Therapists in Milwaukee County, WI

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Photo of Miranda Malone, LCSW, CAGCS, Clinical Social Work/Therapist
Miranda Malone
Clinical Social Work/Therapist, LCSW, CAGCS
Verified Verified
3 Endorsed
Shorewood, WI 53211
At New Moon Therapy, I help motherless daughters manage feelings of unresolved grief such as: anxiety, anger, and fear in order to find meaning, peace and fulfillment in their lives. I believe that every woman deserves the opportunity to honor their grief, find strength in their vulnerability, and discover the resilience within herself. My mission is to provide compassionate and holistic care for grieving women with a particular focus on the unique experience of mother loss. Grounded in empathy and understanding, I strive to create a safe and nurturing space where women can explore their grief, find solace, and cultivate resilience.
At New Moon Therapy, I help motherless daughters manage feelings of unresolved grief such as: anxiety, anger, and fear in order to find meaning, peace and fulfillment in their lives. I believe that every woman deserves the opportunity to honor their grief, find strength in their vulnerability, and discover the resilience within herself. My mission is to provide compassionate and holistic care for grieving women with a particular focus on the unique experience of mother loss. Grounded in empathy and understanding, I strive to create a safe and nurturing space where women can explore their grief, find solace, and cultivate resilience.
(414) 261-3878 View (414) 261-3878
Photo of James H Schroeder, Pre-Licensed Professional
James H Schroeder
Pre-Licensed Professional
Verified Verified
Milwaukee, WI 53224  (Online Only)
Many, including those with neurodivergence, feel misunderstood by others, and even puzzled about themselves. I love offering assistance and encouragement to such people. I believe all human beings are created by God in His image, and therefore, have potential for positive purpose in this life, and are to be respected.
Many, including those with neurodivergence, feel misunderstood by others, and even puzzled about themselves. I love offering assistance and encouragement to such people. I believe all human beings are created by God in His image, and therefore, have potential for positive purpose in this life, and are to be respected.
(262) 228-9508 View (262) 228-9508
Photo of Natalie Hanson, MS, LPC, SAC-IT, Counselor
Natalie Hanson
Counselor, MS, LPC, SAC-IT
Verified Verified
Whitefish Bay, WI 53217
I will provide a compassionate, safe and nonjudgmental environment so that you can move past life’s challenges, develop new coping skills and live a more fulfilling, authentic life.
I will provide a compassionate, safe and nonjudgmental environment so that you can move past life’s challenges, develop new coping skills and live a more fulfilling, authentic life.
(262) 287-0678 View (262) 287-0678
Photo of Dr. Lakeia Jones - AMRI Counseling Services, PhD, DSW, LPC, CSAC, CTTP, Counselor
AMRI Counseling Services
Counselor, PhD, DSW, LPC, CSAC, CTTP
Verified Verified
2 Endorsed
Milwaukee, WI 53216
Providing Quality Mental Health Counseling, Alcohol and Drug Counseling, medical/medication services, pharmacy services, and family support services such as housing, daily living skills, educational/ academic services, parenting and nurturing to children, adolescents, adults, couples and families. ***We accept most ALL insurances and private pay*** Call us at 414-455-3879 or email us at clinic@amricounseling.com to schedule an appointment.
Providing Quality Mental Health Counseling, Alcohol and Drug Counseling, medical/medication services, pharmacy services, and family support services such as housing, daily living skills, educational/ academic services, parenting and nurturing to children, adolescents, adults, couples and families. ***We accept most ALL insurances and private pay*** Call us at 414-455-3879 or email us at clinic@amricounseling.com to schedule an appointment.
(414) 501-7312 x801 View (414) 501-7312 x801
Photo of Alev Ildiz, PsyD, Psychologist
Alev Ildiz
Psychologist, PsyD
Verified Verified
2 Endorsed
Milwaukee, WI 53217  (Online Only)
Sometimes the way you relate to yourself and others no longer aligns with who you truly are, your values or how you envisioned your life. You may feel disconnected from yourself and others. You may feel anxious or misunderstood, and start to question your worth or love. To cope, you wear a mask to hide parts of yourself, which creates feelings of tension within yourself and with others. What if you lived your life according to your values while accepting and expressing your genuine self? I create a judgement free, safe therapeutic space where you can explore, understand and find your authentic self.
Sometimes the way you relate to yourself and others no longer aligns with who you truly are, your values or how you envisioned your life. You may feel disconnected from yourself and others. You may feel anxious or misunderstood, and start to question your worth or love. To cope, you wear a mask to hide parts of yourself, which creates feelings of tension within yourself and with others. What if you lived your life according to your values while accepting and expressing your genuine self? I create a judgement free, safe therapeutic space where you can explore, understand and find your authentic self.
(262) 537-5458 View (262) 537-5458
Photo of Sara Hays, LCSW, Clinical Social Work/Therapist
Sara Hays
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cudahy, WI 53110
Not accepting new clients
Putting the needs of others above your own? Preoccupation with protecting other people and fixing their problems? An intense need to be perfect and gain approval from others? These are all common patterns that can lead to feelings of depression, anxiety and lack of fulfillment. I have a unique understanding for those who are struggling with these issues. With deep empathy, I can help you understand how your past experiences and relationships are affecting present day and provide you the solid ground to stand on to take risks to change your life and relationships.
Putting the needs of others above your own? Preoccupation with protecting other people and fixing their problems? An intense need to be perfect and gain approval from others? These are all common patterns that can lead to feelings of depression, anxiety and lack of fulfillment. I have a unique understanding for those who are struggling with these issues. With deep empathy, I can help you understand how your past experiences and relationships are affecting present day and provide you the solid ground to stand on to take risks to change your life and relationships.
(414) 897-9526 View (414) 897-9526
Photo of John Weaver, PsyD, Psychologist
John Weaver
Psychologist, PsyD
Verified Verified
West Allis, WI 53227
Are you worried that depression is becoming a chronic problem? Are you interested in addressing your issues without medication or with the least amount of medication possible? Do you want to learn healthy thinking skills, to be in better control of your emotions, and to align your actions with your deepest values? Mindfulness skills are simple to learn and helpful to use. Research has shown that up to 40% of those who apply mindfulness practices to manage the symptoms of depression have been able to successfully eliminate anti-depressant medication without relapsing for more than 5 years.
Are you worried that depression is becoming a chronic problem? Are you interested in addressing your issues without medication or with the least amount of medication possible? Do you want to learn healthy thinking skills, to be in better control of your emotions, and to align your actions with your deepest values? Mindfulness skills are simple to learn and helpful to use. Research has shown that up to 40% of those who apply mindfulness practices to manage the symptoms of depression have been able to successfully eliminate anti-depressant medication without relapsing for more than 5 years.
(262) 293-6943 View (262) 293-6943
Photo of Ali Ho, MS, LPC, Licensed Professional Counselor
Ali Ho
Licensed Professional Counselor, MS, LPC
Verified Verified
6 Endorsed
Whitefish Bay, WI 53211
Need some help discerning a major decision? Trying to become the best version of you? Maybe you're going through a major life transition. Let me help guide you towards improved self-awareness and self-actualization. That being said, I have extensive experience working in residential, crisis, and school settings with clients who have had mood disorders, anxiety disorders, substance abuse problems, relationship stress, eating disorders, work/career, concentration issues, & other problem areas. I'm interested in helping my clients become the most authentic versions of themselves! My approach is holistic in nature.
Need some help discerning a major decision? Trying to become the best version of you? Maybe you're going through a major life transition. Let me help guide you towards improved self-awareness and self-actualization. That being said, I have extensive experience working in residential, crisis, and school settings with clients who have had mood disorders, anxiety disorders, substance abuse problems, relationship stress, eating disorders, work/career, concentration issues, & other problem areas. I'm interested in helping my clients become the most authentic versions of themselves! My approach is holistic in nature.
(414) 867-2346 View (414) 867-2346
Photo of Anthony F Werth Jr, LPC , Licensed Professional Counselor
Anthony F Werth Jr
Licensed Professional Counselor, LPC
Verified Verified
Milwaukee, WI 53215
Anthony is a licensed psychotherapist with 26 years of clinical experience practicing cognitive behavioral, solution-focused, holistic psychotherapy. Anthony is aware that this is not everyone's cup of tea. He has worked as a clinical operations supervisor/director for outpatient mental health clinics, AODA programs, and corrections facilities. Most of Anthony's career has been addressing substance addictions, adjustment disorders, and trauma recovery. Anthony has experienced a diverse work history that includes service in the US Navy, as a paramedic, police officer, and crisis worker.
Anthony is a licensed psychotherapist with 26 years of clinical experience practicing cognitive behavioral, solution-focused, holistic psychotherapy. Anthony is aware that this is not everyone's cup of tea. He has worked as a clinical operations supervisor/director for outpatient mental health clinics, AODA programs, and corrections facilities. Most of Anthony's career has been addressing substance addictions, adjustment disorders, and trauma recovery. Anthony has experienced a diverse work history that includes service in the US Navy, as a paramedic, police officer, and crisis worker.
(414) 626-1097 View (414) 626-1097
Photo of Vanessa Sager, Psychologist
Vanessa Sager
Psychologist
Verified Verified
Wauwatosa, WI 53226
EMAIL is best way to reach us.+ We excitedly announce that our providers are now proudly in network with Forward Health Plans also known as Title 19, T19, Badgercare, Badgercare Plus, and Medicaid. In addition, we see most patients who carry marketplace plans such as CCHP, Chorus Community Health Plans, and more. If you are looking for a safe place to process matters such as depression, anxiety, life events, stress or specific goals, we would be excited to discuss more. Life may not be feeling as though it is going in directions you intend, there may be more bad days than good.
EMAIL is best way to reach us.+ We excitedly announce that our providers are now proudly in network with Forward Health Plans also known as Title 19, T19, Badgercare, Badgercare Plus, and Medicaid. In addition, we see most patients who carry marketplace plans such as CCHP, Chorus Community Health Plans, and more. If you are looking for a safe place to process matters such as depression, anxiety, life events, stress or specific goals, we would be excited to discuss more. Life may not be feeling as though it is going in directions you intend, there may be more bad days than good.
(262) 439-0410 View (262) 439-0410
Photo of Alec Sternig - New Prospects Counseling Services, MS, LPC, Counselor
New Prospects Counseling Services
Counselor, MS, LPC
Verified Verified
Milwaukee, WI 53202
New Prospects Counseling Services has been serving children, adults and couples in Milwaukee since 1977. Located on the upper east side of Milwaukee, our office space combines the charm of the old with the convenience of the new for a comfortable and welcoming environment.
New Prospects Counseling Services has been serving children, adults and couples in Milwaukee since 1977. Located on the upper east side of Milwaukee, our office space combines the charm of the old with the convenience of the new for a comfortable and welcoming environment.
(414) 441-1979 x1 View (414) 441-1979 x1
Photo of Lauri Budzynski, MA, LPC, NCC, Licensed Professional Counselor
Lauri Budzynski
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Whitefish Bay, WI 53211
Is your child stressful? Do they get anxious more than their friends? Is your child or teen down & unmotivated? Is your family adjusting to adoption or foster care, or maybe a recent death or divorce in the family? Are you a young adult who isn't sure about what next steps are or maybe life is just really hard? If any part of these questions resonated with you, please reach out. Clients describe me as down to earth, easy to talk to, works well in crisis situations, & is non-judgmental. In my free time you can find me by Lake Michigan with a cup of coffee, on a walk with my family, finding new houseplants, or gardening outside.
Is your child stressful? Do they get anxious more than their friends? Is your child or teen down & unmotivated? Is your family adjusting to adoption or foster care, or maybe a recent death or divorce in the family? Are you a young adult who isn't sure about what next steps are or maybe life is just really hard? If any part of these questions resonated with you, please reach out. Clients describe me as down to earth, easy to talk to, works well in crisis situations, & is non-judgmental. In my free time you can find me by Lake Michigan with a cup of coffee, on a walk with my family, finding new houseplants, or gardening outside.
(414) 240-5906 View (414) 240-5906
Photo of Trishala Shah, LMFT, Marriage & Family Therapist
Trishala Shah
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Milwaukee, WI 53202
Welcome! We all have times in our lives when we feel overwhelmed by stress, anxiety, sadness, or are going through a big life change. If you are feeling stuck and like you could use some guidance, I can help support you through this time. As a therapist, I provide my clients with a safe space to work through difficulties, process their emotions and brainstorm new ways to cope. We will work together to help you feel better and achieve your goals.
Welcome! We all have times in our lives when we feel overwhelmed by stress, anxiety, sadness, or are going through a big life change. If you are feeling stuck and like you could use some guidance, I can help support you through this time. As a therapist, I provide my clients with a safe space to work through difficulties, process their emotions and brainstorm new ways to cope. We will work together to help you feel better and achieve your goals.
(262) 592-8222 View (262) 592-8222
Photo of Kennae Demus, LPC IT, LPC Intern
Kennae Demus
LPC Intern, LPC IT
Verified Verified
1 Endorsed
Whitefish Bay, WI 53217
I am a compassionate mental health counselor in-training dedicated to fostering healing and growth through a holistic approach. With a passion for integrating art and play into their practice, I believe in the power of creative expression and playfulness to unlock emotional insights and facilitate healing. I strive to create a safe and inclusive space where clients can explore their thoughts, feelings, and experiences without judgment. My approach emphasizes the interconnectedness of mind, body, and spirit, recognizing each individual’s unique journey towards wellness.
I am a compassionate mental health counselor in-training dedicated to fostering healing and growth through a holistic approach. With a passion for integrating art and play into their practice, I believe in the power of creative expression and playfulness to unlock emotional insights and facilitate healing. I strive to create a safe and inclusive space where clients can explore their thoughts, feelings, and experiences without judgment. My approach emphasizes the interconnectedness of mind, body, and spirit, recognizing each individual’s unique journey towards wellness.
(414) 895-0578 View (414) 895-0578
Photo of Dr. Paul Marlin Smerz - Paul Smerz, PhD, Psychologist
Paul Smerz
Psychologist, PhD
Verified Verified
1 Endorsed
Glendale, WI 53217
I am the founder of the Relationship Center of Milwaukee, a group practice that focuses on providing couples with the skills, insights, and courage to develop themselves and their relationships. My 30-year experience as a psychologist and psychoanalyst has reinforced my belief that people heal, change, and grow in connection to others. Love relationships are simultaneously the greatest source of comfort and happiness in our lives, but also potentially the greatest source of intense stress and misery. Yet, we keep on trying. The thirst for good partnership is unquenchable.
I am the founder of the Relationship Center of Milwaukee, a group practice that focuses on providing couples with the skills, insights, and courage to develop themselves and their relationships. My 30-year experience as a psychologist and psychoanalyst has reinforced my belief that people heal, change, and grow in connection to others. Love relationships are simultaneously the greatest source of comfort and happiness in our lives, but also potentially the greatest source of intense stress and misery. Yet, we keep on trying. The thirst for good partnership is unquenchable.
(414) 455-4389 View (414) 455-4389
Photo of Christina M Lachner, LPC, Licensed Professional Counselor
Christina M Lachner
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Oak Creek, WI 53154  (Online Only)
**Contact by email or text preferred “.Everyone gets stuck or overwhelmed and at these times we need additional support. Therapy creates opportunities for you to explore your thoughts and feelings so you can better understand and change what's getting in the way of you living as your fullest self. I work with adolescents and their parents as well as individuals; in order to address anxiety, depression, self criticism, anger, loneliness, or feeling numb and shut down. Our work together strengthens your sense of self, your relationships, and your capacity to best respond to life's inevitable changes and challenges.
**Contact by email or text preferred “.Everyone gets stuck or overwhelmed and at these times we need additional support. Therapy creates opportunities for you to explore your thoughts and feelings so you can better understand and change what's getting in the way of you living as your fullest self. I work with adolescents and their parents as well as individuals; in order to address anxiety, depression, self criticism, anger, loneliness, or feeling numb and shut down. Our work together strengthens your sense of self, your relationships, and your capacity to best respond to life's inevitable changes and challenges.
(262) 205-1329 View (262) 205-1329
Photo of Clare Michaels, MS , LPC-IT, Counselor
Clare Michaels
Counselor, MS , LPC-IT
Verified Verified
Shorewood, WI 53211
I look forward to collaboratively working with my clients on their wellness goals through an integrative and empathetic approach. I consider my work to be focused on trauma-informed person-centered treatment, strengths-based approaches, and narrative therapy techniques. My goal within treatment is to help you overcome obstacles you may face in life, promote holistic wellness, and empower clients to take charge of their life stories and make them their own. I aim to facilitate a positive, non-judgmental environment where the client can feel comfortable
I look forward to collaboratively working with my clients on their wellness goals through an integrative and empathetic approach. I consider my work to be focused on trauma-informed person-centered treatment, strengths-based approaches, and narrative therapy techniques. My goal within treatment is to help you overcome obstacles you may face in life, promote holistic wellness, and empower clients to take charge of their life stories and make them their own. I aim to facilitate a positive, non-judgmental environment where the client can feel comfortable
(414) 775-0807 View (414) 775-0807
Photo of Dr. Debbie Contreras-Tadych, PhD, Psychologist
Dr. Debbie Contreras-Tadych
Psychologist, PhD
Verified Verified
2 Endorsed
Milwaukee, WI 53207  (Online Only)
I enjoy working to celebrate the individualism and uniqueness of each client. I have a special interest in diversity and am passionate about supporting clients who may be struggling with challenges related to immigration status, sexual orientation/gender identity, racial and cultural identity, etc. My treatment approach uses characteristics of trauma informed care, cognitive behavioral therapy, motivational interviewing, and behavioral activation.
I enjoy working to celebrate the individualism and uniqueness of each client. I have a special interest in diversity and am passionate about supporting clients who may be struggling with challenges related to immigration status, sexual orientation/gender identity, racial and cultural identity, etc. My treatment approach uses characteristics of trauma informed care, cognitive behavioral therapy, motivational interviewing, and behavioral activation.
(414) 626-7899 View (414) 626-7899
Photo of Jasmine Harrison - Harrison Psychological Services LLC, MS, PsyD, Psychologist
Harrison Psychological Services LLC
Psychologist, MS, PsyD
Verified Verified
4 Endorsed
Glendale, WI 53217  (Online Only)
**ACCEPTING NEW CLIENTS** for telehealth. Are you feeling sad? Anxious? Overwhelmed? Struggling with stress and adjusting to transitions? Need someone neutral to talk to? I'm here to provide support, listen, and help you find solutions. I have significant experience engaging in trauma therapy. I really enjoy and value the opportunity to work with individuals of different ethnic groups, religion, sexual orientation, and gender. My doctoral training has provided me with a good balance of assessment, evidence-based therapy, and crisis intervention. I look forward to helping you develop tools to manage your current life stressors.
**ACCEPTING NEW CLIENTS** for telehealth. Are you feeling sad? Anxious? Overwhelmed? Struggling with stress and adjusting to transitions? Need someone neutral to talk to? I'm here to provide support, listen, and help you find solutions. I have significant experience engaging in trauma therapy. I really enjoy and value the opportunity to work with individuals of different ethnic groups, religion, sexual orientation, and gender. My doctoral training has provided me with a good balance of assessment, evidence-based therapy, and crisis intervention. I look forward to helping you develop tools to manage your current life stressors.
(414) 420-0512 View (414) 420-0512
Photo of Michelle Elert, MS, LPC, Counselor
Michelle Elert
Counselor, MS, LPC
Verified Verified
Milwaukee, WI 53208
I am passionate about working with clients who are impacted by substance use and mood disorders. I believe in taking a holistic approach to counseling. Understanding how the mind and body work together to impact physical and mental health as part of recovery, is a key component of the work I do with clients. As well as, identifying how our thoughts impact our feelings and behaviors. I believe in collaborating with clients on their recovery journey in order to help you discover your best self.
I am passionate about working with clients who are impacted by substance use and mood disorders. I believe in taking a holistic approach to counseling. Understanding how the mind and body work together to impact physical and mental health as part of recovery, is a key component of the work I do with clients. As well as, identifying how our thoughts impact our feelings and behaviors. I believe in collaborating with clients on their recovery journey in order to help you discover your best self.
(414) 240-4490 View (414) 240-4490
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See more therapy options for Milwaukee County

How does your Therapist compare?

Number of Therapists in Milwaukee County, WI

1,000+

Average cost per session

$150

Therapists in Milwaukee County, WI who prioritize treating:

91% Anxiety
89% Depression
69% Trauma and PTSD
68% Relationship Issues
67% Self Esteem
63% Stress
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

76% Aetna
74% UnitedHealthcare UHC | UBH
68% BlueCross and BlueShield

How Therapists in Milwaukee County, WI see their clients

74% In Person and Online
26% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Milwaukee 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.