Therapists in Saint Paul, MN

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Photo of Marina Himmer, Counselor in Saint Paul, MN
Marina Himmer
Counselor, MA, LPCC
Verified Verified
Saint Paul, MN 55108
Life can be challenging when we experience adjustments, trials and loses, causing us to experience loneliness, conflicting emotions, anxiety, depression or simply feeling something is missing in our lives. Therapy can provide a way out by integrating a mind/body/spirit connection to help you return to wellness. It requires great courage taking the first step to reach out. I would be honored if you allow me to walk alongside to unlock your full potential. I strive to follow your lead and adapt to your personal style and needs and together, create a safe and nurturing environment. Hablo nativo Español al 100% y me encantaria servirte!
Life can be challenging when we experience adjustments, trials and loses, causing us to experience loneliness, conflicting emotions, anxiety, depression or simply feeling something is missing in our lives. Therapy can provide a way out by integrating a mind/body/spirit connection to help you return to wellness. It requires great courage taking the first step to reach out. I would be honored if you allow me to walk alongside to unlock your full potential. I strive to follow your lead and adapt to your personal style and needs and together, create a safe and nurturing environment. Hablo nativo Español al 100% y me encantaria servirte!
(651) 439-2059 View (651) 439-2059
Geraldine Rockett Ph.D., LP PLLC
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55104  (Online Only)
Not accepting new clients
I help people relieve anxiety and weather difficult transitions with grace. My clients are generally emotionally healthy but have gotten stuck. Whether you’re newly retired, newly parenting, newly married, newly returned to graduate school, or newly graduated from college, the common denominator holds true: transitions are hard. Transitions can leave everyone - even the strongest people - feeling a little lost. As a licensed psychologist with over 40 years experience providing therapy to clients as well as training to doctoral level psychologists, I feel confident that our work together will help you get your life back on track.
I help people relieve anxiety and weather difficult transitions with grace. My clients are generally emotionally healthy but have gotten stuck. Whether you’re newly retired, newly parenting, newly married, newly returned to graduate school, or newly graduated from college, the common denominator holds true: transitions are hard. Transitions can leave everyone - even the strongest people - feeling a little lost. As a licensed psychologist with over 40 years experience providing therapy to clients as well as training to doctoral level psychologists, I feel confident that our work together will help you get your life back on track.
(845) 713-8300 View (845) 713-8300
Photo of Elise 지애 (Gi-Ae) Gooi, Clinical Social Work/Therapist in Saint Paul, MN
Elise 지애 (Gi-Ae) Gooi
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Saint Paul, MN 55105
Waitlist for new clients
I am a second generation Korean-American born and raised on the unceded ancestral lands of the Dxʷdəwʔabš (Duwamish Tribe) and now live as a guest upon Mni Sóta Maḳoce, Dakota homeland. My relational approach is built upon 15+ years working with and alongside individuals, families and communities to nurture growth as an educator, coach, trainer and leader. Becoming a parent in 2014 both broke and broke me open, ushering intergenerational healing and cultural reclamation that continues today. A lifelong learner, I continue to journey along a path towards “Becoming a Good Ancestor” (credit: Layla Saad).
I am a second generation Korean-American born and raised on the unceded ancestral lands of the Dxʷdəwʔabš (Duwamish Tribe) and now live as a guest upon Mni Sóta Maḳoce, Dakota homeland. My relational approach is built upon 15+ years working with and alongside individuals, families and communities to nurture growth as an educator, coach, trainer and leader. Becoming a parent in 2014 both broke and broke me open, ushering intergenerational healing and cultural reclamation that continues today. A lifelong learner, I continue to journey along a path towards “Becoming a Good Ancestor” (credit: Layla Saad).
(651) 565-6262 View (651) 565-6262
Photo of Jessica Jacovitch, Counselor in Saint Paul, MN
Jessica Jacovitch
Counselor, MS, LPCC, RYT, SEP
Verified Verified
1 Endorsed
Saint Paul, MN 55105
Waitlist for new clients
Life gets hard, messy, and overwhelming which can lead us to feel like we’re not good enough. We get stuck in the stories of our inner critic and everything just feels harder. We turn to disconnection, numbing out, or over-working to get by. Somewhere along the way, we might even lose connection with our self and the people who matter to us. It can be difficult to understand why we’re feeling this way and what our needs are.
Life gets hard, messy, and overwhelming which can lead us to feel like we’re not good enough. We get stuck in the stories of our inner critic and everything just feels harder. We turn to disconnection, numbing out, or over-working to get by. Somewhere along the way, we might even lose connection with our self and the people who matter to us. It can be difficult to understand why we’re feeling this way and what our needs are.
(612) 445-4056 View (612) 445-4056
Photo of Susan Taylor Johnson, Clinical Social Work/Therapist in Saint Paul, MN
Susan Taylor Johnson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55119
Not accepting new clients
For those seeking support a therapist is a helper through difficult times, aiding you in healing past and current experiences, building ways to regulate emotions that may have become overwhelming. Building lifelong skills and strategies is a learning experience which compliments the work of therapy. My experience spans therapy and counseling in clinic, hospital, and school settings with Clients ranging in ages from 4 years old to 65 years old.
For those seeking support a therapist is a helper through difficult times, aiding you in healing past and current experiences, building ways to regulate emotions that may have become overwhelming. Building lifelong skills and strategies is a learning experience which compliments the work of therapy. My experience spans therapy and counseling in clinic, hospital, and school settings with Clients ranging in ages from 4 years old to 65 years old.
(651) 314-7598 View (651) 314-7598
Photo of Brian C. Post, Psychologist in Saint Paul, MN
Brian C. Post
Psychologist, PhD, LP, CGP
Verified Verified
6 Endorsed
Saint Paul, MN 55114
On the outside you look like you've got it completely together, but inside you're struggling. Perhaps you are self-critical, disconnected from others, or stuck in a job that is not the right fit. Or maybe you are enduring a painful dynamic in your relationship with your romantic partner, parent, child, friend, or co-worker. If any of these resonate, self-exploration can help you discover the root cause of your shame, loneliness, disconnection, existential angst, and stagnation. With help, you can cultivate a kinder relationship with yourself, deeper connections with others, and a more meaningful life at work and beyond.
On the outside you look like you've got it completely together, but inside you're struggling. Perhaps you are self-critical, disconnected from others, or stuck in a job that is not the right fit. Or maybe you are enduring a painful dynamic in your relationship with your romantic partner, parent, child, friend, or co-worker. If any of these resonate, self-exploration can help you discover the root cause of your shame, loneliness, disconnection, existential angst, and stagnation. With help, you can cultivate a kinder relationship with yourself, deeper connections with others, and a more meaningful life at work and beyond.
(651) 538-1960 View (651) 538-1960
Photo of Rebecca Blackwell, Pre-Licensed Professional in Saint Paul, MN
Rebecca Blackwell
Pre-Licensed Professional, MPS, LADC
Verified Verified
1 Endorsed
Saint Paul, MN 55114
Waitlist for new clients
Welcome - I am so glad you're here. Sometimes the reason for seeking therapy is clear: there has been a life transition, loss, or recent trauma. Perhaps you've been feeling stuck for a while, unable to escape from ingrained patterns of perfectionism, people-pleasing, or substance use. Like many in this changing world, you may feel overwhelmed by the realities of climate change, economic stress, or global unrest. Wherever you are, there is hope for lasting, meaningful change. My goal is to provide warm, nonjudgmental support as we “get under the hood” and address the issues that are holding you back. Let's dive deep together.
Welcome - I am so glad you're here. Sometimes the reason for seeking therapy is clear: there has been a life transition, loss, or recent trauma. Perhaps you've been feeling stuck for a while, unable to escape from ingrained patterns of perfectionism, people-pleasing, or substance use. Like many in this changing world, you may feel overwhelmed by the realities of climate change, economic stress, or global unrest. Wherever you are, there is hope for lasting, meaningful change. My goal is to provide warm, nonjudgmental support as we “get under the hood” and address the issues that are holding you back. Let's dive deep together.
(651) 615-9006 View (651) 615-9006
Photo of Katie Sweet, Pre-Licensed Professional in Saint Paul, MN
Katie Sweet
Pre-Licensed Professional
Verified Verified
Saint Paul, MN 55114
I understand that choosing a therapist can be difficult. We are all unique, which means individual needs and concerns are personal and can be complex. I provide a safe and collaborative environment to find the path that is best tailored for you. Together we can move you towards your goals, while gaining valuable skills to help you succeed in life.
I understand that choosing a therapist can be difficult. We are all unique, which means individual needs and concerns are personal and can be complex. I provide a safe and collaborative environment to find the path that is best tailored for you. Together we can move you towards your goals, while gaining valuable skills to help you succeed in life.
(651) 376-3704 x174 View (651) 376-3704 x174
Photo of Brownell Fransen Hilger, Clinical Social Work/Therapist in Saint Paul, MN
Brownell Fransen Hilger
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Saint Paul, MN 55104  (Online Only)
TELEHEALTH provider only currently. People choose to go to therapy for a variety of reasons. Choosing a therapist can be intimidating and difficult. Being able to trust someone with your secrets is key to developing a good therapeutic relationship. I believe that everyone is able to change if they are willing to do the work. I provide a caring, supportive and empowering environment in which to work on the healing process. I approach life from a strengths based perspective and believe in assuming positive intentions.
TELEHEALTH provider only currently. People choose to go to therapy for a variety of reasons. Choosing a therapist can be intimidating and difficult. Being able to trust someone with your secrets is key to developing a good therapeutic relationship. I believe that everyone is able to change if they are willing to do the work. I provide a caring, supportive and empowering environment in which to work on the healing process. I approach life from a strengths based perspective and believe in assuming positive intentions.
(612) 255-4536 View (612) 255-4536
Photo of Take Flight Counseling Services LLC, Counselor in Saint Paul, MN
Take Flight Counseling Services LLC
Counselor, MS, LPCC
Verified Verified
Saint Paul, MN 55104
At Take Flight Counseling Services, we enjoy working with clients in the area of trauma, PTD, depression, anxiety, emotional and relationship issues. We work with adults and adolescence clients from diverse backgrounds. Personal experiences have helped us to understand how essential it is to work with all our clients from their frame of reference and to actively listen to each client's needs in the theraputic relationship.
At Take Flight Counseling Services, we enjoy working with clients in the area of trauma, PTD, depression, anxiety, emotional and relationship issues. We work with adults and adolescence clients from diverse backgrounds. Personal experiences have helped us to understand how essential it is to work with all our clients from their frame of reference and to actively listen to each client's needs in the theraputic relationship.
(612) 260-4750 View (612) 260-4750
Kimberly Endres
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55102
Are you struggling? Do you go through life on auto-pilot, feel disconnected or often find yourself judging? Do you engage in self-injury or have suicide thoughts? Are you lonely? Are your relationships challenging? Difficult to maintain? Full of conflict? Are you able to effectively manage your emotions or do they have control of you? Do you act impulsively, act without thinking and have a difficult time tolerating change and distress? If you answered yes to any of these, Mindfulness and Dialectical Behavior Therapy (DBT) can help!
Are you struggling? Do you go through life on auto-pilot, feel disconnected or often find yourself judging? Do you engage in self-injury or have suicide thoughts? Are you lonely? Are your relationships challenging? Difficult to maintain? Full of conflict? Are you able to effectively manage your emotions or do they have control of you? Do you act impulsively, act without thinking and have a difficult time tolerating change and distress? If you answered yes to any of these, Mindfulness and Dialectical Behavior Therapy (DBT) can help!
(651) 615-7488 View (651) 615-7488
Photo of Restorative Diagnostics, Clinical Social Work/Therapist in Saint Paul, MN
Restorative Diagnostics
Clinical Social Work/Therapist, LICSW
Verified Verified
Saint Paul, MN 55101
— Immediate Openings— Restorative Diagnostics provides comprehensive autism evaluations and diagnosis. Evaluations consist of a full spectrum of assessments and interviews with you and your family, as well as an assessment of social, emotional, and behavioral concerns.
— Immediate Openings— Restorative Diagnostics provides comprehensive autism evaluations and diagnosis. Evaluations consist of a full spectrum of assessments and interviews with you and your family, as well as an assessment of social, emotional, and behavioral concerns.
(651) 390-1762 View (651) 390-1762
Photo of Jennifer L Stewart, Clinical Social Work/Therapist in Saint Paul, MN
Jennifer L Stewart
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55116
Not accepting new clients
I provide individual and couples psychotherapy for adults through a grounded, warm, person-centered approach. I am skilled at working with a range of issues ranging from depression, anxiety, OCD, trauma, mood disorders, grief, spirituality, relationship struggles and self-esteem issues. I help to process complex issues through a strength-based psychodynamic approach, bringing practical skills/tools along the way to help navigate day to day challenges through modalities of CBT, DBT, Mindfulness and ACT.
I provide individual and couples psychotherapy for adults through a grounded, warm, person-centered approach. I am skilled at working with a range of issues ranging from depression, anxiety, OCD, trauma, mood disorders, grief, spirituality, relationship struggles and self-esteem issues. I help to process complex issues through a strength-based psychodynamic approach, bringing practical skills/tools along the way to help navigate day to day challenges through modalities of CBT, DBT, Mindfulness and ACT.
(612) 260-1703 View (612) 260-1703
Photo of Sarah Johnston, Clinical Social Work/Therapist in Saint Paul, MN
Sarah Johnston
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55104
I love working with clients who are interested in developing a therapeutic relationship to improve their mental health symptoms. Clients who are insightful and reflective, but are also really wanting to feel better. There is so much that can be done to improve symptoms related to trauma, anxiety, and depression.
I love working with clients who are interested in developing a therapeutic relationship to improve their mental health symptoms. Clients who are insightful and reflective, but are also really wanting to feel better. There is so much that can be done to improve symptoms related to trauma, anxiety, and depression.
(612) 284-0532 View (612) 284-0532
Photo of Karen Jeffords-Brown, Psychologist in Saint Paul, MN
Karen Jeffords-Brown
Psychologist, MA, LP
Verified Verified
Saint Paul, MN 55105  (Online Only)
People come into therapy because they want something to change in their lives--how they feel, how they relate to others, how they handle stress. I enjoy working with people who want to commit to working in therapy; who have the courage to face the important issues; who want to work collaboratively with me to find the solutions to feeling better. I consider myself a guide and coach in this process as we get to know each other. It gives me great joy to watch my clients grow, change and start to enjoy life again.
People come into therapy because they want something to change in their lives--how they feel, how they relate to others, how they handle stress. I enjoy working with people who want to commit to working in therapy; who have the courage to face the important issues; who want to work collaboratively with me to find the solutions to feeling better. I consider myself a guide and coach in this process as we get to know each other. It gives me great joy to watch my clients grow, change and start to enjoy life again.
(612) 840-4138 View (612) 840-4138
Photo of Pamela Reed, Counselor in Saint Paul, MN
Pamela Reed
Counselor, MA, LPCC, CCTP
Verified Verified
Saint Paul, MN 55105
I believe that genuine presence, authentic connection, and a welcoming sense of curiosity, inspires each client to recover and overcome. I hold genuine and positive regard for my clients which enables me to encourage and support them as they come to understand the origins of their challenges and how to meet and transform them. I counsel individuals (ages 17 and up). My practice focuses on transitions, trauma, anxiety, depression, grief, loss, spirituality and meaning and highly sensitive persons (HSPs). My commitment is to discover the strengths and gifts of each client so they may discover their true self.
I believe that genuine presence, authentic connection, and a welcoming sense of curiosity, inspires each client to recover and overcome. I hold genuine and positive regard for my clients which enables me to encourage and support them as they come to understand the origins of their challenges and how to meet and transform them. I counsel individuals (ages 17 and up). My practice focuses on transitions, trauma, anxiety, depression, grief, loss, spirituality and meaning and highly sensitive persons (HSPs). My commitment is to discover the strengths and gifts of each client so they may discover their true self.
(612) 261-1720 View (612) 261-1720
Photo of Lindsay Gades, Counselor in Saint Paul, MN
Lindsay Gades
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Saint Paul, MN 55105
We can feel a lot of pressure to succeed or look a certain way. Sometimes we just don't feel good enough or that we have to do things "perfectly" to be accepted. We might even think, "when will I finally get there?", "why can't I just get over this?", or "I feel like there is something wrong with me." Together, we will work to help you to heal your relationship with yourself and overcome your struggles; whether they are anxiety, depression, feelings of inadequacy, or challenges with food and/or exercise.
We can feel a lot of pressure to succeed or look a certain way. Sometimes we just don't feel good enough or that we have to do things "perfectly" to be accepted. We might even think, "when will I finally get there?", "why can't I just get over this?", or "I feel like there is something wrong with me." Together, we will work to help you to heal your relationship with yourself and overcome your struggles; whether they are anxiety, depression, feelings of inadequacy, or challenges with food and/or exercise.
(651) 376-2944 View (651) 376-2944
Photo of Emily J. Stripling, Marriage & Family Therapist in Saint Paul, MN
Emily J. Stripling
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Paul, MN 55108
I like to meet my clients “where they’re at”, meaning I’ll start wherever you need to. It is sacred to me that I provide a therapeutic setting where it is safe for you to be vulnerable and real- with no judgement or criticism. Within this safe space, we'll work together to find some clarity with your struggles or brokeness. "Courage is not having the strength to go on, it is going on when you don't have the strength". -Eleanor Roosevelt
I like to meet my clients “where they’re at”, meaning I’ll start wherever you need to. It is sacred to me that I provide a therapeutic setting where it is safe for you to be vulnerable and real- with no judgement or criticism. Within this safe space, we'll work together to find some clarity with your struggles or brokeness. "Courage is not having the strength to go on, it is going on when you don't have the strength". -Eleanor Roosevelt
(651) 412-1765 x812 View (651) 412-1765 x812
Photo of Brigit Wingert, Clinical Social Work/Therapist in Saint Paul, MN
Brigit Wingert
Clinical Social Work/Therapist, LICSW
Verified Verified
Saint Paul, MN 55116
Brigit Wingert is a Licensed Independent Clinical Social Worker in Minnesota who has been practicing since 2018. She has a Master's of Social Work from University of Saint Thomas/Saint Catherine's University. Over the past decade, Brigit has completed internships working with kids developing emotional regulation and social skills in the Minneapolis public school system, ran court appointment anger management groups for adult males, and provided therapeutic support for children and families dealing with complex trauma and abuse.
Brigit Wingert is a Licensed Independent Clinical Social Worker in Minnesota who has been practicing since 2018. She has a Master's of Social Work from University of Saint Thomas/Saint Catherine's University. Over the past decade, Brigit has completed internships working with kids developing emotional regulation and social skills in the Minneapolis public school system, ran court appointment anger management groups for adult males, and provided therapeutic support for children and families dealing with complex trauma and abuse.
(612) 429-5492 View (612) 429-5492
Photo of Lisa Cowley, Psychologist in Saint Paul, MN
Lisa Cowley
Psychologist, PsyD, LP
Verified Verified
Saint Paul, MN 55114
Schizophrenia and schizoaffective disorders are my area of specialty. I offer one-on-one therapy, family therapy, parenting therapy, and a group therapy called Living with Schizophrenia. The social services many clients benefit from (social workers, psychiatrists, etc.) are often difficult to find, and I collaborate with families, psychiatrists, nurses, social workers, and others to help you figure out what you need and how to get it. I also provide support for the emotional costs of the illness and help clients learn skills to manage their symptoms. Sessions are usually fully covered by insurance.
Schizophrenia and schizoaffective disorders are my area of specialty. I offer one-on-one therapy, family therapy, parenting therapy, and a group therapy called Living with Schizophrenia. The social services many clients benefit from (social workers, psychiatrists, etc.) are often difficult to find, and I collaborate with families, psychiatrists, nurses, social workers, and others to help you figure out what you need and how to get it. I also provide support for the emotional costs of the illness and help clients learn skills to manage their symptoms. Sessions are usually fully covered by insurance.
(651) 448-4129 View (651) 448-4129

How does your Therapist compare?

Number of Therapists in Saint Paul, MN

1,000+

Average cost per session

$170

Therapists in Saint Paul, MN who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
76% Self Esteem
75% Trauma and PTSD
68% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
72% UCare
68% HealthPartners of MN and WI

How Therapists in Saint Paul, MN see their clients

74% In Person and Online
26% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Paul?

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.