Therapists in Grand Rapids, MI
Ashley K. Castro
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
3 Endorsed
Grand Rapids, MI 49525
Waitlist for new clients
Are you struggling with anxiety or feeling depressed? Are family or life difficulties leaving you stressed? Are you feeling burned out? Have you experienced trauma? I believe we all need a supportive space to be open without judgement as we talk through our thoughts and feelings and process stress. I'd love to help support you with these or other concerns such as relationship issues, job stresses and faith related difficulties. Working together we will work toward peace and personal growth for a more vibrant life through mental wellness, stress management and healthy boundaries. Request an appointment at www.ashleycastrolmsw.com
Are you struggling with anxiety or feeling depressed? Are family or life difficulties leaving you stressed? Are you feeling burned out? Have you experienced trauma? I believe we all need a supportive space to be open without judgement as we talk through our thoughts and feelings and process stress. I'd love to help support you with these or other concerns such as relationship issues, job stresses and faith related difficulties. Working together we will work toward peace and personal growth for a more vibrant life through mental wellness, stress management and healthy boundaries. Request an appointment at www.ashleycastrolmsw.com
Rachel Schelhaas
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Grand Rapids, MI 49503
Our lives can be chaotic and we all need support to make sense of the chaos. Challenges in life can be opportunities for growth, and that growth is tough work to do alone. Whether that chaos manifests itself in a battle with depression or anxiety, challenges in a relationship, or navigating life following a transition, loss, or diagnoses, hope and healing are possible.
Our lives can be chaotic and we all need support to make sense of the chaos. Challenges in life can be opportunities for growth, and that growth is tough work to do alone. Whether that chaos manifests itself in a battle with depression or anxiety, challenges in a relationship, or navigating life following a transition, loss, or diagnoses, hope and healing are possible.
Araceli Warners
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Grand Rapids, MI 49546
I strive to create a compassionate and safe environment in which clients can share their concerns openly and feel heard. My role in working with individuals is to meet them where they're at and support them amidst any challenges or difficulties life will present. I value the experience, background, and complexity of each individual who steps into the counseling room and I understand that each individual’s lived experience is unique, and this experience provides powerful tools and perspectives in the counseling process. As a therapist, my primary goal is to walk alongside my clients as they heal, grow, and thrive.
I strive to create a compassionate and safe environment in which clients can share their concerns openly and feel heard. My role in working with individuals is to meet them where they're at and support them amidst any challenges or difficulties life will present. I value the experience, background, and complexity of each individual who steps into the counseling room and I understand that each individual’s lived experience is unique, and this experience provides powerful tools and perspectives in the counseling process. As a therapist, my primary goal is to walk alongside my clients as they heal, grow, and thrive.
Cortney Rae Duffner
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
My passion is working with the Early Childhood population and focusing on this crucial developmental period with early intervention strategies. In addition, I enjoy providing support during transitional times in life including the journey of parenthood and postpartum support. I have experience in autism spectrum disorders, anxiety/depression, self-esteem, ADHD/executive functioning skills, parenting skills and navigating relationships.
My passion is working with the Early Childhood population and focusing on this crucial developmental period with early intervention strategies. In addition, I enjoy providing support during transitional times in life including the journey of parenthood and postpartum support. I have experience in autism spectrum disorders, anxiety/depression, self-esteem, ADHD/executive functioning skills, parenting skills and navigating relationships.
Regina Renee Bass
Counselor, MA, LLPC
Not Verified Not Verified
Grand Rapids, MI 49508
Each client is unique in their own way. Most clients who have endured trauma, grief, anxiety and PTSD are my ideal clients. Their issues stem from abandonment, neglect, social/emotional/psychological and sexual abuse. Clients ultimately need validation to feel secure and have the ability to trust others and have the ability to discuss their wants, needs and desires.
Each client is unique in their own way. Most clients who have endured trauma, grief, anxiety and PTSD are my ideal clients. Their issues stem from abandonment, neglect, social/emotional/psychological and sexual abuse. Clients ultimately need validation to feel secure and have the ability to trust others and have the ability to discuss their wants, needs and desires.
Jenae Hershberger
Clinical Social Work/Therapist, LCSW, LMSW-C
Verified Verified
Grand Rapids, MI 49507 (Online Only)
Ever feel like you're carrying the world on your shoulders, thinking you have to handle everything alone, only to feel suffocated by it all? It's a common struggle, believe me. But here's the scoop: counseling isn't about getting a to-do list or being labeled "weak" for reaching out. It's about finding a cozy spot to unpack what's on your mind and in your heart. It's a sanctuary where you can just be you, no judgments or expectations. So, if you're feeling overwhelmed, know this: seeking help is a brave move towards healing. You're not alone in this journey.
Ever feel like you're carrying the world on your shoulders, thinking you have to handle everything alone, only to feel suffocated by it all? It's a common struggle, believe me. But here's the scoop: counseling isn't about getting a to-do list or being labeled "weak" for reaching out. It's about finding a cozy spot to unpack what's on your mind and in your heart. It's a sanctuary where you can just be you, no judgments or expectations. So, if you're feeling overwhelmed, know this: seeking help is a brave move towards healing. You're not alone in this journey.
Sharon Depcinski Certified Sex Therapist
Clinical Social Work/Therapist, LMSW, CST
Verified Verified
5 Endorsed
Grand Rapids, MI 49544
Not accepting new clients
Sharon has been a licensed clinical social worker for 24 years. She has a Bachelor’s Degree in Psychology and Family Life/Human Sexuality from Central Michigan University and a Master’s Degree in Clinical Social Work from Michigan State University. She completed a supervised clinical training program at the Loyola University Outpatient Sexual Dysfunction Clinic, holds a certificate in Sex Therapy from the University of Michigan and is an AASECT certified sex therapist (The American Association of Sexuality Educators, Counselors & Therapists), which includes over 200 hours of post-graduate education and consultation.
Sharon has been a licensed clinical social worker for 24 years. She has a Bachelor’s Degree in Psychology and Family Life/Human Sexuality from Central Michigan University and a Master’s Degree in Clinical Social Work from Michigan State University. She completed a supervised clinical training program at the Loyola University Outpatient Sexual Dysfunction Clinic, holds a certificate in Sex Therapy from the University of Michigan and is an AASECT certified sex therapist (The American Association of Sexuality Educators, Counselors & Therapists), which includes over 200 hours of post-graduate education and consultation.
Julie Buttelwerth
Clinical Social Work/Therapist, MSSA, LLMSW-C
Not Verified Not Verified
Grand Rapids, MI 49503
Not accepting new clients
"Shame dies when stories are told in safe places." This quote, beautifully stated by Ann Voskamp, couldn't be more true. I believe in creating a safe & trusting environment for my clients to ensure every individual's unique experiences can be shared in a space designed to engender comfort, acceptance, & respect. As a Licensed Clinical Social Worker, I have extensive training & experience working with those who have traumas in their life & are struggling to move forward. Whether dealing with past trauma, the stressors of life, grief, or challenging relationships, I am here to listen, & I am here to help.
"Shame dies when stories are told in safe places." This quote, beautifully stated by Ann Voskamp, couldn't be more true. I believe in creating a safe & trusting environment for my clients to ensure every individual's unique experiences can be shared in a space designed to engender comfort, acceptance, & respect. As a Licensed Clinical Social Worker, I have extensive training & experience working with those who have traumas in their life & are struggling to move forward. Whether dealing with past trauma, the stressors of life, grief, or challenging relationships, I am here to listen, & I am here to help.
Nicholas J Comai
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49506 (Online Only)
I began my journey into the helping profession by directly reaching out to individuals experiencing chronic homelessness in the streets, camps, and surrounding areas of Grand Traverse County as a member of a local Street Outreach team. I continued by earning both bachelor and master degrees in clinical social work from Ferris State University, while gathering diverse experience in a range of settings and roles in the Kent County area; including community living supports, family case management, inpatient psychiatric hospitalization, crisis residential, home-based family therapy, outpatient individual therapy, and private practice.
I began my journey into the helping profession by directly reaching out to individuals experiencing chronic homelessness in the streets, camps, and surrounding areas of Grand Traverse County as a member of a local Street Outreach team. I continued by earning both bachelor and master degrees in clinical social work from Ferris State University, while gathering diverse experience in a range of settings and roles in the Kent County area; including community living supports, family case management, inpatient psychiatric hospitalization, crisis residential, home-based family therapy, outpatient individual therapy, and private practice.
Bradley Rudolph
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Grand Rapids, MI 49546
Brad Rudolph is a Licensed Clinical Social Worker (LCSW) with over 3 years of experience working in a variety of roles to gain a more broad understanding of social issues impacting communities and individuals. Brad is passionate about helping people of all ages (11-100+), races, sexualities, and genders. He specializes in helping others process and cope with depression, anxiety, trauma, grief, anger management, addiction, and major life transitions. Brad completed his Master of Social Work (MSW) at Grand Valley State University of Michigan.
Brad Rudolph is a Licensed Clinical Social Worker (LCSW) with over 3 years of experience working in a variety of roles to gain a more broad understanding of social issues impacting communities and individuals. Brad is passionate about helping people of all ages (11-100+), races, sexualities, and genders. He specializes in helping others process and cope with depression, anxiety, trauma, grief, anger management, addiction, and major life transitions. Brad completed his Master of Social Work (MSW) at Grand Valley State University of Michigan.
Erin Cullum
Counselor, MA, LPC
Verified Verified
Grand Rapids, MI 49506
I approach therapy with a sense of curiosity and mindful intention. I honor the sacredness of the client-therapist relationship and invite you to explore your feelings in a safe, judgement-free environment. I believe therapy provides the ultimate venue for self- care and personal growth. I am passionate about utilizing creative techniques as a tool to healing and empowerment. I look forward to walking with you wherever you may be in your journey, encouraging you to listen to your inner wisdom, and working together to build the strengths and skills to live your best life.
I approach therapy with a sense of curiosity and mindful intention. I honor the sacredness of the client-therapist relationship and invite you to explore your feelings in a safe, judgement-free environment. I believe therapy provides the ultimate venue for self- care and personal growth. I am passionate about utilizing creative techniques as a tool to healing and empowerment. I look forward to walking with you wherever you may be in your journey, encouraging you to listen to your inner wisdom, and working together to build the strengths and skills to live your best life.
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Elif Piromari
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49546 (Online Only)
As a daughter of immigrants, I am familiar with the struggles of feeling like an outsider, facing ongoing acculturation, as well as the stress and anxiety that comes with resettlement and starting over. I strive to normalize therapy and make it accessible to anyone struggling with their cultural or personal identity, including the immigrant community and anyone seeking therapy for the first time. Allowing yourself to be vulnerable with someone new is often one of the most challenging aspects of starting therapy. There is a stigma associated with seeking professional help for mental health in many communities.
As a daughter of immigrants, I am familiar with the struggles of feeling like an outsider, facing ongoing acculturation, as well as the stress and anxiety that comes with resettlement and starting over. I strive to normalize therapy and make it accessible to anyone struggling with their cultural or personal identity, including the immigrant community and anyone seeking therapy for the first time. Allowing yourself to be vulnerable with someone new is often one of the most challenging aspects of starting therapy. There is a stigma associated with seeking professional help for mental health in many communities.
Bradley Redeker
Clinical Social Work/Therapist, LMSW, MDiv
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
Current Waitlist. Are you going through a significant life event or change? Or are you ready to work through past distressing memories or traumatic events? Embarking on the therapeutic journey takes courage, as well as finding the right therapist. I specialize in helping those going through significant life events and discernment, individuals who experience depression, anxiety, grief, PTSD, as well as those who identify as LGBTQIA. So many presenting symptoms are actually trauma-related, and that is where healing can start.
Current Waitlist. Are you going through a significant life event or change? Or are you ready to work through past distressing memories or traumatic events? Embarking on the therapeutic journey takes courage, as well as finding the right therapist. I specialize in helping those going through significant life events and discernment, individuals who experience depression, anxiety, grief, PTSD, as well as those who identify as LGBTQIA. So many presenting symptoms are actually trauma-related, and that is where healing can start.
Meghan Mclain
Psychologist, PsyD, MA
Verified Verified
7 Endorsed
Grand Rapids, MI 49525
Clinical psychologist and owner of Integral Psychological Services. Our multidisciplinary team provides counseling, medication management, psychological evaluations (including ADHD and Autism testing) and occupational therapy. Our clinicians specialize in several therapies that are evidence-based (e.g. cognitive-behavioral therapy, DBT, acceptance and commitment therapy, animal assisted therapy). Occupational Therapy for executive functioning, sensory/reflex integration, work/school based skills and more. Typically booking testing appointments within a few weeks and therapy appointments within a week.
Clinical psychologist and owner of Integral Psychological Services. Our multidisciplinary team provides counseling, medication management, psychological evaluations (including ADHD and Autism testing) and occupational therapy. Our clinicians specialize in several therapies that are evidence-based (e.g. cognitive-behavioral therapy, DBT, acceptance and commitment therapy, animal assisted therapy). Occupational Therapy for executive functioning, sensory/reflex integration, work/school based skills and more. Typically booking testing appointments within a few weeks and therapy appointments within a week.
Madyson Sniecinski
Counselor
Verified Verified
Grand Rapids, MI 49506 (Online Only)
I am interested in working with adults, adolescents, and children ages 8 and up. I believe that no one knows you better than you know yourself. I will try my very best to understand your worldview, values, and beliefs so that we can work together on setting goals and creating effective change throughout the therapy process. I want to empower you to be able to navigate through the ups and downs of life. In order to accomplish that, I am interested in employing a wide range of theories in order to help you reach your goals such as Person-Centered, Strengths Based, Solution Focused, and Cognitive Behavioral Therapy.
I am interested in working with adults, adolescents, and children ages 8 and up. I believe that no one knows you better than you know yourself. I will try my very best to understand your worldview, values, and beliefs so that we can work together on setting goals and creating effective change throughout the therapy process. I want to empower you to be able to navigate through the ups and downs of life. In order to accomplish that, I am interested in employing a wide range of theories in order to help you reach your goals such as Person-Centered, Strengths Based, Solution Focused, and Cognitive Behavioral Therapy.
Cindy L Kimball
Clinical Social Work/Therapist, LMSW, ACSW, ACHP-SW
Verified Verified
Grand Rapids, MI 49544
For over 30 years I have worked in West Michigan providing counseling, therapy, direction and supervision to adults and children. Each person's situation is unique and therefore requires a unique approach. In my counseling practice I emphasize building a trusting, safe, nonjudgmental and honest relationship with clients. Together we will identify issues, learn to understand them and find solutions to life's difficulties. I specialize in assisting individuals who are experiencing painful situations and need help managing life's most difficult events including depression, anxiety, loss, phobias, trauma, and chronic illness.
For over 30 years I have worked in West Michigan providing counseling, therapy, direction and supervision to adults and children. Each person's situation is unique and therefore requires a unique approach. In my counseling practice I emphasize building a trusting, safe, nonjudgmental and honest relationship with clients. Together we will identify issues, learn to understand them and find solutions to life's difficulties. I specialize in assisting individuals who are experiencing painful situations and need help managing life's most difficult events including depression, anxiety, loss, phobias, trauma, and chronic illness.
Michelle Muenzenmeyer
Limited Licensed Psychologist, MA, LLP, CMHC
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
Do you find yourself setting the same goals without achieving them? In the pain and suffering, there is opportunity for growth and change. You've taken a step forward by looking into treatment, congratulations! I offer a trusting and compassionate approach to allow my clients to feel vulnerable with their struggles. I have worked with clients who have suffered with depression, grief, relationship issues, anxiety, life stage changes, obesity, binge eating and more. At the end of treatment, some clients report feeling more resilient with painful emotions which leads to healthier relationships and a more fulfilling life.
Do you find yourself setting the same goals without achieving them? In the pain and suffering, there is opportunity for growth and change. You've taken a step forward by looking into treatment, congratulations! I offer a trusting and compassionate approach to allow my clients to feel vulnerable with their struggles. I have worked with clients who have suffered with depression, grief, relationship issues, anxiety, life stage changes, obesity, binge eating and more. At the end of treatment, some clients report feeling more resilient with painful emotions which leads to healthier relationships and a more fulfilling life.
Breanne Roberts
Clinical Social Work/Therapist, LMSW, CBIS
Verified Verified
Grand Rapids, MI 49503
NEW Patient email: captivebeliefs@gmail.com with availability, needs, and insurance plan. I believe that everyone deserves the support they need to release emotions and regain control. My specialities include anxiety, depression, and relationships. I have over 10 years of experience assessing mood, personalities, and family systems. My approach guides clients in managing areas of need such as life changes, emotional regulation, and family/social stressors. While I maintain the utmost professionalism in my practice, I offer a compassionate and approachable style.
NEW Patient email: captivebeliefs@gmail.com with availability, needs, and insurance plan. I believe that everyone deserves the support they need to release emotions and regain control. My specialities include anxiety, depression, and relationships. I have over 10 years of experience assessing mood, personalities, and family systems. My approach guides clients in managing areas of need such as life changes, emotional regulation, and family/social stressors. While I maintain the utmost professionalism in my practice, I offer a compassionate and approachable style.
Mariah Masell
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49503 (Online Only)
I am experienced in helping clients with a variety of life challenges including anxiety, depression, ADHD, gender identity, trauma, grief, and anger management. I specialize in working with young adults in the LGBTQIA community, neurodivergent individuals, health care workers, and veterans. In addition, I have training in veterinary social work, which includes working with veterinarians and animal rescue workers, as well as addressing issues surrounding pet loss and grief.
I am experienced in helping clients with a variety of life challenges including anxiety, depression, ADHD, gender identity, trauma, grief, and anger management. I specialize in working with young adults in the LGBTQIA community, neurodivergent individuals, health care workers, and veterans. In addition, I have training in veterinary social work, which includes working with veterinarians and animal rescue workers, as well as addressing issues surrounding pet loss and grief.
Life Support LLC
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
Miguel has had diverse and well-rounded experiences throughout his career including an working with at risk youth through a juvenile court setting, work within a juvenile detention center that housed adolescents struggling with mental illness. Miguel has been in the therapeutic field since 2004, having 15 years of experience in group and individual therapy assisting those in need of developing coping skills for various life stressors (depression, anger, relationship issues, etc.). Miguel is also experienced in working with relationship difficulties including issues around pornogorphy.
Miguel has had diverse and well-rounded experiences throughout his career including an working with at risk youth through a juvenile court setting, work within a juvenile detention center that housed adolescents struggling with mental illness. Miguel has been in the therapeutic field since 2004, having 15 years of experience in group and individual therapy assisting those in need of developing coping skills for various life stressors (depression, anger, relationship issues, etc.). Miguel is also experienced in working with relationship difficulties including issues around pornogorphy.
See more therapy options for Grand Rapids
Nearby Searches for Grand Rapids
- Ada
- Belmont
- Byron Center
- Caledonia
- Cascade
- Comstock Park
- East Grand Rapids
- Grandville
- Jenison
- Kentwood
- Walker
- Wyoming
How does your Therapist compare?
Number of Therapists in Grand Rapids, MI
1,000+
Average cost per session
$150
Therapists in Grand Rapids, MI who prioritize treating:
92% | Anxiety |
89% | Depression |
77% | Self Esteem |
76% | Relationship Issues |
72% | Trauma and PTSD |
71% | Coping Skills |
70% | Stress |
Average years in practice
10 Years
Top 3 insurances accepted
95% | BlueCross and BlueShield |
69% | Priority Health |
63% | Aetna |
How Therapists in Grand Rapids, MI see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Grand Rapids?
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
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.
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.
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.