Photo of Erin Morgan, PhD, LMFT, Marriage & Family Therapist
Erin Morgan
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Saint Paul, MN 55114
Waitlist for new clients
I work with people who want better relationships with others and better relationships with themselves. Couples, families, and individuals I see are bright, curious, motivated people who find their lives disrupted somehow - by the intrusion of traumatic experiences, life transitions, or persistent struggles with mental health that don't resolve on their own. I have a deep understanding of the unique therapy needs of therapists and doctors and their partners and families, and I enjoy working with folks anywhere on the gender and sexuality spectra. I also work with torture and war trauma survivors, refugees, and asylum seekers.
I work with people who want better relationships with others and better relationships with themselves. Couples, families, and individuals I see are bright, curious, motivated people who find their lives disrupted somehow - by the intrusion of traumatic experiences, life transitions, or persistent struggles with mental health that don't resolve on their own. I have a deep understanding of the unique therapy needs of therapists and doctors and their partners and families, and I enjoy working with folks anywhere on the gender and sexuality spectra. I also work with torture and war trauma survivors, refugees, and asylum seekers.
(612) 294-9424 View (612) 294-9424
Photo of Sumana Shankar Damery - Sumana Shankar Damery: Teens & Adults, MEd , LPCC, LMHC, (she, her)
Sumana Shankar Damery: Teens & Adults
Licensed Professional Clinical Counselor, MEd , LPCC, LMHC, (she, her)
Verified Verified
1 Endorsed
Saint Paul, MN 55114
I work with individuals 16 and up who are processing trauma, exploring their personal identity, and building self-esteem. I love helping clients who are collaborative, who seek a curious conversation in which to explore relationships—with themselves, with others, and with ideas. My primary role in the therapeutic relationship is that of co-author rather than teacher, and I enjoy working with folks who are interested in finding their own approaches to problems with support from their communities, which may not look "cookie cutter." Book your first appointment with me here: www.sageleafwellness.com/client-portal
I work with individuals 16 and up who are processing trauma, exploring their personal identity, and building self-esteem. I love helping clients who are collaborative, who seek a curious conversation in which to explore relationships—with themselves, with others, and with ideas. My primary role in the therapeutic relationship is that of co-author rather than teacher, and I enjoy working with folks who are interested in finding their own approaches to problems with support from their communities, which may not look "cookie cutter." Book your first appointment with me here: www.sageleafwellness.com/client-portal
(651) 432-6821 View (651) 432-6821
Photo of Jane McCampbell Stuart, MA, LMFT, CPCC, RMFT, Marriage & Family Therapist
Jane McCampbell Stuart
Marriage & Family Therapist, MA, LMFT, CPCC, RMFT
Verified Verified
2 Endorsed
Saint Paul, MN 55114  (Online Only)
I'm a psychotherapist, coach, spiritual consultant and educator. I'm retired from the practice of therapy but I still offer coaching, consulting, training courses and one-time healing sessions designed to get to the root of whatever's showing up for you. Sometimes we can clear it in one session. Other times it might take two.
I'm a psychotherapist, coach, spiritual consultant and educator. I'm retired from the practice of therapy but I still offer coaching, consulting, training courses and one-time healing sessions designed to get to the root of whatever's showing up for you. Sometimes we can clear it in one session. Other times it might take two.
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Photo of Carol L Hornbeck, MA, LMFT, Marriage & Family Therapist
Carol L Hornbeck
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Saint Paul, MN 55114
Waitlist for new clients
I work with couples, individuals, families and children online, via teletherapy, as well as in person. I support my clients across the life span to heal from losses and improve their relationships. I have extensive experience with LGBTQ issues, child development, adoption, sexual abuse, parenting challenges, divorce, suicide, and life transitions. My specialized training includes play therapy, couples therapy, and experience in infant and pregnancy loss, complicated or unplanned pregnancies, and infant/toddler mental health.
I work with couples, individuals, families and children online, via teletherapy, as well as in person. I support my clients across the life span to heal from losses and improve their relationships. I have extensive experience with LGBTQ issues, child development, adoption, sexual abuse, parenting challenges, divorce, suicide, and life transitions. My specialized training includes play therapy, couples therapy, and experience in infant and pregnancy loss, complicated or unplanned pregnancies, and infant/toddler mental health.
(612) 444-7232 x317413 View (612) 444-7232 x317413
Photo of Dean T. Theophilos, MA, LPCC, LADC, LCPC, Counselor
Dean T. Theophilos
Counselor, MA, LPCC, LADC, LCPC
Verified Verified
1 Endorsed
Saint Paul, MN 55114
Not accepting new clients
I work with individuals with anxiety, depression, identity issues, relationship conflicts, trauma, and addiction. My passionate and synergistic approach helps clients reflect on their physiological, emotional, behavioral, and relational patterns, which help them live and form their inner world. I collaboratively explore these patterns to create purpose and empowerment while bringing about healthier ways of relating to others, the world, and oneself. One of the greatest human pursuits is to "know thyself," I want to help everyone deepen their understanding of the beauty, mystery, and power within each person.
I work with individuals with anxiety, depression, identity issues, relationship conflicts, trauma, and addiction. My passionate and synergistic approach helps clients reflect on their physiological, emotional, behavioral, and relational patterns, which help them live and form their inner world. I collaboratively explore these patterns to create purpose and empowerment while bringing about healthier ways of relating to others, the world, and oneself. One of the greatest human pursuits is to "know thyself," I want to help everyone deepen their understanding of the beauty, mystery, and power within each person.
(651) 661-3363 View (651) 661-3363
Photo of Jess Vail, MA, LMFT, Marriage & Family Therapist
Jess Vail
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Paul, MN 55114
Therapy only works when there is strong trust, and I work to foster a space that honors clients knowledge, pacing, and personal needs. I strive to help clients make forward movement as therapy is not just a place to vent. My style is warm, candid, and when appropriate, fairly humorous (therapy is work, but can also be playful!). My own journey as a daughter, partner, and mother to a 16 and 12 year old informs my work; I get what it means to be messy and resilient. I work hard to create a space where clients feel free of judgment, while still gently challenging people to do things that may be uncomfortable.
Therapy only works when there is strong trust, and I work to foster a space that honors clients knowledge, pacing, and personal needs. I strive to help clients make forward movement as therapy is not just a place to vent. My style is warm, candid, and when appropriate, fairly humorous (therapy is work, but can also be playful!). My own journey as a daughter, partner, and mother to a 16 and 12 year old informs my work; I get what it means to be messy and resilient. I work hard to create a space where clients feel free of judgment, while still gently challenging people to do things that may be uncomfortable.
(612) 503-5873 View (612) 503-5873
Photo of Britni A Kelley - Britni Kelley: Adults, EMDR, First Responders, MA, LMFT, Marriage & Family Therapist
Britni Kelley: Adults, EMDR, First Responders
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Saint Paul, MN 55114
I especially enjoy working with motivated clients wanting to develop a greater understanding of where they have come from and heal from their past traumas. Those struggling with a dysregulated nervous system, anxious, or simply stuck are a delight for me to walk along side. I have a strong passion for working with individuals/couples who have endured difficult experiences in their younger years and need some help with healing. Highly relational and compassionate, I prioritize relationship and trauma interventions in the midst of healing wounds. Licensed in Minnesota (in person/virtual)& Iowa! Virtual visits only for Iowa residents.
I especially enjoy working with motivated clients wanting to develop a greater understanding of where they have come from and heal from their past traumas. Those struggling with a dysregulated nervous system, anxious, or simply stuck are a delight for me to walk along side. I have a strong passion for working with individuals/couples who have endured difficult experiences in their younger years and need some help with healing. Highly relational and compassionate, I prioritize relationship and trauma interventions in the midst of healing wounds. Licensed in Minnesota (in person/virtual)& Iowa! Virtual visits only for Iowa residents.
(612) 324-3142 View (612) 324-3142
Photo of Jacob Porter-Cohen, MSW, LICSW, Clinical Social Work/Therapist
Jacob Porter-Cohen
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Saint Paul, MN 55114
You've probably been told to "think positive". You've heard you shouldn't be so hard on yourself. You've heard you should smile more and stop dwelling on the past, or calm down and stop worrying about the future. You've tried your best, but it seems like no one can tell you how to actually do these things. You yearn to live a full, rich, and meaningful life, to feel good at what you do, to belong in community, to love and be loved— but all of this seems like it has to wait until you've solved your current problems. Here's my radical suggestion: you already have what you need to thrive. And I'd like to help you discover it.
You've probably been told to "think positive". You've heard you shouldn't be so hard on yourself. You've heard you should smile more and stop dwelling on the past, or calm down and stop worrying about the future. You've tried your best, but it seems like no one can tell you how to actually do these things. You yearn to live a full, rich, and meaningful life, to feel good at what you do, to belong in community, to love and be loved— but all of this seems like it has to wait until you've solved your current problems. Here's my radical suggestion: you already have what you need to thrive. And I'd like to help you discover it.
(651) 383-1705 View (651) 383-1705
Photo of Jeanette Truchsess, PhD, LP, Psychologist
Jeanette Truchsess
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55114  (Online Only)
Are you feeling anxious about your relationships, work, or how to maintain self care in a fast, stressful world ? Are you experiencing grief from losses or trauma? Do you take care of others more than yourself? Would you like someone safe to process your thoughts and feelings with? I'm an experienced mental health practitioner who offers compassionate services to clients across the life span.
Are you feeling anxious about your relationships, work, or how to maintain self care in a fast, stressful world ? Are you experiencing grief from losses or trauma? Do you take care of others more than yourself? Would you like someone safe to process your thoughts and feelings with? I'm an experienced mental health practitioner who offers compassionate services to clients across the life span.
(651) 226-4704 View (651) 226-4704
Photo of Mona Lee, MA, LMFT, MDiv, Marriage & Family Therapist
Mona Lee
Marriage & Family Therapist, MA, LMFT, MDiv
Verified Verified
1 Endorsed
Saint Paul, MN 55114
I believe that we have no bad parts as people are doing the best they can in whatever state and stage of life they are in. However, sometimes there can be seasons where we need extra support. Have you been feeling overwhelmed thinking about all the expectations, demands, and roles you have in your life? Working with me, you’ll have a chance to explore the richness of your own internal and external experiences. From family, friends, work, personal community, to spiritual beliefs, we will explore the intersection of each part.
I believe that we have no bad parts as people are doing the best they can in whatever state and stage of life they are in. However, sometimes there can be seasons where we need extra support. Have you been feeling overwhelmed thinking about all the expectations, demands, and roles you have in your life? Working with me, you’ll have a chance to explore the richness of your own internal and external experiences. From family, friends, work, personal community, to spiritual beliefs, we will explore the intersection of each part.
(651) 401-7409 View (651) 401-7409
Photo of Terra Sorg, MBA, MSW, LICSW, Clinical Social Work/Therapist
Terra Sorg
Clinical Social Work/Therapist, MBA, MSW, LICSW
Verified Verified
5 Endorsed
Saint Paul, MN 55114
When it comes to therapy, I know it takes a lot of courage and vulnerability to find the "right" therapist. It is an investment in time, energy and resources, so making it worthwhile is important. My approach is validating as well as direct. My clients have said that I get to the root of their situations quickly and provide clear ideas of how to cope differently. I am a skills-oriented therapist who has many ideas and strategies for working toward your goals.
When it comes to therapy, I know it takes a lot of courage and vulnerability to find the "right" therapist. It is an investment in time, energy and resources, so making it worthwhile is important. My approach is validating as well as direct. My clients have said that I get to the root of their situations quickly and provide clear ideas of how to cope differently. I am a skills-oriented therapist who has many ideas and strategies for working toward your goals.
(651) 661-4855 View (651) 661-4855
Photo of Laura Jopp, MA, Pre-Licensed Professional
Laura Jopp
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Saint Paul, MN 55114
When life gets hard, practicing self-compassion often takes a back seat to your problems. You may be finding that feelings of hopelessness and negative self-talk have become barriers to your healing. Through therapy, we can work together to ignite your self-compassion by re-working your patterns of thinking, exploring your past experiences, and connecting yourself deeply with your emotions.
When life gets hard, practicing self-compassion often takes a back seat to your problems. You may be finding that feelings of hopelessness and negative self-talk have become barriers to your healing. Through therapy, we can work together to ignite your self-compassion by re-working your patterns of thinking, exploring your past experiences, and connecting yourself deeply with your emotions.
(651) 243-9989 View (651) 243-9989
Photo of Dr. Shonda M Craft, PhD, LMFT, Marriage & Family Therapist
Dr. Shonda M Craft
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Saint Paul, MN 55114
Not accepting new clients
I provide outpatient psychotherapy services to individuals, couples and families with a focus on assessment and treatment that is culturally sensitive.
I provide outpatient psychotherapy services to individuals, couples and families with a focus on assessment and treatment that is culturally sensitive.
(651) 419-3929 View (651) 419-3929
Photo of Tracy R Williams, LICSW, SEP, Clinical Social Work/Therapist
Tracy R Williams
Clinical Social Work/Therapist, LICSW, SEP
Verified Verified
Saint Paul, MN 55114
I am a white, ciswoman, eager to work with adults interested in integrating Somatic Experiencing work into psychotherapy, a body based trauma therapy. If you recognize that your personal struggles are connected to the pervasive impact of the social, political, structural and power dynamics in which we live, working on that connection can be powerful. Embodied psychotherapy can be helful if you are feeling stuck and flat, or anxious and feel like you can't turn off, or if you flip back and forth between anxious and despairing. I hope to support your natural resilience so you can move through the stressors of life with more ease.
I am a white, ciswoman, eager to work with adults interested in integrating Somatic Experiencing work into psychotherapy, a body based trauma therapy. If you recognize that your personal struggles are connected to the pervasive impact of the social, political, structural and power dynamics in which we live, working on that connection can be powerful. Embodied psychotherapy can be helful if you are feeling stuck and flat, or anxious and feel like you can't turn off, or if you flip back and forth between anxious and despairing. I hope to support your natural resilience so you can move through the stressors of life with more ease.
(612) 324-1392 View (612) 324-1392
Photo of Karl Thomas, Marriage & Family Therapist Intern
Karl Thomas
Marriage & Family Therapist Intern
Verified Verified
2 Endorsed
Saint Paul, MN 55114
Now accepting new clients! I specialize in individuals and couples to address depression, anxiety, trauma, and parenting issues.
Now accepting new clients! I specialize in individuals and couples to address depression, anxiety, trauma, and parenting issues.
(651) 424-0279 View (651) 424-0279
Photo of Lauri Ink, MA, JD, Pre-Licensed Professional
Lauri Ink
Pre-Licensed Professional, MA, JD
Verified Verified
Saint Paul, MN 55114
I have a warm and compassionate, client-centered approach. I believe that we all have the natural tendency to grow and heal, given the right conditions. My goal is to be a steadying, nonjudgmental presence alongside you in your healing journey. I will first focus on fostering emotional safety and trust. I will then support you to develop or deepen self acceptance, reach identified goals, and to live authentically. We will learn from interactions in our work together, as the therapeutic relationship can be a powerful base for change. Ultimately, you will find ways to better navigate your life.
I have a warm and compassionate, client-centered approach. I believe that we all have the natural tendency to grow and heal, given the right conditions. My goal is to be a steadying, nonjudgmental presence alongside you in your healing journey. I will first focus on fostering emotional safety and trust. I will then support you to develop or deepen self acceptance, reach identified goals, and to live authentically. We will learn from interactions in our work together, as the therapeutic relationship can be a powerful base for change. Ultimately, you will find ways to better navigate your life.
(651) 273-1875 View (651) 273-1875
Photo of Morgan Boeltl: Adults - Morgan Boeltl: Adults, Trauma, Substance Abuse , BS, MS, Pre-Licensed Professional
Morgan Boeltl: Adults, Trauma, Substance Abuse
Pre-Licensed Professional, BS, MS
Verified Verified
1 Endorsed
Saint Paul, MN 55114
I am a biracial female therapist who loves working with adult individuals that are ready to prioritize their mental health. I help clients with relationships, trauma, anxiety, substance abuse, self-esteem issues, life changes, grief/loss, and self expression. I am committed to building trusting relationships where clients feel empowered. I utilize EMDR, Relational-Cultural and Psychodynamic and expressive arts techniques in my work Previously I worked in the community with the SPMI (Severe & Persistent Mental Illness) population as well as in a Substance Abuse Treatment center, lending a wealth of experience in complex cases.
I am a biracial female therapist who loves working with adult individuals that are ready to prioritize their mental health. I help clients with relationships, trauma, anxiety, substance abuse, self-esteem issues, life changes, grief/loss, and self expression. I am committed to building trusting relationships where clients feel empowered. I utilize EMDR, Relational-Cultural and Psychodynamic and expressive arts techniques in my work Previously I worked in the community with the SPMI (Severe & Persistent Mental Illness) population as well as in a Substance Abuse Treatment center, lending a wealth of experience in complex cases.
(651) 615-9144 View (651) 615-9144
Photo of Alyssa Maples, PhD, LMFT, Marriage & Family Therapist
Alyssa Maples
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Saint Paul, MN 55114  (Online Only)
Our lives are filled with moments, experiences, and connections that influence where we are now and where we hope to be eventually. I have experience working with young adults, couples and people impacted by addiction, polyamorous relationships, and LGBTQ+. I specialize in working with individuals, couples and families who have experienced trauma. I am trained in evidence-based methods and my work is informed by attachment and family systems. My approach is thought-provoking, collaborative, and supportive, without shame or judgement.
Our lives are filled with moments, experiences, and connections that influence where we are now and where we hope to be eventually. I have experience working with young adults, couples and people impacted by addiction, polyamorous relationships, and LGBTQ+. I specialize in working with individuals, couples and families who have experienced trauma. I am trained in evidence-based methods and my work is informed by attachment and family systems. My approach is thought-provoking, collaborative, and supportive, without shame or judgement.
(651) 369-8285 View (651) 369-8285
Photo of G Zachariah White, PsyD, LP, Psychologist
G Zachariah White
Psychologist, PsyD, LP
Verified Verified
3 Endorsed
Saint Paul, MN 55114  (Online Only)
Waitlist for new clients
I would like to help you overcome whatever it is that interferes with your sexual, emotional, or relational health. I will work with you to create a safe and compassionate space where you can see yourself and your problem in a new light. Together we will examine how the problem came into your life, how it affects you, and how you might change your relationship with it. I have experience working with lesbian, gay, straight, bisexual, transgender, queer, polyamorous, and kinky clients individually and with partners.
I would like to help you overcome whatever it is that interferes with your sexual, emotional, or relational health. I will work with you to create a safe and compassionate space where you can see yourself and your problem in a new light. Together we will examine how the problem came into your life, how it affects you, and how you might change your relationship with it. I have experience working with lesbian, gay, straight, bisexual, transgender, queer, polyamorous, and kinky clients individually and with partners.
(612) 354-8130 View (612) 354-8130
Photo of Leigh Rosenberg, MSW, LGSW, Clinical Social Work/Therapist
Leigh Rosenberg
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
1 Endorsed
Saint Paul, MN 55114
Waitlist for new clients
The power of relationship and being present and embodied guide my work in supporting people dealing with trauma, anxiety, depression, life-transitions, grief, health issues, or other challenges. My approach is built on compassion, care and respect for the experiences and identities that make you who you are. If you have suffered traumatic or difficult experience, from birth till now, want to be at home in yourself and with others; if you are trying to navigate a world that too easily permits oppression, or you want to grow the kernels of wholeness (even if hidden) within you, I hope to explore working together.
The power of relationship and being present and embodied guide my work in supporting people dealing with trauma, anxiety, depression, life-transitions, grief, health issues, or other challenges. My approach is built on compassion, care and respect for the experiences and identities that make you who you are. If you have suffered traumatic or difficult experience, from birth till now, want to be at home in yourself and with others; if you are trying to navigate a world that too easily permits oppression, or you want to grow the kernels of wholeness (even if hidden) within you, I hope to explore working together.
(612) 446-0933 View (612) 446-0933
1

How does your Therapist compare?

Number of Therapists in 55114

100+

Average cost per session

$175

Therapists in 55114 who prioritize treating:

95% Anxiety
92% Relationship Issues
91% Depression
80% Trauma and PTSD
78% Self Esteem
71% Grief
69% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
79% UCare
78% HealthPartners of MN and WI

How Therapists in 55114 see their clients

86% In Person and Online
14% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 55114?

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.