Therapists in Louisville, KY

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Photo of Avani Goodloe, Marriage & Family Therapist in Louisville, KY
Avani Goodloe
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
Louisville, KY 40241
Every person is unique in their own way, and as such, so are their problems. Therapy is a unique and special journey for every individual and child, and it is my job to make sure I am there to successfully guide them through the process. I strive to help my clients break free from their feelings of despair, dissatisfaction, and dismay and gain or regain a sense of control, peace, and wholeness. While my specialty began in couples counseling, I have found that working with children and adolescents is what brings me a sense of happiness and fulfillment.
Every person is unique in their own way, and as such, so are their problems. Therapy is a unique and special journey for every individual and child, and it is my job to make sure I am there to successfully guide them through the process. I strive to help my clients break free from their feelings of despair, dissatisfaction, and dismay and gain or regain a sense of control, peace, and wholeness. While my specialty began in couples counseling, I have found that working with children and adolescents is what brings me a sense of happiness and fulfillment.
(502) 333-9509 View (502) 333-9509
Photo of Amani Empowerment Center LLC, Clinical Social Work/Therapist in Louisville, KY
Amani Empowerment Center LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40210  (Online Only)
Congratulations on taking such a brave first step! Whether you find yourself here desiring to heal from trauma, gain or regain control, or even seeking a way to integrate peace and tranquility into your life, I encourage you to take the next step. You made it this far and I would love the opportunity to partner with you on your journey. I will walk beside you using Strengths-Based, Trauma-Informed, Solution-Focused approaches along with Cognitive Behavioral Therapy (CBT), and Mindfulness techniques empowering you to set your own pace, develop personal goals and learn coping skills to face, manage, and navigate life's challenges.
Congratulations on taking such a brave first step! Whether you find yourself here desiring to heal from trauma, gain or regain control, or even seeking a way to integrate peace and tranquility into your life, I encourage you to take the next step. You made it this far and I would love the opportunity to partner with you on your journey. I will walk beside you using Strengths-Based, Trauma-Informed, Solution-Focused approaches along with Cognitive Behavioral Therapy (CBT), and Mindfulness techniques empowering you to set your own pace, develop personal goals and learn coping skills to face, manage, and navigate life's challenges.
(502) 822-6999 View (502) 822-6999
Photo of Emily Burbank, Clinical Social Work/Therapist in Louisville, KY
Emily Burbank
Clinical Social Work/Therapist, LCADC, LCSW, MSSW
Verified Verified
Louisville, KY 40222
Accepting New Clients! I specialize in working with complex trauma, all forms of addictions, and learning to navigate difficult relationships. I understand what it feels like to feel lost and alone in the world with your struggles. I approach my therapy sessions as being a guide to your own healing. I believe we are all capable of healing ourselves by tapping into resources just beneath the surface. I assist in helping you find your strength to living a happy and productive life.
Accepting New Clients! I specialize in working with complex trauma, all forms of addictions, and learning to navigate difficult relationships. I understand what it feels like to feel lost and alone in the world with your struggles. I approach my therapy sessions as being a guide to your own healing. I believe we are all capable of healing ourselves by tapping into resources just beneath the surface. I assist in helping you find your strength to living a happy and productive life.
(502) 625-5265 View (502) 625-5265
Photo of Ashley Ertel, Clinical Social Work/Therapist in Louisville, KY
Ashley Ertel
Clinical Social Work/Therapist, LCSW, BCD, C-DBT, CTMH
Verified Verified
1 Endorsed
Louisville, KY 40291  (Online Only)
Waitlist for new clients
Ashley is a Kentucky Board Certified LCSW Supervisor who has been in the role as a senior therapist for a decade. She is the owner of The Delta Group which specializes in telehealth services with a focus on: Trauma Related Disorders (including Racial Trauma), Anxiety, Depression, Personality Disorders, Adjustment and Transitional Concerns, Parenting Challenges, and LGBTQIA Issues.
Ashley is a Kentucky Board Certified LCSW Supervisor who has been in the role as a senior therapist for a decade. She is the owner of The Delta Group which specializes in telehealth services with a focus on: Trauma Related Disorders (including Racial Trauma), Anxiety, Depression, Personality Disorders, Adjustment and Transitional Concerns, Parenting Challenges, and LGBTQIA Issues.
(502) 237-4322 View (502) 237-4322
Photo of Kim Hamilton, Marriage & Family Therapist Associate in Louisville, KY
Kim Hamilton
Marriage & Family Therapist Associate, MAMFT
Verified Verified
1 Endorsed
Louisville, KY 40207
Is your child struggling and you don’t know what to do? Is your anxiety and/or depression keeping you from living your fullest life? Are your relationships with your partner, family, or friends strained? I work with children, teens, and their families to learn how to work together to utilize tools within themselves and their system, as well as new techniques, to manage the issues they are struggling with and learn how to move past and forward from them in order to create harmony.
Is your child struggling and you don’t know what to do? Is your anxiety and/or depression keeping you from living your fullest life? Are your relationships with your partner, family, or friends strained? I work with children, teens, and their families to learn how to work together to utilize tools within themselves and their system, as well as new techniques, to manage the issues they are struggling with and learn how to move past and forward from them in order to create harmony.
(502) 673-1018 View (502) 673-1018
Photo of Jodi Hatzell, Clinical Social Work/Therapist in Louisville, KY
Jodi Hatzell
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Louisville, KY 40241
As a Licensed Clinical Social Worker, I have been serving the Louisville community since 1994. I work with adults that have been faced with daily stressors or life challenges. Beginning counseling can be difficult and challenging. Recognizing this, I offer a supportive and comfortable environment to begin your counseling journey. I enjoy working with my clients to create new coping skills, new ways of thinking, along with building better communication skills.
As a Licensed Clinical Social Worker, I have been serving the Louisville community since 1994. I work with adults that have been faced with daily stressors or life challenges. Beginning counseling can be difficult and challenging. Recognizing this, I offer a supportive and comfortable environment to begin your counseling journey. I enjoy working with my clients to create new coping skills, new ways of thinking, along with building better communication skills.
(502) 215-3894 View (502) 215-3894
Photo of Sara Wallace, Psychological Associate in Louisville, KY
Sara Wallace
Psychological Associate, MA, LPA
Verified Verified
1 Endorsed
Louisville, KY 40243
Sara has received training in Exposure and Response Prevention (ERP), Family Based Therapy (FBT), DBT, Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT). Parallel with the main goal in DBT, Sara believes in “creating a life worth living” with her clients. She walks next to her clients on their journey to mental and emotional stability and provides support and encouragement along the way. Sara believes in conducting empirically supported treatment that is best suited for each client’s individual needs.
Sara has received training in Exposure and Response Prevention (ERP), Family Based Therapy (FBT), DBT, Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT). Parallel with the main goal in DBT, Sara believes in “creating a life worth living” with her clients. She walks next to her clients on their journey to mental and emotional stability and provides support and encouragement along the way. Sara believes in conducting empirically supported treatment that is best suited for each client’s individual needs.
(502) 383-0258 View (502) 383-0258
Photo of Sara J Brewer, Clinical Social Work/Therapist in Louisville, KY
Sara J Brewer
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Louisville, KY 40206  (Online Only)
I am a Licensed Clinical Social Worker. I received my Masters from University of Louisville in 2016. I have worked in community mental health for a number of years as well as in residential settings with teens and survivors of sexual assault and intimate partner violence.
I am a Licensed Clinical Social Worker. I received my Masters from University of Louisville in 2016. I have worked in community mental health for a number of years as well as in residential settings with teens and survivors of sexual assault and intimate partner violence.
(502) 317-1021 View (502) 317-1021
Photo of Claire Norris, Counselor in Louisville, KY
Claire Norris
Counselor, MEd , LPCA
Verified Verified
1 Endorsed
Louisville, KY 40299
When faced with life challenges we can often feel alone and misunderstood. I strive to make people feel heard and validated in their experiences. The relationship between you and I can be one of the most foundational elements to change by providing you with a safe place that is nonjudgmental, empathetic, and honest. It can be difficult navigating our mental and emotional processes and responses, and our social environments. My goal is to help you explore and overcome your challenges, and empower you to make change.
When faced with life challenges we can often feel alone and misunderstood. I strive to make people feel heard and validated in their experiences. The relationship between you and I can be one of the most foundational elements to change by providing you with a safe place that is nonjudgmental, empathetic, and honest. It can be difficult navigating our mental and emotional processes and responses, and our social environments. My goal is to help you explore and overcome your challenges, and empower you to make change.
(502) 334-1059 View (502) 334-1059
Photo of Dr. Laura M. Frey, Marriage & Family Therapist in Louisville, KY
Dr. Laura M. Frey
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Louisville, KY 40222
I am passionate about helping individuals manage their mental health so that they can experience peace in their lives and relationships. I received my doctorate in family science and a master's degree in marriage and family therapy from the University of Kentucky. I have a strong background in improving mental health and well-being in the context of relationships. Many people define themselves and their family members in a limited way, often forgetting the vast potential that each person embodies. Each person is different, with a unique background and set of circumstances. Therefore, therapy should not be "one size fit all."
I am passionate about helping individuals manage their mental health so that they can experience peace in their lives and relationships. I received my doctorate in family science and a master's degree in marriage and family therapy from the University of Kentucky. I have a strong background in improving mental health and well-being in the context of relationships. Many people define themselves and their family members in a limited way, often forgetting the vast potential that each person embodies. Each person is different, with a unique background and set of circumstances. Therefore, therapy should not be "one size fit all."
(502) 467-8445 View (502) 467-8445
Photo of Calli Weis, Clinical Social Work/Therapist in Louisville, KY
Calli Weis
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40243
I have been in social work for more than 18 years, working with many different populations with a myriad of struggles and issues. I enjoy working with children of all ages struggling with behavior issues, anxiety, and depression. I also work with adults struggling with trauma, anxiety, depression, and substance abuse. When deciding on a plan of treatment, I consider what the client wants, what their life experience is, and what my experience is to identify the best fit for each individual.
I have been in social work for more than 18 years, working with many different populations with a myriad of struggles and issues. I enjoy working with children of all ages struggling with behavior issues, anxiety, and depression. I also work with adults struggling with trauma, anxiety, depression, and substance abuse. When deciding on a plan of treatment, I consider what the client wants, what their life experience is, and what my experience is to identify the best fit for each individual.
(502) 230-4622 x3 View (502) 230-4622 x3
Photo of Melanie Rivard, Clinical Social Work/Therapist in Louisville, KY
Melanie Rivard
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40242  (Online Only)
Let's talk about trauma. How common is it? The National Center on PTSD estimates 60% of men and 50% of women will experience at least one trauma in their lifetime. Experiencing trauma isn't a rare event, it can happen to anyone. Common reactions to traumatic experiences include feeling detached or numb, feeling on guard, experiencing nightmares or unwanted thoughts about the trauma, and going out of your way to avoid reminders of the event. If you’ve been through something in your past, and you can’t seem to escape it in the present, you have the power to stop it from disrupting your future.
Let's talk about trauma. How common is it? The National Center on PTSD estimates 60% of men and 50% of women will experience at least one trauma in their lifetime. Experiencing trauma isn't a rare event, it can happen to anyone. Common reactions to traumatic experiences include feeling detached or numb, feeling on guard, experiencing nightmares or unwanted thoughts about the trauma, and going out of your way to avoid reminders of the event. If you’ve been through something in your past, and you can’t seem to escape it in the present, you have the power to stop it from disrupting your future.
(859) 251-2773 View (859) 251-2773
Photo of Ann Catherine Holloway, Marriage & Family Therapist in Louisville, KY
Ann Catherine Holloway
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Louisville, KY 40223
Your life is a story that is continuously being written. Together we will work to resolve individual, couples, marital, or family issues in a safe and comfortable atmosphere to help you become happier with your life. I have 35 yrs. experience with kids, couples, & families. A retired teacher & LMFT therapist doing systems therapy & trauma work. Facilitator for Prepare/Enrich & do couple evaluations for our local churches. I also work with medical professionals in a confidential setting. I’m NL Certified in equine therapy & offer this as an addition to regular therapy. Here to support & guide you. Reach out… you'll be glad you did!
Your life is a story that is continuously being written. Together we will work to resolve individual, couples, marital, or family issues in a safe and comfortable atmosphere to help you become happier with your life. I have 35 yrs. experience with kids, couples, & families. A retired teacher & LMFT therapist doing systems therapy & trauma work. Facilitator for Prepare/Enrich & do couple evaluations for our local churches. I also work with medical professionals in a confidential setting. I’m NL Certified in equine therapy & offer this as an addition to regular therapy. Here to support & guide you. Reach out… you'll be glad you did!
(502) 287-0837 View (502) 287-0837
Photo of Alecia Mosley, Clinical Social Work/Therapist in Louisville, KY
Alecia Mosley
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
1 Endorsed
Louisville, KY 40272
Hello! We are The Shea Center and we are excited you found our page! We are a dynamic team of therapists who treat all types of beings and ages who are experiencing challenges stemming from trauma and stress, anxiety and depressive disorders, grief and loss, substance use issues and others. We utilize a range of therapeutic techniques to ensure we are meeting you exactly where you are. There is no one-size-fits-all treatment and most of us are longing for spaces to show up as our most authentic selves. We'd be absolutely honored to navigate that journey with you.
Hello! We are The Shea Center and we are excited you found our page! We are a dynamic team of therapists who treat all types of beings and ages who are experiencing challenges stemming from trauma and stress, anxiety and depressive disorders, grief and loss, substance use issues and others. We utilize a range of therapeutic techniques to ensure we are meeting you exactly where you are. There is no one-size-fits-all treatment and most of us are longing for spaces to show up as our most authentic selves. We'd be absolutely honored to navigate that journey with you.
(502) 206-0572 View (502) 206-0572
Photo of Eli Karam, Marriage & Family Therapist in Louisville, KY
Eli Karam
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Louisville, KY 40223
As an integrative therapist, my treatment approach is to provide direction, support and practical feedback to help individuals, couples and families address current life challenges. With compassion, understanding and clinical expertise, I help clients find resolution to a wide range of interpersonal issues. I draw from a variety of proven methodologies and techniques to incorporate what is most helpful for each individual. Together with each client, I work to cultivate strengths and achieve relationship goals.
As an integrative therapist, my treatment approach is to provide direction, support and practical feedback to help individuals, couples and families address current life challenges. With compassion, understanding and clinical expertise, I help clients find resolution to a wide range of interpersonal issues. I draw from a variety of proven methodologies and techniques to incorporate what is most helpful for each individual. Together with each client, I work to cultivate strengths and achieve relationship goals.
(502) 233-2841 View (502) 233-2841
Photo of Libby Jurado Eldridge, Marriage & Family Therapist in Louisville, KY
Libby Jurado Eldridge
Marriage & Family Therapist, MA, LMFT
Verified Verified
Louisville, KY 40205
As a Licensed Marriage Family Therapist, I work with individual, couples, and families seeking therapy who may be going through grief, depression, anxiety or a distressed relationship. In our therapy sessions you will be able to speak openly, honestly in a non judgmental safe environment. The modalities used in session are the Gottman Theory, Solution Focused, CBT and EMDR for clients who experienced trauma. For couples seeking Pre Martial Counseling I am a certified Prepare/Enrich Facilitator.
As a Licensed Marriage Family Therapist, I work with individual, couples, and families seeking therapy who may be going through grief, depression, anxiety or a distressed relationship. In our therapy sessions you will be able to speak openly, honestly in a non judgmental safe environment. The modalities used in session are the Gottman Theory, Solution Focused, CBT and EMDR for clients who experienced trauma. For couples seeking Pre Martial Counseling I am a certified Prepare/Enrich Facilitator.
(502) 237-4372 View (502) 237-4372
Photo of Samika Wheat, Clinical Social Work/Therapist in Louisville, KY
Samika Wheat
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40215  (Online Only)
Hi there! I’m SaMika. Many people see therapy as a one-sided conversation in which the “expert” talks to you and tells you what to do. What is the joy in that? I find joy in working with other experts to create solutions to great change- and guess what? You are the expert on YOU. I believe one of the bravest things someone can do is work to understand their own story.
Hi there! I’m SaMika. Many people see therapy as a one-sided conversation in which the “expert” talks to you and tells you what to do. What is the joy in that? I find joy in working with other experts to create solutions to great change- and guess what? You are the expert on YOU. I believe one of the bravest things someone can do is work to understand their own story.
(502) 586-4132 View (502) 586-4132
Photo of Ervina Desaussure, Marriage & Family Therapist Associate in Louisville, KY
Ervina Desaussure
Marriage & Family Therapist Associate, MAMFT
Verified Verified
1 Endorsed
Louisville, KY 40207  (Online Only)
Sometimes all it takes is one person validating your humanity for change to occur. By providing you with external validation, we can tap into your own source of self-validation. I will acknowledge how your context shapes your understanding of yourself and the world. We can explore parts of your identity and I will acknowledge them and their need to be healed. As your therapist, creating a safe environment is my priority because I recognize the strength it takes to begin a journey towards healing. I will not rush your process and will be there to help you find the person you want to be.
Sometimes all it takes is one person validating your humanity for change to occur. By providing you with external validation, we can tap into your own source of self-validation. I will acknowledge how your context shapes your understanding of yourself and the world. We can explore parts of your identity and I will acknowledge them and their need to be healed. As your therapist, creating a safe environment is my priority because I recognize the strength it takes to begin a journey towards healing. I will not rush your process and will be there to help you find the person you want to be.
(502) 334-0523 View (502) 334-0523
Photo of Ellie L Miller, Psychologist in Louisville, KY
Ellie L Miller
Psychologist, PsyD
Verified Verified
1 Endorsed
Louisville, KY 40241
Are you experiencing anxiety, panic attacks, or physical symptoms of anxiety? Do you find it difficult to leave your house or go certain places for fear of experiencing a panic attack? Do you experience intrusive thoughts or fears of contamination and perform some sort of ritual or compulsion to feel relief? Are you a young adult struggling with a variety of worries that are impacting your ability to function? Have you been diagnosed with OCD, Panic, Agoraphobia, or Generalized Anxiety Disorder? If so, I am able to assist you. Please visit KYCARDS.com for more information.
Are you experiencing anxiety, panic attacks, or physical symptoms of anxiety? Do you find it difficult to leave your house or go certain places for fear of experiencing a panic attack? Do you experience intrusive thoughts or fears of contamination and perform some sort of ritual or compulsion to feel relief? Are you a young adult struggling with a variety of worries that are impacting your ability to function? Have you been diagnosed with OCD, Panic, Agoraphobia, or Generalized Anxiety Disorder? If so, I am able to assist you. Please visit KYCARDS.com for more information.
(502) 586-6646 View (502) 586-6646
Photo of Ann D Minch, Clinical Social Work/Therapist in Louisville, KY
Ann D Minch
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40299
With over 25 yrs. of counseling experience I can help you create a new chapter to your life story. Do you feel "stuck", repeating patterns that get in the way of you having the life you want? Do you battle with depression, anxiety or low self-worth or are compulsive behaviors interfering with you achieving your goals? Do you struggle with family relationships or getting over childhood issues? Are you an adult or teen with ADHD & need help developing strategies to be successful? Do you have unresolved trauma?
With over 25 yrs. of counseling experience I can help you create a new chapter to your life story. Do you feel "stuck", repeating patterns that get in the way of you having the life you want? Do you battle with depression, anxiety or low self-worth or are compulsive behaviors interfering with you achieving your goals? Do you struggle with family relationships or getting over childhood issues? Are you an adult or teen with ADHD & need help developing strategies to be successful? Do you have unresolved trauma?
(502) 858-8694 View (502) 858-8694

How does your Therapist compare?

Number of Therapists in Louisville, KY

1,000+

Average cost per session

$120

Therapists in Louisville, KY who prioritize treating:

91% Anxiety
86% Depression
71% Self Esteem
70% Trauma and PTSD
68% Coping Skills
59% Relationship Issues
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

72% Aetna
71% Humana
69% UnitedHealthcare UHC | UBH

How Therapists in Louisville, KY see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Louisville?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.