Therapists in Carmel, IN

Photo of Carolyn Passen, Clinical Social Work/Therapist in Carmel, IN
Carolyn Passen
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, IN 46032
If you’ve experienced trauma, or something that made you feel powerless, hopeless, or afraid, then I’d love to help you in your recovery process. I specialize in working with adults and teens to help them heal from trauma, such as domestic violence, abuse, and neglect. I also support people in managing concerns like depression, anxiety, substance use, family/relationship conflict, grief, and anger management. I use evidence-based techniques including EMDR, EFT, CBT, and DBT. I have experience working within the LGBTQ+ community, and I am able to provide counseling in both English and Spanish.
If you’ve experienced trauma, or something that made you feel powerless, hopeless, or afraid, then I’d love to help you in your recovery process. I specialize in working with adults and teens to help them heal from trauma, such as domestic violence, abuse, and neglect. I also support people in managing concerns like depression, anxiety, substance use, family/relationship conflict, grief, and anger management. I use evidence-based techniques including EMDR, EFT, CBT, and DBT. I have experience working within the LGBTQ+ community, and I am able to provide counseling in both English and Spanish.
(317) 676-2196 View (317) 676-2196
Photo of Jen Elliott, Clinical Social Work/Therapist in Carmel, IN
Jen Elliott
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Carmel, IN 46032
Hello and welcome! I’m Jen, an eating disorder therapist, and Certified Intuitive Eating Counselor. I specialize in working with clients with eating disorders, disordered eating, and body image concerns. I help clients reframe negative thoughts around food and their body, reduce anxiety around fear foods, feel more comfortable eating in social situations, and cultivate self-compassion and trust.
Hello and welcome! I’m Jen, an eating disorder therapist, and Certified Intuitive Eating Counselor. I specialize in working with clients with eating disorders, disordered eating, and body image concerns. I help clients reframe negative thoughts around food and their body, reduce anxiety around fear foods, feel more comfortable eating in social situations, and cultivate self-compassion and trust.
(317) 434-3358 View (317) 434-3358
Photo of Shana Markle, Psychologist in Carmel, IN
Shana Markle
Psychologist, PhD, HSPP
Verified Verified
1 Endorsed
Carmel, IN 46032  (Online Only)
Dr. Markle specializes in working with adults and young adults/college students with depression, anxiety, relationship issues, body image concerns, and significant life events. She is adept at working with trauma, past and present, and the impact trauma has on present day functioning. Dr. Markle has over 20 years of experience ranging from serious mental illness to personal growth.
Dr. Markle specializes in working with adults and young adults/college students with depression, anxiety, relationship issues, body image concerns, and significant life events. She is adept at working with trauma, past and present, and the impact trauma has on present day functioning. Dr. Markle has over 20 years of experience ranging from serious mental illness to personal growth.
(317) 210-1046 View (317) 210-1046
Photo of Fiona J Kress, Psychologist in Carmel, IN
Fiona J Kress
Psychologist, PhD, HSPP
Verified Verified
Carmel, IN 46032
As a licensed clinical psychologist and health service provider in psychology, I provide psychological services for children and adolescents ranging from preschool age to the end of the high school years. These services include individual and family therapy services and psychological evaluations. I assist children and adolescents with various issues including depression, anxiety, anger management, stress management, self esteem concerns, ADHD, learning problems, autism spectrum disorder, grief issues, behavior problems, and relationship difficulties with family members and peers.
As a licensed clinical psychologist and health service provider in psychology, I provide psychological services for children and adolescents ranging from preschool age to the end of the high school years. These services include individual and family therapy services and psychological evaluations. I assist children and adolescents with various issues including depression, anxiety, anger management, stress management, self esteem concerns, ADHD, learning problems, autism spectrum disorder, grief issues, behavior problems, and relationship difficulties with family members and peers.
(317) 653-4071 View (317) 653-4071
Photo of Leslie Capehart, Counselor in Carmel, IN
Leslie Capehart
Counselor, PhD, LMHC
Verified Verified
Carmel, IN 46032  (Online Only)
Do you often find yourself a victim to life circumstance, stuck repeating patterns, unable to move forward? I'd like to meet with you. My name is Leslie. I hold a Masters and a Ph.D. in counseling psychology and have been licensed as a mental health or professional counselor (LMHC) since 1994. Over the past 25 years, I have worked as an individual counselor with college-aged students and adults in clinical, private practice, and non-profit settings. I also have past experience working as an Indiana University (Indianapolis) associate professor in their undergraduate and graduate counseling and psychology programs.
Do you often find yourself a victim to life circumstance, stuck repeating patterns, unable to move forward? I'd like to meet with you. My name is Leslie. I hold a Masters and a Ph.D. in counseling psychology and have been licensed as a mental health or professional counselor (LMHC) since 1994. Over the past 25 years, I have worked as an individual counselor with college-aged students and adults in clinical, private practice, and non-profit settings. I also have past experience working as an Indiana University (Indianapolis) associate professor in their undergraduate and graduate counseling and psychology programs.
(561) 935-6361 View (561) 935-6361
Photo of Caitlin Wolowski, Clinical Social Work/Therapist in Carmel, IN
Caitlin Wolowski
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified Verified
1 Endorsed
Carmel, IN 46032
Accepting New Clients! Starting therapy can come with varied emotions, so let me acknowledge the effort it took for you to even begin looking. I believe in the power of the therapeutic relationship, and I am here to help you embark on that journey. With over 13 years of clinical experience in a variety of settings, I have found that each individual has unique strengths and characteristics that influence what therapy may work best for them.
Accepting New Clients! Starting therapy can come with varied emotions, so let me acknowledge the effort it took for you to even begin looking. I believe in the power of the therapeutic relationship, and I am here to help you embark on that journey. With over 13 years of clinical experience in a variety of settings, I have found that each individual has unique strengths and characteristics that influence what therapy may work best for them.
(317) 204-8534 View (317) 204-8534
Photo of Charles Allen Spray, Counselor in Carmel, IN
Charles Allen Spray
Counselor, MS, LMHC
Verified Verified
Carmel, IN 46032
I am excited about working in a private practice counseling setting, sharing office space, scheduling, and billing with Positive Pathways LLC, where I have worked for the past 18 years. I have over 30 years of experience counseling adults, children, and adolescents in a variety of settings. My experience includes serving as a therapist in inpatient, outpatient, therapeutic day school, residential treatment programs, behavior consultation, and as a school counselor. I have an MS in counseling from Indiana University and am a Licensed Mental Health Counselor (LMHC).
I am excited about working in a private practice counseling setting, sharing office space, scheduling, and billing with Positive Pathways LLC, where I have worked for the past 18 years. I have over 30 years of experience counseling adults, children, and adolescents in a variety of settings. My experience includes serving as a therapist in inpatient, outpatient, therapeutic day school, residential treatment programs, behavior consultation, and as a school counselor. I have an MS in counseling from Indiana University and am a Licensed Mental Health Counselor (LMHC).
(317) 689-0231 View (317) 689-0231
Photo of Dr. Sherri Barrow, Counselor in Carmel, IN
Dr. Sherri Barrow
Counselor, PhD, LMHC
Verified Verified
Carmel, IN 46032  (Online Only)
I am a licensed mental health counselor (LMHC) with a Ph.D. in Counselor Education and Supervision and 18 years of professional work experience with children, teens, and adults. I have experience helping clients with trauma and abuse, parenting issues, motivation, self-esteem, and confidence, & coping with life changes. I believe that you are the expert on your story and have many strengths that will assist you in overcoming things that challenge you. The first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
I am a licensed mental health counselor (LMHC) with a Ph.D. in Counselor Education and Supervision and 18 years of professional work experience with children, teens, and adults. I have experience helping clients with trauma and abuse, parenting issues, motivation, self-esteem, and confidence, & coping with life changes. I believe that you are the expert on your story and have many strengths that will assist you in overcoming things that challenge you. The first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(317) 707-4150 View (317) 707-4150
Photo of Leah Hastings, Clinical Social Work/Therapist in Carmel, IN
Leah Hastings
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, IN 46032  (Online Only)
Leah Hastings is a Licensed Clinical Social Worker with 20 years of experience in the child advocacy and social services fields. She finds her passion in working with underserved populations, including youth involved in the criminal justice system and families reliant on state services. Prior to earning her MSW, she worked with incarcerated youth and families involved in the child welfare system. She specializes in treating trauma, ADHD, gender identity, grief, anxiety, and depression with a holistic approach to meet each client's complex needs. Additionally, she has experience in navigating sudden loss and large life transitions.
Leah Hastings is a Licensed Clinical Social Worker with 20 years of experience in the child advocacy and social services fields. She finds her passion in working with underserved populations, including youth involved in the criminal justice system and families reliant on state services. Prior to earning her MSW, she worked with incarcerated youth and families involved in the child welfare system. She specializes in treating trauma, ADHD, gender identity, grief, anxiety, and depression with a holistic approach to meet each client's complex needs. Additionally, she has experience in navigating sudden loss and large life transitions.
(463) 222-0639 View (463) 222-0639
Photo of Otteria Trimble, Psychologist in Carmel, IN
Otteria Trimble
Psychologist, PsyD
Verified Verified
Carmel, IN 46032
Otteria Trimble is a Psychologist in Indiana who has been practicing since 2016. Otteria helps clients by holding space as they reflect on their current challenges and encourages them to reflect on their strengths in a solution-focused manner when necessary. However, Otteria knows challenges don't always need a solution, just space to understand. She walks alongside clients as they implement the changes, they want for their lives to cultivate a sense of happiness or contentment. Otteria leans most on skills associated with CBT, DBT, and interpersonal therapies.
Otteria Trimble is a Psychologist in Indiana who has been practicing since 2016. Otteria helps clients by holding space as they reflect on their current challenges and encourages them to reflect on their strengths in a solution-focused manner when necessary. However, Otteria knows challenges don't always need a solution, just space to understand. She walks alongside clients as they implement the changes, they want for their lives to cultivate a sense of happiness or contentment. Otteria leans most on skills associated with CBT, DBT, and interpersonal therapies.
(317) 676-5544 View (317) 676-5544
Photo of Emma K. D. Niespodziany, Clinical Social Work/Therapist in Carmel, IN
Emma K. D. Niespodziany
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
2 Endorsed
Carmel, IN 46032
What sets me apart from other therapists is that I am down to earth. I know therapy is nothing without a strong relationship with your therapist. I have had treatment myself for depression, trauma, and an eating disorder so I understand how it feels to be a client and I know how important it is to give you a safe space to work through your struggles. I am here to listen and assist you in reaching your goals.
What sets me apart from other therapists is that I am down to earth. I know therapy is nothing without a strong relationship with your therapist. I have had treatment myself for depression, trauma, and an eating disorder so I understand how it feels to be a client and I know how important it is to give you a safe space to work through your struggles. I am here to listen and assist you in reaching your goals.
(317) 932-8614 View (317) 932-8614
Photo of Michele Stepanek Teague, Clinical Social Work/Therapist in Carmel, IN
Michele Stepanek Teague
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Carmel, IN 46032
Hi, I'm Michele. I'm glad you're here. I know how a situation, involving yourself or a loved one, can consume your life. I became a therapist because I've experienced similar circumstances. Those moments have led me to be an empathetic and effective counselor. We will take things at your pace. This is your time, and we will work together to find healing and growth.
Hi, I'm Michele. I'm glad you're here. I know how a situation, involving yourself or a loved one, can consume your life. I became a therapist because I've experienced similar circumstances. Those moments have led me to be an empathetic and effective counselor. We will take things at your pace. This is your time, and we will work together to find healing and growth.
(765) 305-5703 View (765) 305-5703
Photo of Spenser Kash, Pre-Licensed Professional in Carmel, IN
Spenser Kash
Pre-Licensed Professional, LMHCA
Verified Verified
Carmel, IN 46032
Life can present us with a variety of overwhelming challenges. It takes a great deal of courage and introspection to identify that it may be time to reach out for support, and I’m grateful you have taken the time to begin that exploration for yourself. I believe that humans are capable of growth, change, resiliency, and optimism amidst these difficulties or uncertainties. I specialize in working with adults (18+) across a variety of presenting concerns including: anxiety, depression, grief and bereavement, trauma, substance use, sex-related concerns, relationship problems, and self-esteem.
Life can present us with a variety of overwhelming challenges. It takes a great deal of courage and introspection to identify that it may be time to reach out for support, and I’m grateful you have taken the time to begin that exploration for yourself. I believe that humans are capable of growth, change, resiliency, and optimism amidst these difficulties or uncertainties. I specialize in working with adults (18+) across a variety of presenting concerns including: anxiety, depression, grief and bereavement, trauma, substance use, sex-related concerns, relationship problems, and self-esteem.
(317) 653-6570 View (317) 653-6570
Photo of Anna Powers, Clinical Social Work/Therapist in Carmel, IN
Anna Powers
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, IN 46032
Anna Powers, LCSW Anna Powers is a Licensed Clinical Social Worker in Indiana who has been practicing since 2015. She received her Bachelor's Degree in Social Work with a Minor in Psychology from Indiana University-Purdue University Indianapolis and completed her Master of Social Work at The University of Southern Indiana. Anna's treatment philosophy centers around the belief that therapy is a collaborative endeavor for individuals, couples, and families to heal and grow. Clients are the experts on their own lives and as the therapist, Anna serves as an informed, open-minded, and non-biased guide.
Anna Powers, LCSW Anna Powers is a Licensed Clinical Social Worker in Indiana who has been practicing since 2015. She received her Bachelor's Degree in Social Work with a Minor in Psychology from Indiana University-Purdue University Indianapolis and completed her Master of Social Work at The University of Southern Indiana. Anna's treatment philosophy centers around the belief that therapy is a collaborative endeavor for individuals, couples, and families to heal and grow. Clients are the experts on their own lives and as the therapist, Anna serves as an informed, open-minded, and non-biased guide.
(463) 465-2455 View (463) 465-2455
Photo of Megan Neitling, Counselor in Carmel, IN
Megan Neitling
Counselor, MS, LMHC, CST
Verified Verified
Carmel, IN 46032  (Online Only)
Wishing your relationship would improve? Feeling disconnected from your spouse/partner(s)? Does your relationship feel unsatisfying sexually or emotionally? Having frequent conflicts or fights? Do you wish your partner could meet your physical or emotional needs and desires? Want help overcoming jealousy, insecurity, or sexual shame/guilt? Struggling to overcome an affair? Looking for help with non-monogamy, kinks/fetishes, or LGBTQ+ issues? Navigating solutions to these issues can feel overwhelming and difficult. Rest assured that you can have a stronger, more connected, sexually fulfilling life and relationship with Sex Therapy.
Wishing your relationship would improve? Feeling disconnected from your spouse/partner(s)? Does your relationship feel unsatisfying sexually or emotionally? Having frequent conflicts or fights? Do you wish your partner could meet your physical or emotional needs and desires? Want help overcoming jealousy, insecurity, or sexual shame/guilt? Struggling to overcome an affair? Looking for help with non-monogamy, kinks/fetishes, or LGBTQ+ issues? Navigating solutions to these issues can feel overwhelming and difficult. Rest assured that you can have a stronger, more connected, sexually fulfilling life and relationship with Sex Therapy.
(317) 344-8619 View (317) 344-8619
Photo of Maryann Lake, Clinical Social Work/Therapist in Carmel, IN
Maryann Lake
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, IN 46032
I have been working with Adults, Adolescents, Couples and Families for 20 years. I work with my clients to address any issues associated with depression, anxiety, bi-polar, personality disorders, trauma and addiction. I enjoy helping my patients identify the core issues that they want to address and develop skills and tools to help them successfully navigate through them for the rest of their life.
I have been working with Adults, Adolescents, Couples and Families for 20 years. I work with my clients to address any issues associated with depression, anxiety, bi-polar, personality disorders, trauma and addiction. I enjoy helping my patients identify the core issues that they want to address and develop skills and tools to help them successfully navigate through them for the rest of their life.
(317) 401-5276 View (317) 401-5276
Photo of Lindsay Hallett, Psychologist in Carmel, IN
Lindsay Hallett
Psychologist, PsyD, HSPP
Verified Verified
2 Endorsed
Carmel, IN 46032
Not accepting new clients
Not currently accepting new patients. Seeking therapy can be a difficult decision to make; this choice can be further compounded when life doesn’t seem to be going your way in the first place. Exploring and researching options for psychotherapy is an important step in initiating meaningful change into your life, so be encouraged that you have already begun the process. As a psychologist, my first goal is always to create an alliance of trust, comfort, and collaboration. A sense of safety fosters emotional expression that leads to the creation of achievable treatment goals and ultimately therapeutic success.
Not currently accepting new patients. Seeking therapy can be a difficult decision to make; this choice can be further compounded when life doesn’t seem to be going your way in the first place. Exploring and researching options for psychotherapy is an important step in initiating meaningful change into your life, so be encouraged that you have already begun the process. As a psychologist, my first goal is always to create an alliance of trust, comfort, and collaboration. A sense of safety fosters emotional expression that leads to the creation of achievable treatment goals and ultimately therapeutic success.
(317) 659-8014 View (317) 659-8014
Photo of Brittney Oliver, Clinical Social Work/Therapist in Carmel, IN
Brittney Oliver
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, IN 46032
As a therapist, I thrive in collaboration with those who are ready to look inward, face their shadows, and reclaim their power. If you are seeking transformation, ready to delve into your inner world, and embrace the potential for growth, we are well-suited to embark on this journey together. I'm a therapist that emphasizes the transformative influence of deliberately slowing down and reconnecting with the body to access and tap in to your own inherent healing abilities.
As a therapist, I thrive in collaboration with those who are ready to look inward, face their shadows, and reclaim their power. If you are seeking transformation, ready to delve into your inner world, and embrace the potential for growth, we are well-suited to embark on this journey together. I'm a therapist that emphasizes the transformative influence of deliberately slowing down and reconnecting with the body to access and tap in to your own inherent healing abilities.
(463) 220-4922 View (463) 220-4922
Photo of Hannah McShane, Counselor in Carmel, IN
Hannah McShane
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Carmel, IN 46032
Hi there, my name is Hannah. Sometimes, life has a way of throwing curveballs that are hard to navigate. Whether you’re experiencing anxiety, depression, grief, relationship concerns, or just feel stuck, therapy can be a place to figure those things out. My goal is to provide a safe environment for you to process and navigate your concerns, while equipping you with the skills to advocate for your needs.
Hi there, my name is Hannah. Sometimes, life has a way of throwing curveballs that are hard to navigate. Whether you’re experiencing anxiety, depression, grief, relationship concerns, or just feel stuck, therapy can be a place to figure those things out. My goal is to provide a safe environment for you to process and navigate your concerns, while equipping you with the skills to advocate for your needs.
(317) 620-8535 View (317) 620-8535
Photo of M. Stephanie Hart, Counselor in Carmel, IN
M. Stephanie Hart
Counselor, MA, LMHC, LPC, LAC
Verified Verified
Carmel, IN 46032
Welcome. I'm glad you're here. Do you struggle with overthinking, excessive stress, or find yourself feeling more down than usual? Are you having difficulty communicating your feelings or setting healthy boundaries? I aim to create a safe and supportive environment where you can comfortably take steps toward your personal goals. We will strive for a deepened understanding of yourself, discuss healthy ways of coping, and work toward meaningful change. Asking for help is not a sign of weakness but a courageous step toward healing. Let's develop a plan best suited for you. I am now accepting new clients.
Welcome. I'm glad you're here. Do you struggle with overthinking, excessive stress, or find yourself feeling more down than usual? Are you having difficulty communicating your feelings or setting healthy boundaries? I aim to create a safe and supportive environment where you can comfortably take steps toward your personal goals. We will strive for a deepened understanding of yourself, discuss healthy ways of coping, and work toward meaningful change. Asking for help is not a sign of weakness but a courageous step toward healing. Let's develop a plan best suited for you. I am now accepting new clients.
(317) 644-4351 View (317) 644-4351

How does your Therapist compare?

Number of Therapists in Carmel, IN

500+

Average cost per session

$130

Therapists in Carmel, IN who prioritize treating:

93% Anxiety
90% Depression
75% Relationship Issues
73% Trauma and PTSD
72% Self Esteem
67% Stress
66% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

78% Anthem | Elevance
73% BlueCross and BlueShield
59% Aetna

How Therapists in Carmel, IN see their clients

81% In Person and Online
19% Online Only

Gender breakdown

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

How can I find a therapist in Carmel?

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.