Photo of Megan Palensky, MEd, LPC, NCC, Licensed Professional Counselor
Megan Palensky
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Louis, MO 63104
I value the counseling setting as a place to discuss all thoughts and feelings freely and without fear of judgment so that new associations can be made, and emotional isolation can be replaced with connection. When we understand and accept ourselves, growth and healing can occur! I create a safe space where individuals can first understand how their personal experiences have impacted their lives and then collaborate with clients in order to establish authentic insights that will shape their stories moving forward.
I value the counseling setting as a place to discuss all thoughts and feelings freely and without fear of judgment so that new associations can be made, and emotional isolation can be replaced with connection. When we understand and accept ourselves, growth and healing can occur! I create a safe space where individuals can first understand how their personal experiences have impacted their lives and then collaborate with clients in order to establish authentic insights that will shape their stories moving forward.
(314) 296-3222 View (314) 296-3222
Photo of Levi Levin, MSW, LMSW, Pre-Licensed Professional
Levi Levin
Pre-Licensed Professional, MSW, LMSW
Verified Verified
Saint Louis, MO 63104
Hey! I’m Levi. I invite you to take a moment in your search to exhale with me. I appreciate you finding your way to me today. What’s more, I appreciate the world you exist in right now. No matter your stage of life, or which part(s) of your internal and external worlds you want to discuss – I will arrive in gentle kindness to strategize with you toward digestible approaches to life problems. You need not have “one big issue” that brings you to our space. In the words of my favorite band, Yo La Tengo: “Let’s be undecided, let’s take our time; and sooner or later, we will know our mind.”
Hey! I’m Levi. I invite you to take a moment in your search to exhale with me. I appreciate you finding your way to me today. What’s more, I appreciate the world you exist in right now. No matter your stage of life, or which part(s) of your internal and external worlds you want to discuss – I will arrive in gentle kindness to strategize with you toward digestible approaches to life problems. You need not have “one big issue” that brings you to our space. In the words of my favorite band, Yo La Tengo: “Let’s be undecided, let’s take our time; and sooner or later, we will know our mind.”
(314) 296-3222 View (314) 296-3222
Photo of Caitlin McDaniel, Pre-Licensed Professional
Caitlin McDaniel
Pre-Licensed Professional
Verified Verified
Saint Louis, MO 63104
If you are anything like me, you know that life is not only hard, it can sometimes feel impossible. Fortunately, counseling can be both a refuge and a catalyst for life-changing growth. I believe there’s something mysterious within all of us that already knows what we need and how to get there - sometimes we just need support in figuring out what’s getting in the way. There is no world where I am an expert on you, but I am an expert in feeling pretty miserable. And it’s from my own struggles as a complex human that I am able to be a passionately knowledgeable and creative resource for you.
If you are anything like me, you know that life is not only hard, it can sometimes feel impossible. Fortunately, counseling can be both a refuge and a catalyst for life-changing growth. I believe there’s something mysterious within all of us that already knows what we need and how to get there - sometimes we just need support in figuring out what’s getting in the way. There is no world where I am an expert on you, but I am an expert in feeling pretty miserable. And it’s from my own struggles as a complex human that I am able to be a passionately knowledgeable and creative resource for you.
(314) 296-3222 View (314) 296-3222
Photo of Lenna Catrett, MSW, LMSW, Pre-Licensed Professional
Lenna Catrett
Pre-Licensed Professional, MSW, LMSW
Verified Verified
Saint Louis, MO 63104
Many of us are grappling with the effects of disconnection – from our bodies, emotions, identities, relationships, communities, and the natural world. This disconnection often presents as shame, self-criticism, fear and anxiety, dissociation, depression, self-harm, suicidal ideation, and more. Folks who are seeking to interrogate those symptoms, process traumas (both interpersonal and from larger systems of oppression), nurture self-compassion, build healthy relationships and community, explore social and cultural identities, challenge expectations of how to live a life, and recenter your autonomy: I’d love to work with you.
Many of us are grappling with the effects of disconnection – from our bodies, emotions, identities, relationships, communities, and the natural world. This disconnection often presents as shame, self-criticism, fear and anxiety, dissociation, depression, self-harm, suicidal ideation, and more. Folks who are seeking to interrogate those symptoms, process traumas (both interpersonal and from larger systems of oppression), nurture self-compassion, build healthy relationships and community, explore social and cultural identities, challenge expectations of how to live a life, and recenter your autonomy: I’d love to work with you.
(314) 296-3222 View (314) 296-3222
Photo of Riott Kochman, LCSW, Clinical Social Work/Therapist
Riott Kochman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63104
The systems we live within (capitalism, colonialism, anti-fatness, etc.) and our early attachment experiences can leave us feeling disconnected from others, our bodies, our values, and our authentic selves. I offer a compassionate space to explore the ways these systems have impacted you. Together, we’ll develop resources, skills, and insights to make your life and relationships more manageable and meaningful.
The systems we live within (capitalism, colonialism, anti-fatness, etc.) and our early attachment experiences can leave us feeling disconnected from others, our bodies, our values, and our authentic selves. I offer a compassionate space to explore the ways these systems have impacted you. Together, we’ll develop resources, skills, and insights to make your life and relationships more manageable and meaningful.
(314) 296-3222 View (314) 296-3222
Photo of Erin Walker, MEd, LPC, Licensed Professional Counselor
Erin Walker
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63104
As a queer therapist, I know what it’s like to navigate concerns around identity and sexuality. You don’t have to do it alone. You deserve an affirming space where you can release any shame and move towards a life that feels truly fulfilling to you. I love helping clients work through struggles related to emotional and sexual intimacy, consensual non-monogamy, communication and conflict resolution, religious trauma, imposter syndrome, and LGBTQ+ and gender identity.
As a queer therapist, I know what it’s like to navigate concerns around identity and sexuality. You don’t have to do it alone. You deserve an affirming space where you can release any shame and move towards a life that feels truly fulfilling to you. I love helping clients work through struggles related to emotional and sexual intimacy, consensual non-monogamy, communication and conflict resolution, religious trauma, imposter syndrome, and LGBTQ+ and gender identity.
(314) 296-3222 View (314) 296-3222
Photo of Mitch Cartwright, MEd, LPC, NCC, Licensed Professional Counselor
Mitch Cartwright
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63104
Sometimes it may feel like your inner worldview and dreams don’t match the outer world’s experiences and expectations. Sometimes we need help to gather all of our feelings, thoughts, beliefs, histories, and dreams in order to speak them out loud and make sense of them in a safe space. My goal is to help you share your story and your light with the world. When we share our story we heal; when we heal, we give to the greater world and the ripple of change is exponential. My ideal client's goals are to live authentically and freely, unapologetically, powerfully, and to find fulfillment in the day to day.
Sometimes it may feel like your inner worldview and dreams don’t match the outer world’s experiences and expectations. Sometimes we need help to gather all of our feelings, thoughts, beliefs, histories, and dreams in order to speak them out loud and make sense of them in a safe space. My goal is to help you share your story and your light with the world. When we share our story we heal; when we heal, we give to the greater world and the ripple of change is exponential. My ideal client's goals are to live authentically and freely, unapologetically, powerfully, and to find fulfillment in the day to day.
(314) 296-3222 View (314) 296-3222
Photo of Jason Heisserer, EdD, MSW, LMSW, Pre-Licensed Professional
Jason Heisserer
Pre-Licensed Professional, EdD, MSW, LMSW
Verified Verified
Saint Louis, MO 63104
Disrupting stories we have come to believe about ourselves and the world takes curiosity, grace, and tenderness. (Re)Discovering who we are and living as that person is an ongoing process. Sometimes this is a process of untangling knots of confusion, emotion, or pain. Sometimes it’s a search for meaning, joy, or humor. And sometimes it requires sitting with ourselves in the memories and emotions of the moment as they move through our body and awareness.
Disrupting stories we have come to believe about ourselves and the world takes curiosity, grace, and tenderness. (Re)Discovering who we are and living as that person is an ongoing process. Sometimes this is a process of untangling knots of confusion, emotion, or pain. Sometimes it’s a search for meaning, joy, or humor. And sometimes it requires sitting with ourselves in the memories and emotions of the moment as they move through our body and awareness.
(314) 296-3222 View (314) 296-3222
Photo of Gabrielle Kunar-Macias, MA, PLPC, NCC, Pre-Licensed Professional
Gabrielle Kunar-Macias
Pre-Licensed Professional, MA, PLPC, NCC
Verified Verified
Saint Louis, MO 63104
Life can be beautiful, but let’s be honest, it can also be stressful! From our very first session, you can expect to feel safe, validated, and at ease. I use humor and a strengths-based approach to create a space where we can be our authentic selves. My style is integrative, trauma-informed, and I tailor our work to meet your individual needs, goals, and interest. I incorporate art, play, reading, mindfulness, inner child, and parts work into our sessions. I can also communicate and collaborate with you or your child’s other providers (school counselors, teachers, physicians, etc.) to ensure a holistic and coordinated approach.
Life can be beautiful, but let’s be honest, it can also be stressful! From our very first session, you can expect to feel safe, validated, and at ease. I use humor and a strengths-based approach to create a space where we can be our authentic selves. My style is integrative, trauma-informed, and I tailor our work to meet your individual needs, goals, and interest. I incorporate art, play, reading, mindfulness, inner child, and parts work into our sessions. I can also communicate and collaborate with you or your child’s other providers (school counselors, teachers, physicians, etc.) to ensure a holistic and coordinated approach.
(314) 296-3222 View (314) 296-3222
Photo of Jennifer Lane, MEd, LPC, NCC, Licensed Professional Counselor
Jennifer Lane
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Louis, MO 63104  (Online Only)
Waitlist for new clients
Are you experiencing feelings of overwhelm, stress, or anxiety? Do you face challenges related to relationships or behavior? Or, are you a parent of a child dealing with these issues? At times, we all need some support to navigate the various difficulties life presents. It takes courage to seek out and ask for help and to take the first steps towards a change. I am here to support & empower you in that journey.
Are you experiencing feelings of overwhelm, stress, or anxiety? Do you face challenges related to relationships or behavior? Or, are you a parent of a child dealing with these issues? At times, we all need some support to navigate the various difficulties life presents. It takes courage to seek out and ask for help and to take the first steps towards a change. I am here to support & empower you in that journey.
(314) 948-5495 View (314) 948-5495
Photo of Elizabeth Von, MEd, PLPC, Pre-Licensed Professional
Elizabeth Von
Pre-Licensed Professional, MEd, PLPC
Verified Verified
Saint Louis, MO 63104
Hello! I’m so grateful you’ve chosen to be here. I see the human experience as being similar to a cup of coffee; both complex and nuanced. Much like coffee, some experiences can leave us feeling bitter while others leave us feeling fulfilled. As your therapist, I will meet you wherever you are in your process and we’ll work collaboratively to navigate these lived experiences. Together we will build a therapeutic relationship that fosters self-exploration, curiosity, self-acceptance, and empowerment.
Hello! I’m so grateful you’ve chosen to be here. I see the human experience as being similar to a cup of coffee; both complex and nuanced. Much like coffee, some experiences can leave us feeling bitter while others leave us feeling fulfilled. As your therapist, I will meet you wherever you are in your process and we’ll work collaboratively to navigate these lived experiences. Together we will build a therapeutic relationship that fosters self-exploration, curiosity, self-acceptance, and empowerment.
(314) 296-3222 View (314) 296-3222
Photo of Lauren G Kempton, MSW, LCSW, MPH, Clinical Social Work/Therapist
Lauren G Kempton
Clinical Social Work/Therapist, MSW, LCSW, MPH
Verified Verified
1 Endorsed
Saint Louis, MO 63104
Not accepting new clients
Many of us carry around an old burden or ache that's been there so long that we may wonder if we'll ever be without it. We use any number of different ways to escape or cope — numbing, scrolling, ruminating, perfectionism, distraction, tuning out our feelings. I'm human; I've done all of these things, too. I know how difficult it can be to see the possibilities of feeling better when you are stuck in survival mode and old patterns. But if you're ready to let go of these burdens, and learn to feel everything that you are beyond the distraction, disconnection and pain, then I'm ready to do it with you.
Many of us carry around an old burden or ache that's been there so long that we may wonder if we'll ever be without it. We use any number of different ways to escape or cope — numbing, scrolling, ruminating, perfectionism, distraction, tuning out our feelings. I'm human; I've done all of these things, too. I know how difficult it can be to see the possibilities of feeling better when you are stuck in survival mode and old patterns. But if you're ready to let go of these burdens, and learn to feel everything that you are beyond the distraction, disconnection and pain, then I'm ready to do it with you.
(314) 804-0257 View (314) 804-0257
Photo of Shannon Koenigsfeld, MEd, PLPC, Pre-Licensed Professional
Shannon Koenigsfeld
Pre-Licensed Professional, MEd, PLPC
Verified Verified
Saint Louis, MO 63104
Hi, I am glad you're here. I know it can be overwhelming to reach out to a potential counselor, but by being here, you've already taken the first step and that is important. I have experience working with individuals from many different backgrounds dealing with anxiety, depression, low self-esteem, relational conflicts, and other issues. I am a proud member of the LGBTQIA+ community and also have a passion for working with those affected by issues that this community faces.
Hi, I am glad you're here. I know it can be overwhelming to reach out to a potential counselor, but by being here, you've already taken the first step and that is important. I have experience working with individuals from many different backgrounds dealing with anxiety, depression, low self-esteem, relational conflicts, and other issues. I am a proud member of the LGBTQIA+ community and also have a passion for working with those affected by issues that this community faces.
(314) 970-4397 View (314) 970-4397
Photo of Lauren Jeevanjee, LMSW, Pre-Licensed Professional
Lauren Jeevanjee
Pre-Licensed Professional, LMSW
Verified Verified
Saint Louis, MO 63104
Living in a world of conformity and structure can make navigating our authentic selves challenging. Our language can impact how we see ourselves and the world around us. I have a unique understanding of how less visible parts of our identity can impact our experience. Understanding and exploring our sexual identity and experience in a sex-negative society can be isolating. Exploring what these experiences look like with a partner(s) can also be challenging. If you are looking for an affirming space to navigate your experiences, process your feelings, and add to your relationships we would be a great fit!
Living in a world of conformity and structure can make navigating our authentic selves challenging. Our language can impact how we see ourselves and the world around us. I have a unique understanding of how less visible parts of our identity can impact our experience. Understanding and exploring our sexual identity and experience in a sex-negative society can be isolating. Exploring what these experiences look like with a partner(s) can also be challenging. If you are looking for an affirming space to navigate your experiences, process your feelings, and add to your relationships we would be a great fit!
(314) 296-3222 View (314) 296-3222
Photo of Betsy Farrar, MA, PLPC, Pre-Licensed Professional
Betsy Farrar
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63104
Life can be chaotic and stressful. As a therapist, my passion is helping clients create more peace & presence in their stressful lives so that they can tap into their intuition and connect to their authentic selves. Through collaborative work and an emphasis on mind-body connection, I support clients as they explore their deepest pains, longings, & hopes. Through this reflective work, we can view our obstacles with new eyes, implement effective coping skills, cultivate mindfulness practices, & create change.
Life can be chaotic and stressful. As a therapist, my passion is helping clients create more peace & presence in their stressful lives so that they can tap into their intuition and connect to their authentic selves. Through collaborative work and an emphasis on mind-body connection, I support clients as they explore their deepest pains, longings, & hopes. Through this reflective work, we can view our obstacles with new eyes, implement effective coping skills, cultivate mindfulness practices, & create change.
(314) 296-3222 View (314) 296-3222
Photo of Andrea Kostadinovic, MA, PLPC, Pre-Licensed Professional
Andrea Kostadinovic
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63104
Have you ever felt like your life is an emotional roller coaster? I certainly have. Those rides can be thrilling at times, but can also leave you tense and terrified afterwards. Maybe you feel hopeless, mentally exhausted, stuck in your relationship, or overwhelmed with unwanted intrusive thoughts. Perhaps you’re unsatisfied with where you’re at in life and are unsure of how to move forward. It may be that you & your partner are emotionally drained from not knowing how to overcome challenges in your relationship. Whatever brought you here is valid & together we can develop a roadmap, find clarity, & deepen connection.
Have you ever felt like your life is an emotional roller coaster? I certainly have. Those rides can be thrilling at times, but can also leave you tense and terrified afterwards. Maybe you feel hopeless, mentally exhausted, stuck in your relationship, or overwhelmed with unwanted intrusive thoughts. Perhaps you’re unsatisfied with where you’re at in life and are unsure of how to move forward. It may be that you & your partner are emotionally drained from not knowing how to overcome challenges in your relationship. Whatever brought you here is valid & together we can develop a roadmap, find clarity, & deepen connection.
(314) 296-3222 View (314) 296-3222
Photo of Alexis Thurston, LMSW, RYT-200, Pre-Licensed Professional
Alexis Thurston
Pre-Licensed Professional, LMSW, RYT-200
Verified Verified
Saint Louis, MO 63104
My work focuses on creating positive and sustainable changes to improve your overall well-being through building self-esteem and improving coping skills. I work with clients through anxiety, depression, life transitions, eco-grief, performance improvement, substance abuse, communication, parenthood, stress management, and feelings related to money and finances.
My work focuses on creating positive and sustainable changes to improve your overall well-being through building self-esteem and improving coping skills. I work with clients through anxiety, depression, life transitions, eco-grief, performance improvement, substance abuse, communication, parenthood, stress management, and feelings related to money and finances.
(314) 296-3222 View (314) 296-3222
Photo of Carly Bambrick, Intern, Pre-Licensed Professional
Carly Bambrick
Pre-Licensed Professional, Intern
Verified Verified
Saint Louis, MO 63104
As you navigate life’s challenges, you deserve to be understood deeply. Guided by compassion and curiosity, I aim to provide a non-judgmental and safe processing space for you to explore your thoughts, feelings, and experiences. I hold a fundamental belief in the resilience within each person. As such, my approach to therapy is grounded in the notion that you have what you need, and together, we will find it.
As you navigate life’s challenges, you deserve to be understood deeply. Guided by compassion and curiosity, I aim to provide a non-judgmental and safe processing space for you to explore your thoughts, feelings, and experiences. I hold a fundamental belief in the resilience within each person. As such, my approach to therapy is grounded in the notion that you have what you need, and together, we will find it.
(314) 296-3222 View (314) 296-3222
Photo of Caycee McKinney, Intern, Pre-Licensed Professional
Caycee McKinney
Pre-Licensed Professional, Intern
Verified Verified
Saint Louis, MO 63104
Have you been struggling recently and not knowing how to cope? Have you been navigating stress with life, school, relationships, and/or your sports performance? I understand what it feels like to not know what is next, to feel like there is this weight on your shoulders and chest; I want you to know you are not alone. Therapy is nothing to be ashamed of and I want to be the person to help you through this stage in your life so you can become your most authentic self.
Have you been struggling recently and not knowing how to cope? Have you been navigating stress with life, school, relationships, and/or your sports performance? I understand what it feels like to not know what is next, to feel like there is this weight on your shoulders and chest; I want you to know you are not alone. Therapy is nothing to be ashamed of and I want to be the person to help you through this stage in your life so you can become your most authentic self.
(314) 296-3222 View (314) 296-3222
Photo of Jessica Jones, MA, LPC, Licensed Professional Counselor
Jessica Jones
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63104
Living in a broken world naturally means we may often feel broken ourselves, detached from who we genuinely are, who we once were, and who we long to be. It is easy to lose connection with our true selves as we attempt to navigate our external relationships, past traumas, societal expectations, and the daily demands of this world. This disconnection can disrupt our sense of equilibrium and wholeness and can bring on feelings of anxiety, depression, anger, and a general dissatisfaction with life.
Living in a broken world naturally means we may often feel broken ourselves, detached from who we genuinely are, who we once were, and who we long to be. It is easy to lose connection with our true selves as we attempt to navigate our external relationships, past traumas, societal expectations, and the daily demands of this world. This disconnection can disrupt our sense of equilibrium and wholeness and can bring on feelings of anxiety, depression, anger, and a general dissatisfaction with life.
(314) 296-3222 View (314) 296-3222
1

See more therapy options for 63104

How does your Therapist compare?

Number of Therapists in 63104

60+

Average cost per session

$135

Therapists in 63104 who prioritize treating:

93% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
77% Stress
68% Trauma and PTSD
67% Life Transitions

Average years in practice

7 Years

Top 3 insurances accepted

91% Cigna and Evernorth
73% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in 63104 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

80% Female
10% Male
10% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63104?

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.