Therapists in Omaha, NE

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Photo of Carli Palladino, Independent Mental Health Practitioner in Omaha, NE
Carli Palladino
Independent Mental Health Practitioner, MS, LIMHP, NCC, LPC
Verified Verified
Omaha, NE 68124
Waitlist for new clients
As a licensed therapist, I have experience working with children, teens, and adults with various concerns. I am dedicated to everyone with whom I work, though my heart is drawn particularly to supporting young adults who are facing the intricacies of independence, education, career choices, and personal growth. I am committed to creating a safe and affirming space for LGBTQ+ individuals where you can explore your identity, overcome obstacles, and celebrate your unique journey. Whether you're navigating coming out, relationship dynamics, or mental health concerns, I'm here to provide the compassionate support you deserve.
As a licensed therapist, I have experience working with children, teens, and adults with various concerns. I am dedicated to everyone with whom I work, though my heart is drawn particularly to supporting young adults who are facing the intricacies of independence, education, career choices, and personal growth. I am committed to creating a safe and affirming space for LGBTQ+ individuals where you can explore your identity, overcome obstacles, and celebrate your unique journey. Whether you're navigating coming out, relationship dynamics, or mental health concerns, I'm here to provide the compassionate support you deserve.
(531) 201-7449 View (531) 201-7449
Photo of Erin Talbert, Counselor in Omaha, NE
Erin Talbert
Counselor, LIMHP, LPC
Verified Verified
2 Endorsed
Omaha, NE 68154
I am an LGBTQ+ therapist at A Better Way Therapy in Omaha, NE. I work with adults, adolescents, families, couples, and military personnel in my career, and I enjoy every minute of it. I love seeing the progress individuals and groups make throughout the therapeutic process, and seeing how strong people can be on a daily basis. I enjoy seeing my clients realize that they are in charge of their own lives and witnessing the confidence that builds within them. I am also working on completing my certification for Sex Therapy and am a member of AASECT.
I am an LGBTQ+ therapist at A Better Way Therapy in Omaha, NE. I work with adults, adolescents, families, couples, and military personnel in my career, and I enjoy every minute of it. I love seeing the progress individuals and groups make throughout the therapeutic process, and seeing how strong people can be on a daily basis. I enjoy seeing my clients realize that they are in charge of their own lives and witnessing the confidence that builds within them. I am also working on completing my certification for Sex Therapy and am a member of AASECT.
(402) 703-2361 View (402) 703-2361
Photo of Roman Sanchez Ramirez, Provisional Mental Health Practitioner in Omaha, NE
Roman Sanchez Ramirez
Provisional Mental Health Practitioner, PLMHP, PCMSW
Verified Verified
1 Endorsed
Omaha, NE 68137
I provide services to individuals, couples, and families utilizing empathy and warmth. I work with couples and families who want to understand and work on their current relationship problems and daily stressors that they are experiencing. I help couples work on relationship issues related to communication, trust, conflict resolution, boundaries, and managing emotions. I provide trauma-informed services to individuals who want to process their trauma and start their journey towards healing and self-empowerment. I work with individuals who have experienced intergenerational trauma, domestic violence, and sexual assault.
I provide services to individuals, couples, and families utilizing empathy and warmth. I work with couples and families who want to understand and work on their current relationship problems and daily stressors that they are experiencing. I help couples work on relationship issues related to communication, trust, conflict resolution, boundaries, and managing emotions. I provide trauma-informed services to individuals who want to process their trauma and start their journey towards healing and self-empowerment. I work with individuals who have experienced intergenerational trauma, domestic violence, and sexual assault.
(402) 807-5117 View (402) 807-5117
Photo of Maria Elena Correa, Counselor in Omaha, NE
Maria Elena Correa
Counselor, LIMHP
Verified Verified
Omaha, NE 68105
I am a bilingual psychotherapist ( English and Spanish). I specialize in relationships, ADHD, anxiety, and depression. I can help you in improving to have better relationships with your significant other, your family, your friends, or even business partners and coworkers. I can help you get your mood up and I can help you beat unhappiness. I have worked with more than 400 families with children with ADHD and ODD, this is one of my expertise areas.
I am a bilingual psychotherapist ( English and Spanish). I specialize in relationships, ADHD, anxiety, and depression. I can help you in improving to have better relationships with your significant other, your family, your friends, or even business partners and coworkers. I can help you get your mood up and I can help you beat unhappiness. I have worked with more than 400 families with children with ADHD and ODD, this is one of my expertise areas.
(402) 281-9485 View (402) 281-9485
Photo of At Ease USA, Counselor in Omaha, NE
At Ease USA
Counselor, MS, LMHP
Verified Verified
Omaha, NE 68114
What is PTSD? Post Traumatic Stress is caused by being exposed to a harmful, unsafe, or life-threatening event(s). Are you a military service member, veteran, or family member who has been impacted by trauma and PTSD? At Ease USA (AEU) is here to help. We provide quality mental health and wellness services for all military, veteran, frontline healthcare workers and their families. AEU is proud of our confidential and skilled professionals who have committed to the work of caring for our military (and medical) community. We thrive to eliminate any barriers to access services, which includes insurance and financial assistance.
What is PTSD? Post Traumatic Stress is caused by being exposed to a harmful, unsafe, or life-threatening event(s). Are you a military service member, veteran, or family member who has been impacted by trauma and PTSD? At Ease USA (AEU) is here to help. We provide quality mental health and wellness services for all military, veteran, frontline healthcare workers and their families. AEU is proud of our confidential and skilled professionals who have committed to the work of caring for our military (and medical) community. We thrive to eliminate any barriers to access services, which includes insurance and financial assistance.
(402) 809-9555 x2 View (402) 809-9555 x2
Photo of Mindi Bernice Wikstrom, Provisional Mental Health Practitioner in Omaha, NE
Mindi Bernice Wikstrom
Provisional Mental Health Practitioner, MA
Verified Verified
1 Endorsed
Omaha, NE 68104
Anxiety, depression, and other mental health conditions can be incredibly overwhelming and debilitating. The constant battle with negative thoughts, intense emotions, and physical symptoms can make it difficult to function daily. As a therapist, I understand the weight that these conditions can carry and the toll they take on one's well-being. That is why I am dedicated to providing a safe and compassionate space for my clients to come and share their feelings with me. I want my clients to know that they are not alone in their struggles and that I am here to support them every step of the way.
Anxiety, depression, and other mental health conditions can be incredibly overwhelming and debilitating. The constant battle with negative thoughts, intense emotions, and physical symptoms can make it difficult to function daily. As a therapist, I understand the weight that these conditions can carry and the toll they take on one's well-being. That is why I am dedicated to providing a safe and compassionate space for my clients to come and share their feelings with me. I want my clients to know that they are not alone in their struggles and that I am here to support them every step of the way.
(402) 647-6391 x14 View (402) 647-6391 x14
Jill Hayes Counseling Services, LLC
Counselor, MA, LIMHP, LADC
Verified Verified
3 Endorsed
Omaha, NE 68144
Do you feel that recovery is out of reach? Do you feel hopeless about your situation? One of the toughest steps towards recovery is the very first one. I am here to help you to take that first step toward change. I believe in holistic, mental health and drug and alcohol treatment services, that will help individuals and families find healing and achieve greater health and wholeness, resulting in changed lives. I am committed to creating a safe, nurturing space for clients to explore and better understand their emotions, ways of thinking, and patterns that create difficulties in their lives.
Do you feel that recovery is out of reach? Do you feel hopeless about your situation? One of the toughest steps towards recovery is the very first one. I am here to help you to take that first step toward change. I believe in holistic, mental health and drug and alcohol treatment services, that will help individuals and families find healing and achieve greater health and wholeness, resulting in changed lives. I am committed to creating a safe, nurturing space for clients to explore and better understand their emotions, ways of thinking, and patterns that create difficulties in their lives.
(402) 507-4394 View (402) 507-4394
Photo of Katie Thompson, Independent Mental Health Practitioner in Omaha, NE
Katie Thompson
Independent Mental Health Practitioner, LCSW, LIMHP, LMHP
Verified Verified
Omaha, NE 68102
My goal is to provide ethical, identity affirming, evidence based care for people looking to better their life and improve their mental health. I thoroughly believe that clients are the experts in their own experience and in what they need in order to be well.
My goal is to provide ethical, identity affirming, evidence based care for people looking to better their life and improve their mental health. I thoroughly believe that clients are the experts in their own experience and in what they need in order to be well.
(402) 799-4457 View (402) 799-4457
Photo of Tracy L Grothe, Counselor in Omaha, NE
Tracy L Grothe
Counselor, MEd, EdS, LIMHP, LPC-S
Verified Verified
5 Endorsed
Omaha, NE 68135
Sometimes life throws us a serious curve ball; whether it's coming to terms with a new medical diagnosis, adapting a disability, coping with the stress of career transition, or the loss of a significant relationship, these dilemmas can send us reeling. Any traumatic life event can leave us angry, sad, anxious, confused, isolated or just plain stuck and overwhelmed. My practical counseling philosophy supports clients with grief, trauma, relationship conflicts, financial stress, health issues, and vocational challenges presented by change, loss, new or existing disabilities.
Sometimes life throws us a serious curve ball; whether it's coming to terms with a new medical diagnosis, adapting a disability, coping with the stress of career transition, or the loss of a significant relationship, these dilemmas can send us reeling. Any traumatic life event can leave us angry, sad, anxious, confused, isolated or just plain stuck and overwhelmed. My practical counseling philosophy supports clients with grief, trauma, relationship conflicts, financial stress, health issues, and vocational challenges presented by change, loss, new or existing disabilities.
(402) 704-3519 View (402) 704-3519
Photo of Elaine Wells, Counselor in Omaha, NE
Elaine Wells
Counselor, MS, LMHP
Verified Verified
Omaha, NE 68152
Since 1990 I've helped couples create loving, lasting relationships. A premarital inventory (FOCCUS or PREPARE) pinpoints relationship strengths, and helps resolve conflicts. PREP communication and problem-solving skills help you find win-win solutions. PREP Couples have greater satisfaction and 1/2 the risk of divorce. If you feel like giving up, couple counseling identifies the real problems and how to resolve them. If kids are driving you crazy, "Love & Logic" keeps you calm & kind as kids develop respect, responsibility & self-esteem. Individual counseling helps overcome anger, depression, fears, stress; and develop assertiveness, self-esteem, social comfort, willpower.
Since 1990 I've helped couples create loving, lasting relationships. A premarital inventory (FOCCUS or PREPARE) pinpoints relationship strengths, and helps resolve conflicts. PREP communication and problem-solving skills help you find win-win solutions. PREP Couples have greater satisfaction and 1/2 the risk of divorce. If you feel like giving up, couple counseling identifies the real problems and how to resolve them. If kids are driving you crazy, "Love & Logic" keeps you calm & kind as kids develop respect, responsibility & self-esteem. Individual counseling helps overcome anger, depression, fears, stress; and develop assertiveness, self-esteem, social comfort, willpower.
(402) 427-0963 View (402) 427-0963
Photo of Laura Dolejs, Counselor in Omaha, NE
Laura Dolejs
Counselor, LICSW, PMH-C
Verified Verified
1 Endorsed
Omaha, NE 68116
Waitlist for new clients
I am a Licensed Independent Clinical Social Worker who offers individual therapy services to adults. I offer in-person sessions or telehealth to clients in Nebraska or Iowa. During my career, I have had experience working in a variety of mental health settings. I am passionate about working with individuals struggling with perinatal mental health issues, stress, grief, anxiety, depression, OCD and trauma. I have experience working with individuals who have experienced miscarriage, stillbirth, infant or child loss.
I am a Licensed Independent Clinical Social Worker who offers individual therapy services to adults. I offer in-person sessions or telehealth to clients in Nebraska or Iowa. During my career, I have had experience working in a variety of mental health settings. I am passionate about working with individuals struggling with perinatal mental health issues, stress, grief, anxiety, depression, OCD and trauma. I have experience working with individuals who have experienced miscarriage, stillbirth, infant or child loss.
(402) 545-5253 View (402) 545-5253
Photo of Laurence William Vail DeBoer, Counselor in Omaha, NE
Laurence William Vail DeBoer
Counselor, PLMHP, MSW
Verified Verified
Omaha, NE 68164
I believe each person is the expert in their own experience and view my role as a co-pilot on the path to healing and self-exploration. I work with adolescents and adults with varying experiences such as substance use, trauma, anxiety, depression, adjustment issues, identity exploration, and burnout. I believe co-creation of therapy goals is vital to forging a path uniquely tailored to meet the needs of each person with whom I work.
I believe each person is the expert in their own experience and view my role as a co-pilot on the path to healing and self-exploration. I work with adolescents and adults with varying experiences such as substance use, trauma, anxiety, depression, adjustment issues, identity exploration, and burnout. I believe co-creation of therapy goals is vital to forging a path uniquely tailored to meet the needs of each person with whom I work.
(402) 925-9983 View (402) 925-9983
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 Laura Niehaus, Clinical Social Work/Therapist in Omaha, NE
Laura Niehaus
Clinical Social Work/Therapist, MSW, LIMHP, CMSW, MSOL
Verified Verified
Omaha, NE 68154
I believe that we all possess strengths that can help us overcome life’s challenges and am honored to hold space and be present with my clients as we walk the path to fulfilment and peace. I work primarily with adults and the geriatric population and serve clients who struggle with day-to-day issues including anxiety, sadness, guilt and shame, relationship troubles, boundary setting, stress management, healthy coping, and maintaining wellness. As a clinical social worker and LIMHP, I also have experience with Major Depressive Disorder, Bipolar Disorder, Schizophrenia, and Neurocognitive Disorders (dementia).
I believe that we all possess strengths that can help us overcome life’s challenges and am honored to hold space and be present with my clients as we walk the path to fulfilment and peace. I work primarily with adults and the geriatric population and serve clients who struggle with day-to-day issues including anxiety, sadness, guilt and shame, relationship troubles, boundary setting, stress management, healthy coping, and maintaining wellness. As a clinical social worker and LIMHP, I also have experience with Major Depressive Disorder, Bipolar Disorder, Schizophrenia, and Neurocognitive Disorders (dementia).
(402) 313-4836 View (402) 313-4836
Photo of Ngan Nguyen, Provisional Mental Health Practitioner in Omaha, NE
Ngan Nguyen
Provisional Mental Health Practitioner, PCMSW, PLMHP
Verified Verified
Omaha, NE 68137
Managing transitions in life can be isolating. You're not alone! I'm here to support you on navigating and mapping the landscape of who you are today and the person you are becoming. I'm committed to collaborating with you to develop tools to traverse life's hurdles in a way that is most authentic to you. Specializing in working with young adults and adolescents who are facing challenges adjusting to mental or physical health concerns, growing demands of adulthood, and issues with identity.
Managing transitions in life can be isolating. You're not alone! I'm here to support you on navigating and mapping the landscape of who you are today and the person you are becoming. I'm committed to collaborating with you to develop tools to traverse life's hurdles in a way that is most authentic to you. Specializing in working with young adults and adolescents who are facing challenges adjusting to mental or physical health concerns, growing demands of adulthood, and issues with identity.
(402) 914-4140 View (402) 914-4140
Photo of Ann E Gray, Counselor in Omaha, NE
Ann E Gray
Counselor, MA, LIMHP, CPC, NCC
Verified Verified
2 Endorsed
Omaha, NE 68137
I provide a safe, neutral, and active role to help you identify issues and work through them in a supportive way. I like to employ a varied approach depending on client need and I tailor treatment to fit your personality and strengths. I believe that through difficult times big personal growth can occur, and that our difficulties can be taken as a call for change.
I provide a safe, neutral, and active role to help you identify issues and work through them in a supportive way. I like to employ a varied approach depending on client need and I tailor treatment to fit your personality and strengths. I believe that through difficult times big personal growth can occur, and that our difficulties can be taken as a call for change.
(402) 673-6753 View (402) 673-6753
Photo of Marina Ann Luna, Clinical Social Work/Therapist in Omaha, NE
Marina Ann Luna
Clinical Social Work/Therapist, MSW, LISW, LIMHP, CMSW
Verified Verified
Omaha, NE 68144
Not sure if you are ready to begin your therapeutic experience? Give us a call and receive more information about how therapy works as well as what to expect. I have utilized several different types of therapies (CBT, DBT, TF-CBT, Art Therapy and Play Therapy, EMDR) including groups with the emphasis on your needs.
Not sure if you are ready to begin your therapeutic experience? Give us a call and receive more information about how therapy works as well as what to expect. I have utilized several different types of therapies (CBT, DBT, TF-CBT, Art Therapy and Play Therapy, EMDR) including groups with the emphasis on your needs.
(402) 513-9862 View (402) 513-9862
Photo of Amanda Van Kalsbeek, Counselor in Omaha, NE
Amanda Van Kalsbeek
Counselor, MS, LIMHP, LMHC, NCC
Verified Verified
Omaha, NE 68154
Not accepting new clients
Has something happened to you that you're struggling to move past? Are you constantly feeling overwhelmed or stressed out? Do painful memories pop up throughout the day? Are you struggling to manage relationships? Imagine if you didn’t have to feel the way you’ve been feeling. Whether you wish to heal, to cope more effectively, to gain insight, or to have more successful relationships, therapy can help you to achieve your goals.
Has something happened to you that you're struggling to move past? Are you constantly feeling overwhelmed or stressed out? Do painful memories pop up throughout the day? Are you struggling to manage relationships? Imagine if you didn’t have to feel the way you’ve been feeling. Whether you wish to heal, to cope more effectively, to gain insight, or to have more successful relationships, therapy can help you to achieve your goals.
(402) 665-4512 View (402) 665-4512
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 Jessica Womach, Provisional Master Social Worker in Omaha, NE
Jessica Womach
Provisional Master Social Worker, PLMHP, PCMSW
Verified Verified
Omaha, NE 68154
Welcome! It’s admirable that you have taken the first step down the path of continued healing and growth. Although you may have experienced a variety of setbacks that leave you feeling inferior in this world, you deserve every opportunity at achieving your greatest quality of life. I believe implementing a strength-based, client-centered approach allows me to provide individualized care, while supporting personal growth and change.
Welcome! It’s admirable that you have taken the first step down the path of continued healing and growth. Although you may have experienced a variety of setbacks that leave you feeling inferior in this world, you deserve every opportunity at achieving your greatest quality of life. I believe implementing a strength-based, client-centered approach allows me to provide individualized care, while supporting personal growth and change.
(402) 814-8914 View (402) 814-8914

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.