Photo of Mary Elizabeth Alvior, LCSW, Clinical Social Work/Therapist
Mary Elizabeth Alvior
Clinical Social Work/Therapist, LCSW
Verified Verified
Hilo, HI 96720
I am Mary Elizabeth Alvior. I am a Licensed Clinical Social Worker and hold a Diplomate in Clinical Social Work. I am passionate about optimizing my clients' quality of life. I have over 30 years of experience working with adults and couples. I typically work with adults and have expertise in ADHD, anxiety, depression, self-esteem and trauma. I believe in providing each client with evidence-based care, matched to their specific goals. I use several forms of Cognitive Behavioral therapy as well as Solution Focused treatment and we will adjust our approach as needed to get the best outcomes.
I am Mary Elizabeth Alvior. I am a Licensed Clinical Social Worker and hold a Diplomate in Clinical Social Work. I am passionate about optimizing my clients' quality of life. I have over 30 years of experience working with adults and couples. I typically work with adults and have expertise in ADHD, anxiety, depression, self-esteem and trauma. I believe in providing each client with evidence-based care, matched to their specific goals. I use several forms of Cognitive Behavioral therapy as well as Solution Focused treatment and we will adjust our approach as needed to get the best outcomes.
(808) 320-1207 View (808) 320-1207
Photo of Maria 'masha' Mitsioura, LMHC, Counselor
Maria 'masha' Mitsioura
Counselor, LMHC
Verified Verified
Hilo, HI 96720
Not accepting new clients
I work with clients struggling with depression, anxiety, and relationship concerns. I support my clients through processing trauma, managing intense emotions, and navigating issues in the family. I aim to provide a safe and open space for my clients to engage in self-reflection, growth, healing, and learning. I believe that as human beings we know ourselves best, and that therapy provides the setting in which we can become the person we strive to be. My clients have the opportunity to learn how to manage symptoms of depression and anxiety, learn interpersonal skills to improve relationships, and cultivate skills to handle emotions.
I work with clients struggling with depression, anxiety, and relationship concerns. I support my clients through processing trauma, managing intense emotions, and navigating issues in the family. I aim to provide a safe and open space for my clients to engage in self-reflection, growth, healing, and learning. I believe that as human beings we know ourselves best, and that therapy provides the setting in which we can become the person we strive to be. My clients have the opportunity to learn how to manage symptoms of depression and anxiety, learn interpersonal skills to improve relationships, and cultivate skills to handle emotions.
(808) 825-6327 View (808) 825-6327
Photo of Shannon Thornburg, MA, Pre-Licensed Professional
Shannon Thornburg
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Hilo, HI 96720
Shannon's dedication lies in ensuring her clients feel understood, fostering their self-trust, and supporting them in finding security in the present. She cherishes qualities like empathy and the capacity to understand people’s differences. Shannon has worked with individuals from across all age groups, from those approaching the end of life to those embarking on the journey into adulthood. She has helped individuals navigate the impacts of various mental health challenges, including complex trauma, Post Traumatic Stress Disorder, anxiety, depression, eating disorders, and ADHD.
Shannon's dedication lies in ensuring her clients feel understood, fostering their self-trust, and supporting them in finding security in the present. She cherishes qualities like empathy and the capacity to understand people’s differences. Shannon has worked with individuals from across all age groups, from those approaching the end of life to those embarking on the journey into adulthood. She has helped individuals navigate the impacts of various mental health challenges, including complex trauma, Post Traumatic Stress Disorder, anxiety, depression, eating disorders, and ADHD.
(808) 774-3194 View (808) 774-3194
Photo of Laura Moidel Acevedo, MACP, LMHC, Counselor
Laura Moidel Acevedo
Counselor, MACP, LMHC
Verified Verified
Hilo, HI 96720
I have particular compassion and knowledge for those with transgender and sexual orientation issues and with survivors of sexual abuse and sexual assault. I am familiar with the social stigma and trauma that can result from being a person with these issues and have helped many overcome the resulting emotional and psychological distress.
I have particular compassion and knowledge for those with transgender and sexual orientation issues and with survivors of sexual abuse and sexual assault. I am familiar with the social stigma and trauma that can result from being a person with these issues and have helped many overcome the resulting emotional and psychological distress.
(808) 419-7277 View (808) 419-7277
Photo of Yelena Theofilatos, LMSW, Clinical Social Work/Therapist
Yelena Theofilatos
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Hilo, HI 96720
Find a way back to inner calm, rediscover joy, and quit smoking by learning skills to master your emotions, regulate nervous system, and release self-limiting beliefs.
Find a way back to inner calm, rediscover joy, and quit smoking by learning skills to master your emotions, regulate nervous system, and release self-limiting beliefs.
(808) 736-3623 View (808) 736-3623
Photo of Sadea Campbell, BA, Pre-Licensed Professional
Sadea Campbell
Pre-Licensed Professional, BA
Verified Verified
Hilo, HI 96720
Sadea has an extensive background working and volunteering with children and adolescents and is currently also interning as a Behavioral Health Specialist at an elementary school where she works with children with ADHD, Oppositional Defiant Disorder, Autism Spectrum Disorder, Anxiety, and Trauma. Additionally, Sadea has gained experience as a Preschool Aide working with toddlers with trauma, Autism Spectrum Disorder, and emotional regulation needs.
Sadea has an extensive background working and volunteering with children and adolescents and is currently also interning as a Behavioral Health Specialist at an elementary school where she works with children with ADHD, Oppositional Defiant Disorder, Autism Spectrum Disorder, Anxiety, and Trauma. Additionally, Sadea has gained experience as a Preschool Aide working with toddlers with trauma, Autism Spectrum Disorder, and emotional regulation needs.
(808) 736-0586 View (808) 736-0586
Photo of Chenoa Paiva, LCSW, Clinical Social Work/Therapist
Chenoa Paiva
Clinical Social Work/Therapist, LCSW
Verified Verified
Hilo, HI 96720
Aloha, for more than 20 years, Iʻve been devoted to serving my community on the Big Island of Hawaii. Throughout my career, my primary focus has been assisting the most vulnerable and at-risk populations who struggle with anxiety and depression. I work primarily with adolescents and adults and always strive to provide safe, compassionate and non-judgmental therapy experiences, where you can feel comfortable being your authentic self without hesitation.
Aloha, for more than 20 years, Iʻve been devoted to serving my community on the Big Island of Hawaii. Throughout my career, my primary focus has been assisting the most vulnerable and at-risk populations who struggle with anxiety and depression. I work primarily with adolescents and adults and always strive to provide safe, compassionate and non-judgmental therapy experiences, where you can feel comfortable being your authentic self without hesitation.
(808) 378-7714 View (808) 378-7714
Photo of Maria Balaji, LCSW, Clinical Social Work/Therapist
Maria Balaji
Clinical Social Work/Therapist, LCSW
Verified Verified
Hilo, HI 96720
Hello! My name is Maria Balaji, and I am a Licensed Clinical Social Worker (LCSW). With a passion for mental health and helping individuals improve their overall well-being, I have dedicated my career to providing compassionate, evidence-based therapy to those in need. This provider resides in Hawaii. I specialize in several areas including anxiety, depression, trauma informed care, grief and loss, and life transitions. It is crucial to me that I continuously expand my knowledge and skills, allowing me to offer the most effective interventions and techniques for my clients' specific needs.
Hello! My name is Maria Balaji, and I am a Licensed Clinical Social Worker (LCSW). With a passion for mental health and helping individuals improve their overall well-being, I have dedicated my career to providing compassionate, evidence-based therapy to those in need. This provider resides in Hawaii. I specialize in several areas including anxiety, depression, trauma informed care, grief and loss, and life transitions. It is crucial to me that I continuously expand my knowledge and skills, allowing me to offer the most effective interventions and techniques for my clients' specific needs.
(808) 796-5054 View (808) 796-5054
Photo of Pamela K Luis - Pamela K. Luis, MFT, MA, LMFT, Marriage & Family Therapist
Pamela K. Luis, MFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hilo, HI 96720
I am currently accepting Graduate Students for supervision. Are you struggling with past or current military, childhood or other types of trauma? Are you dealing with overwhelming anxiety or depression? Are you in conflict with family members? These are my specialties and I would be honored to guide you through the healing process. I focus on unique individual strengths and positive attributes. I am here to guide you on that journey of rediscovery in yourself and with your loved ones.
I am currently accepting Graduate Students for supervision. Are you struggling with past or current military, childhood or other types of trauma? Are you dealing with overwhelming anxiety or depression? Are you in conflict with family members? These are my specialties and I would be honored to guide you through the healing process. I focus on unique individual strengths and positive attributes. I am here to guide you on that journey of rediscovery in yourself and with your loved ones.
(808) 518-3906 View (808) 518-3906
Photo of Kehau Hufanga, CSAC, LMFT, Marriage & Family Therapist
Kehau Hufanga
Marriage & Family Therapist, CSAC, LMFT
Verified Verified
Hilo, HI 96720
Seeking therapy can be an uncomfortable experience that takes a lot of courage. Making an initial appointment is the first step of the process towards healing and becoming the best version of ourselves. Therapy allows self-reflection, support, and insight. I view my clients holistically and work collaboratively with them to have a better understanding of how they live their lives and how to achieve better functioning and life satisfaction.
Seeking therapy can be an uncomfortable experience that takes a lot of courage. Making an initial appointment is the first step of the process towards healing and becoming the best version of ourselves. Therapy allows self-reflection, support, and insight. I view my clients holistically and work collaboratively with them to have a better understanding of how they live their lives and how to achieve better functioning and life satisfaction.
(808) 698-5776 View (808) 698-5776
Photo of Michael Brian McGee, LCSW, CSAC, Clinical Social Work/Therapist
Michael Brian McGee
Clinical Social Work/Therapist, LCSW, CSAC
Verified Verified
2 Endorsed
Hilo, HI 96720  (Online Only)
Not accepting new clients
Sometimes life takes some unexpected turns. Maybe you don't know how you got to where you are or you want to head in a different direction. Whether you need to get back on track, find a track, or just need someone to listen, therapy or coaching can be a helpful tool in getting there. I work with clients to help them find their strengths and develop achievable goals. There is no shame in seeking input and guidance outside of your own brain and experience.
Sometimes life takes some unexpected turns. Maybe you don't know how you got to where you are or you want to head in a different direction. Whether you need to get back on track, find a track, or just need someone to listen, therapy or coaching can be a helpful tool in getting there. I work with clients to help them find their strengths and develop achievable goals. There is no shame in seeking input and guidance outside of your own brain and experience.
(808) 563-4965 View (808) 563-4965
Photo of Anja Lemieux, LMHC, Counselor
Anja Lemieux
Counselor, LMHC
Verified Verified
1 Endorsed
Hilo, HI 96720
I am motivated to help people gain insight, find resolution, and discover a way to move forward by the end of session. It you choose to participate in long term therapy we can work at a deeper level by having a closer look at your difficult experiences, reprocess and integrate, and discover new ways to relate to the world and find ease and stability, In our sessions we will emphasize building self knowledge at a pace that is right for you, and discovering and updating your ways of coping. For some this process is concentrated in a small area of change, and for some achieving well being means looking at and adjusting multiple areas.
I am motivated to help people gain insight, find resolution, and discover a way to move forward by the end of session. It you choose to participate in long term therapy we can work at a deeper level by having a closer look at your difficult experiences, reprocess and integrate, and discover new ways to relate to the world and find ease and stability, In our sessions we will emphasize building self knowledge at a pace that is right for you, and discovering and updating your ways of coping. For some this process is concentrated in a small area of change, and for some achieving well being means looking at and adjusting multiple areas.
(808) 378-7765 View (808) 378-7765
Photo of Sarah Blechman, MSSW, LCSW, Clinical Social Work/Therapist
Sarah Blechman
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
2 Endorsed
Hilo, HI 96720  (Online Only)
Feeling like you wish you could take a break from the constant inundation of thoughts of fear, shame, or even simply the constant "to do" list in your mind? I can help with that. I work well with folks who have been apprehensive or cynical about beginning therapy in the past. I will challenge you with authenticity and compassion. I have over a decade of experience in working with folks who struggle with anxiety, depression, existential angst, relationship challenges and more. I have a person-centered, trauma-informed approach to helping you gain clarity through life's challenges.
Feeling like you wish you could take a break from the constant inundation of thoughts of fear, shame, or even simply the constant "to do" list in your mind? I can help with that. I work well with folks who have been apprehensive or cynical about beginning therapy in the past. I will challenge you with authenticity and compassion. I have over a decade of experience in working with folks who struggle with anxiety, depression, existential angst, relationship challenges and more. I have a person-centered, trauma-informed approach to helping you gain clarity through life's challenges.
(808) 556-5606 View (808) 556-5606
Photo of Gregory May, LMFT, Marriage & Family Therapist
Gregory May
Marriage & Family Therapist, LMFT
Verified Verified
Hilo, HI 96720
I am a Licensed Marriage & Family Therapist with over 9 years of clinical experience. I am an advanced trauma-informed practitioner in Zen and Integral Psychotherapy, with training in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Internal Family Systems. My clinical practice is informed by the skills I have developed working in multiple clinical settings. I have worked in Community Mental Health, Residential Treatment, Substance Use Assessment & Treatment, Child Protective Services, Child & Family Treatment, Vocational Rehabilitation, and Employee Assistance Programs.
I am a Licensed Marriage & Family Therapist with over 9 years of clinical experience. I am an advanced trauma-informed practitioner in Zen and Integral Psychotherapy, with training in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Internal Family Systems. My clinical practice is informed by the skills I have developed working in multiple clinical settings. I have worked in Community Mental Health, Residential Treatment, Substance Use Assessment & Treatment, Child Protective Services, Child & Family Treatment, Vocational Rehabilitation, and Employee Assistance Programs.
(808) 755-3626 View (808) 755-3626
Photo of Bertram Kalani Spain, PhD, LMFT, Marriage & Family Therapist
Bertram Kalani Spain
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Hilo, HI 96720
B. Kalani Spain, PhD, LMFT, helping individuals, couples and families in the State of Hawaii with an understanding of cross-cultural issues. Specializing in trauma informed care, couples and family therapy, anger management and substance abuse issues. Allow me to assist you in overcoming the obstacles of unresolved conflicts, grudges, blame and miscommunication. Reclaim the harmony you deserve and can achieve
B. Kalani Spain, PhD, LMFT, helping individuals, couples and families in the State of Hawaii with an understanding of cross-cultural issues. Specializing in trauma informed care, couples and family therapy, anger management and substance abuse issues. Allow me to assist you in overcoming the obstacles of unresolved conflicts, grudges, blame and miscommunication. Reclaim the harmony you deserve and can achieve
(808) 495-0127 View (808) 495-0127
Photo of Andrea Nila Negron, LSW, Clinical Social Work/Therapist
Andrea Nila Negron
Clinical Social Work/Therapist, LSW
Verified Verified
Hilo, HI 96720
Andrea Nila Negron, MSW, LSW, received her Master’s degree from New Mexico State University. With a background in trauma-informed yoga and bodywork, she brings a psycho-spiritual approach to healing and wellness. She specializes in collaborating with individuals with attachment and developmental trauma using the NeuroAffective Relational Model (NARM), which integrates a cognitive and somatic approach to address the root causes of current life challenges. Nila also has experience supporting individuals in 12-step recovery work.
Andrea Nila Negron, MSW, LSW, received her Master’s degree from New Mexico State University. With a background in trauma-informed yoga and bodywork, she brings a psycho-spiritual approach to healing and wellness. She specializes in collaborating with individuals with attachment and developmental trauma using the NeuroAffective Relational Model (NARM), which integrates a cognitive and somatic approach to address the root causes of current life challenges. Nila also has experience supporting individuals in 12-step recovery work.
(808) 666-2779 View (808) 666-2779
Photo of Melissa St. Claire, MA, CHT, Pre-Licensed Professional
Melissa St. Claire
Pre-Licensed Professional, MA, CHT
Verified Verified
Hilo, HI 96720
Stressful situations can happen suddenly, or build over time. Whether it is a relationship issue, traumatic experience, life transition, or career challenge, I can help you move from surviving to thriving. Using comprehensive methodologies, I offer a highly personalized approach, tailored to each client. I work with individuals to help them build on their strengths and attain the healing, growth and change they are looking for.
Stressful situations can happen suddenly, or build over time. Whether it is a relationship issue, traumatic experience, life transition, or career challenge, I can help you move from surviving to thriving. Using comprehensive methodologies, I offer a highly personalized approach, tailored to each client. I work with individuals to help them build on their strengths and attain the healing, growth and change they are looking for.
(808) 320-1239 View (808) 320-1239
Photo of Cornelia Waiau, LMFT, Marriage & Family Therapist
Cornelia Waiau
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Hilo, HI 96720
I assist couples as well as individuals to improve their communication and relationship skills. Honesty and respect for ourselves and others is the key to successful outcome.I implement the Gottman method in relationship therapy and believe that this approach can successfully improve any relationship. It is very applicable in situations where mediation and/or co parenting is indicated. I have experience in cross cultural concerns, abuse and domestic violence situations, depression, anxiety and trauma related situations.
I assist couples as well as individuals to improve their communication and relationship skills. Honesty and respect for ourselves and others is the key to successful outcome.I implement the Gottman method in relationship therapy and believe that this approach can successfully improve any relationship. It is very applicable in situations where mediation and/or co parenting is indicated. I have experience in cross cultural concerns, abuse and domestic violence situations, depression, anxiety and trauma related situations.
(808) 419-3846 View (808) 419-3846
Photo of Jihn Souza - Elemental Guidance, LLC, MA, LMFT, DMFT, PhD, Marriage & Family Therapist
Elemental Guidance, LLC
Marriage & Family Therapist, MA, LMFT, DMFT, PhD
Verified Verified
1 Endorsed
Hilo, HI 96720  (Online Only)
Elemental Guidance, LLC is a compassionate telehealth practice serving Hawai'i. Our therapists offer individual, couples, and family therapy to improve communication and foster intimacy. We provide trauma-informed treatment to heal childhood wounds and find purpose. We support individuals facing anxiety and depression and offer holistic therapies for those with unique needs, including deaf and hard-of-hearing clients. Start your journey toward healing and growth with us today.
Elemental Guidance, LLC is a compassionate telehealth practice serving Hawai'i. Our therapists offer individual, couples, and family therapy to improve communication and foster intimacy. We provide trauma-informed treatment to heal childhood wounds and find purpose. We support individuals facing anxiety and depression and offer holistic therapies for those with unique needs, including deaf and hard-of-hearing clients. Start your journey toward healing and growth with us today.
(808) 784-7343 View (808) 784-7343
Photo of Anuhea St. Laurent, MSCP, LMFT, Marriage & Family Therapist
Anuhea St. Laurent
Marriage & Family Therapist, MSCP, LMFT
Verified Verified
Hilo, HI 96720  (Online Only)
Anuhea St. Laurent is from Kāneʻohe, Koʻolaupoko, Oʻahu and currently lives in Keaʻau, Puna, Hawaiʻi with her ʻohana of five. She graduated from Kamehameha Schools Kapālama, earned a Bachelor’s Degree in Psychology at the University of Hawaiʻi at Mānoa, completed her Master’s Degree in Counseling Psychology at Chaminade University and is a Licensed Marriage & Family Therapist. Anuhea began studying psychology in 2003 and working in the mental health field in 2009. She has experience helping children with Attention-Deficit/Hyperactivity and Autism Spectrum Disorders as a Behavior Specialist, mentoring at-risk adolescents.
Anuhea St. Laurent is from Kāneʻohe, Koʻolaupoko, Oʻahu and currently lives in Keaʻau, Puna, Hawaiʻi with her ʻohana of five. She graduated from Kamehameha Schools Kapālama, earned a Bachelor’s Degree in Psychology at the University of Hawaiʻi at Mānoa, completed her Master’s Degree in Counseling Psychology at Chaminade University and is a Licensed Marriage & Family Therapist. Anuhea began studying psychology in 2003 and working in the mental health field in 2009. She has experience helping children with Attention-Deficit/Hyperactivity and Autism Spectrum Disorders as a Behavior Specialist, mentoring at-risk adolescents.
(808) 435-5621 View (808) 435-5621

How does your Therapist compare?

Number of Therapists in 96720

100+

Average cost per session

$130

Therapists in 96720 who prioritize treating:

90% Anxiety
83% Depression
77% Self Esteem
71% Trauma and PTSD
70% Coping Skills
69% Relationship Issues
69% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

85% Hawaii Medical Services Association
53% BlueCross and BlueShield
46% Hawaii Medical Assurance Association

How Therapists in 96720 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 96720?

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.