Therapists in Omaha, NE

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Photo of Michelle Oczki, Counselor in Omaha, NE
Michelle Oczki
Counselor, MS, LIMHP, CPC
Verified Verified
1 Endorsed
Omaha, NE 68134
Everyone encounters challenges in their life that may feel overwhelming. Seeking counseling during these times is a sign of strength, as it suggests the willingness to address problems rather than avoid them. I teach solution-focused tools that clients can use in the real world. I have a collaborative approach with my clients and believe humor and empowerment are key components to therapy. If stressful thoughts are keeping you up at night, it may be a sign that you're ready tackle the things that are holding you back. I would like to help.
Everyone encounters challenges in their life that may feel overwhelming. Seeking counseling during these times is a sign of strength, as it suggests the willingness to address problems rather than avoid them. I teach solution-focused tools that clients can use in the real world. I have a collaborative approach with my clients and believe humor and empowerment are key components to therapy. If stressful thoughts are keeping you up at night, it may be a sign that you're ready tackle the things that are holding you back. I would like to help.
(402) 571-3995 x2 View (402) 571-3995 x2
Photo of Jessica Smeal, Counselor in Omaha, NE
Jessica Smeal
Counselor, LMHP, LADC
Verified Verified
3 Endorsed
Omaha, NE 68114
I have been a Therapist since 2008 and have specialized training in EMDR, DBT Individual and Skills, CBT, REBT, substance abuse, and Life Coaching. I have experience working with various populations in co-occurring mental health and substance use disorders including corrections, inpatient, and outpatient levels of care. Using my training and education, I use an eclectic approach to individualized client care. Fundamentally, I believe in a client's ability to change, increase their well-being, and overall functioning.
I have been a Therapist since 2008 and have specialized training in EMDR, DBT Individual and Skills, CBT, REBT, substance abuse, and Life Coaching. I have experience working with various populations in co-occurring mental health and substance use disorders including corrections, inpatient, and outpatient levels of care. Using my training and education, I use an eclectic approach to individualized client care. Fundamentally, I believe in a client's ability to change, increase their well-being, and overall functioning.
(402) 378-9357 View (402) 378-9357
Photo of Kristin Williams, Pre-Licensed Professional in Omaha, NE
Kristin Williams
Pre-Licensed Professional, PCMSW, PLMHP
Verified Verified
Omaha, NE 68131
Waitlist for new clients
Feeling anxious or depressed? Are you losing sleep or struggling to focus? Challenged with your most important relationships? You can learn to navigate these, find relief, and experience life from an optimal state. Gain self-awareness and learn to alleviate anxiety and depression while navigating your thoughts, feelings and behaviors with methods that work. Together we identify your personal strengths and develop strategies so you can live life the way you desire.
Feeling anxious or depressed? Are you losing sleep or struggling to focus? Challenged with your most important relationships? You can learn to navigate these, find relief, and experience life from an optimal state. Gain self-awareness and learn to alleviate anxiety and depression while navigating your thoughts, feelings and behaviors with methods that work. Together we identify your personal strengths and develop strategies so you can live life the way you desire.
(402) 576-5962 View (402) 576-5962
Photo of Steve Thomas, Counselor in Omaha, NE
Steve Thomas
Counselor, MS, LIMHP
Verified Verified
Omaha, NE 68102
I have a full and deep life of experience to draw from in meeting my clients in sacred space. The loss of a son, a marriage, a career, accumulated material rewards, and most importantly, the potential of life unlived; dreams unfulfilled. This is soul work. Prepared by the vulnerability of my story, I hold insight and compassion for those whose burdens must be eased into, passed through, and reborn into new purpose, for the quality of our life is in our overcoming. Navigating the troubled waters of depression, anxiety, relational fissures, and archetypal energies is the first threshold of a healing journey.
I have a full and deep life of experience to draw from in meeting my clients in sacred space. The loss of a son, a marriage, a career, accumulated material rewards, and most importantly, the potential of life unlived; dreams unfulfilled. This is soul work. Prepared by the vulnerability of my story, I hold insight and compassion for those whose burdens must be eased into, passed through, and reborn into new purpose, for the quality of our life is in our overcoming. Navigating the troubled waters of depression, anxiety, relational fissures, and archetypal energies is the first threshold of a healing journey.
(402) 618-2512 View (402) 618-2512
Photo of Restore Rebuild Reconnect Counseling Center , Counselor in Omaha, NE
Restore Rebuild Reconnect Counseling Center
Counselor, PLMHP, PLADC
Verified Verified
1 Endorsed
Omaha, NE 68105
Wherever you are at in your life I'll meet you there. I have seen clients who range in a variety of obstacles such as depression, anxiety, self-harm, LGBTQIA+ issues, self-confidence, compassion fatigue for care-takers of spouses with high intensity medical issues, normal life stressors, and developmental life transitions. Paige holds a B.S. in Psychology and a B.S. in Sociology as well as a M.E.S. in Mental Health Counseling. Paige’s goals as a counselor are to provide an empathetic ear within a safe space where individuals can feel heard and seen!
Wherever you are at in your life I'll meet you there. I have seen clients who range in a variety of obstacles such as depression, anxiety, self-harm, LGBTQIA+ issues, self-confidence, compassion fatigue for care-takers of spouses with high intensity medical issues, normal life stressors, and developmental life transitions. Paige holds a B.S. in Psychology and a B.S. in Sociology as well as a M.E.S. in Mental Health Counseling. Paige’s goals as a counselor are to provide an empathetic ear within a safe space where individuals can feel heard and seen!
(402) 698-3975 View (402) 698-3975
Photo of Michelle Lee Bourdo, Counselor in Omaha, NE
Michelle Lee Bourdo
Counselor, MSAT, ATR, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68105  (Online Only)
Creating a life of healthy living is possible. If you have found yourself here, asking if it is time to get you mental health on track, the answer is yes! Through the use of art therapy, I can help you design, sculpt and create the best version of you, for you. I am excited to stand beside you as you process your story and mend your heart and mind. Through the use of telehealth and experiential art making, we will practice new life skills and facilitate meaningful living for you. Give me a call and let's get started today.
Creating a life of healthy living is possible. If you have found yourself here, asking if it is time to get you mental health on track, the answer is yes! Through the use of art therapy, I can help you design, sculpt and create the best version of you, for you. I am excited to stand beside you as you process your story and mend your heart and mind. Through the use of telehealth and experiential art making, we will practice new life skills and facilitate meaningful living for you. Give me a call and let's get started today.
(402) 256-6642 x08 View (402) 256-6642 x08
Photo of Shauntel Nutile, Clinical Social Work/Therapist in Omaha, NE
Shauntel Nutile
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Omaha, NE 68130
I am a Licensed Clinical Social Worker/ Therapist in Nebraska, with the last 8 years in a hospital setting. I have helped individuals understand the stages illness, grief/loss, and the effects it can cause on the individual/family. Prior to that I worked with a variety of barriers adults face throughout their day-to-day life including but not limited to substance use, stress of daily life, adjustment to new circumstances, and motivation. As my client, I want you to feel seen, heard, and supported as your whole authentic self. Together we can work on the areas of your life that you choose to work on without the fear of judgement.
I am a Licensed Clinical Social Worker/ Therapist in Nebraska, with the last 8 years in a hospital setting. I have helped individuals understand the stages illness, grief/loss, and the effects it can cause on the individual/family. Prior to that I worked with a variety of barriers adults face throughout their day-to-day life including but not limited to substance use, stress of daily life, adjustment to new circumstances, and motivation. As my client, I want you to feel seen, heard, and supported as your whole authentic self. Together we can work on the areas of your life that you choose to work on without the fear of judgement.
(402) 923-4347 View (402) 923-4347
Photo of Jannette Davis, Counselor in Omaha, NE
Jannette Davis
Counselor, MS, LMHP, CST
Verified Verified
Omaha, NE 68102
I work with individuals and couples struggling with life issues and/or challenges surrounding their relationships. My subspecialty is sex therapy. I have been a Certified Sex Therapist for over 40 years. I accept all individuals and couples and their particular styles of sexual functioning and I have experience working with the LGBTQ community.
I work with individuals and couples struggling with life issues and/or challenges surrounding their relationships. My subspecialty is sex therapy. I have been a Certified Sex Therapist for over 40 years. I accept all individuals and couples and their particular styles of sexual functioning and I have experience working with the LGBTQ community.
(402) 527-1672 View (402) 527-1672
Photo of Emily Campbell, Psychologist in Omaha, NE
Emily Campbell
Psychologist, PsyD
Verified Verified
1 Endorsed
Omaha, NE 68127
Not accepting new clients
No matter a person's background, therapy is a place where uniquely painful experiences and the daily hardships of life can be transformed into joyful growth and peaceful acceptance. I help individuals learn new ways of relating to others, develop a deeper understanding of themselves, and begin to see the world in a new light. My clinical focus has been in women's issues and relationship counseling where I help people develop healthy communication and greater harmony in their relationships. I assist women in working through complex issues of grief and loss, and in exploring areas related to personal growth and spiritual development.
No matter a person's background, therapy is a place where uniquely painful experiences and the daily hardships of life can be transformed into joyful growth and peaceful acceptance. I help individuals learn new ways of relating to others, develop a deeper understanding of themselves, and begin to see the world in a new light. My clinical focus has been in women's issues and relationship counseling where I help people develop healthy communication and greater harmony in their relationships. I assist women in working through complex issues of grief and loss, and in exploring areas related to personal growth and spiritual development.
(402) 885-5090 View (402) 885-5090
Photo of Stephen J Abraham, Counselor in Omaha, NE
Stephen J Abraham
Counselor, MS, CGP, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68114
I work with individuals, couples, families, adolescents, children, and LGBTQs. I like to delve into the depression, anxiety, or whatever is troubling you to get at and transform, moving towards a productive satisfying life. I'm good at getting at the potential, power, genius, and strength which lies within, surfacing creativity, health, and well being. Usually, when one discovers their potential it is like dropping a pebble in the calm lake, rippling goodness for all around them.
I work with individuals, couples, families, adolescents, children, and LGBTQs. I like to delve into the depression, anxiety, or whatever is troubling you to get at and transform, moving towards a productive satisfying life. I'm good at getting at the potential, power, genius, and strength which lies within, surfacing creativity, health, and well being. Usually, when one discovers their potential it is like dropping a pebble in the calm lake, rippling goodness for all around them.
(402) 519-4063 View (402) 519-4063
Photo of Summer Oberndorfer, Counselor in Omaha, NE
Summer Oberndorfer
Counselor, MA, LIMHP
Verified Verified
Omaha, NE 68106
Waitlist for new clients
I make it a priority to not only use evidence-based techniques in my practice, but also to form trusting relationships with my clients. I primarily work with people ages 8 to 21 with a variety of issues including trauma, mood disorders, anxiety, behavioral or impulse control problems, psychosis, low self-esteem, and communication issues, among others. I utilize Cognitive-Behavioral Therapy, Dialectical Behavior Therapy, and Trauma-Focused Cognitive-Behavioral Therapy, while also taking techniques from other therapy modalities such as Acceptance and Commitment Therapy.
I make it a priority to not only use evidence-based techniques in my practice, but also to form trusting relationships with my clients. I primarily work with people ages 8 to 21 with a variety of issues including trauma, mood disorders, anxiety, behavioral or impulse control problems, psychosis, low self-esteem, and communication issues, among others. I utilize Cognitive-Behavioral Therapy, Dialectical Behavior Therapy, and Trauma-Focused Cognitive-Behavioral Therapy, while also taking techniques from other therapy modalities such as Acceptance and Commitment Therapy.
(402) 407-2304 View (402) 407-2304
Photo of Daniel J Bruckner, Clinical Social Work/Therapist in Omaha, NE
Daniel J Bruckner
Clinical Social Work/Therapist, LIMHP
Verified Verified
4 Endorsed
Omaha, NE 68144
Are you reliving past trauma or experiencing depression, anxiety, distress, or a general sense of feeling stuck? For over twenty-five years, I have specialized in helping clients with these as well as other life-interfering conditions. In today’s world, one can become easily overwhelmed, practice unhealthy coping skills, and develop a negative view of oneself and others. Often, we lose sight of the fact that there is a solution.
Are you reliving past trauma or experiencing depression, anxiety, distress, or a general sense of feeling stuck? For over twenty-five years, I have specialized in helping clients with these as well as other life-interfering conditions. In today’s world, one can become easily overwhelmed, practice unhealthy coping skills, and develop a negative view of oneself and others. Often, we lose sight of the fact that there is a solution.
(402) 920-6244 View (402) 920-6244
Photo of Jessica Smith, Counselor in Omaha, NE
Jessica Smith
Counselor, LIMHP, LICSW
Verified Verified
Omaha, NE 68154
As your mental health therapist, I am deeply passionate about helping you achieve peace and success as you journey through life. First and foremost, I am devoted to providing the best possible mental health care to my clients. I have clinical experience working with teens and adults with mental health disorders, as well as substance use disorders. I use evidence-based techniques to guide my practice and to develop your individualized treatment plans. I also have experience working with individuals suffering from past trauma and am trained in Trauma-Focused Cognitive Behavioral Therapy.
As your mental health therapist, I am deeply passionate about helping you achieve peace and success as you journey through life. First and foremost, I am devoted to providing the best possible mental health care to my clients. I have clinical experience working with teens and adults with mental health disorders, as well as substance use disorders. I use evidence-based techniques to guide my practice and to develop your individualized treatment plans. I also have experience working with individuals suffering from past trauma and am trained in Trauma-Focused Cognitive Behavioral Therapy.
(531) 201-6738 View (531) 201-6738
Photo of Marlys Oestreich, Counselor in Omaha, NE
Marlys Oestreich
Counselor, MS, LMHP, CSAT, CAS, LADC
Verified Verified
2 Endorsed
Omaha, NE 68144
Are you a Sexual and/or Pornography Addict? Do you think your spouse/partner might be? If so, I can help you assess that and provide treatment for each of you. I offer individual, couple, and group therapy. I also treat depression, anxiety, abuses, grief & loss, obsessions, codependencies, & other addictions.
Are you a Sexual and/or Pornography Addict? Do you think your spouse/partner might be? If so, I can help you assess that and provide treatment for each of you. I offer individual, couple, and group therapy. I also treat depression, anxiety, abuses, grief & loss, obsessions, codependencies, & other addictions.
(402) 241-8553 View (402) 241-8553
Photo of Megan Schwartz, Provisional Mental Health Practitioner in Omaha, NE
Megan Schwartz
Provisional Mental Health Practitioner, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68105
I'm Megan, a dedicated therapist committed to your well-being. Whether you're navigating new or existing challenges, I'm here to provide empathetic support. Together, we'll navigate your mental health journey, focusing on your goals and using personalized coping skills and techniques to foster change in your day to day life.
I'm Megan, a dedicated therapist committed to your well-being. Whether you're navigating new or existing challenges, I'm here to provide empathetic support. Together, we'll navigate your mental health journey, focusing on your goals and using personalized coping skills and techniques to foster change in your day to day life.
(402) 809-5203 View (402) 809-5203
Photo of Anna Bartholet, Counselor in Omaha, NE
Anna Bartholet
Counselor, MS, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68144
Not accepting new clients
Throughout life we often have limited control over what we’re confronted with. Adapting our responses to the challenges we face can strengthen who we are as individuals and contribute to a positive emotional state. Collaborative care along with compassionate confrontation can lead to overcoming adversity or discovering a new beginning. I have experience working with clients overcoming substance abuse, anxiety, depressive symptoms, and disordered eating patterns among other co-occurring tribulations. I believe in collaboration, intentional listening, and explorative conversation to navigate personal challenges.
Throughout life we often have limited control over what we’re confronted with. Adapting our responses to the challenges we face can strengthen who we are as individuals and contribute to a positive emotional state. Collaborative care along with compassionate confrontation can lead to overcoming adversity or discovering a new beginning. I have experience working with clients overcoming substance abuse, anxiety, depressive symptoms, and disordered eating patterns among other co-occurring tribulations. I believe in collaboration, intentional listening, and explorative conversation to navigate personal challenges.
(402) 543-3741 View (402) 543-3741
Photo of Lisa Parisien, Counselor in Omaha, NE
Lisa Parisien
Counselor, LIMHP, LADC, CHT, CMT
Verified Verified
Omaha, NE 68132
Not accepting new clients
I have been working in the field of mental health and addiction for over 20 years. I am also a certified hypnotherapist. I treat individuals and couples. I specialize in trauma, anxiety, depression, and addiction. Hypnosis is very effective in treating trauma. I am also a certified master trainer of hypnosis. I own Intuitive Therapies and A + Academy of Hypnosis. I certify others in hypnosis. www.aplusacademyofhypnosis.com. My work days are Monday, Tuesday and Wednesday. I will return messages on those days.
I have been working in the field of mental health and addiction for over 20 years. I am also a certified hypnotherapist. I treat individuals and couples. I specialize in trauma, anxiety, depression, and addiction. Hypnosis is very effective in treating trauma. I am also a certified master trainer of hypnosis. I own Intuitive Therapies and A + Academy of Hypnosis. I certify others in hypnosis. www.aplusacademyofhypnosis.com. My work days are Monday, Tuesday and Wednesday. I will return messages on those days.
(402) 382-9332 View (402) 382-9332
Photo of Anna Kathryn Terman-White, Counselor in Omaha, NE
Anna Kathryn Terman-White
Counselor, MDiv, MA, LMHP, LPC
Verified Verified
Omaha, NE 68144
I work with you to address concerns that are keeping you from fully embracing and enjoying life. Perhaps it is trauma, depression, difficult relationships or low self-esteem that are keeping you from living with the freedom you desire. Perhaps you are looking for a place where you can talk about your relationship with God or explore the things that give meaning to your life. Perhaps there are other concerns for which you are considering counseling. I welcome the opportunity to be a companion and guide with you on the journey to greater wholeness in living.
I work with you to address concerns that are keeping you from fully embracing and enjoying life. Perhaps it is trauma, depression, difficult relationships or low self-esteem that are keeping you from living with the freedom you desire. Perhaps you are looking for a place where you can talk about your relationship with God or explore the things that give meaning to your life. Perhaps there are other concerns for which you are considering counseling. I welcome the opportunity to be a companion and guide with you on the journey to greater wholeness in living.
(402) 519-4198 View (402) 519-4198
Photo of Noah Sherman, Provisional Mental Health Practitioner in Omaha, NE
Noah Sherman
Provisional Mental Health Practitioner, PLMHP
Verified Verified
Omaha, NE 68124
Therapy really thrives when a client is ready to change either themselves or the situations that they find themselves in. Whether you are struggling with life-changing topics like divorce, a death in the family, or persistent depression or just need someone to lend a supportive ear, I strive to empower clients to make those enriching changes to their lives. Depending on what kind of client you are we will collaborate and plan an approach that instills the change you want to see in your life.
Therapy really thrives when a client is ready to change either themselves or the situations that they find themselves in. Whether you are struggling with life-changing topics like divorce, a death in the family, or persistent depression or just need someone to lend a supportive ear, I strive to empower clients to make those enriching changes to their lives. Depending on what kind of client you are we will collaborate and plan an approach that instills the change you want to see in your life.
(402) 656-6752 View (402) 656-6752
Photo of Galina Wood, Clinical Social Work/Therapist in Omaha, NE
Galina Wood
Clinical Social Work/Therapist, LIMHP, MS
Verified Verified
2 Endorsed
Omaha, NE 68131
Waitlist for new clients
I value and honor the complex ways in which each person engages with the world by collaborating with clients to create an open, safe, and non-judgmental space, prioritizing clients’ autonomy throughout the therapeutic process. As a queer-identified practitioner, I bring personal and professional experience to creating an affirming space, regardless of whether gender and/or sexuality are central issues in your current therapeutic needs. I'm experienced in working with folks experiencing anxiety, depression, mood variations, and the multitude of responses that can result from trauma.
I value and honor the complex ways in which each person engages with the world by collaborating with clients to create an open, safe, and non-judgmental space, prioritizing clients’ autonomy throughout the therapeutic process. As a queer-identified practitioner, I bring personal and professional experience to creating an affirming space, regardless of whether gender and/or sexuality are central issues in your current therapeutic needs. I'm experienced in working with folks experiencing anxiety, depression, mood variations, and the multitude of responses that can result from trauma.
(402) 256-5835 View (402) 256-5835

How does your Therapist compare?

Number of Therapists in Omaha, NE

900+

Average cost per session

$150

Therapists in Omaha, NE who prioritize treating:

93% Anxiety
91% Depression
78% Self Esteem
76% Relationship Issues
76% Trauma and PTSD
74% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
68% Aetna

How Therapists in Omaha, NE see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Omaha?

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.