Therapists in Henry County, TN

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Photo of Dr. Pamela Schumaker, EdD, LPCMHSP, Licensed Professional Counselor
Dr. Pamela Schumaker
Licensed Professional Counselor, EdD, LPCMHSP
Verified Verified
1 Endorsed
Online Only
Hi there! I know that therapy can be scary so I am so glad you stopped by! Do you struggle to find the beauty in life or within yourself? Do you struggle to find yourself happy, joyful or just feel stuck? Do you feel as though you are alone and no-one understands? As someone who has struggled with similar situations, I can assure you that you are not alone and that you are an overcomer, just like me! My passion is to help guide those who are hurting and to help them heal while restoring a sense of peace through a compassionate, understanding and a non-judgmental lens.
Hi there! I know that therapy can be scary so I am so glad you stopped by! Do you struggle to find the beauty in life or within yourself? Do you struggle to find yourself happy, joyful or just feel stuck? Do you feel as though you are alone and no-one understands? As someone who has struggled with similar situations, I can assure you that you are not alone and that you are an overcomer, just like me! My passion is to help guide those who are hurting and to help them heal while restoring a sense of peace through a compassionate, understanding and a non-judgmental lens.
(731) 361-8121 View (731) 361-8121
Photo of Andrea M Watson, MS, LMFT, Marriage & Family Therapist
Andrea M Watson
Marriage & Family Therapist, MS, LMFT
Verified Verified
Mansfield, TN 38236
Do you ever feel overwhelmed? Like no one is listening? Not knowing what the next step in life might be? Being a Marriage and family therapist has given me the opportunity to make a difference in many lives. Knowing that there are many hills and valleys in the life we have chosen and sometimes we struggle with day to day events. Working through those hills and valleys can be difficult alone. We all have our own story to tell and I want to hear yours.
Do you ever feel overwhelmed? Like no one is listening? Not knowing what the next step in life might be? Being a Marriage and family therapist has given me the opportunity to make a difference in many lives. Knowing that there are many hills and valleys in the life we have chosen and sometimes we struggle with day to day events. Working through those hills and valleys can be difficult alone. We all have our own story to tell and I want to hear yours.
(951) 438-7774 View (951) 438-7774
Photo of Candace R Eubanks - Renew Counseling, PLLC, LCSW, Clinical Social Work/Therapist
Renew Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Paris, TN 38242
Are you stuck? Tired of white knuckling? Every person has a story. Your story is important. Life shapes who you are through your story but it does not define who you are. You don't have to deal with pain, confusion, adjustment, and transitions in life alone. I can assist you in addressing depression, anxiety, relational issues, adjusting to life changes, family conflict, grief, addiction and many other human experiences. The best therapy outcomes result from treating the entire person: Mind, Body and Spirit.
Are you stuck? Tired of white knuckling? Every person has a story. Your story is important. Life shapes who you are through your story but it does not define who you are. You don't have to deal with pain, confusion, adjustment, and transitions in life alone. I can assist you in addressing depression, anxiety, relational issues, adjusting to life changes, family conflict, grief, addiction and many other human experiences. The best therapy outcomes result from treating the entire person: Mind, Body and Spirit.
(731) 393-4420 View (731) 393-4420
Photo of Erin L Smith, MEd, LPC, Licensed Professional Counselor
Erin L Smith
Licensed Professional Counselor, MEd, LPC
Verified Verified
Online Only
If you are looking for a counselor or life coach with an interactive style that enjoys working with clients to gain insight and acquire skills to improve wellness and make goals attainable, please call me. I look forward to telling you more about the online counseling and coaching services I offer. Please note: I provide online counseling for Texas residents only, and I provide Life-Coaching for both residents and non-residents of Texas.
If you are looking for a counselor or life coach with an interactive style that enjoys working with clients to gain insight and acquire skills to improve wellness and make goals attainable, please call me. I look forward to telling you more about the online counseling and coaching services I offer. Please note: I provide online counseling for Texas residents only, and I provide Life-Coaching for both residents and non-residents of Texas.
(817) 383-2196 View (817) 383-2196
Photo of Adam Currence, LPC, MHSP, Licensed Professional Counselor
Adam Currence
Licensed Professional Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Springville, TN 38256
You're stuck, grieving, feeling lost, confused, struggling in relationships, things aren't going your way, you can't turn your brain off or find the motivation to do the things you know you need to do.....you know life could be so much more but you're not sure how to get there. Life can bring so many different challenges. My work is to bring my years of training, clinical skills, and expert insight into your unique situation so that you can move forward with joy and purpose. Put simply, our work will be to remove barriers, lift burdens, and live well. This is my hope for what Made Well Counseling can do for you.
You're stuck, grieving, feeling lost, confused, struggling in relationships, things aren't going your way, you can't turn your brain off or find the motivation to do the things you know you need to do.....you know life could be so much more but you're not sure how to get there. Life can bring so many different challenges. My work is to bring my years of training, clinical skills, and expert insight into your unique situation so that you can move forward with joy and purpose. Put simply, our work will be to remove barriers, lift burdens, and live well. This is my hope for what Made Well Counseling can do for you.
(731) 257-2993 View (731) 257-2993
Photo of Jessalyn Medlock, LCSW, Clinical Social Work/Therapist
Jessalyn Medlock
Clinical Social Work/Therapist, LCSW
Verified Verified
Paris, TN 38242
I am a clinical social worker specializing in children, families and adults in recovery. I also have extensive experience with clients struggling with anxiety, ADHD, depression and bipolar disorder. My counseling style tends to be laidback and goal-oriented.
I am a clinical social worker specializing in children, families and adults in recovery. I also have extensive experience with clients struggling with anxiety, ADHD, depression and bipolar disorder. My counseling style tends to be laidback and goal-oriented.
(731) 361-8027 View (731) 361-8027
Photo of Meg Fuson, LCSW, Clinical Social Work/Therapist
Meg Fuson
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am a Licensed Clinical Social Worker with 5+ years' experience in the Social Work field. I am passionate about working with adult clients struggling with issues involving anxiety, depression, ADHD, trauma/abuse, life transitions/stressors, grief, and many other emotional and behavioral issues. As a trauma-informed therapist, I provide a safe, non-judgemental space for your healing and personal growth. My role is to equip you with healthier coping skills, increase emotional resilience, and instilling hope for a brighter future.
I am a Licensed Clinical Social Worker with 5+ years' experience in the Social Work field. I am passionate about working with adult clients struggling with issues involving anxiety, depression, ADHD, trauma/abuse, life transitions/stressors, grief, and many other emotional and behavioral issues. As a trauma-informed therapist, I provide a safe, non-judgemental space for your healing and personal growth. My role is to equip you with healthier coping skills, increase emotional resilience, and instilling hope for a brighter future.
(731) 361-8055 View (731) 361-8055

Online Therapists

Photo of Dr. Heather Joppich, PhD, Psychologist
Dr. Heather Joppich
Psychologist, PhD
Verified Verified
1 Endorsed
Nashville, TN 37212
I specialize in neurodiversity-affirming assessments for autism, ADHD and mental health for children and adults. Clients often come to me seeking testing for the first time or as a second opinion after feeling misunderstood by other clinicians. I strive to create a comfortable environment where you feel validated and understood. My goal is to understand more about your unique lived experience and neurodivergence, get you the right diagnosis, and help you get connected with the resources that you need. We offer ADHD coaching too.
I specialize in neurodiversity-affirming assessments for autism, ADHD and mental health for children and adults. Clients often come to me seeking testing for the first time or as a second opinion after feeling misunderstood by other clinicians. I strive to create a comfortable environment where you feel validated and understood. My goal is to understand more about your unique lived experience and neurodivergence, get you the right diagnosis, and help you get connected with the resources that you need. We offer ADHD coaching too.
(615) 632-6752 View (615) 632-6752
Photo of Neva Murray, PhD, HSP, Psychologist
Neva Murray
Psychologist, PhD, HSP
Verified Verified
Nashville, TN 37212
I work with clients to reduce suffering, heal from past experiences, improve relationships, and build emotional strength and resilience. I've trained as a trauma specialist and in trauma-informed therapies. Additionally, I practice as a generalist and have experience working with clients who are struggling anxiety, OCD, depression, LGBTQ+ issues, relationship challenges, major life changes, identity development, religious trauma, and spirituality.
I work with clients to reduce suffering, heal from past experiences, improve relationships, and build emotional strength and resilience. I've trained as a trauma specialist and in trauma-informed therapies. Additionally, I practice as a generalist and have experience working with clients who are struggling anxiety, OCD, depression, LGBTQ+ issues, relationship challenges, major life changes, identity development, religious trauma, and spirituality.
(615) 637-6890 View (615) 637-6890
Photo of Dr. Lyndsay Elliott, PsyD, Psychologist
Dr. Lyndsay Elliott
Psychologist, PsyD
Verified Verified
Franklin, TN 37067
My approach is to actively engage, creating a supportive and collaborative environment that is equally empathic and challenging. By focusing on both past experiences and present circumstances, I seek to access the client's inner strengths in order to overcome difficult situations, make noticeable changes and break unhealthy patterns.
My approach is to actively engage, creating a supportive and collaborative environment that is equally empathic and challenging. By focusing on both past experiences and present circumstances, I seek to access the client's inner strengths in order to overcome difficult situations, make noticeable changes and break unhealthy patterns.
(615) 903-5788 View (615) 903-5788
Photo of Amy Lee Stapleton, LCSW, Clinical Social Work/Therapist
Amy Lee Stapleton
Clinical Social Work/Therapist, LCSW
Verified Verified
Brentwood, TN 37027
Welcome! I am a licensed clinical social worker in the State of Tennessee. Grief and loss, coping with life transitions, anxiety and depression, as well as navigating challenging relationships are just a few of the areas we can work on together. My approach is client-centered and strengths-based. I have experience working with adults living with mood disorders as well as those diagnosed with terminal illness, helping the individual and their loved ones bolster coping, making the most of each day. I have over 15 years experience facilitating support groups for those whose lives have been touched by cancer. Let us begin!
Welcome! I am a licensed clinical social worker in the State of Tennessee. Grief and loss, coping with life transitions, anxiety and depression, as well as navigating challenging relationships are just a few of the areas we can work on together. My approach is client-centered and strengths-based. I have experience working with adults living with mood disorders as well as those diagnosed with terminal illness, helping the individual and their loved ones bolster coping, making the most of each day. I have over 15 years experience facilitating support groups for those whose lives have been touched by cancer. Let us begin!
(629) 300-5623 View (629) 300-5623
Photo of Adam McCravy, Ed S, LPC, MHSP, (TEMP), Licensed Professional Counselor
Adam McCravy
Licensed Professional Counselor, Ed S, LPC, MHSP, (TEMP)
Verified Verified
1 Endorsed
Nashville, TN 37203
As a therapist, my approach to counseling is relational, collaborative, and hopeful. Regardless of the challenge that you are facing, I deeply believe that you already have in you everything you need to overcome it. Nothing is missing. You have what it takes. But sometimes there are obstacles standing in the way. My role as a therapist is to help remove the obstacles so that you can access the inner strength and ability that you already possess. It takes courage to say that something isn't working or that you want more or better from your life. It's my privilege as a therapist to join people as they do just that.
As a therapist, my approach to counseling is relational, collaborative, and hopeful. Regardless of the challenge that you are facing, I deeply believe that you already have in you everything you need to overcome it. Nothing is missing. You have what it takes. But sometimes there are obstacles standing in the way. My role as a therapist is to help remove the obstacles so that you can access the inner strength and ability that you already possess. It takes courage to say that something isn't working or that you want more or better from your life. It's my privilege as a therapist to join people as they do just that.
(615) 219-0837 View (615) 219-0837
Photo of Sharon F. Pensinger, MEd, LPC, MHSP, Licensed Professional Counselor
Sharon F. Pensinger
Licensed Professional Counselor, MEd, LPC, MHSP
Verified Verified
Nashville, TN 37220
“I can't take much more. Something needs to change now." You feel overwhelmed and unfulfilled. You're looking for relief from constant anxiety, panic, numbness, grief, relationship conflict, or self-criticism. It may have been a while since you felt "normal." You're ready to figure out what's wrong. You're ready to heal the parts of yourself that keep you stuck, grow into the person you've always known you could be, and connect with yourself and others in new and fulfilling ways. You feel like a supportive therapist could help.
“I can't take much more. Something needs to change now." You feel overwhelmed and unfulfilled. You're looking for relief from constant anxiety, panic, numbness, grief, relationship conflict, or self-criticism. It may have been a while since you felt "normal." You're ready to figure out what's wrong. You're ready to heal the parts of yourself that keep you stuck, grow into the person you've always known you could be, and connect with yourself and others in new and fulfilling ways. You feel like a supportive therapist could help.
(615) 492-8149 View (615) 492-8149
Photo of Maria Matty, LCSW, LISW, Clinical Social Work/Therapist
Maria Matty
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
3 Endorsed
Online Only
Hi, I’m Maria Matty, LCSW/LISW and I serve clients throughout OH and TN. I believe that you are both the expert on your own experience and your greatest resource for healing. I have a holistic approach in my work with clients, addressing and affirming the whole person and guiding you to reconnect with the inner wisdom and resiliency that exists within you. I will be a good fit for you if you are motivated to take steps towards changing your life, but don’t know where to begin.
Hi, I’m Maria Matty, LCSW/LISW and I serve clients throughout OH and TN. I believe that you are both the expert on your own experience and your greatest resource for healing. I have a holistic approach in my work with clients, addressing and affirming the whole person and guiding you to reconnect with the inner wisdom and resiliency that exists within you. I will be a good fit for you if you are motivated to take steps towards changing your life, but don’t know where to begin.
(419) 597-5450 View (419) 597-5450
Photo of Allison Bassham - Ascend Counseling, PLLC, MMFT, LPC, CTT, CMAT, CSAT, Marriage & Family Therapist
Ascend Counseling, PLLC
Marriage & Family Therapist, MMFT, LPC, CTT, CMAT, CSAT
Verified Verified
1 Endorsed
Nashville, TN 37220
***NOW ACCEPTING NEW CLIENTS*** At Ascend Counseling, PLLC we believe that all people deserve a place to come as they are. As seasoned therapists, we provide a safe, collaborative experience for our clients combining empathy with professional excellence to guide the therapeutic process. Many therapeutic practices simply help you manage your symptoms and/or survive the next crisis. But at Ascend Counseling, PLLC, we believe that therapists should offer more. We will work with you to identify and address the root issues that perpetuate interpersonal problems. With us, you'll get to the bottom of things so that you can move forward!
***NOW ACCEPTING NEW CLIENTS*** At Ascend Counseling, PLLC we believe that all people deserve a place to come as they are. As seasoned therapists, we provide a safe, collaborative experience for our clients combining empathy with professional excellence to guide the therapeutic process. Many therapeutic practices simply help you manage your symptoms and/or survive the next crisis. But at Ascend Counseling, PLLC, we believe that therapists should offer more. We will work with you to identify and address the root issues that perpetuate interpersonal problems. With us, you'll get to the bottom of things so that you can move forward!
(615) 913-5958 View (615) 913-5958
Photo of Sarah Broyles Ledbetter, MS, Licensed Professional Counselor
Sarah Broyles Ledbetter
Licensed Professional Counselor, MS
Verified Verified
2 Endorsed
Nashville, TN 37214
My clients often refer to what I call 'blurry trauma,' early attachment experiences that were less than affirming but so ingrained, the client often doesn't recall outstanding events. They may not even remember much about their childhood at all. That kind of trauma leads to addiction, confusing, disorganized or unfulfilling relationships, and difficulty harnessing the resources needed to navigate change so the client can create their most authentic life and relationships. I use present moment, present location resources such as the client's own strengths, passions, and ability to make creative decisions to facilitate safe change.
My clients often refer to what I call 'blurry trauma,' early attachment experiences that were less than affirming but so ingrained, the client often doesn't recall outstanding events. They may not even remember much about their childhood at all. That kind of trauma leads to addiction, confusing, disorganized or unfulfilling relationships, and difficulty harnessing the resources needed to navigate change so the client can create their most authentic life and relationships. I use present moment, present location resources such as the client's own strengths, passions, and ability to make creative decisions to facilitate safe change.
(615) 471-7631 View (615) 471-7631
Photo of Michele Horne, MS, Pre-Licensed Professional
Michele Horne
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Brentwood, TN 37027
Hi! My name is Michele. I am a master’s level therapist located in White House and Franklin, TN! I specialize in working with both teenagers & adults. I have a particular passion for helping teens navigate the unique challenges of adolescence, and I find great fulfillment in supporting them through this transformative period! I also enjoy working with adults, appreciating the different experiences and complexities that come with this stage of life. A few areas I focus on: life transitions, identity, depression, anxiety, family dynamics, trauma, suicidality, and attachment.
Hi! My name is Michele. I am a master’s level therapist located in White House and Franklin, TN! I specialize in working with both teenagers & adults. I have a particular passion for helping teens navigate the unique challenges of adolescence, and I find great fulfillment in supporting them through this transformative period! I also enjoy working with adults, appreciating the different experiences and complexities that come with this stage of life. A few areas I focus on: life transitions, identity, depression, anxiety, family dynamics, trauma, suicidality, and attachment.
(615) 235-5546 View (615) 235-5546
Photo of Sunni Mullenix, LCSW, Clinical Social Work/Therapist
Sunni Mullenix
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Nashville, TN 37206
I truly believe that each client is the absolute expert on themselves and strive always to create space for clients to feel, be, and show up as their authentic selves. My approach is relational, casual, sex positive, and gender affirming. I take a systems approach to appreciating all the different factors that make up you and your unique experiences in the world. I specialize in complex trauma, and love to work with folks within the LGBTQIA2S+ community, folks struggling to navigate overwhelming emotions, folks struggling with boundary setting, and folks looking to explore and truly find love and compassion for themselves.
I truly believe that each client is the absolute expert on themselves and strive always to create space for clients to feel, be, and show up as their authentic selves. My approach is relational, casual, sex positive, and gender affirming. I take a systems approach to appreciating all the different factors that make up you and your unique experiences in the world. I specialize in complex trauma, and love to work with folks within the LGBTQIA2S+ community, folks struggling to navigate overwhelming emotions, folks struggling with boundary setting, and folks looking to explore and truly find love and compassion for themselves.
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Photo of Scott McDougal - Clearly Aware Psychotherapy, LPCMHSP, Licensed Professional Counselor
Clearly Aware Psychotherapy
Licensed Professional Counselor, LPCMHSP
Verified Verified
1 Endorsed
Are you struggling with anxiety, depression, PTSD, or low self-esteem? At Clearly Aware Psychotherapy, we offer a compassionate and transformative approach tailored to you as an individual. Clearly Aware is committed to helping you navigate life's challenges and rediscover your inner strength.
Are you struggling with anxiety, depression, PTSD, or low self-esteem? At Clearly Aware Psychotherapy, we offer a compassionate and transformative approach tailored to you as an individual. Clearly Aware is committed to helping you navigate life's challenges and rediscover your inner strength.
(629) 729-4170 View (629) 729-4170
Photo of Jacqui Schollenberger, LCSW, Clinical Social Work/Therapist
Jacqui Schollenberger
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashville, TN 37215
I am a Licensed Clinical Social Worker with 20 years of experience, specializing in helping individuals normalize their experiences with anxiety, depression, grief, loss, and trauma. I work with clients to develop the tools necessary for healthy self-expression and emotional resilience. With 15 years of experience providing clinical support in the medical field—including community mental health, integrated primary care, and hospice/palliative care—I have a deep understanding of the interconnectedness of mental and physical health. I place a high value on relationship-building and education, helping clients make informed decisions.
I am a Licensed Clinical Social Worker with 20 years of experience, specializing in helping individuals normalize their experiences with anxiety, depression, grief, loss, and trauma. I work with clients to develop the tools necessary for healthy self-expression and emotional resilience. With 15 years of experience providing clinical support in the medical field—including community mental health, integrated primary care, and hospice/palliative care—I have a deep understanding of the interconnectedness of mental and physical health. I place a high value on relationship-building and education, helping clients make informed decisions.
(423) 540-5302 View (423) 540-5302

See more therapy options for Henry County

How does your Therapist compare?

Number of Therapists in Henry County, TN

< 10

Therapists in Henry County, TN who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
86% ADHD
86% Coping Skills
86% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

100% Aetna
83% Cigna and Evernorth
67% BlueCross and BlueShield

How Therapists in Henry County, TN see their clients

58% In Person and Online
42% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Henry County?

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.