Therapists in Ballwin, MO

Photo of Kristi Machica, Licensed Professional Counselor in Ballwin, MO
Kristi Machica
Licensed Professional Counselor, MEd, LPC, RPT-S
Verified Verified
1 Endorsed
Ballwin, MO 63011
Feeling overwhelmed, lonely or down? Do you have a child or teen that is dysregulated, experiencing bullying, low self-esteem or aggression? Is your family going through transition? Having a safe place to talk and process your feelings can help. Many people aren’t sure how to find someone they can trust, or what to expect from therapy. I am committed to helping my clients find relief from cycles of emotional distress, improve their relationships and make lasting changes. I bring compassion, authenticity and a sense of humor to the therapeutic relationship.
Feeling overwhelmed, lonely or down? Do you have a child or teen that is dysregulated, experiencing bullying, low self-esteem or aggression? Is your family going through transition? Having a safe place to talk and process your feelings can help. Many people aren’t sure how to find someone they can trust, or what to expect from therapy. I am committed to helping my clients find relief from cycles of emotional distress, improve their relationships and make lasting changes. I bring compassion, authenticity and a sense of humor to the therapeutic relationship.
(636) 251-3880 View (636) 251-3880
Photo of Dr. Patricia Coughlin, Clinical Social Work/Therapist in Ballwin, MO
Dr. Patricia Coughlin
Clinical Social Work/Therapist, PhD, LCSW, MSN
Verified Verified
Ballwin, MO 63011
You will find my services and expertise helpful if you have difficulty with daily living; especially during hormone and or life transitions. This includes aging issues, menopause, premenstrual syndrome, postpartum, depression and infertility. I consult and counsel on natural hormone replacement and use of bio-identical hormones. Depression, anxiety, loss of sexual interest and motivation are all part of problems related to hormonal changes and the natural aging process. I have 30 years experience in nursing and clinical social work helping women of all ages cope and continue healthy lifestyles. In home or office.
You will find my services and expertise helpful if you have difficulty with daily living; especially during hormone and or life transitions. This includes aging issues, menopause, premenstrual syndrome, postpartum, depression and infertility. I consult and counsel on natural hormone replacement and use of bio-identical hormones. Depression, anxiety, loss of sexual interest and motivation are all part of problems related to hormonal changes and the natural aging process. I have 30 years experience in nursing and clinical social work helping women of all ages cope and continue healthy lifestyles. In home or office.
(314) 200-0473 View (314) 200-0473
Photo of Dr. Deb Crawford, Licensed Professional Counselor in Ballwin, MO
Dr. Deb Crawford
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Ballwin, MO 63011  (Online Only)
Are you confused about what is going wrong in your life and don't know what to do anymore? Are you experiencing shame around who you are? If you are trying to understand your past emotional hurt and trauma that has gotten you to where you are and how to fix it, I can help.
Are you confused about what is going wrong in your life and don't know what to do anymore? Are you experiencing shame around who you are? If you are trying to understand your past emotional hurt and trauma that has gotten you to where you are and how to fix it, I can help.
(636) 306-3459 View (636) 306-3459
Photo of Cara Peroutka, Pre-Licensed Professional in Ballwin, MO
Cara Peroutka
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Ballwin, MO 63011
You’re wondering how you got here. You’re wondering that as either someone in a couple/marriage who is questioning so much about your relationship. Or you’re an overwhelmed mom who cannot believe so many parts of your day-to-day life. You feel isolated, burdened, and so tired. The tiredness comes from feeling like you’re out of options, out of things to try, out of ways to make it work. There might be hints of “feeling normal”, but those moments are fleeting. There might be hints of “no, I’ve got this!” but then the next fight or hurdle comes up, and you feel worse than before. You’re now "all in" to make it better.
You’re wondering how you got here. You’re wondering that as either someone in a couple/marriage who is questioning so much about your relationship. Or you’re an overwhelmed mom who cannot believe so many parts of your day-to-day life. You feel isolated, burdened, and so tired. The tiredness comes from feeling like you’re out of options, out of things to try, out of ways to make it work. There might be hints of “feeling normal”, but those moments are fleeting. There might be hints of “no, I’ve got this!” but then the next fight or hurdle comes up, and you feel worse than before. You’re now "all in" to make it better.
(636) 251-5027 View (636) 251-5027
Photo of Sharon Moehle, Psychologist in Ballwin, MO
Sharon Moehle
Psychologist, EdS, BCIA
Verified Verified
Ballwin, MO 63011
Sharon Moehle provides conventional counseling services and she offers additional therapies such as Biofeedback (several Biofeedback services are offered including Neurotherapy/EEG Biofeedback) and EMDR. Some clients request these newer counseling techniques because they can shorten treatment time. Traditional therapy successfully resolves many issues, yet in cases such as: -issues not responding well to talk therapy alone -clients not responding well to medication -individuals preferring to be medication free...then Sharon provides additional therapies to better address client concerns and better meet individual needs. Sharon has been providing Biofeedback services for 18 years and has been practicing EMDR for 13 years.
Sharon Moehle provides conventional counseling services and she offers additional therapies such as Biofeedback (several Biofeedback services are offered including Neurotherapy/EEG Biofeedback) and EMDR. Some clients request these newer counseling techniques because they can shorten treatment time. Traditional therapy successfully resolves many issues, yet in cases such as: -issues not responding well to talk therapy alone -clients not responding well to medication -individuals preferring to be medication free...then Sharon provides additional therapies to better address client concerns and better meet individual needs. Sharon has been providing Biofeedback services for 18 years and has been practicing EMDR for 13 years.
(314) 561-7075 View (314) 561-7075
Photo of Cheryl M Kinney, Clinical Social Work/Therapist in Ballwin, MO
Cheryl M Kinney
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Ballwin, MO 63021
I specialize in working with those living with memory loss and Parkinson's disease, as well as care partners of older adults living with these conditions. I have over 37 years of experience in the field of aging, working with older adults and care partners to provide a safe, comfortable place to address life's challenges and create a plan to address current needs and plan for future needs.
I specialize in working with those living with memory loss and Parkinson's disease, as well as care partners of older adults living with these conditions. I have over 37 years of experience in the field of aging, working with older adults and care partners to provide a safe, comfortable place to address life's challenges and create a plan to address current needs and plan for future needs.
(636) 238-5892 View (636) 238-5892
Photo of Farin Swan, Licensed Professional Counselor in Ballwin, MO
Farin Swan
Licensed Professional Counselor, LPC, RPT
Verified Verified
Ballwin, MO 63021  (Online Only)
I believe in the therapeutic power of building connections through being heard and truly understood to facilitate personal growth and change. I strongly believe that the therapeutic relationship is key in your healing process. I provide an eclectic mix of therapeutic modalities to support you through the highs and lows of life. I aim to continually learn and grow with my clients, while supporting them through life’s transformations and challenges. Ultimately, through our sessions I hope you feel validated, empowered and supported on your journey to wellness.
I believe in the therapeutic power of building connections through being heard and truly understood to facilitate personal growth and change. I strongly believe that the therapeutic relationship is key in your healing process. I provide an eclectic mix of therapeutic modalities to support you through the highs and lows of life. I aim to continually learn and grow with my clients, while supporting them through life’s transformations and challenges. Ultimately, through our sessions I hope you feel validated, empowered and supported on your journey to wellness.
(636) 434-2763 View (636) 434-2763
Photo of Cassie Galmiche, Licensed Professional Counselor in Ballwin, MO
Cassie Galmiche
Licensed Professional Counselor, PLPC, NCC
Verified Verified
Ballwin, MO 63011
It’s not easy to maintain a relationship and grow as individuals at the same time. Sometimes relationships can get stuck when you’re arguing about the same thing, or, maybe your relationship is changing in a big way—parenthood, marriage, someone’s career—and you want to work through that decision or create a plan. Whether you are in a new relationship, contemplating marriage, or have been married for many years, counseling can be a great place to update the relationship and come together in an intentional way. I would be honored to work with you and rebuild your connection and grow stronger as a couple!
It’s not easy to maintain a relationship and grow as individuals at the same time. Sometimes relationships can get stuck when you’re arguing about the same thing, or, maybe your relationship is changing in a big way—parenthood, marriage, someone’s career—and you want to work through that decision or create a plan. Whether you are in a new relationship, contemplating marriage, or have been married for many years, counseling can be a great place to update the relationship and come together in an intentional way. I would be honored to work with you and rebuild your connection and grow stronger as a couple!
(314) 804-3365 View (314) 804-3365
Photo of John Weber, Licensed Professional Counselor in Ballwin, MO
John Weber
Licensed Professional Counselor, LPC, CRAADC, CRC
Verified Verified
2 Endorsed
Ballwin, MO 63011
I graduated from Maryville University with a Masters in Rehabilitation Counseling. Since that time I have become a Licensed Professional Counselor (LPC), Certified Rehabilitation Counselor (CRC) and Certified Reciprocal Advanced Alcohol and Drug Counselor (CRAADC). I have experience working in Residential Treatment, Outpatient Mental Health Treatment & Individual Therapy. I am confident that we can work together to improve your specific situation.
I graduated from Maryville University with a Masters in Rehabilitation Counseling. Since that time I have become a Licensed Professional Counselor (LPC), Certified Rehabilitation Counselor (CRC) and Certified Reciprocal Advanced Alcohol and Drug Counselor (CRAADC). I have experience working in Residential Treatment, Outpatient Mental Health Treatment & Individual Therapy. I am confident that we can work together to improve your specific situation.
(636) 434-1972 View (636) 434-1972
Photo of Allison Campbell, Clinical Social Work/Therapist in Ballwin, MO
Allison Campbell
Clinical Social Work/Therapist
Verified Verified
Ballwin, MO 63011
I enjoy making connections with children, teens, and their families to assist them in growing and understanding themselves better. The therapeutic relationship is something that I value, as well as the power of change that can occur through that trust. I provide play based interventions with children of all ages to support them through difficult challenges.
I enjoy making connections with children, teens, and their families to assist them in growing and understanding themselves better. The therapeutic relationship is something that I value, as well as the power of change that can occur through that trust. I provide play based interventions with children of all ages to support them through difficult challenges.
(636) 306-5276 View (636) 306-5276
Photo of Steven B Adams, Psychologist in Ballwin, MO
Steven B Adams
Psychologist, PsyD
Verified Verified
Ballwin, MO 63021
People come to our office hurting and wanting change in their lives. We offer caring, experienced and professional psychological services.
People come to our office hurting and wanting change in their lives. We offer caring, experienced and professional psychological services.
(573) 346-9855 View (573) 346-9855
Photo of Dr. Virginia Eades, Licensed Professional Counselor in Ballwin, MO
Dr. Virginia Eades
Licensed Professional Counselor, MA, LPC, PhD
Verified Verified
Ballwin, MO 63021
With 30 plus years of experience Dr. Eades offer a safe, warm and caring environment so that you feel comfortable and at ease. Although primarily a cognitive behavioral therapist, she uses various forms of therapy to help her clients achieve their goals. Her major desire Is to help her clients achieve a sense of satisfaction within their selves and their relationships. She has a proven track record of improving marital relationships and overcoming depression and anxiety disorders.
With 30 plus years of experience Dr. Eades offer a safe, warm and caring environment so that you feel comfortable and at ease. Although primarily a cognitive behavioral therapist, she uses various forms of therapy to help her clients achieve their goals. Her major desire Is to help her clients achieve a sense of satisfaction within their selves and their relationships. She has a proven track record of improving marital relationships and overcoming depression and anxiety disorders.
(636) 238-5759 View (636) 238-5759
Photo of Jamie Bodily, Licensed Professional Counselor in Ballwin, MO
Jamie Bodily
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Ballwin, MO 63011
I understand the rollercoaster of emotions that come with infertility, pregnancy, and early parenthood. Whether you are struggling to conceive, anxious about pregnancy changes, or feeling overwhelmed as a new parent, I can help. With over 20 years of experience working with expectant and new families, I provide the support, tools and information you need to navigate this journey. My goal is to help you feel empowered, connected and equipped with realistic parenting strategies.
I understand the rollercoaster of emotions that come with infertility, pregnancy, and early parenthood. Whether you are struggling to conceive, anxious about pregnancy changes, or feeling overwhelmed as a new parent, I can help. With over 20 years of experience working with expectant and new families, I provide the support, tools and information you need to navigate this journey. My goal is to help you feel empowered, connected and equipped with realistic parenting strategies.
(636) 782-3339 View (636) 782-3339
Photo of Dr. Amy Pfeiffer, Psychologist in Ballwin, MO
Dr. Amy Pfeiffer
Psychologist, PsyD, MA
Verified Verified
1 Endorsed
Ballwin, MO 63011
I am privileged to work with two specific groups of people: Christian ministry professionals and pastors, and those who suffer from OCD or anxiety disorders. You may be embarrassed to seek help while quietly longing for a safe place to process your struggles or get help with managing your suffering. If you are ready to pursue greater health for yourself and for the sake of those around you, I encourage you to contact me. I enjoy helping clients to find freedom and healing, to understand themselves better, and to move in the direction of a fuller life.
I am privileged to work with two specific groups of people: Christian ministry professionals and pastors, and those who suffer from OCD or anxiety disorders. You may be embarrassed to seek help while quietly longing for a safe place to process your struggles or get help with managing your suffering. If you are ready to pursue greater health for yourself and for the sake of those around you, I encourage you to contact me. I enjoy helping clients to find freedom and healing, to understand themselves better, and to move in the direction of a fuller life.
(636) 735-7209 View (636) 735-7209
Photo of Melissa Timmermann, Clinical Social Work/Therapist in Ballwin, MO
Melissa Timmermann
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Ballwin, MO 63011
You are allowed to take care of yourself and be your first priority. You don't have to wait until you're struggling, exhausted or burnt out to tend to your wellbeing. Self care is a prevention strategy. If you struggle with anxiety, depression, shame, anger or trauma that effects your health or relationships. Lets spark change in a safe space by healing wounds, uncovering patterns that no longer serve you, and explore how history impacts the present. You have the ability to adjust the lens through which you view the world and yourself. Your life challenges are opportunities for growth and learning.
You are allowed to take care of yourself and be your first priority. You don't have to wait until you're struggling, exhausted or burnt out to tend to your wellbeing. Self care is a prevention strategy. If you struggle with anxiety, depression, shame, anger or trauma that effects your health or relationships. Lets spark change in a safe space by healing wounds, uncovering patterns that no longer serve you, and explore how history impacts the present. You have the ability to adjust the lens through which you view the world and yourself. Your life challenges are opportunities for growth and learning.
(636) 442-1814 View (636) 442-1814
Photo of William G Collins, Marriage & Family Therapist in Ballwin, MO
William G Collins
Marriage & Family Therapist, PhD, BCIAEEG, BCN, LMFT
Verified Verified
Ballwin, MO 63011
For over 40 years, we have been serving Saint Louis with neurofeedback (28 years), marriage and family counseling (40 years), and testing services with QEEG (20 years). We combine state-of-the-art technology with experienced, knowledgeable clinicians in a client-focused environment to provide non-invasive, drug-free and pain-free treatments for: ADHD, Autism, Aspergers, Sensory Integration Disorders, Depression, Stress, Marital Issues, Migraine/Headaches and Learning Disabilities.
For over 40 years, we have been serving Saint Louis with neurofeedback (28 years), marriage and family counseling (40 years), and testing services with QEEG (20 years). We combine state-of-the-art technology with experienced, knowledgeable clinicians in a client-focused environment to provide non-invasive, drug-free and pain-free treatments for: ADHD, Autism, Aspergers, Sensory Integration Disorders, Depression, Stress, Marital Issues, Migraine/Headaches and Learning Disabilities.
(314) 485-9978 View (314) 485-9978
Photo of Ginny Lupka, Pre-Licensed Professional in Ballwin, MO
Ginny Lupka
Pre-Licensed Professional, MAC, PLPC
Verified Verified
4 Endorsed
Ballwin, MO 63011
Has infertility or pregnancy loss profoundly impacted your hope, self-image, and your relationships? Or are you experiencing increased anxiety, fear, or depression in the midst of pregnancy or postpartum? Maybe you’ve actually survived a cult or traumatic religious setting and you’re trying to pick up the pieces of your life. Perhaps you even navigated Purity Culture. If you are navigating reproductive loss, infertility, postpartum struggles, or religious trauma, and I’d love to partner with you in your healing.
Has infertility or pregnancy loss profoundly impacted your hope, self-image, and your relationships? Or are you experiencing increased anxiety, fear, or depression in the midst of pregnancy or postpartum? Maybe you’ve actually survived a cult or traumatic religious setting and you’re trying to pick up the pieces of your life. Perhaps you even navigated Purity Culture. If you are navigating reproductive loss, infertility, postpartum struggles, or religious trauma, and I’d love to partner with you in your healing.
(314) 970-4275 View (314) 970-4275
Photo of Heidi Hubbard, Licensed Professional Counselor in Ballwin, MO
Heidi Hubbard
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Ballwin, MO 63011
You're juggling so many balls in the air that it feels like you might drop them any moment. You keep three calendars to manage everything for your family. You keep everything together for everyone...but you know something isn't working anymore. As a mom, you're the CEO of your household, but lately, it seems like chaos is wreaking havoc everywhere. Maybe your child is struggling in school, or your teenager's behavior has you worried sick. What you do know is this: your mom guilt is everywhere; your identity is nowhere to be found; and you just are out of ideas on how to fix it anymore. You've got to find a way for things to improve.
You're juggling so many balls in the air that it feels like you might drop them any moment. You keep three calendars to manage everything for your family. You keep everything together for everyone...but you know something isn't working anymore. As a mom, you're the CEO of your household, but lately, it seems like chaos is wreaking havoc everywhere. Maybe your child is struggling in school, or your teenager's behavior has you worried sick. What you do know is this: your mom guilt is everywhere; your identity is nowhere to be found; and you just are out of ideas on how to fix it anymore. You've got to find a way for things to improve.
(636) 429-4810 View (636) 429-4810
Photo of Susan Masi Counseling Solutions, LLC, Licensed Professional Counselor in Ballwin, MO
Susan Masi Counseling Solutions, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Ballwin, MO 63011
If you are looking for a therapist who can provide some insight regarding an issue, a relationship or other distress, you have come to the right place. I became a licensed professional counselor because I have a passion in helping others to overcome life's challenges they are facing. I believe in using a collaborative approach with each client and meeting each individual where he or she is at. In our first session, we will explore what treatment approach is appropriate to best suit your needs. I specialize in anxiety/depression, chemical dependence, opioid dependence,dual diagnosis, and sleep issues.
If you are looking for a therapist who can provide some insight regarding an issue, a relationship or other distress, you have come to the right place. I became a licensed professional counselor because I have a passion in helping others to overcome life's challenges they are facing. I believe in using a collaborative approach with each client and meeting each individual where he or she is at. In our first session, we will explore what treatment approach is appropriate to best suit your needs. I specialize in anxiety/depression, chemical dependence, opioid dependence,dual diagnosis, and sleep issues.
(636) 428-3946 View (636) 428-3946
Photo of Bob Bertolino, Licensed Professional Counselor in Ballwin, MO
Bob Bertolino
Licensed Professional Counselor, PhD, LPC, LMFT, NCC, CRC
Verified Verified
Ballwin, MO 63011
We all face challenges. It's how we respond to those challenges that matters. My passion is to help clients is live their lives to the fullest. I have 30+ years of experience as a therapist with individuals, couples, and families in both nonprofit and private practice sectors. My background as a consultant and trainer includes work with residential facilities, hospitals, schools, the Department of Defense, and organizations throughout north America and 11 countries. I have authored/coauthored 15 books and am a Professor of Rehabilitation Counseling at Maryville University and Sr. Clinical Advisor at Youth In Need, Inc.
We all face challenges. It's how we respond to those challenges that matters. My passion is to help clients is live their lives to the fullest. I have 30+ years of experience as a therapist with individuals, couples, and families in both nonprofit and private practice sectors. My background as a consultant and trainer includes work with residential facilities, hospitals, schools, the Department of Defense, and organizations throughout north America and 11 countries. I have authored/coauthored 15 books and am a Professor of Rehabilitation Counseling at Maryville University and Sr. Clinical Advisor at Youth In Need, Inc.
(636) 238-5995 View (636) 238-5995

How does your Therapist compare?

Number of Therapists in Ballwin, MO

100+

Average cost per session

$130

Therapists in Ballwin, MO who prioritize treating:

92% Anxiety
79% Depression
71% Relationship Issues
69% Coping Skills
67% Self Esteem
66% Stress
64% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

85% UnitedHealthcare UHC | UBH
71% Aetna
66% Optum

How Therapists in Ballwin, MO see their clients

89% In Person and Online
11% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ballwin?

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.