Therapists in Rapid City, SD

Photo of Ali Anderson, Pre-Licensed Professional in Rapid City, SD
Ali Anderson
Pre-Licensed Professional
Verified Verified
Rapid City, SD 57702
I am a pre-licensed counselor, working under supervision, accepting clients starting January 1, 2024. I take a client-centered approach to counseling, emphasizing your strengths and building on them. I am passionate about working with individuals who are undergoing life transitions, wanting to improve relationships and communication patterns, coping with trauma and loss, struggling with substance use issues, and those managing long-term mental health conditions. I will create a safe space to foster honesty, healing, and self-discovery.
I am a pre-licensed counselor, working under supervision, accepting clients starting January 1, 2024. I take a client-centered approach to counseling, emphasizing your strengths and building on them. I am passionate about working with individuals who are undergoing life transitions, wanting to improve relationships and communication patterns, coping with trauma and loss, struggling with substance use issues, and those managing long-term mental health conditions. I will create a safe space to foster honesty, healing, and self-discovery.
(605) 307-5839 View (605) 307-5839
Photo of Mindy Hedlund, Psychologist in Rapid City, SD
Mindy Hedlund
Psychologist, PhD
Verified Verified
Rapid City, SD 57701
If you have been suffering with feelings of anxiousness, depression, and/or experience negative thoughts that lead to distress, I would like to help . It takes courage to start therapy and share thoughts and feelings that you rarely give words to. The most important aspect of therapeutic work is the therapist client relationship with safety and trust built over time as the foundation. Together we can explore and make sense of what is causing your distress and develop tools to help you feel stronger and more comfortable with yourself and others. My goal is for you to experience more joy and a better quality of life.
If you have been suffering with feelings of anxiousness, depression, and/or experience negative thoughts that lead to distress, I would like to help . It takes courage to start therapy and share thoughts and feelings that you rarely give words to. The most important aspect of therapeutic work is the therapist client relationship with safety and trust built over time as the foundation. Together we can explore and make sense of what is causing your distress and develop tools to help you feel stronger and more comfortable with yourself and others. My goal is for you to experience more joy and a better quality of life.
(605) 863-9489 View (605) 863-9489
Photo of Knuppe Counseling, LLC, Clinical Social Work/Therapist in Rapid City, SD
Knuppe Counseling, LLC
Clinical Social Work/Therapist, LCSW, PIP, MSW
Verified Verified
1 Endorsed
Rapid City, SD 57702
Not accepting new clients
I have worked with all ages, as well as individuals, couples and families with a variety of challenges. I have specialty training in family therapy, helping families dealing with challenging behaviors and communication. I am trauma focused, cognitive behavioral therapy trained. I am also EMDR trained. I have facilitated group therapy for parenting and will be doing more groups on other issues. I am solution focused and offer unconditional, positive regard for all. This is an LGBTQ+ safe space.
I have worked with all ages, as well as individuals, couples and families with a variety of challenges. I have specialty training in family therapy, helping families dealing with challenging behaviors and communication. I am trauma focused, cognitive behavioral therapy trained. I am also EMDR trained. I have facilitated group therapy for parenting and will be doing more groups on other issues. I am solution focused and offer unconditional, positive regard for all. This is an LGBTQ+ safe space.
(605) 413-4219 View (605) 413-4219
Photo of Healing Trauma Therapy Services, Clinical Social Work/Therapist in Rapid City, SD
Healing Trauma Therapy Services
Clinical Social Work/Therapist, MSW, CSW-PIP, QMHP
Verified Verified
1 Endorsed
Rapid City, SD 57701
With so many options out there what does Satterwhite counseling bring that is unique? Bryan Satterwhite and Nora Boesem bring expertise in working with children and adolescents with prenatal alcohol/drug exposure, Fetal Alcohol Spectrum Disorder, Autism, and attachment traumas. They bring years of experience and their own personal journeys with children’s mental health. They can help you to navigate some of the hardest moments as a family. Offering testing for FASD, autism, and functional developmental assessments. We provide individual therapy for all ages including adults who are experiencing suicidality and trauma.
With so many options out there what does Satterwhite counseling bring that is unique? Bryan Satterwhite and Nora Boesem bring expertise in working with children and adolescents with prenatal alcohol/drug exposure, Fetal Alcohol Spectrum Disorder, Autism, and attachment traumas. They bring years of experience and their own personal journeys with children’s mental health. They can help you to navigate some of the hardest moments as a family. Offering testing for FASD, autism, and functional developmental assessments. We provide individual therapy for all ages including adults who are experiencing suicidality and trauma.
(605) 550-8489 View (605) 550-8489
Photo of Amy Ott, Licensed Professional Counselor in Rapid City, SD
Amy Ott
Licensed Professional Counselor, LPC
Verified Verified
Rapid City, SD 57701  (Online Only)
Dr Amy Sue Ott PhD LPC. My practice is centered around the belief that problems can overtake us at any moment large or small; asking for help is not a display of weakness but a sign of strength. My experience includes therapy with clients who have experienced trauma (childhood, relationship, or military) ptsd, depression, anxiety, relationship problems, life transitions, job loss, difficulty managing life stressors.
Dr Amy Sue Ott PhD LPC. My practice is centered around the belief that problems can overtake us at any moment large or small; asking for help is not a display of weakness but a sign of strength. My experience includes therapy with clients who have experienced trauma (childhood, relationship, or military) ptsd, depression, anxiety, relationship problems, life transitions, job loss, difficulty managing life stressors.
(605) 741-4400 View (605) 741-4400
Photo of Bailey Metzger, Licensed Professional Counselor in Rapid City, SD
Bailey Metzger
Licensed Professional Counselor, LPC, RPT, QMHP
Verified Verified
Rapid City, SD 57701
Waitlist for new clients
Seeking support for yourself or a child can feel challenging. My hope is to assist you in navigating this process. When working with clients, I draw from a client-centered approach and utilize skills and techniques that best fit each client and their needs. I believe each client is the expert of their life and I strive to provide a supportive and accepting space we can explore change.
Seeking support for yourself or a child can feel challenging. My hope is to assist you in navigating this process. When working with clients, I draw from a client-centered approach and utilize skills and techniques that best fit each client and their needs. I believe each client is the expert of their life and I strive to provide a supportive and accepting space we can explore change.
(605) 453-4463 View (605) 453-4463
Photo of Crossroads Counseling Services, Counselor in Rapid City, SD
Crossroads Counseling Services
Counselor, EdS, LPC-MH, NCC, QMHP
Verified Verified
Rapid City, SD 57701
Not accepting new clients
Life is full of changes and decisions. When those become critical, you can find yourself at a crossroads, unsure of what to do or where to go. As a licensed mental health counselor, I can assist you in sorting through all the issues. Together we will explore all your life changes and conflicts and devise a treatment plan that addresses your needs and wants.
Life is full of changes and decisions. When those become critical, you can find yourself at a crossroads, unsure of what to do or where to go. As a licensed mental health counselor, I can assist you in sorting through all the issues. Together we will explore all your life changes and conflicts and devise a treatment plan that addresses your needs and wants.
(605) 593-5190 View (605) 593-5190
Photo of Melissa Smith, Licensed Professional Counselor in Rapid City, SD
Melissa Smith
Licensed Professional Counselor, LMHC, LPC, MA
Verified Verified
Rapid City, SD 57701
Offering Telehealth Services in IA and In Person and Telehealth services in SD. Discover Healing and Hope. Are you or a loved one struggling with the weight of past trauma, anxiety, or emotional distress? It's time to take that courageous step towards healing and liberation. Meet Melissa Smith, your trusted partner on the path to recovery and resilience. Melissa partners with clients to create a safe space to process past trauma, discuss life struggles in an open and non-judgmental environment, and to offer hope in the journey of healing.
Offering Telehealth Services in IA and In Person and Telehealth services in SD. Discover Healing and Hope. Are you or a loved one struggling with the weight of past trauma, anxiety, or emotional distress? It's time to take that courageous step towards healing and liberation. Meet Melissa Smith, your trusted partner on the path to recovery and resilience. Melissa partners with clients to create a safe space to process past trauma, discuss life struggles in an open and non-judgmental environment, and to offer hope in the journey of healing.
(605) 674-7663 View (605) 674-7663
Photo of Dr. Cassandra Leow, Marriage & Family Therapist in Rapid City, SD
Dr. Cassandra Leow
Marriage & Family Therapist, PhD, LIMHP, LMFT, CMFT
Verified Verified
5 Endorsed
Rapid City, SD 57701
Mental illness does not discriminate; everyone can struggle with challenges that are unique to them, such as anxiety, depression, relationship issues and many more. It takes a lot of courage to seek therapy; it involves facing our shortcomings and accepting that we need help. It is a journey of self-discovery and growth, and it is an opportunity to learn more about ourselves and grow to be the person we were always made to be. This journey is a vulnerable journey, and therapy can serve as a safe space and supportive environment to help you reach your goals and lead fulfilling lives.
Mental illness does not discriminate; everyone can struggle with challenges that are unique to them, such as anxiety, depression, relationship issues and many more. It takes a lot of courage to seek therapy; it involves facing our shortcomings and accepting that we need help. It is a journey of self-discovery and growth, and it is an opportunity to learn more about ourselves and grow to be the person we were always made to be. This journey is a vulnerable journey, and therapy can serve as a safe space and supportive environment to help you reach your goals and lead fulfilling lives.
(402) 937-1767 View (402) 937-1767
Photo of Alyssa Martin, Counselor in Rapid City, SD
Alyssa Martin
Counselor, MS, LAC
Not Verified Not Verified
Rapid City, SD 57703
Alyssa Martin, MS, LAC is a South Dakota State Licensed Addiction Counselor and has a Master's of Science in Clinical Mental Health Counseling from South Dakota State University. She has experience in working with adolescents and adults in intensive inpatient treatment and outpatient settings. She uses cognitive behavioral, solution-focused and motivational interviewing therapeutic techniques. She specializes in substance abuse, addiction, depression, anxiety, trauma, and grief. She is currently employed at Black Hills Counselors and provides Substance Abuse evaluations, outpatient groups, DUI classes, individual, family and couples counseling sessions for adults and adolescents.
Alyssa Martin, MS, LAC is a South Dakota State Licensed Addiction Counselor and has a Master's of Science in Clinical Mental Health Counseling from South Dakota State University. She has experience in working with adolescents and adults in intensive inpatient treatment and outpatient settings. She uses cognitive behavioral, solution-focused and motivational interviewing therapeutic techniques. She specializes in substance abuse, addiction, depression, anxiety, trauma, and grief. She is currently employed at Black Hills Counselors and provides Substance Abuse evaluations, outpatient groups, DUI classes, individual, family and couples counseling sessions for adults and adolescents.
(605) 653-4528 View (605) 653-4528
Photo of Jacob John Folstrom, Licensed Professional Counselor in Rapid City, SD
Jacob John Folstrom
Licensed Professional Counselor, MS, LPC, QMHP
Verified Verified
Rapid City, SD 57701
I feel a "calling" to help adults and teens through counseling! I offer clients deep compassion, unconditional acceptance, and understanding. Often we believe the worst about ourselves! We lose sight of our own value, our own beauty, and self worth. We become depressed or constantly anxious, feel lost, maybe even broken on the inside. But, counseling can change that! I provide a safe environment that is consistently supportive, empathetic, and empowering! I will help you see yourself anew, grieve your losses, face your fears, and help you locate your deep self and reconnect to your life's purpose. A natural joy will follow!
I feel a "calling" to help adults and teens through counseling! I offer clients deep compassion, unconditional acceptance, and understanding. Often we believe the worst about ourselves! We lose sight of our own value, our own beauty, and self worth. We become depressed or constantly anxious, feel lost, maybe even broken on the inside. But, counseling can change that! I provide a safe environment that is consistently supportive, empathetic, and empowering! I will help you see yourself anew, grieve your losses, face your fears, and help you locate your deep self and reconnect to your life's purpose. A natural joy will follow!
(605) 309-5165 View (605) 309-5165
Photo of Becky Cornell-Marsich, Licensed Professional Counselor in Rapid City, SD
Becky Cornell-Marsich
Licensed Professional Counselor, MS, LPC-MH
Verified Verified
Rapid City, SD 57701
Whatever struggles you might be having right now, we can examine those together and find ways to change your situation, thoughts, feelings and/or behaviors to help you feel better and find joy in life. I will work to create a space where you feel comfortable sharing what's going on with you, and can work toward your goals.
Whatever struggles you might be having right now, we can examine those together and find ways to change your situation, thoughts, feelings and/or behaviors to help you feel better and find joy in life. I will work to create a space where you feel comfortable sharing what's going on with you, and can work toward your goals.
(605) 600-2249 View (605) 600-2249
Photo of Natalie Lecy, Clinical Social Work/Therapist in Rapid City, SD
Natalie Lecy
Clinical Social Work/Therapist, PhD, CSW-PIP, LCSW, QMHP
Verified Verified
Rapid City, SD 57702
I provide therapy for individuals who are looking for a safe space and unconditional support. I provide support for people experiencing a range of issues including anxiety, depression, postpartum depression, LGBTQ specific struggles, trauma, life transitions, stress management, and relationship issues.
I provide therapy for individuals who are looking for a safe space and unconditional support. I provide support for people experiencing a range of issues including anxiety, depression, postpartum depression, LGBTQ specific struggles, trauma, life transitions, stress management, and relationship issues.
(605) 250-7186 View (605) 250-7186
Photo of Elizabeth K Miller, Licensed Professional Counselor in Rapid City, SD
Elizabeth K Miller
Licensed Professional Counselor, MAC, LPC
Verified Verified
Rapid City, SD 57701
I am a licensed professional counselor with over 14 years of experience. That being said, I've learned there is always room for growth and change. I offer acceptance of whatever you bring to talk about with a non biased perspective and no judgments or criticism. My life experiences have taught me empathy and compassion as well as keeping boundaries and being a little 'tough skinned'. I enjoy working with someone who is open and honest. It's great if I can challenge your thinking and /or perspective on your life, situations and experiences. We all experience hard days and difficult situations - I'm here to help.
I am a licensed professional counselor with over 14 years of experience. That being said, I've learned there is always room for growth and change. I offer acceptance of whatever you bring to talk about with a non biased perspective and no judgments or criticism. My life experiences have taught me empathy and compassion as well as keeping boundaries and being a little 'tough skinned'. I enjoy working with someone who is open and honest. It's great if I can challenge your thinking and /or perspective on your life, situations and experiences. We all experience hard days and difficult situations - I'm here to help.
(605) 501-5642 View (605) 501-5642
Photo of Debra Ann Hughes, Clinical Social Work/Therapist in Rapid City, SD
Debra Ann Hughes
Clinical Social Work/Therapist, MSW, LCSW, PIP, CDA
Verified Verified
Rapid City, SD 57702
Individuals seek therapy for a variety of reasons. Parents may be looking for assistance for their child as they are demonstrating behaviors. Couples may be struggling to communicate in their marriage. Individuals going through a divorce may need parent coordination to assist them in coordinating visitation. Each situation requires a therapist who is understanding and willing to see how they are being impacted individually. Clients are seeking help and wanting results.
Individuals seek therapy for a variety of reasons. Parents may be looking for assistance for their child as they are demonstrating behaviors. Couples may be struggling to communicate in their marriage. Individuals going through a divorce may need parent coordination to assist them in coordinating visitation. Each situation requires a therapist who is understanding and willing to see how they are being impacted individually. Clients are seeking help and wanting results.
(605) 307-3083 View (605) 307-3083
Photo of Alexandra Coyne, Pre-Licensed Professional in Rapid City, SD
Alexandra Coyne
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Rapid City, SD 57701
I work with teens, adults, and couples to navigate challenges as they journey through what it means to be the best versions of themselves. When we are up against confusing or difficult circumstances, we are left with a choice to embrace and face the storm or turn our backs, letting it fester. I am here to journey alongside you and venture together to face this storm, whatever it may be. It is okay to not be okay. Recognizing challenges in life is a sign of readiness for growth and self-evolution. Therapy is a way to explore this self-evolution in a way that is safe and oriented with your best interests in mind, always.
I work with teens, adults, and couples to navigate challenges as they journey through what it means to be the best versions of themselves. When we are up against confusing or difficult circumstances, we are left with a choice to embrace and face the storm or turn our backs, letting it fester. I am here to journey alongside you and venture together to face this storm, whatever it may be. It is okay to not be okay. Recognizing challenges in life is a sign of readiness for growth and self-evolution. Therapy is a way to explore this self-evolution in a way that is safe and oriented with your best interests in mind, always.
(605) 299-9100 View (605) 299-9100
Photo of Carla Starr, Clinical Social Work/Therapist in Rapid City, SD
Carla Starr
Clinical Social Work/Therapist, LCSW
Verified Verified
Rapid City, SD 57701  (Online Only)
Carla Starr is a Licensed Clinical Social Worker (LCSW-PIP) with over 18 years of experience in the field of social work. Carla is passionate about helping adults with identifying their unique strengths and gifts so they can live their most fulfilling lives. She specializes in treating depression, anxiety, trauma, substance use, mood disorders, major life transitions, post-partum depression, and relationship issues. Carla earned her Master's degree in Social Work degree from the University at Buffalo.
Carla Starr is a Licensed Clinical Social Worker (LCSW-PIP) with over 18 years of experience in the field of social work. Carla is passionate about helping adults with identifying their unique strengths and gifts so they can live their most fulfilling lives. She specializes in treating depression, anxiety, trauma, substance use, mood disorders, major life transitions, post-partum depression, and relationship issues. Carla earned her Master's degree in Social Work degree from the University at Buffalo.
(605) 702-2704 View (605) 702-2704
Photo of Tracy Palecek, Licensed Professional Counselor in Rapid City, SD
Tracy Palecek
Licensed Professional Counselor, LPC-MH, QMHP
Verified Verified
Rapid City, SD 57702
I believe therapy is a place for you to come with whatever burdens you. I will meet you there and walk with you as we, together, plan your path ahead. I often work with those who are dealing with anxiety, depression, past or current trauma, and life changes. I use many different treatment modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy. I approach this work with trust building, careful assessment, and a specific plan for achieving results.
I believe therapy is a place for you to come with whatever burdens you. I will meet you there and walk with you as we, together, plan your path ahead. I often work with those who are dealing with anxiety, depression, past or current trauma, and life changes. I use many different treatment modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, and Dialectical Behavioral Therapy. I approach this work with trust building, careful assessment, and a specific plan for achieving results.
(605) 467-5847 View (605) 467-5847
Photo of Jessica Hubner, Licensed Professional Counselor in Rapid City, SD
Jessica Hubner
Licensed Professional Counselor, MS, LPC
Verified Verified
Rapid City, SD 57701
Do you feel like the challenges you face in life are making you (and your loved ones) out to be crazy, a burden or a problem? I aim to carve out a comfortable healing space for people who are faced with problems that may be tricky to unravel, obstinate to change or that simply need a place to be aired-out and heard. I am interested in meeting people who may struggle to find a good fit with other counselors or people who are new to therapy and looking for a comfortable, personal and respectful relationship.
Do you feel like the challenges you face in life are making you (and your loved ones) out to be crazy, a burden or a problem? I aim to carve out a comfortable healing space for people who are faced with problems that may be tricky to unravel, obstinate to change or that simply need a place to be aired-out and heard. I am interested in meeting people who may struggle to find a good fit with other counselors or people who are new to therapy and looking for a comfortable, personal and respectful relationship.
(605) 646-4409 View (605) 646-4409
Photo of Brianna Jakubiak, Licensed Professional Counselor in Rapid City, SD
Brianna Jakubiak
Licensed Professional Counselor, LPC
Verified Verified
Rapid City, SD 57701
Hello! My name is Brianna Jakubiak, and I am a Licensed Professional Counselor in South Dakota. I work to help people better understand themselves and how to create the life they want. I think it is an honor to get to hear an individual's story and be a part of it. My theoretical approach differs slightly depending on who I am working with, but I pull primarily from Cognitive Behavioral Therapy. I work to help people gain awareness of their own patterns in order to start the process of changing those thoughts, emotions, and behaviors.
Hello! My name is Brianna Jakubiak, and I am a Licensed Professional Counselor in South Dakota. I work to help people better understand themselves and how to create the life they want. I think it is an honor to get to hear an individual's story and be a part of it. My theoretical approach differs slightly depending on who I am working with, but I pull primarily from Cognitive Behavioral Therapy. I work to help people gain awareness of their own patterns in order to start the process of changing those thoughts, emotions, and behaviors.
(605) 307-5469 View (605) 307-5469

How does your Therapist compare?

Number of Therapists in Rapid City, SD

100+

Average cost per session

$150

Therapists in Rapid City, SD who prioritize treating:

95% Anxiety
91% Depression
79% Self Esteem
77% Stress
74% Coping Skills
73% Relationship Issues
73% Grief

Average years in practice

12 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
67% Wellmark BCBS
60% Avera Health Plans

How Therapists in Rapid City, SD see their clients

80% In Person and Online
20% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rapid City?

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.