Therapists in Louisville, KY

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Photo of Jenelle Jackson-Porter, Marriage & Family Therapist Associate in Louisville, KY
Jenelle Jackson-Porter
Marriage & Family Therapist Associate, LMFTA , MA
Verified Verified
Louisville, KY 40207
Sometimes in life we are faced with issues that seem like we can not rise above them. Whether its a loss of a loved one, marital issues, depression, low self- esteem, anger, anxiety, drugs and alcohol or just stress. These are things that come up and put us in a place where we feel as if we have no point of return. Life can be challenging and hard but together we can come up with a plan by using the best therapeutic process, to get your life on the right track.
Sometimes in life we are faced with issues that seem like we can not rise above them. Whether its a loss of a loved one, marital issues, depression, low self- esteem, anger, anxiety, drugs and alcohol or just stress. These are things that come up and put us in a place where we feel as if we have no point of return. Life can be challenging and hard but together we can come up with a plan by using the best therapeutic process, to get your life on the right track.
(502) 289-5319 View (502) 289-5319
Photo of Misty Keith, Marriage & Family Therapist in Louisville, KY
Misty Keith
Marriage & Family Therapist, LMFT
Verified Verified
Louisville, KY 40243
Everyday we are facing new challenges while attempting to navigate the ever changing world that we are living in. While we may live in uncertain times the one thing we do not want to be uncertain about is our family, and our relationships. If you find yourself struggling, please reach out, we can work together to create a more stable, loving relationship. No matter if you are single, married or have a family, we all can use a little help sometimes.
Everyday we are facing new challenges while attempting to navigate the ever changing world that we are living in. While we may live in uncertain times the one thing we do not want to be uncertain about is our family, and our relationships. If you find yourself struggling, please reach out, we can work together to create a more stable, loving relationship. No matter if you are single, married or have a family, we all can use a little help sometimes.
(502) 829-6762 View (502) 829-6762
Photo of David H Cook, Clinical Social Work/Therapist in Louisville, KY
David H Cook
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Louisville, KY 40205
Challenges in relationships, whether with spouses, partners, or with a parent and their children, help determine one's sense of security and well being at home. Work related demands and other difficulties can be additional stresses. It's vitally important that you, a potential client, and I develop rapport which will help us effectively address your concerns. I enjoy people and hope to do my best in responding to you as we build on what's already working well in your life at this time.
Challenges in relationships, whether with spouses, partners, or with a parent and their children, help determine one's sense of security and well being at home. Work related demands and other difficulties can be additional stresses. It's vitally important that you, a potential client, and I develop rapport which will help us effectively address your concerns. I enjoy people and hope to do my best in responding to you as we build on what's already working well in your life at this time.
(502) 233-2541 View (502) 233-2541
Photo of Latoya Hall, Licensed Professional Counselor in Louisville, KY
Latoya Hall
Licensed Professional Counselor, LPCC
Verified Verified
Louisville, KY 40204
I am a Licensed Professional Clinical Counselor who specializes in depression, anxiety, grief and trauma. I have a Master’s degree in Mental Health Counseling and have extensive training in risk assessment, family therapy, sexual abuse and complex trauma. After working in school and non-profit settings for several years, I saw a lot of people struggling with mental health issues that were not properly addressed. I felt called to provide children, adolescents, couples and adults with a safe space to explore and resolve these concerns.
I am a Licensed Professional Clinical Counselor who specializes in depression, anxiety, grief and trauma. I have a Master’s degree in Mental Health Counseling and have extensive training in risk assessment, family therapy, sexual abuse and complex trauma. After working in school and non-profit settings for several years, I saw a lot of people struggling with mental health issues that were not properly addressed. I felt called to provide children, adolescents, couples and adults with a safe space to explore and resolve these concerns.
(859) 765-1053 View (859) 765-1053
Heartwood Therapy Place
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40218  (Online Only)
We believe that everyone has the ability to heal and grow. The Heartwood team of exceptional professionals has the common goal of helping others enrich their lives and live more fully. We utilize a variety of evidence-based therapeutic interventions with individuals, families, and couples that cultivates strength and independence throughout the lifespan. Furthermore we strive for an atmosphere of warmth, laughter and authenticity, recognizing that coming to and staying in therapy is hard work for clients and therapists alike. We have multiple therapists. Check us out on www.heartwoodtherapyplace.com
We believe that everyone has the ability to heal and grow. The Heartwood team of exceptional professionals has the common goal of helping others enrich their lives and live more fully. We utilize a variety of evidence-based therapeutic interventions with individuals, families, and couples that cultivates strength and independence throughout the lifespan. Furthermore we strive for an atmosphere of warmth, laughter and authenticity, recognizing that coming to and staying in therapy is hard work for clients and therapists alike. We have multiple therapists. Check us out on www.heartwoodtherapyplace.com
(502) 237-8048 View (502) 237-8048
Photo of Perfect Peace Counseling & Consoling LLC, Marriage & Family Therapist Associate in Louisville, KY
Perfect Peace Counseling & Consoling LLC
Marriage & Family Therapist Associate, MAMFT, MFTA
Verified Verified
Louisville, KY 40218
Hello I'm Evonna Dorsey, proprietor of Perfect Peace Counseling & Consoling (PPCC)- a faith based practice located in Kentucky. I implement effective psychotherapy methods to instill self-understanding among patients and encourage them to adopt new attitudes and feelings towards life situations. It is essential to keep in mind that therapy is not a magic pill or a quick fix. Therapy is a healing process that necessitates participation and investment from the patient and caretaker alike. In the end, making small changes to self-defeating behavior and coping with feelings of sadness, fear, and pain can bring life-altering results.
Hello I'm Evonna Dorsey, proprietor of Perfect Peace Counseling & Consoling (PPCC)- a faith based practice located in Kentucky. I implement effective psychotherapy methods to instill self-understanding among patients and encourage them to adopt new attitudes and feelings towards life situations. It is essential to keep in mind that therapy is not a magic pill or a quick fix. Therapy is a healing process that necessitates participation and investment from the patient and caretaker alike. In the end, making small changes to self-defeating behavior and coping with feelings of sadness, fear, and pain can bring life-altering results.
(502) 586-4298 View (502) 586-4298
Photo of Emma Henkel, Clinical Social Work/Therapist in Louisville, KY
Emma Henkel
Clinical Social Work/Therapist, LCSW, LCADC, CSAT
Verified Verified
Louisville, KY 40299
HelIo! Congratulations on taking the steps to begin your journey to self love and empowerment. My focus involves supporting people as they begin or continue healing from traumatic or adverse life experiences. I believe in creating a collaborative, judgment free zone for people to explore all parts of themselves. Healing can be hard, but I believe in the power of transformation that occurs when people are given a safe space to overcome their obstacles.
HelIo! Congratulations on taking the steps to begin your journey to self love and empowerment. My focus involves supporting people as they begin or continue healing from traumatic or adverse life experiences. I believe in creating a collaborative, judgment free zone for people to explore all parts of themselves. Healing can be hard, but I believe in the power of transformation that occurs when people are given a safe space to overcome their obstacles.
(502) 289-0859 View (502) 289-0859
Photo of Kim Hamilton, Marriage & Family Therapist Associate in Louisville, KY
Kim Hamilton
Marriage & Family Therapist Associate, MAMFT
Verified Verified
1 Endorsed
Louisville, KY 40207
Is your child struggling and you don’t know what to do? Is your anxiety and/or depression keeping you from living your fullest life? Are your relationships with your partner, family, or friends strained? I work with children, teens, and their families to learn how to work together to utilize tools within themselves and their system, as well as new techniques, to manage the issues they are struggling with and learn how to move past and forward from them in order to create harmony.
Is your child struggling and you don’t know what to do? Is your anxiety and/or depression keeping you from living your fullest life? Are your relationships with your partner, family, or friends strained? I work with children, teens, and their families to learn how to work together to utilize tools within themselves and their system, as well as new techniques, to manage the issues they are struggling with and learn how to move past and forward from them in order to create harmony.
(502) 673-1018 View (502) 673-1018
Photo of Katie DeShields, Psychologist in Louisville, KY
Katie DeShields
Psychologist, PsyD, CCATP
Verified Verified
1 Endorsed
Louisville, KY 40223
Feeling stressed? Overwhelmed? Experiencing major life changes? Some enter therapy with goals in mind while others feel "stuck" and look for self-understanding. I believe external factors (stressful events, life experiences) and internal factors (how we think, feel, and react) impact how we relate to others and evaluate ourselves. These factors can create patterns in our lives that we want to change.
Feeling stressed? Overwhelmed? Experiencing major life changes? Some enter therapy with goals in mind while others feel "stuck" and look for self-understanding. I believe external factors (stressful events, life experiences) and internal factors (how we think, feel, and react) impact how we relate to others and evaluate ourselves. These factors can create patterns in our lives that we want to change.
(502) 771-4619 View (502) 771-4619
Photo of Karen Manley Richardson, Marriage & Family Therapist in Louisville, KY
Karen Manley Richardson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Louisville, KY 40291
I have extensive experience in addressing mood disorders, anxiety disorders, alcohol and substance abuse -co-occurring with mental health issues, child/parenting issues, issues related to divorce, foster care child/youth/family challenges, relationship building and restoration. I also have a broad range of therapeutic knowledge of grief and trauma. I can address issues with a Christian foundation, as requested.
I have extensive experience in addressing mood disorders, anxiety disorders, alcohol and substance abuse -co-occurring with mental health issues, child/parenting issues, issues related to divorce, foster care child/youth/family challenges, relationship building and restoration. I also have a broad range of therapeutic knowledge of grief and trauma. I can address issues with a Christian foundation, as requested.
(502) 680-8886 View (502) 680-8886
Photo of Shelby Birchler, Art Therapist in Louisville, KY
Shelby Birchler
Art Therapist, LPAT
Verified Verified
2 Endorsed
Louisville, KY 40222
Everyone deserves a safe space to heal from pain. I strive to provide a welcoming environment that is adaptable to my clients’ needs and interests. I am a Licensed Professional Art Therapist who loves utilizing art to communicate and navigate through life’s challenges. It is important to me to provide my clients with tools to build the proper toolbox they require to meet their goals and achieve their highest potential. I work with children and adults facing a variety of diagnoses including but not limited to: depression, bipolar, anxiety, trauma, outbursts/ tantrums, and neurodivergence.
Everyone deserves a safe space to heal from pain. I strive to provide a welcoming environment that is adaptable to my clients’ needs and interests. I am a Licensed Professional Art Therapist who loves utilizing art to communicate and navigate through life’s challenges. It is important to me to provide my clients with tools to build the proper toolbox they require to meet their goals and achieve their highest potential. I work with children and adults facing a variety of diagnoses including but not limited to: depression, bipolar, anxiety, trauma, outbursts/ tantrums, and neurodivergence.
(502) 628-4694 View (502) 628-4694
Photo of Amanda Brown, Licensed Professional Counselor Associate in Louisville, KY
Amanda Brown
Licensed Professional Counselor Associate, MA, LPCA, EMDR
Verified Verified
Louisville, KY 40207  (Online Only)
With all the ups and downs that life throws at us daily, we can all use someone to talk to when things become overwhelming. You may need to process a traumatic experience that you have faced in the past or present. Maybe you need someone to help you navigate your anxiety and depression. Or maybe you need someone to empathetically listen and help you work through your emotions and experiences in a non-judgmental, safe, and comforting environment. I invite you to come and sit on my couch and allow me to guide you on your journey to healing and self-awareness. ~Verily, with every hardship comes ease.~
With all the ups and downs that life throws at us daily, we can all use someone to talk to when things become overwhelming. You may need to process a traumatic experience that you have faced in the past or present. Maybe you need someone to help you navigate your anxiety and depression. Or maybe you need someone to empathetically listen and help you work through your emotions and experiences in a non-judgmental, safe, and comforting environment. I invite you to come and sit on my couch and allow me to guide you on your journey to healing and self-awareness. ~Verily, with every hardship comes ease.~
(502) 206-1731 View (502) 206-1731
Photo of Karen Chapman, Clinical Social Work/Therapist in Louisville, KY
Karen Chapman
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40222
Waitlist for new clients
Have you experienced a life-changing event? Is it a struggle to integrate it in your life? I have a passion for and am trained to help process significant life events and loss/grief surrounding your experience. Such events often change you and the way you see/interact with the world and a strength of mine it to help folks explore those changes and their impact. I am committed to honesty and positive intention. I enjoy working with people diverse in identity. I am currently enjoying and finding success working with many Gen Z (18+), millennial and Gen X populations with a lot of experience in across the LGBTQIA+ spectrum.
Have you experienced a life-changing event? Is it a struggle to integrate it in your life? I have a passion for and am trained to help process significant life events and loss/grief surrounding your experience. Such events often change you and the way you see/interact with the world and a strength of mine it to help folks explore those changes and their impact. I am committed to honesty and positive intention. I enjoy working with people diverse in identity. I am currently enjoying and finding success working with many Gen Z (18+), millennial and Gen X populations with a lot of experience in across the LGBTQIA+ spectrum.
(502) 305-3450 View (502) 305-3450
Photo of Broderick Sawyer, Limited Licensed Psychologist in Louisville, KY
Broderick Sawyer
Limited Licensed Psychologist, PhD
Verified Verified
4 Endorsed
Louisville, KY 40243
Hello, I’m Dr. Broderick Sawyer! I treat adults and adolescents for anxiety, depression, trauma, OCD, identity issues, and stress related to oppression. Overall, my approach is to help you quickly and effectively: 1) Overcome everyday stress, 2) Develop emotional intelligence, 3) Understand how your past is holding you back, 4) Develop confidence and a positive self-image to move forward in life, and 5) Create and maintain healthy relationships. Having a diverse training background, my approach blends Mindfulness, CBT, Psychodynamic, Acceptance and Commitment Therapy (ACT), Attachment, and Compassion-based approaches.
Hello, I’m Dr. Broderick Sawyer! I treat adults and adolescents for anxiety, depression, trauma, OCD, identity issues, and stress related to oppression. Overall, my approach is to help you quickly and effectively: 1) Overcome everyday stress, 2) Develop emotional intelligence, 3) Understand how your past is holding you back, 4) Develop confidence and a positive self-image to move forward in life, and 5) Create and maintain healthy relationships. Having a diverse training background, my approach blends Mindfulness, CBT, Psychodynamic, Acceptance and Commitment Therapy (ACT), Attachment, and Compassion-based approaches.
(502) 273-5136 View (502) 273-5136
Photo of Shereka Jackson, Clinical Social Work/Therapist in Louisville, KY
Shereka Jackson
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40218
Not accepting new clients
Are you struggling to cope with a traumatic event? Do you feel like life is beating you up? Are you feeling defeated before your day gets started? Life’s hardships can be difficult to maneuver and can cause a decline in day to day functioning. That decline may show up in mood changes, increased anxiety, difficulty connecting with others, or lack of interest in the things you once enjoyed. If you’re feeling like life is beating you, don’t fight that battle alone. You can overcome these hardships, take back your life, and prevail.
Are you struggling to cope with a traumatic event? Do you feel like life is beating you up? Are you feeling defeated before your day gets started? Life’s hardships can be difficult to maneuver and can cause a decline in day to day functioning. That decline may show up in mood changes, increased anxiety, difficulty connecting with others, or lack of interest in the things you once enjoyed. If you’re feeling like life is beating you, don’t fight that battle alone. You can overcome these hardships, take back your life, and prevail.
(502) 237-1145 View (502) 237-1145
Photo of Barbara E Motley, Clinical Social Work/Therapist in Louisville, KY
Barbara E Motley
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40205
Feeling adrift, like you are treading water? Let me provide a safe harbor. I am a therapist who takes a holistic approach to assist each person in identifying solutions to their issues. I have a wide scope experience: I’ve spent much of my therapy career with adults in crisis, serious mental illness, depression, anxiety, grief, life transitions and substance/alcohol abuse.
Feeling adrift, like you are treading water? Let me provide a safe harbor. I am a therapist who takes a holistic approach to assist each person in identifying solutions to their issues. I have a wide scope experience: I’ve spent much of my therapy career with adults in crisis, serious mental illness, depression, anxiety, grief, life transitions and substance/alcohol abuse.
(502) 532-2718 View (502) 532-2718
Photo of Heather Artman, LCSW, Clinical Social Work/Therapist in Louisville, KY
Heather Artman, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40206
Currently not accepting new clients. I offer in-person and virtual sessions. I support individuals struggling with ADHD, trauma, depression, anxiety, low-self worth, sexual issues, and grief as well as work with couples who need support navigating through challenging situations such as infidelity, reestablishing intimacy, sexless relationships, or problematic sexual behaviors. Everyone at some point in their life experiences struggles, fears, relationship issues, or life transitions.
Currently not accepting new clients. I offer in-person and virtual sessions. I support individuals struggling with ADHD, trauma, depression, anxiety, low-self worth, sexual issues, and grief as well as work with couples who need support navigating through challenging situations such as infidelity, reestablishing intimacy, sexless relationships, or problematic sexual behaviors. Everyone at some point in their life experiences struggles, fears, relationship issues, or life transitions.
(502) 354-3787 View (502) 354-3787
Photo of Zakary Kendall, Licensed Professional Clinical Counselor in Louisville, KY
Zakary Kendall
Licensed Professional Clinical Counselor, MA, , LPCC
Verified Verified
3 Endorsed
Louisville, KY 40207
With our world increasingly changing every day, feelings of ‘uncertainty’ are constantly on the rise. Often, we can find it difficult to consistently meet the challenges and demands of our given lifestyle. But add to this that we are frequently taken to task by a ‘surprise unknown’ or two: Lost jobs. Lost relationships. Health issues. Even a lost childhood pulling at you. Maybe all of the above, and then some! Of course, each of us tries to meet these unknowns to the best of our ability. And at times even our absolute best efforts won’t get us back on course.
With our world increasingly changing every day, feelings of ‘uncertainty’ are constantly on the rise. Often, we can find it difficult to consistently meet the challenges and demands of our given lifestyle. But add to this that we are frequently taken to task by a ‘surprise unknown’ or two: Lost jobs. Lost relationships. Health issues. Even a lost childhood pulling at you. Maybe all of the above, and then some! Of course, each of us tries to meet these unknowns to the best of our ability. And at times even our absolute best efforts won’t get us back on course.
(502) 306-3340 View (502) 306-3340
Photo of Haley Bosemer, Clinical Social Work/Therapist in Louisville, KY
Haley Bosemer
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Louisville, KY 40218
Waitlist for new clients
Life can be hard, sometimes we need a little support to meet our full potential. Having someone who can get you there may be the missing piece. Whether you are struggling with anxiety, depression, ptsd, unresolved trauma, substance use, family conflict or maybe you just need someone to support your journey, I can assist you. You do not have do this alone. I use evidence based practices to enhance your strengths and help decrease your barriers. We will modify a treatment plan together to cater to your specific needs and work towards meeting your goals. You can do this!
Life can be hard, sometimes we need a little support to meet our full potential. Having someone who can get you there may be the missing piece. Whether you are struggling with anxiety, depression, ptsd, unresolved trauma, substance use, family conflict or maybe you just need someone to support your journey, I can assist you. You do not have do this alone. I use evidence based practices to enhance your strengths and help decrease your barriers. We will modify a treatment plan together to cater to your specific needs and work towards meeting your goals. You can do this!
(502) 383-5594 View (502) 383-5594
Photo of Courtney Weaver, Clinical Social Work/Therapist in Louisville, KY
Courtney Weaver
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40213  (Online Only)
I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I am easy-going, empathic, supportive, non-judgmental, good listener, and determined. My ability to allow clients to feel heard, understood, and supported.
I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I am easy-going, empathic, supportive, non-judgmental, good listener, and determined. My ability to allow clients to feel heard, understood, and supported.
(502) 281-0278 View (502) 281-0278

How does your Therapist compare?

Number of Therapists in Louisville, KY

1,000+

Average cost per session

$120

Therapists in Louisville, KY who prioritize treating:

91% Anxiety
86% Depression
71% Self Esteem
70% Trauma and PTSD
69% Coping Skills
59% Relationship Issues
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
71% Humana
69% UnitedHealthcare UHC | UBH

How Therapists in Louisville, KY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Louisville?

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.