Therapists in Decatur, GA

Photo of Elle Udaykee Trapkin, Clinical Social Work/Therapist in Decatur, GA
Elle Udaykee Trapkin
Clinical Social Work/Therapist, LCSW
Verified Verified
Decatur, GA 30030
I find it is important to focus not only on the problems in someone's life, but also to hear what is working well. My private practice is as much about finding and affirming positive aspects of a person's life as it is about addressing and healing problems and difficulties. This way, the therapy session is not just about dealing with issues, but about seeing what might be possible in someone's life.
I find it is important to focus not only on the problems in someone's life, but also to hear what is working well. My private practice is as much about finding and affirming positive aspects of a person's life as it is about addressing and healing problems and difficulties. This way, the therapy session is not just about dealing with issues, but about seeing what might be possible in someone's life.
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Photo of Teri Sivilli, Clinical Social Work/Therapist in Decatur, GA
Teri Sivilli
Clinical Social Work/Therapist, MPH, LCSW
Verified Verified
1 Endorsed
Decatur, GA 30030
I am passionate about helping people find meaning and purpose in their lives, and helping them identify ways that conscious and unconscious traits and habits impact functioning and relationships. By exploring how you relate to yourself and to the world around you, you can build a life that is informed by past experience, not trapped by it. As a trained meditation teacher I integrate mindfulness and other meditation techniques where appropriate. My trauma work is integrative. While I do not condone the use of controlled substances, I endorse harm reduction practices and enjoy working with psychedelic preparation and integration.
I am passionate about helping people find meaning and purpose in their lives, and helping them identify ways that conscious and unconscious traits and habits impact functioning and relationships. By exploring how you relate to yourself and to the world around you, you can build a life that is informed by past experience, not trapped by it. As a trained meditation teacher I integrate mindfulness and other meditation techniques where appropriate. My trauma work is integrative. While I do not condone the use of controlled substances, I endorse harm reduction practices and enjoy working with psychedelic preparation and integration.
(404) 495-8573 View (404) 495-8573
Photo of Joy Cauley, Pre-Licensed Professional in Decatur, GA
Joy Cauley
Pre-Licensed Professional, MA
Verified Verified
3 Endorsed
Decatur, GA 30030
I love working with adults of all ages and have a heart for supporting women through their journey into motherhood, both pre- and post-partum. I love getting to know people from different cultures, backgrounds, and perspectives than my own and engage in ongoing training to do my very best to serve our diverse community well. I provide individual therapy for adults, as well as skills-based DBT groups.
I love working with adults of all ages and have a heart for supporting women through their journey into motherhood, both pre- and post-partum. I love getting to know people from different cultures, backgrounds, and perspectives than my own and engage in ongoing training to do my very best to serve our diverse community well. I provide individual therapy for adults, as well as skills-based DBT groups.
(404) 941-1463 View (404) 941-1463
Photo of The Peaceful Place, Clinical Social Work/Therapist in Decatur, GA
The Peaceful Place
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Decatur, GA 30030
Even without a pandemic, life can present with struggle, hardship, or overwhelming challenges. We all have many parts, some react, some retreat, some feel stuck, and some feel resigned to life's circumstances. All of our parts are well-intended, but sometimes they cast a shadow, and all we see is one part of ourselves. Whether you're struggling with anxiety, depression, trauma, generalized stress, hopelessness, or relationship issues, obstacles don't have to define you. We will help you build upon strengths, gain new perspective, redefine stories that no longer fit, and form a stronger, healthier connection with self and others.
Even without a pandemic, life can present with struggle, hardship, or overwhelming challenges. We all have many parts, some react, some retreat, some feel stuck, and some feel resigned to life's circumstances. All of our parts are well-intended, but sometimes they cast a shadow, and all we see is one part of ourselves. Whether you're struggling with anxiety, depression, trauma, generalized stress, hopelessness, or relationship issues, obstacles don't have to define you. We will help you build upon strengths, gain new perspective, redefine stories that no longer fit, and form a stronger, healthier connection with self and others.
(404) 390-4230 View (404) 390-4230
Photo of Keshia McClendon, Pre-Licensed Professional in Decatur, GA
Keshia McClendon
Pre-Licensed Professional, MSW, LMSW
Verified Verified
1 Endorsed
Decatur, GA 30030  (Online Only)
Welcome! I applaud you for taking the first steps on your journey of self-discovery. The one thing that is constant in life is change. When we go through transitional periods, we may encounter things that trigger self-doubt, anxiety, depression, and feelings of grief and loss. My goal as your therapist is to help you figure out how to successfully move forward during these difficult times.
Welcome! I applaud you for taking the first steps on your journey of self-discovery. The one thing that is constant in life is change. When we go through transitional periods, we may encounter things that trigger self-doubt, anxiety, depression, and feelings of grief and loss. My goal as your therapist is to help you figure out how to successfully move forward during these difficult times.
(404) 620-2894 View (404) 620-2894
Photo of Rhea Gordon, Psychologist in Decatur, GA
Rhea Gordon
Psychologist, PhD, CPCC
Verified Verified
Decatur, GA 30033
My clients are young and older adults, women and men that are highly motivated to grow, learn and change. In therapy we focus on healing, recognizing strengths, maximizing new opportunities and moving powerfully into healthy relationships and life decisions. In coaching we focus on bold visioning, realizing a dream or endeavor, expanding and optimizing meaning, purpose and/or fulfillment in life. Emphasis is always on empowerment, strength based choices, bringing your whole self to bear, producing lasting lifestyle change and helping you clear away what's holding you back so you can courageously choose to thrive.
My clients are young and older adults, women and men that are highly motivated to grow, learn and change. In therapy we focus on healing, recognizing strengths, maximizing new opportunities and moving powerfully into healthy relationships and life decisions. In coaching we focus on bold visioning, realizing a dream or endeavor, expanding and optimizing meaning, purpose and/or fulfillment in life. Emphasis is always on empowerment, strength based choices, bringing your whole self to bear, producing lasting lifestyle change and helping you clear away what's holding you back so you can courageously choose to thrive.
(678) 971-3686 View (678) 971-3686
Photo of Victoria Leftridge, Licensed Professional Counselor in Decatur, GA
Victoria Leftridge
Licensed Professional Counselor, LPC, NCC, CPT
Verified Verified
1 Endorsed
Decatur, GA 30030  (Online Only)
Not accepting new clients
I prefer to work with clients who are motivated towards change and doing what needs to be done in order to make that change happen. We will explore wants, needs, and barriers and use cognitive-based strategies to cope with life. I have several years of related experience trained in using Reality and Cognitive-Behavioral based therapies to empower clients to take responsibility and make decisions that are beneficial to their life.
I prefer to work with clients who are motivated towards change and doing what needs to be done in order to make that change happen. We will explore wants, needs, and barriers and use cognitive-based strategies to cope with life. I have several years of related experience trained in using Reality and Cognitive-Behavioral based therapies to empower clients to take responsibility and make decisions that are beneficial to their life.
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Photo of Jacob Chagoya, Pre-Licensed Professional in Decatur, GA
Jacob Chagoya
Pre-Licensed Professional, MEd
Verified Verified
Decatur, GA 30033  (Online Only)
Sometimes, we wonder if change is possible. Maybe you are wondering if you have to feel this way, shouldering the load for yourself and others to remain “strong.” Maybe you debate if reaching out to someone would actually help, or if it’s better to keep swallowing the guilt and shame that surrounds your sadness and anxiety. Maybe it feels like the past and the present are too overwhelming, and you aren’t able to find the motivation and energy that you once had. The truth is that you don’t have to feel this way, and that you truly can become the person you want to be.
Sometimes, we wonder if change is possible. Maybe you are wondering if you have to feel this way, shouldering the load for yourself and others to remain “strong.” Maybe you debate if reaching out to someone would actually help, or if it’s better to keep swallowing the guilt and shame that surrounds your sadness and anxiety. Maybe it feels like the past and the present are too overwhelming, and you aren’t able to find the motivation and energy that you once had. The truth is that you don’t have to feel this way, and that you truly can become the person you want to be.
(470) 778-4593 View (470) 778-4593
Photo of De'Leon Martin, Counselor in Decatur, GA
De'Leon Martin
Counselor, MS, LAPC, NCC
Verified Verified
Decatur, GA 30030
“Helping one person might not change the world, but it could change the world for one person.” Does it look like you have it all together on the outside but on the inside your world is slowly falling apart? Are you making the same mistakes in relationships but unable to do something different? Constantly attempting perfectionism but your own needs are often unmet. Feeling stuck and lacking the confidence needed to make the right decisions to change? Struggling between choosing the life you have and the one you want?
“Helping one person might not change the world, but it could change the world for one person.” Does it look like you have it all together on the outside but on the inside your world is slowly falling apart? Are you making the same mistakes in relationships but unable to do something different? Constantly attempting perfectionism but your own needs are often unmet. Feeling stuck and lacking the confidence needed to make the right decisions to change? Struggling between choosing the life you have and the one you want?
(470) 944-7045 View (470) 944-7045
Photo of Dayle Doreen Hosack, Marriage & Family Therapist in Decatur, GA
Dayle Doreen Hosack
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Decatur, GA 30030
I am a Marriage and Family Therapist in Decatur, Georgia. I work with individuals, couples and families. I am trained in Emotionally Focused Therapy for Couples. EFT enables couples to heal painful cycles of hurt and distress and to regain feelings of closeness, safety and connection to one another. Working individually, I utilize the integration of attachment theory, humanistic psychology and mindfulness to help clients heal and transcend difficult feelings, relationships and painful experiences. The essence of my work is to embrace and value the uniqueness of each person as they enter a process of self-discovery and healing.
I am a Marriage and Family Therapist in Decatur, Georgia. I work with individuals, couples and families. I am trained in Emotionally Focused Therapy for Couples. EFT enables couples to heal painful cycles of hurt and distress and to regain feelings of closeness, safety and connection to one another. Working individually, I utilize the integration of attachment theory, humanistic psychology and mindfulness to help clients heal and transcend difficult feelings, relationships and painful experiences. The essence of my work is to embrace and value the uniqueness of each person as they enter a process of self-discovery and healing.
(404) 476-6483 View (404) 476-6483
Photo of Laura C Bowman in Decatur, GA
Laura C Bowman
MD
Verified Verified
Decatur, GA 30030
Laura C. Bowman, MD is actively seeing patients seeking help with the evaluation and treatment of substance use disorders including alcohol, opioids, stimulants and nicotine. She also treats concentration issues (ADD and ADHD) in both children and adults.
Laura C. Bowman, MD is actively seeing patients seeking help with the evaluation and treatment of substance use disorders including alcohol, opioids, stimulants and nicotine. She also treats concentration issues (ADD and ADHD) in both children and adults.
(470) 517-7558 View (470) 517-7558
Photo of Melissa Kulick, Psychologist in Decatur, GA
Melissa Kulick
Psychologist, PhD, RYT
Verified Verified
1 Endorsed
Decatur, GA 30033
"Real healing can begin only when we finally learn to be present in the places where we have been absent." So many of us find ourselves repeating patterns of behavior we consciously experience a desire to let go of. What keeps us stuck is that we are disconnected from the places within us where our actions come from. My work with clients focuses on uncovering truth, with compassion and without judgment. My approach to therapy centers on the belief that "healing is making whole." Attention is, therefore, given to the whole of the individual: mind, heart, body and soul.
"Real healing can begin only when we finally learn to be present in the places where we have been absent." So many of us find ourselves repeating patterns of behavior we consciously experience a desire to let go of. What keeps us stuck is that we are disconnected from the places within us where our actions come from. My work with clients focuses on uncovering truth, with compassion and without judgment. My approach to therapy centers on the belief that "healing is making whole." Attention is, therefore, given to the whole of the individual: mind, heart, body and soul.
(404) 566-5093 View (404) 566-5093
Photo of Corey A Marshall, Clinical Social Work/Therapist in Decatur, GA
Corey A Marshall
Clinical Social Work/Therapist, LMSW
Verified Verified
Decatur, GA 30030
Everyone has bad days. Even the most fortunate and well-adjusted of us struggle with feeling overwhelmed, lost, or anxious from time to time. But your dark days shouldn’t outweigh your bright ones. Maybe you find yourself lacking motivation. Or perhaps worrying has become a norm for you. Maybe you realize you have an unhealthy relationship with food or other substances—or even a person. No matter your challenge, it may be time to talk with someone. I'm here for you. Together, we can work to understand and address what’s holding you back from being the person you know you can be.
Everyone has bad days. Even the most fortunate and well-adjusted of us struggle with feeling overwhelmed, lost, or anxious from time to time. But your dark days shouldn’t outweigh your bright ones. Maybe you find yourself lacking motivation. Or perhaps worrying has become a norm for you. Maybe you realize you have an unhealthy relationship with food or other substances—or even a person. No matter your challenge, it may be time to talk with someone. I'm here for you. Together, we can work to understand and address what’s holding you back from being the person you know you can be.
(678) 931-8343 View (678) 931-8343
Photo of Kate Christman, Clinical Social Work/Therapist in Decatur, GA
Kate Christman
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Decatur, GA 30030
I'm passionate about supporting individuals through the transitions of pregnancy, birth, and parenthood. Pregnancy and parenthood can be a complex time, and you may find yourself overwhelmed by feelings that are preventing you from experiencing life as you would like. Some of these feelings may be new, while others are old feelings and struggles that have returned in a new light. Asking for help can be hard, but your feelings are valid, and you deserve support. I offer a safe and nonjudgemental space for you to feel heard, respected, and understood.
I'm passionate about supporting individuals through the transitions of pregnancy, birth, and parenthood. Pregnancy and parenthood can be a complex time, and you may find yourself overwhelmed by feelings that are preventing you from experiencing life as you would like. Some of these feelings may be new, while others are old feelings and struggles that have returned in a new light. Asking for help can be hard, but your feelings are valid, and you deserve support. I offer a safe and nonjudgemental space for you to feel heard, respected, and understood.
(470) 468-5493 View (470) 468-5493
Photo of Leslie M. Sessley, Clinical Social Work/Therapist in Decatur, GA
Leslie M. Sessley
Clinical Social Work/Therapist, LCSW, LMFT
Verified Verified
Decatur, GA 30033
Are you struggling with life balance since your loved one has become ill? Are you now caring for an aging parent that didn't take care of you? Is talking with your family about your aging loved one challenging or stressful? As we age, so do our families of origin. Sometimes we are called back to our families of origin to help aging family members - like our siblings or parents. This can be challenging for many people. When we are called back to help, things like old wounds, family dysfunction and confusion on where to go for help can arise. Therapy can help bring clarity.
Are you struggling with life balance since your loved one has become ill? Are you now caring for an aging parent that didn't take care of you? Is talking with your family about your aging loved one challenging or stressful? As we age, so do our families of origin. Sometimes we are called back to our families of origin to help aging family members - like our siblings or parents. This can be challenging for many people. When we are called back to help, things like old wounds, family dysfunction and confusion on where to go for help can arise. Therapy can help bring clarity.
(404) 476-5772 View (404) 476-5772
Photo of Lana Harris, Licensed Professional Counselor in Decatur, GA
Lana Harris
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Decatur, GA 30030
I am a Licensed Professional Counselor that works with adults and adolescents seeking relief from anxiety, depression, feeling stuck, or repeating old patterns that you wish could break. I also work with those who have experienced sexual assault, abuse, interpersonal violence, or have experienced trauma or vicarious trauma in their work, such as first responders and veterans.
I am a Licensed Professional Counselor that works with adults and adolescents seeking relief from anxiety, depression, feeling stuck, or repeating old patterns that you wish could break. I also work with those who have experienced sexual assault, abuse, interpersonal violence, or have experienced trauma or vicarious trauma in their work, such as first responders and veterans.
(678) 616-9855 View (678) 616-9855
Photo of Katie Birmingham, Clinical Social Work/Therapist in Decatur, GA
Katie Birmingham
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Decatur, GA 30030
In my work with teenagers and adults, I have found that peoples' unique qualities play a critical role in helping them acknowledge, implement, & sustain their own coping abilities. My mission as a therapist is to help facilitate growth & navigation of challenges in a manner that allows clients to feel authentic, capable & safe. I specialize in working with teens, adolescents, & adults to address issues related to Anxiety, Depression, Autism Spectrum Disorder, ADHD, self esteem, & stress management. From start to finish of your counseling journey, my goal is to support you through your most accessible and empowering means.
In my work with teenagers and adults, I have found that peoples' unique qualities play a critical role in helping them acknowledge, implement, & sustain their own coping abilities. My mission as a therapist is to help facilitate growth & navigation of challenges in a manner that allows clients to feel authentic, capable & safe. I specialize in working with teens, adolescents, & adults to address issues related to Anxiety, Depression, Autism Spectrum Disorder, ADHD, self esteem, & stress management. From start to finish of your counseling journey, my goal is to support you through your most accessible and empowering means.
(404) 341-6339 View (404) 341-6339
Photo of Christina Carrick, Clinical Social Work/Therapist in Decatur, GA
Christina Carrick
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
Decatur, GA 30030
"It's a privilege to be able to bear witness to someone's story when they may not have had the chance to tell it before." - Lindy Alexander. I believe in the celebration of baby steps, because they lead to growth, evolving, and newfound strength. I provide a space absent of judgment, and full of empathy. Are you a parent struggling to understand your child's feelings and behaviors? I can provide space for both parenting strategies and the child's expression of emotions through play. Are you an adult struggling with difficult life stressors and transitions? I can provide the emotional space necessary for clarity and peace.
"It's a privilege to be able to bear witness to someone's story when they may not have had the chance to tell it before." - Lindy Alexander. I believe in the celebration of baby steps, because they lead to growth, evolving, and newfound strength. I provide a space absent of judgment, and full of empathy. Are you a parent struggling to understand your child's feelings and behaviors? I can provide space for both parenting strategies and the child's expression of emotions through play. Are you an adult struggling with difficult life stressors and transitions? I can provide the emotional space necessary for clarity and peace.
(678) 345-6031 View (678) 345-6031
Photo of Abbie Becker, Clinical Social Work/Therapist in Decatur, GA
Abbie Becker
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Decatur, GA 30030
Hello & welcome! My passion lies with assisting individuals who have challenges with anxiety, depression, mood instability, medical trauma, life-transitions, under-controlled and over-controlled traits, women’s health, belongingness, and self-esteem. Through my work-related experiences at 3 residential programs, a non-profit, and private practice, it has truly been a privilege aiding diverse populations. They never fail to show me that no one is too broken, hopeless, or unworthy of having a life that is worth living.
Hello & welcome! My passion lies with assisting individuals who have challenges with anxiety, depression, mood instability, medical trauma, life-transitions, under-controlled and over-controlled traits, women’s health, belongingness, and self-esteem. Through my work-related experiences at 3 residential programs, a non-profit, and private practice, it has truly been a privilege aiding diverse populations. They never fail to show me that no one is too broken, hopeless, or unworthy of having a life that is worth living.
(404) 390-4678 View (404) 390-4678
Photo of SHYNE Counseling and Consulting, LLC, Licensed Professional Counselor in Decatur, GA
SHYNE Counseling and Consulting, LLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Decatur, GA 30030  (Online Only)
I've worked in the community for years, addressing the issues of children, adolescents, and adults in the areas of depression, PTSD, anxiety, stress, and other mental health concerns. I've also facilitated families working through familial traumas/conflicts and building a cohesive family dynamic. My goal is to help people on their journey of self-discovery, to heal their wounds, develop inner wisdom, and build healthy relationships with others. I want you to find your light and SHYNE.
I've worked in the community for years, addressing the issues of children, adolescents, and adults in the areas of depression, PTSD, anxiety, stress, and other mental health concerns. I've also facilitated families working through familial traumas/conflicts and building a cohesive family dynamic. My goal is to help people on their journey of self-discovery, to heal their wounds, develop inner wisdom, and build healthy relationships with others. I want you to find your light and SHYNE.
(678) 666-3339 View (678) 666-3339

How does your Therapist compare?

Number of Therapists in Decatur, GA

700+

Average cost per session

$150

Therapists in Decatur, GA who prioritize treating:

90% Anxiety
86% Depression
78% Relationship Issues
78% Self Esteem
68% Coping Skills
67% Stress
64% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

82% Aetna
63% Cigna and Evernorth
60% BlueCross and BlueShield

How Therapists in Decatur, GA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Decatur?

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.