Photo of Yolanda Ivens, MS , LLPC, Counselor
Yolanda Ivens
Counselor, MS , LLPC
Verified Verified
Grand Rapids, MI 49548
My mission is to provide evidence-based mental health services, education and advocacy in an integrative and holistic way (Biopsychosocial and spiritual) in order to bring about healing and transformation in individuals, families and communities. My career emphasis is on anxiety, depression, substance abuse issues, sexual addictions, sexual trauma, co-occurring disorders, and mid-life issues. I am a cross-culturally competent counselor who highly values and respects cultural differences. I am also committed to life-long learning and being able to make sound ethical decisions within diverse cultural contexts.
My mission is to provide evidence-based mental health services, education and advocacy in an integrative and holistic way (Biopsychosocial and spiritual) in order to bring about healing and transformation in individuals, families and communities. My career emphasis is on anxiety, depression, substance abuse issues, sexual addictions, sexual trauma, co-occurring disorders, and mid-life issues. I am a cross-culturally competent counselor who highly values and respects cultural differences. I am also committed to life-long learning and being able to make sound ethical decisions within diverse cultural contexts.
(616) 345-5932 View (616) 345-5932
Photo of Marian Anderson, LMSW, Clinical Social Work/Therapist
Marian Anderson
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Grand Rapids, MI 49548  (Online Only)
Waitlist for new clients
My specialties include trauma, sexual abuse, domestic violence, depression, and anxiety. I am also passionate about working with the LGBTQIA+ community, BIPOC, Women’s issues, and those who struggle with body image. As a queer black woman in a larger body I understand that simply existing in a society that has marginalized you can be a trauma in and of itself. I’m here to guide you on your journey to healing.
My specialties include trauma, sexual abuse, domestic violence, depression, and anxiety. I am also passionate about working with the LGBTQIA+ community, BIPOC, Women’s issues, and those who struggle with body image. As a queer black woman in a larger body I understand that simply existing in a society that has marginalized you can be a trauma in and of itself. I’m here to guide you on your journey to healing.
(269) 280-0388 View (269) 280-0388
Photo of Caroline Lowry Hall, MA, LPC, Licensed Professional Counselor
Caroline Lowry Hall
Licensed Professional Counselor, MA, LPC
Verified Verified
Grand Rapids, MI 49548
Waitlist for new clients
It is my goal to help you create change in your life and develop new understanding as you face life's challenges. Together we will maximize your ability to achieve personal fulfillment, explore the enormous capacity within you, and reach a healthy state of balance and well-being. I enjoy working with a diverse clientele. Most individuals I see are dealing with anxiety related disorders, relationship issues, grief and loss, or simply adjusting to a life transition. I look forward to the opportunity to meet you and discuss your needs and expectations.
It is my goal to help you create change in your life and develop new understanding as you face life's challenges. Together we will maximize your ability to achieve personal fulfillment, explore the enormous capacity within you, and reach a healthy state of balance and well-being. I enjoy working with a diverse clientele. Most individuals I see are dealing with anxiety related disorders, relationship issues, grief and loss, or simply adjusting to a life transition. I look forward to the opportunity to meet you and discuss your needs and expectations.
(616) 200-6984 View (616) 200-6984
Photo of Justine E. Braford, LMSW, CST, Clinical Social Work/Therapist
Justine E. Braford
Clinical Social Work/Therapist, LMSW, CST
Verified Verified
2 Endorsed
Grand Rapids, MI 49548
I am a licensed clinical social worker with a Bachelor's Degree in Psychology from Michigan State University and a Master's Degree in Social Work from the University of Michigan with a speciality in Interpersonal Practice and Health. I completed my post-Graduate certificate in Sexual Health and Sex education at the University of Michigan and am a fully AASECT Certified Sex Therapist.
I am a licensed clinical social worker with a Bachelor's Degree in Psychology from Michigan State University and a Master's Degree in Social Work from the University of Michigan with a speciality in Interpersonal Practice and Health. I completed my post-Graduate certificate in Sexual Health and Sex education at the University of Michigan and am a fully AASECT Certified Sex Therapist.
(616) 899-4117 View (616) 899-4117
Photo of Lindsey Bandy Blodgett, PhD, LPC, Licensed Professional Counselor
Lindsey Bandy Blodgett
Licensed Professional Counselor, PhD, LPC
Verified Verified
12 Endorsed
Grand Rapids, MI 49548
Life can get messy. Maybe you found yourself in a situation you didn't choose for yourself, or maybe you can't seem to shake that gnawing anxiety or the voice that says "you will never be enough". Perhaps you found yourself reeling in the wake of someone else's choices, or maybe even your own. Or maybe you are a parent watching helplessly as you see your son or daughter struggle. That's where I come in. I value the opportunity to be invited into life's most fragile areas and walk alongside you toward freedom, wholeness and hope.
Life can get messy. Maybe you found yourself in a situation you didn't choose for yourself, or maybe you can't seem to shake that gnawing anxiety or the voice that says "you will never be enough". Perhaps you found yourself reeling in the wake of someone else's choices, or maybe even your own. Or maybe you are a parent watching helplessly as you see your son or daughter struggle. That's where I come in. I value the opportunity to be invited into life's most fragile areas and walk alongside you toward freedom, wholeness and hope.
(616) 226-9636 View (616) 226-9636
Photo of Melanie Szucs, MA, LPC, LMFT, Marriage & Family Therapist
Melanie Szucs
Marriage & Family Therapist, MA, LPC, LMFT
Verified Verified
3 Endorsed
Grand Rapids, MI 49548
Waitlist for new clients
Our lives are stories and we all want them to be stories worth telling, that give us hope. Maybe you long to rewrite the story you are living. I believe everyone has the ability to change their story. Whether you are a couple, a family, or an individual, you can have hope. I desire to walk alongside you in your struggles and help you to forge a new path. Sometimes all it takes is a listening ear; sometimes it takes long, hard work. But you have the choice-to step out in courage and to start writing a new story.
Our lives are stories and we all want them to be stories worth telling, that give us hope. Maybe you long to rewrite the story you are living. I believe everyone has the ability to change their story. Whether you are a couple, a family, or an individual, you can have hope. I desire to walk alongside you in your struggles and help you to forge a new path. Sometimes all it takes is a listening ear; sometimes it takes long, hard work. But you have the choice-to step out in courage and to start writing a new story.
(616) 965-2816 View (616) 965-2816
Photo of Chris Bardelli, LMSW, ACSW, Clinical Social Work/Therapist
Chris Bardelli
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
Grand Rapids, MI 49548
Not accepting new clients
The clients that I have had the opportunity to work with are among the bravest people I have met. It is that courage that leads people to reach out and ask for help with what they are unable to do themselves. I am humbled to be a part of that process. Using a combination of cognitive behavioral techniques, mindfulness, empathy and levity, we can work through issues of anxiety, depression, and eating disorders of any kind.
The clients that I have had the opportunity to work with are among the bravest people I have met. It is that courage that leads people to reach out and ask for help with what they are unable to do themselves. I am humbled to be a part of that process. Using a combination of cognitive behavioral techniques, mindfulness, empathy and levity, we can work through issues of anxiety, depression, and eating disorders of any kind.
(616) 723-8315 View (616) 723-8315
Photo of Jay Miller, MA, LLP, Limited Licensed Psychologist
Jay Miller
Limited Licensed Psychologist, MA, LLP
Verified Verified
Grand Rapids, MI 49548
I have over twelve years of experience working with adolescents and their families as well as counseling experience with couples, adults, and children as young as seven years old. The areas that I focus on are anxiety, depression/mood, adjustment issues, spiritual issues, oppositional behaviors, anger management, and trauma. I have immediate openings available and more information can be obtained by visiting clearwatergr.com or by calling ClearWater Counseling & Wellness at 616-965-1200.
I have over twelve years of experience working with adolescents and their families as well as counseling experience with couples, adults, and children as young as seven years old. The areas that I focus on are anxiety, depression/mood, adjustment issues, spiritual issues, oppositional behaviors, anger management, and trauma. I have immediate openings available and more information can be obtained by visiting clearwatergr.com or by calling ClearWater Counseling & Wellness at 616-965-1200.
(616) 773-2279 View (616) 773-2279
Photo of Dan Fogel, MA, LMSW, Clinical Social Work/Therapist
Dan Fogel
Clinical Social Work/Therapist, MA, LMSW
Verified Verified
Grand Rapids, MI 49548
As a licensed clinical social worker with more than 20 years of experience working with adolescents and adults, I have helped countless individuals, couples, and families achieve their treatment goals. From the moment you begin the counseling process, you will experience a warm and empathic approach that builds upon the strengths you already possess. Together we will identify the goals you want to achieve, and together we will address the barriers that are getting in the way. You will always be an active participant in this collaborative and solution-focused approach.
As a licensed clinical social worker with more than 20 years of experience working with adolescents and adults, I have helped countless individuals, couples, and families achieve their treatment goals. From the moment you begin the counseling process, you will experience a warm and empathic approach that builds upon the strengths you already possess. Together we will identify the goals you want to achieve, and together we will address the barriers that are getting in the way. You will always be an active participant in this collaborative and solution-focused approach.
(616) 548-6323 View (616) 548-6323
Photo of Amy Wierda, LMSW, Clinical Social Work/Therapist
Amy Wierda
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49548
Hello! I’m a licensed clinical social worker and I have worked in school social work, foster care, adoption, adolescent residential treatment, crisis assessment at Pine Rest Hospital, and outpatient treatment. I have been in private practice for 20 years. It is my privilege to listen to, and be with, people in their stories. Making sense of our narrative is a fundamental component to a healthy mind and spirit. And making peace with our perfectly imperfect, and unique version of humanity is essential for our emotional life and our thought space. It would be my privilege to hear your story. Peace, Amy
Hello! I’m a licensed clinical social worker and I have worked in school social work, foster care, adoption, adolescent residential treatment, crisis assessment at Pine Rest Hospital, and outpatient treatment. I have been in private practice for 20 years. It is my privilege to listen to, and be with, people in their stories. Making sense of our narrative is a fundamental component to a healthy mind and spirit. And making peace with our perfectly imperfect, and unique version of humanity is essential for our emotional life and our thought space. It would be my privilege to hear your story. Peace, Amy
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Photo of Linda Leedy Schneider, LMSW, MSW, ACSW, Clinical Social Work/Therapist
Linda Leedy Schneider
Clinical Social Work/Therapist, LMSW, MSW, ACSW
Verified Verified
Kentwood, MI 49548
With over twenty-five years of experience, I am dedicated to providing thoughtful, compassionate, and individualized psychotherapy to help you achieve change and personal growth. I understand that what may work in helping one person meet their goals may not work for another. Therefore, I use a flexible, individualized, and integrative approach to help you achieve a greater sense of well being by gaining understanding and greater mastery over the factors that underlie your difficulties. I will also work with you to build on your existing strengths and develop new skills to resolve your concerns.
With over twenty-five years of experience, I am dedicated to providing thoughtful, compassionate, and individualized psychotherapy to help you achieve change and personal growth. I understand that what may work in helping one person meet their goals may not work for another. Therefore, I use a flexible, individualized, and integrative approach to help you achieve a greater sense of well being by gaining understanding and greater mastery over the factors that underlie your difficulties. I will also work with you to build on your existing strengths and develop new skills to resolve your concerns.
(616) 414-0932 View (616) 414-0932
Photo of Lisa C. Townsend, DMin, LMSW, ACSW, Clinical Social Work/Therapist
Lisa C. Townsend
Clinical Social Work/Therapist, DMin, LMSW, ACSW
Verified Verified
Grand Rapids, MI 49548
Christian Counselor: Victimization, Trauma, Individual, Family & Relationship Conflicts. Life throws everyone a curb, unexpected or recurring, that will shake the very core of what one believes in, even their spirituality & faith in God. Curbs, Setbacks or bumps in the road can be opportunities to face ones weaknesses, build on strengths. These experiences can be traumatic, but they don't have to dictate who you are or debilitate you & who you become. With incorporation of years of clinical & spiritual experience in Christian Counseling, you can be well on your way to grasping the building blocks of clinical emphathetic counseling & your faith to keep your life together.
Christian Counselor: Victimization, Trauma, Individual, Family & Relationship Conflicts. Life throws everyone a curb, unexpected or recurring, that will shake the very core of what one believes in, even their spirituality & faith in God. Curbs, Setbacks or bumps in the road can be opportunities to face ones weaknesses, build on strengths. These experiences can be traumatic, but they don't have to dictate who you are or debilitate you & who you become. With incorporation of years of clinical & spiritual experience in Christian Counseling, you can be well on your way to grasping the building blocks of clinical emphathetic counseling & your faith to keep your life together.
(616) 207-8125 View (616) 207-8125
Photo of Paul Hewitt, PsyD, Psychologist
Paul Hewitt
Psychologist, PsyD
Verified Verified
3 Endorsed
Grand Rapids, MI 49548
Do you long to experience change in your life? Maybe you're feeling defeated in life, seeking freedom from a shaming voice inside, longing for greater connection in relationships, or facing a significant transition or loss. Whatever you're experiencing, I believe there is no cookie cutter approach to addressing the complex problems of life. I view psychotherapy as a coming alongside journey that creates an open, safe space where you as a whole person and the particulars of your story (including those places where you feel most stuck) can be explored, understood, and worked through to cultivate hope and transformation.
Do you long to experience change in your life? Maybe you're feeling defeated in life, seeking freedom from a shaming voice inside, longing for greater connection in relationships, or facing a significant transition or loss. Whatever you're experiencing, I believe there is no cookie cutter approach to addressing the complex problems of life. I view psychotherapy as a coming alongside journey that creates an open, safe space where you as a whole person and the particulars of your story (including those places where you feel most stuck) can be explored, understood, and worked through to cultivate hope and transformation.
(616) 871-2285 View (616) 871-2285
Photo of Melita Travis Johnson - Melita Travis Johnson, LMSW, LMSW, Clinical Social Work/Therapist
Melita Travis Johnson, LMSW
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49548
My goal is to improve and enhance the coping and quality of life for those I counsel. Dr. David Ballard says it best. "It is no sign of health to be well adjusted to a sick society." My goal is to maximize coping and resilience in an imperfect society.
My goal is to improve and enhance the coping and quality of life for those I counsel. Dr. David Ballard says it best. "It is no sign of health to be well adjusted to a sick society." My goal is to maximize coping and resilience in an imperfect society.
(616) 244-2283 View (616) 244-2283
Photo of Annalise Hammerlund, LPC, MA, Licensed Professional Counselor
Annalise Hammerlund
Licensed Professional Counselor, LPC, MA
Verified Verified
Kentwood, MI 49548
Not accepting new clients
I am an Expressive Arts Therapist and Licensed professional counselor. When someone comes to me for therapy, we first work to address any immediate concerns, and then explore some of the challenges that might be under and around those concerns. I am passionate about working with Neurodiverse individuals, and helping to solve problems, foster growth and facilitate understanding. People are the experts of their own experience. It is my role as therapist to walk with you and offer insight into that experience, allowing you to make connections and find meaning.
I am an Expressive Arts Therapist and Licensed professional counselor. When someone comes to me for therapy, we first work to address any immediate concerns, and then explore some of the challenges that might be under and around those concerns. I am passionate about working with Neurodiverse individuals, and helping to solve problems, foster growth and facilitate understanding. People are the experts of their own experience. It is my role as therapist to walk with you and offer insight into that experience, allowing you to make connections and find meaning.
(616) 219-8053 View (616) 219-8053
Photo of Danielle Sharrah, LPC, CAADC, Licensed Professional Counselor
Danielle Sharrah
Licensed Professional Counselor, LPC, CAADC
Verified Verified
1 Endorsed
Grand Rapids, MI 49548
Life is a complex journey that can bring both amazing highs and life-altering lows. We can be faced with difficult challenges, unexpected changes, and raw emotions that our current coping skills aren’t equipped to manage in a healthy way. While I believe we’re all doing the best we can with what we know, there can be times when support from an outside source can help us learn how to thrive through those lows versus just survive.
Life is a complex journey that can bring both amazing highs and life-altering lows. We can be faced with difficult challenges, unexpected changes, and raw emotions that our current coping skills aren’t equipped to manage in a healthy way. While I believe we’re all doing the best we can with what we know, there can be times when support from an outside source can help us learn how to thrive through those lows versus just survive.
(616) 253-3940 View (616) 253-3940
Photo of Alicia Johnson, LMSW, Clinical Social Work/Therapist
Alicia Johnson
Clinical Social Work/Therapist, LMSW
Verified Verified
Kentwood, MI 49548
Not accepting new clients
I am a dedicated and compassionate therapist with extensive experience helping adults overcome their generational traumas, relationship challenges, and parenting struggles. I have been striving to help individuals gain a better understanding of themselves and the world around them since obtaining my Master’s degree in Social Work from Grand Valley State University. My trauma-informed approach is rooted in untangling the complex interplay between childhood experiences, mental health, relationships, and overall well-being. Utilizing a variety of evidence-based techniques, my mission is to help individuals achieve their goals.
I am a dedicated and compassionate therapist with extensive experience helping adults overcome their generational traumas, relationship challenges, and parenting struggles. I have been striving to help individuals gain a better understanding of themselves and the world around them since obtaining my Master’s degree in Social Work from Grand Valley State University. My trauma-informed approach is rooted in untangling the complex interplay between childhood experiences, mental health, relationships, and overall well-being. Utilizing a variety of evidence-based techniques, my mission is to help individuals achieve their goals.
(616) 205-9448 View (616) 205-9448
Photo of Addie Reeves, MA, LPC, R-DMT, Licensed Professional Counselor
Addie Reeves
Licensed Professional Counselor, MA, LPC, R-DMT
Verified Verified
Kentwood, MI 49548
Sometimes we all need to find extra connection and support. Whether it be new or chronic symptoms of anxiety or depression, challenges from your past, or you are seeking counseling for extra self-care, I would be honored to be your supportive connection. Together we can work to identify goals that are meaningful for you and promote wellness in your life. In a session with me, my goal is to make you feel welcome, seen, and heard. My therapy style is person-centered, and I will always approach our connection with empathy and respect.
Sometimes we all need to find extra connection and support. Whether it be new or chronic symptoms of anxiety or depression, challenges from your past, or you are seeking counseling for extra self-care, I would be honored to be your supportive connection. Together we can work to identify goals that are meaningful for you and promote wellness in your life. In a session with me, my goal is to make you feel welcome, seen, and heard. My therapy style is person-centered, and I will always approach our connection with empathy and respect.
(616) 208-5709 View (616) 208-5709
Photo of SaraJane Herrboldt, LLPC, Counselor
SaraJane Herrboldt
Counselor, LLPC
Verified Verified
5 Endorsed
Kentwood, MI 49548
Navigating the world can be stressful and our stress responses can impact us on multiple levels. While trauma and stress may be ever-present, I invite you to consider what else is true. As a therapist, I strive to create a therapeutic environment that is trauma-informed AND resilience-informed, moving people from a place of despair to hope. I have experience working with those navigating anxiety/depression, stress and burnout, grief, and trauma. Cultivating resilience helps build the capacity to hold the complexities of life, and integrating the mind and body allows one to respond intentionally and live more fully.
Navigating the world can be stressful and our stress responses can impact us on multiple levels. While trauma and stress may be ever-present, I invite you to consider what else is true. As a therapist, I strive to create a therapeutic environment that is trauma-informed AND resilience-informed, moving people from a place of despair to hope. I have experience working with those navigating anxiety/depression, stress and burnout, grief, and trauma. Cultivating resilience helps build the capacity to hold the complexities of life, and integrating the mind and body allows one to respond intentionally and live more fully.
(616) 737-0094 View (616) 737-0094
Photo of Tessa Simon, LMSW, Clinical Social Work/Therapist
Tessa Simon
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49548  (Online Only)
Virtual Only Appointments - Asking for help can be challenging so give yourself credit for taking the first step. I am honored to serve as a guide and provide support while you work through this part of your life. My goal is to provide a safe and judgement free environment where you can navigate the challenges of everyday life and process past experiences.
Virtual Only Appointments - Asking for help can be challenging so give yourself credit for taking the first step. I am honored to serve as a guide and provide support while you work through this part of your life. My goal is to provide a safe and judgement free environment where you can navigate the challenges of everyday life and process past experiences.
(616) 947-3805 View (616) 947-3805
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See more therapy options for 49548

How does your Therapist compare?

Number of Therapists in 49548

30+

Average cost per session

$150

Therapists in 49548 who prioritize treating:

83% Depression
83% Anxiety
83% Self Esteem
80% Trauma and PTSD
77% Relationship Issues
77% Coping Skills
73% Grief

Average years in practice

10 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
81% Priority Health
65% Aetna

How Therapists in 49548 see their clients

90% In Person and Online
10% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 49548?

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.