Therapists in Monroeville, PA

Photo of For Appointment - Integrity Psychological Services Llc, Psychologist
Integrity Psychological Services Llc
Psychologist
Verified Verified
Monroeville, PA 15146
Are you feeling overwhelmed by anxiety, work or relationship issues? We are a group psychology practice in Monroeville of 20 licensed, experienced psychologists and therapists who will help you to effectively navigate through your problem. Our specialization areas include anxiety, work-related stress, couples counseling, divorce, grief and loss, transitional and career issues, trauma, depression and post-partum depression/anxiety. We work with adults, children, adolescents and couples. We specialize in cognitive behavioral therapy, exposure therapy and EMDR - all gold standard treatments for effective outcomes.
Are you feeling overwhelmed by anxiety, work or relationship issues? We are a group psychology practice in Monroeville of 20 licensed, experienced psychologists and therapists who will help you to effectively navigate through your problem. Our specialization areas include anxiety, work-related stress, couples counseling, divorce, grief and loss, transitional and career issues, trauma, depression and post-partum depression/anxiety. We work with adults, children, adolescents and couples. We specialize in cognitive behavioral therapy, exposure therapy and EMDR - all gold standard treatments for effective outcomes.
(412) 536-7258 View (412) 536-7258
Photo of Jennifer Murphy, MA, ATR-BC, LPC, Licensed Professional Counselor
Jennifer Murphy
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Monroeville, PA 15146
Not accepting new clients
Life can be challenging and stressful. Deciding to seek therapy shows your courage and desire to work towards improving your overall health and well-being. I'm a licensed professional counselor and board certified art therapist with over 15 years of experience working with adults and adolescents. I specialize in providing support and guidance for those experiencing anxiety, depression, trauma and/or loss. My approach is to be both strength-based in helping you to recognize your own abilities and to positively challenge you to identify changes and coping skills necessary for you to be more successful in your life.
Life can be challenging and stressful. Deciding to seek therapy shows your courage and desire to work towards improving your overall health and well-being. I'm a licensed professional counselor and board certified art therapist with over 15 years of experience working with adults and adolescents. I specialize in providing support and guidance for those experiencing anxiety, depression, trauma and/or loss. My approach is to be both strength-based in helping you to recognize your own abilities and to positively challenge you to identify changes and coping skills necessary for you to be more successful in your life.
(724) 954-3723 View (724) 954-3723
Photo of John E Carosso - Dr. John Carosso, Psy.D. & Associates, PsyD, Psychologist
Dr. John Carosso, Psy.D. & Associates
Psychologist, PsyD
Verified Verified
1 Endorsed
Monroeville, PA 15146
I work as a Child Psychologist, and School Psychologist, available for psychological diagnostic evaluations for Autism, ADHD, Behavioral Problems, Depression, Trauma, and Educational issues. We also offer subsequent treatment through our licensed outpatient clinic and IBHS program. To see more, check out HelpForYourChild.com, CPCWeCare.com, and my profile on Doctor.com.
I work as a Child Psychologist, and School Psychologist, available for psychological diagnostic evaluations for Autism, ADHD, Behavioral Problems, Depression, Trauma, and Educational issues. We also offer subsequent treatment through our licensed outpatient clinic and IBHS program. To see more, check out HelpForYourChild.com, CPCWeCare.com, and my profile on Doctor.com.
(412) 906-4094 View (412) 906-4094
Photo of Angeline Buczkowski, MSCP, LPC, NCC, Licensed Professional Counselor
Angeline Buczkowski
Licensed Professional Counselor, MSCP, LPC, NCC
Verified Verified
2 Endorsed
Monroeville, PA 15146
Every individual has their own strengths and unique needs. I believe that meeting people where they are and allowing them to take a steering wheel to their own life is the way to see change. As a counselor my job is to empower you to meet your goals as well provide you with the tools you are needing to see change. Trust and intimacy in oneself can be built by allowing you the space to feel heard, understood and to develop your own insight into your own thoughts, feelings and behaviors.
Every individual has their own strengths and unique needs. I believe that meeting people where they are and allowing them to take a steering wheel to their own life is the way to see change. As a counselor my job is to empower you to meet your goals as well provide you with the tools you are needing to see change. Trust and intimacy in oneself can be built by allowing you the space to feel heard, understood and to develop your own insight into your own thoughts, feelings and behaviors.
(412) 981-2300 View (412) 981-2300
Photo of Zack Byam, LPC, Licensed Professional Counselor
Zack Byam
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Monroeville, PA 15146  (Online Only)
Are you “stuck”—either on something that’s changed in your life, in the world around us, or just in general? Maybe something just feels strange or unsettling. Change is intimidating, even when we take it one step at a time, and often we can’t see the full picture without stepping away from the lens for a wider view. Sometimes, you just need another perspective - one that's neutral and doesn't "take sides." Your situation, just like you, is unique, and I can help you through it. I’m here to honor your struggle and help you build on the skills you have. I can help you respect or heal past decisions and help you to define new ones.
Are you “stuck”—either on something that’s changed in your life, in the world around us, or just in general? Maybe something just feels strange or unsettling. Change is intimidating, even when we take it one step at a time, and often we can’t see the full picture without stepping away from the lens for a wider view. Sometimes, you just need another perspective - one that's neutral and doesn't "take sides." Your situation, just like you, is unique, and I can help you through it. I’m here to honor your struggle and help you build on the skills you have. I can help you respect or heal past decisions and help you to define new ones.
(724) 964-4202 View (724) 964-4202
Photo of Keri Spaw, MS, LPC, NCC, Licensed Professional Counselor
Keri Spaw
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Monroeville, PA 15146
I am a Licensed Professional Counselor and certified by the National Board of Certified Counselors. I work with my clients to identify realistic and attainable personal goals and encourage them through the process of change. I provide a safe and relaxed environment to process life’s complications such as substance abuse, relationship issues, phase of life difficulties, anxiety and depression, workplace struggles and more.
I am a Licensed Professional Counselor and certified by the National Board of Certified Counselors. I work with my clients to identify realistic and attainable personal goals and encourage them through the process of change. I provide a safe and relaxed environment to process life’s complications such as substance abuse, relationship issues, phase of life difficulties, anxiety and depression, workplace struggles and more.
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Photo of Mara Kyzer, MHC, Pre-Licensed Professional
Mara Kyzer
Pre-Licensed Professional, MHC
Verified Verified
Monroeville, PA 15146
As someone dedicated to fostering a safe and supportive therapeutic space, I want my potential clients to know that beyond my professional qualifications and expertise, I bring a deep sense of empathy, understanding, and genuine care to every interaction. I understand that reaching out for help can sometimes feel daunting or intimidating, but I want to assure potential clients that they are not alone on their journey. Together, we can work collaboratively to explore their concerns, uncover strengths, and develop practical skills and strategies to navigate life's challenges more effectively.
As someone dedicated to fostering a safe and supportive therapeutic space, I want my potential clients to know that beyond my professional qualifications and expertise, I bring a deep sense of empathy, understanding, and genuine care to every interaction. I understand that reaching out for help can sometimes feel daunting or intimidating, but I want to assure potential clients that they are not alone on their journey. Together, we can work collaboratively to explore their concerns, uncover strengths, and develop practical skills and strategies to navigate life's challenges more effectively.
(412) 284-6788 View (412) 284-6788
Photo of Jessica Thurston, LPC, Licensed Professional Counselor
Jessica Thurston
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
I believe in meeting individuals where they are and acknowledging their unique stage of change, which is often fluid rather than linear. I see each person first and foremost as an individual, not defined by their diagnosis or decisions. My goal is to help them understand their situation while providing the skills and resources needed to live a healthier, better life—however they define it. It's crucial to let them know they are not alone, they won’t be judged, and I am here to help. They are the true experts on their lives and themselves.
I believe in meeting individuals where they are and acknowledging their unique stage of change, which is often fluid rather than linear. I see each person first and foremost as an individual, not defined by their diagnosis or decisions. My goal is to help them understand their situation while providing the skills and resources needed to live a healthier, better life—however they define it. It's crucial to let them know they are not alone, they won’t be judged, and I am here to help. They are the true experts on their lives and themselves.
(412) 203-9447 View (412) 203-9447
Photo of Kirsten Long, LCSW, Clinical Social Work/Therapist
Kirsten Long
Clinical Social Work/Therapist, LCSW
Verified Verified
Monroeville, PA 15146  (Online Only)
Do you lay awake at night with an overwhelmed mind? I help with easing the mind. I am able to help you through past trauma and current trauma. I am able to help those experience compassion fatigue and burn out from work to home. I am passionate to help with relationship issues and use compassion and empathy. I am passionate about working with CBT to alleviate anxiety and overthinking. Together we can work on you being the best version of you!
Do you lay awake at night with an overwhelmed mind? I help with easing the mind. I am able to help you through past trauma and current trauma. I am able to help those experience compassion fatigue and burn out from work to home. I am passionate to help with relationship issues and use compassion and empathy. I am passionate about working with CBT to alleviate anxiety and overthinking. Together we can work on you being the best version of you!
(484) 209-1683 View (484) 209-1683
Photo of Channing L Moreland, LPC, Licensed Professional Counselor
Channing L Moreland
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
Dr. Moreland provides confidential, specialized counseling for high-profile individuals facing the unique challenges of public life. Her person-centered, culturally responsive approach combines eclectic counseling techniques and diverse theoretical orientations to meet the specific needs of executives, public figures, and leaders across various fields. With expertise in guiding high-profile clients to enhanced self-awareness, Dr. Moreland helps build resilience and boost self-confidence. Her tailored services support leaders in navigating the pressures of their roles, fostering personal growth and professional success.
Dr. Moreland provides confidential, specialized counseling for high-profile individuals facing the unique challenges of public life. Her person-centered, culturally responsive approach combines eclectic counseling techniques and diverse theoretical orientations to meet the specific needs of executives, public figures, and leaders across various fields. With expertise in guiding high-profile clients to enhanced self-awareness, Dr. Moreland helps build resilience and boost self-confidence. Her tailored services support leaders in navigating the pressures of their roles, fostering personal growth and professional success.
(412) 284-5625 View (412) 284-5625
Photo of Támara Hill, MS, NCC, CCTP, LPC, Licensed Professional Counselor
Támara Hill
Licensed Professional Counselor, MS, NCC, CCTP, LPC
Verified Verified
Monroeville, PA 15146
Waitlist for new clients
Thank you for visiting my profile. I am passionate about the work I do with individuals and families within the home, school, and community. My counseling approach is educational and supportive. I aim to help young clients and their families utilize their resources and skills to overcome challenges. My goal in therapy is to educate throughout the process of therapy and offer support to overcome obstacles. I aim to teach long-term coping skills, build insight, motivate self-learning, and encourage independence. Thankfully, there are "tools" available to help us redirect our attention, anxieties, and strengths in appropriate ways.
Thank you for visiting my profile. I am passionate about the work I do with individuals and families within the home, school, and community. My counseling approach is educational and supportive. I aim to help young clients and their families utilize their resources and skills to overcome challenges. My goal in therapy is to educate throughout the process of therapy and offer support to overcome obstacles. I aim to teach long-term coping skills, build insight, motivate self-learning, and encourage independence. Thankfully, there are "tools" available to help us redirect our attention, anxieties, and strengths in appropriate ways.
(724) 320-1265 View (724) 320-1265
Photo of Marisa Blashford, NCC, Licensed Professional Counselor
Marisa Blashford
Licensed Professional Counselor, NCC
Verified Verified
Monroeville, PA 15146
As a pre-licensed professional I am up-to-date on therapeutic approaches and work collaboratively to support you! My ideal client is working with individuals who are looking to address concerns of anxiety, stress management, or life style changes. Looking to make changes to behaviors to improve their overall quality of life. Looking for a space to process life challenges and address them in a non-judgmental, safe environment.
As a pre-licensed professional I am up-to-date on therapeutic approaches and work collaboratively to support you! My ideal client is working with individuals who are looking to address concerns of anxiety, stress management, or life style changes. Looking to make changes to behaviors to improve their overall quality of life. Looking for a space to process life challenges and address them in a non-judgmental, safe environment.
(412) 561-9883 View (412) 561-9883
Photo of Kelley Wood, LPC, Licensed Professional Counselor
Kelley Wood
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146  (Online Only)
Are you in your 20s or 30s and struggling to re-enter life post-pandemic? I specialize in helping young adults to navigate life transitions and obstacles. And right now, there may be a lot of obstacles. Maybe you've unexpectedly found yourself back in your childhood bedroom trying to adjust to living with a parent again after semesters of freedom. Maybe you had an anti-climactic end to your academic career and find yourself thinking, "That's it? Now what?!" It can feel hard to move forward right now, especially if you've had hopes, plans and goals that have been delayed or even lost.
Are you in your 20s or 30s and struggling to re-enter life post-pandemic? I specialize in helping young adults to navigate life transitions and obstacles. And right now, there may be a lot of obstacles. Maybe you've unexpectedly found yourself back in your childhood bedroom trying to adjust to living with a parent again after semesters of freedom. Maybe you had an anti-climactic end to your academic career and find yourself thinking, "That's it? Now what?!" It can feel hard to move forward right now, especially if you've had hopes, plans and goals that have been delayed or even lost.
(412) 274-8205 View (412) 274-8205
Photo of Diana Charlton, MS, LPC, Licensed Professional Counselor
Diana Charlton
Licensed Professional Counselor, MS, LPC
Verified Verified
Monroeville, PA 15146
Do you find yourself struggling with feelings of sadness, nervousness, worry or anger? Are you having trouble in your relationships, feeling powerless or frustrated. I can help. Are you someone in early recovery who has stopped using substances, but feels their life isn't improving? I can help.
Do you find yourself struggling with feelings of sadness, nervousness, worry or anger? Are you having trouble in your relationships, feeling powerless or frustrated. I can help. Are you someone in early recovery who has stopped using substances, but feels their life isn't improving? I can help.
(724) 726-4080 View (724) 726-4080
Photo of Alecia V. Denillo, MSCP, LPC, Licensed Professional Counselor
Alecia V. Denillo
Licensed Professional Counselor, MSCP, LPC
Verified Verified
2 Endorsed
Monroeville, PA 15146
Are you feeling the weight of the world on your shoulders? Are you overwhelmed by stress, anxiety, depression, substance use, and/or weight? Is this your first time considering counseling? You have already made a courageous step towards healing and change. I provide a calm and compassionate space where you can know yourself on a deeper level. With this new awareness, you will be empowered to look at different ways to manage life's challenges. I will join you on the journey towards a more fulfilling life of choice and empowerment. I utilize techniques from a variety of clinical perspectives and tailor my approach to each individual
Are you feeling the weight of the world on your shoulders? Are you overwhelmed by stress, anxiety, depression, substance use, and/or weight? Is this your first time considering counseling? You have already made a courageous step towards healing and change. I provide a calm and compassionate space where you can know yourself on a deeper level. With this new awareness, you will be empowered to look at different ways to manage life's challenges. I will join you on the journey towards a more fulfilling life of choice and empowerment. I utilize techniques from a variety of clinical perspectives and tailor my approach to each individual
(724) 717-2449 View (724) 717-2449
Photo of Beth Allen, LPC, Licensed Professional Counselor
Beth Allen
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
Counseling is my passion, and my therapy approach includes evidence-based practices such as Cognitive Behavioral Therapy, EMDR (Eye Movement Desensitization & Reprocessing), Motivational Interviewing, and Dialectic Behavioral Therapy, as well as mindfulness, inner child work, person centered, psychoeducation, mind/body connection, and others depending on your individual needs. We can work together to address your unique concerns and priorities.
Counseling is my passion, and my therapy approach includes evidence-based practices such as Cognitive Behavioral Therapy, EMDR (Eye Movement Desensitization & Reprocessing), Motivational Interviewing, and Dialectic Behavioral Therapy, as well as mindfulness, inner child work, person centered, psychoeducation, mind/body connection, and others depending on your individual needs. We can work together to address your unique concerns and priorities.
(412) 284-5104 View (412) 284-5104
Photo of Caysey Lofquist, LSW, RYT, Clinical Social Work/Therapist
Caysey Lofquist
Clinical Social Work/Therapist, LSW, RYT
Verified Verified
2 Endorsed
Monroeville, PA 15146
Hi! I’m Caysey, an anxiety and interpersonal trauma therapist based in Pittsburgh. I work with teens and adults, employing components of CBT, DBT, schema therapy, inner child work, and relational therapy. Leveraging my training as a yoga teacher, I gently guide clients in understanding mindfulness and the mind-body connection for trauma recovery.
Hi! I’m Caysey, an anxiety and interpersonal trauma therapist based in Pittsburgh. I work with teens and adults, employing components of CBT, DBT, schema therapy, inner child work, and relational therapy. Leveraging my training as a yoga teacher, I gently guide clients in understanding mindfulness and the mind-body connection for trauma recovery.
(412) 851-6866 View (412) 851-6866
Photo of Liz Bittner, MS, NCC, LPC, Licensed Professional Counselor
Liz Bittner
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Monroeville, PA 15146
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
(724) 604-5520 View (724) 604-5520
Photo of Renee Rossi - New Directions Mental Health - Monroeville, LPC, Licensed Professional Counselor
New Directions Mental Health - Monroeville
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Monroeville area. At our Monroeville clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Monroeville area. At our Monroeville clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(412) 754-4742 View (412) 754-4742
Photo of Keri Keenan, MSEd, LAPC
Keri Keenan
Associate Professional Counselor, MSEd, LAPC
Verified Verified
Monroeville, PA 15146
The goal is to help you help your child become the best versions of themselves. Working with families, children & adolescents, and co-parenting relationships. Together we can modify communications, strengthen boundaries, and build healthier relationships. This is challenging work, and a supportive therapeutic relationship is the game changer. Loss and grief, terminal illness, children and adolescents, trauma, stress and anxiety, depression, autism spectrum disorder (ASD), social and relational issues, attention deficit/hyperactivity disorder (ADHD), behavioral disorders, and family systems therapy all part of the practice.
The goal is to help you help your child become the best versions of themselves. Working with families, children & adolescents, and co-parenting relationships. Together we can modify communications, strengthen boundaries, and build healthier relationships. This is challenging work, and a supportive therapeutic relationship is the game changer. Loss and grief, terminal illness, children and adolescents, trauma, stress and anxiety, depression, autism spectrum disorder (ASD), social and relational issues, attention deficit/hyperactivity disorder (ADHD), behavioral disorders, and family systems therapy all part of the practice.
(412) 866-1901 View (412) 866-1901
1

How does your Therapist compare?

Number of Therapists in Monroeville, PA

100+

Average cost per session

$125

Therapists in Monroeville, PA who prioritize treating:

96% Anxiety
88% Depression
81% Relationship Issues
75% Coping Skills
73% Self Esteem
72% Stress
69% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

90% Highmark
84% University of Pittsburgh Medical Center (UPMC) Hea
75% Aetna

How Therapists in Monroeville, PA see their clients

86% In Person and Online
14% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Monroeville?

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.