
(216) 999-4129 View (216) 999-4129
Photo of Theodicies Support LLC, Clinical Social Work/Therapist in Cleveland, OH
Theodicies Support LLC
Clinical Social Work/Therapist, LICDC, LISW-S
Verified Verified
Cleveland, OH 44120
We have little control over life's challenges, however we do have control over how we chose to deal with them. I have over sixteen years of social service experience with adults, adolescents, and children in the fields of education, child welfare, delinquent youth, and mental health services. I have two master’s degrees in both Social Work and Criminal Justice with a concentration in Forensic Psychology. As an Independently Licensed Clinical Social Worker and Chemical Dependency Counselor, I would love to help. Feel free to call 1 (440) 703-0486.
We have little control over life's challenges, however we do have control over how we chose to deal with them. I have over sixteen years of social service experience with adults, adolescents, and children in the fields of education, child welfare, delinquent youth, and mental health services. I have two master’s degrees in both Social Work and Criminal Justice with a concentration in Forensic Psychology. As an Independently Licensed Clinical Social Worker and Chemical Dependency Counselor, I would love to help. Feel free to call 1 (440) 703-0486.
(440) 305-5643 View (440) 305-5643
Photo of Beth Thomas, Licensed Professional Counselor in Cleveland, OH
Beth Thomas
Licensed Professional Counselor, LPCC-S, LICDC
Verified Verified
3 Endorsed
Cleveland, OH 44131  (Online Only)
Waitlist for new clients
As a therapist I invite individuals for counseling. Despite mental health being a topic people don't want to talk about, I value your time and try to make you as comfortable as possible. My goal is to empower you to make the change you want and create a life worth living.
As a therapist I invite individuals for counseling. Despite mental health being a topic people don't want to talk about, I value your time and try to make you as comfortable as possible. My goal is to empower you to make the change you want and create a life worth living.
(216) 465-0913 View (216) 465-0913
Photo of April Elsasser, Licensed Professional Counselor in Cleveland, OH
April Elsasser
Licensed Professional Counselor, LPCC, RYT 200, MA
Verified Verified
3 Endorsed
Cleveland, OH 44113
The general goals for the client are to identify issues, develop a plan of action, and implement that plan. This is a very personal process. It is educational and developmental by nature. Cures are not immediate, pain-free, or instant by nature, but may require diligent effort and candid exploration. This process often involves experiencing ‘unpleasant’ feelings as part of the counseling process within and outside of scheduled sessions. If you are looking for deep and transformative healing work, I welcome you to explore further. NEW and INTAKE clients please contact me via email - thank you!
The general goals for the client are to identify issues, develop a plan of action, and implement that plan. This is a very personal process. It is educational and developmental by nature. Cures are not immediate, pain-free, or instant by nature, but may require diligent effort and candid exploration. This process often involves experiencing ‘unpleasant’ feelings as part of the counseling process within and outside of scheduled sessions. If you are looking for deep and transformative healing work, I welcome you to explore further. NEW and INTAKE clients please contact me via email - thank you!
(216) 232-9453 View (216) 232-9453
Photo of Jerome C Rivers, Marriage & Family Therapist in Cleveland, OH
Jerome C Rivers
Marriage & Family Therapist, MACPC, LPCC-S, LIMFT
Verified Verified
1 Endorsed
Cleveland, OH 44128  (Online Only)
Are you struggling with feelings of anger/irritability, sadness, or hopelessness? Have you experienced trauma, panic attacks anxiety and/or addiction? Do you long to have someone to care enough to listen, understand and/or help you without judgement? I welcome all who feel that they need a listening ear. Those that feel that they need help to put the puzzle pieces back together when things seem to no longer make sense.
Are you struggling with feelings of anger/irritability, sadness, or hopelessness? Have you experienced trauma, panic attacks anxiety and/or addiction? Do you long to have someone to care enough to listen, understand and/or help you without judgement? I welcome all who feel that they need a listening ear. Those that feel that they need help to put the puzzle pieces back together when things seem to no longer make sense.
(216) 238-0045 View (216) 238-0045
Photo of DeQuan A Brown, Licensed Professional Clinical Counselor in Cleveland, OH
DeQuan A Brown
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
Cleveland, OH 44113
Not accepting new clients
Clients who work with me are searching for ways to grow personally, professionally, interpersonally, intrapersonally, and oftentimes all of the above. Clients that choose to work with me are encouraged to be their authentic selves without fear of judgement or rejection in a safe and brave environment. Clients find new meanings and ways of living that strengthen them to ward off depression, anxiety, trauma responses, and other barriers preventing them from living their lives fully. Clients also work with me to reprocess their traumatic memories and develop healthier futures using EMDR (eye movement desensitization and reprocessing).
Clients who work with me are searching for ways to grow personally, professionally, interpersonally, intrapersonally, and oftentimes all of the above. Clients that choose to work with me are encouraged to be their authentic selves without fear of judgement or rejection in a safe and brave environment. Clients find new meanings and ways of living that strengthen them to ward off depression, anxiety, trauma responses, and other barriers preventing them from living their lives fully. Clients also work with me to reprocess their traumatic memories and develop healthier futures using EMDR (eye movement desensitization and reprocessing).
(440) 335-5544 View (440) 335-5544
Photo of Roxana Kennedy, Marriage & Family Therapist in Cleveland, OH
Roxana Kennedy
Marriage & Family Therapist, LMFT
Verified Verified
Cleveland, OH 44105
Do you find yourself missing your spark? Do you find that your moods have control over your life? Do you find yourself in this never-ending cycle of shame and trying to escape through unhealthy ways? Many people have found themselves stuck in this story and feeling numb to it all. This can rob you of joy and take away your spark. I think one of the bravest things you can do is to begin to understand your story. Using a strength- based and collaborative approach, I can offer you the space to rewrite your story into one of empowerment and resilience.
Do you find yourself missing your spark? Do you find that your moods have control over your life? Do you find yourself in this never-ending cycle of shame and trying to escape through unhealthy ways? Many people have found themselves stuck in this story and feeling numb to it all. This can rob you of joy and take away your spark. I think one of the bravest things you can do is to begin to understand your story. Using a strength- based and collaborative approach, I can offer you the space to rewrite your story into one of empowerment and resilience.
(614) 756-5370 View (614) 756-5370
Photo of Aaron Sharpley, Clinical Social Work/Therapist in Cleveland, OH
Aaron Sharpley
Clinical Social Work/Therapist, MSSA, LSW
Verified Verified
1 Endorsed
Cleveland, OH 44120
Struggling to move forward? Unsure about your next steps? I specialize in helping you identify and connect with supportive and healthy guides to aid in your journey through life. I am a client centered holistic practitioner. I use a combination of evidenced based practices grounded in ecosystems theory to support your most full expression of humanity. From traditional talk therapy to eco-therapy we can design a path forward to maximize your potential, increase authentic connections and experience greater fulfillment. Building upon the winds of inspiration lets bring our greatest dreams into reality.
Struggling to move forward? Unsure about your next steps? I specialize in helping you identify and connect with supportive and healthy guides to aid in your journey through life. I am a client centered holistic practitioner. I use a combination of evidenced based practices grounded in ecosystems theory to support your most full expression of humanity. From traditional talk therapy to eco-therapy we can design a path forward to maximize your potential, increase authentic connections and experience greater fulfillment. Building upon the winds of inspiration lets bring our greatest dreams into reality.
(216) 616-5501 View (216) 616-5501
Photo of Mary Emrich, Licensed Professional Clinical Counselor in Cleveland, OH
Mary Emrich
Licensed Professional Clinical Counselor, LSW, LPCC-S, LICDC
Verified Verified
Cleveland, OH 44130
Mary brings more than 25 years of healthcare, mental health, and addiction recovery experience to her practice. She has a proven track record of organizing and managing teams and ensuring high-quality programs and outcomes for the individuals served. Mary is credentialed in Ohio as a Licensed Social Worker (LSW), a Licensed Professional Clinical Counselor with Supervisory Designation (LPCC-S) and a Licensed Independent Chemical Dependency Counselor (LICDC).
Mary brings more than 25 years of healthcare, mental health, and addiction recovery experience to her practice. She has a proven track record of organizing and managing teams and ensuring high-quality programs and outcomes for the individuals served. Mary is credentialed in Ohio as a Licensed Social Worker (LSW), a Licensed Professional Clinical Counselor with Supervisory Designation (LPCC-S) and a Licensed Independent Chemical Dependency Counselor (LICDC).
(440) 693-2668 View (440) 693-2668
Photo of Sarah Garver Megenhardt, Licensed Professional Counselor in Cleveland, OH
Sarah Garver Megenhardt
Licensed Professional Counselor, M Ed, LPC
Verified Verified
2 Endorsed
Cleveland, OH 44115
I am passionate about providing a safe, supportive, and collaborative environment in which to heal. Together we will help you find peace, deepen and strengthen your relationships, and explore your inner world.
I am passionate about providing a safe, supportive, and collaborative environment in which to heal. Together we will help you find peace, deepen and strengthen your relationships, and explore your inner world.
(216) 714-1808 View (216) 714-1808

How does your Therapist compare?

Number of Therapists in Cleveland, OH

800+

Average cost per session

$129

Therapists in Cleveland, OH who prioritize treating:

92% Anxiety
89% Depression
74% Trauma and PTSD
70% Relationship Issues
69% Self Esteem
65% Coping Skills
60% Stress

Average years in practice

10 Years

Top 3 insurances accepted

82% UnitedHealthcare UHC | UBH
81% Aetna
71% Cigna and Evernorth

How Therapists in Cleveland, OH see their clients

59% In Person and Online
41% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cleveland?

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.