Therapists in Colorado Springs, CO

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Photo of Nicole Peak, PhD, Psychologist
Nicole Peak
Psychologist, PhD
Verified Verified
Colorado Springs, CO 80920
Don’t Just Feel Better, Get Better---It’s time to make a change and start living instead of surviving. When you are suffering, you may feel like you aren’t living a life worth living. You may feel overwhelmed and think there is nothing you can do to get better and stay better. Have you tried a number of treatments with little to no results? But, here you are, still looking for solutions.
Don’t Just Feel Better, Get Better---It’s time to make a change and start living instead of surviving. When you are suffering, you may feel like you aren’t living a life worth living. You may feel overwhelmed and think there is nothing you can do to get better and stay better. Have you tried a number of treatments with little to no results? But, here you are, still looking for solutions.
(719) 496-4698 View (719) 496-4698
Photo of Justin Wilson, SWC
Justin Wilson
Clinical Social Work Candidate, SWC
Verified Verified
4 Endorsed
Colorado Springs, CO 80903
Welcome. I don’t know what brings you to therapy, but I’m glad to offer you my help. I see psychotherapy as a series of meaningful dialogues between two people that can reduce suffering and lead to self-knowledge. I find that some people come to therapy ready to make a change, while others are unsure if change is even possible for them. My job is to meet you wherever you are, skillfully listen, and offer you suggestions to begin feeling better. I firmly believe that human beings have a built-in capacity to adapt to hardship. My aim in therapy is to create conditions that will facilitate this growth process.
Welcome. I don’t know what brings you to therapy, but I’m glad to offer you my help. I see psychotherapy as a series of meaningful dialogues between two people that can reduce suffering and lead to self-knowledge. I find that some people come to therapy ready to make a change, while others are unsure if change is even possible for them. My job is to meet you wherever you are, skillfully listen, and offer you suggestions to begin feeling better. I firmly believe that human beings have a built-in capacity to adapt to hardship. My aim in therapy is to create conditions that will facilitate this growth process.
(719) 497-5193 View (719) 497-5193
Photo of Addison Sayre-Adona, MS, LPCC, AAT, Pre-Licensed Professional
Addison Sayre-Adona
Pre-Licensed Professional, MS, LPCC, AAT
Verified Verified
1 Endorsed
Colorado Springs, CO 80920
I know that it can be daunting to start talking to someone, let alone to bare yourself to them and admit all your struggles. Rest assured, I am here to come along side you as you seek to figure out what is holding you back in your life! As a therapist, I am nonjudgmental and warm. I strive to meet you exactly where you are at and work with you to come up with a game plan to get you to where you want to be! I work with individuals, couples, and families. Some of my chosen areas are depression, anxiety, trauma, substance abuse, personality and co-occurring mood disorders, narcissistic abuse recovery, LGBTQIA+, and relationships.
I know that it can be daunting to start talking to someone, let alone to bare yourself to them and admit all your struggles. Rest assured, I am here to come along side you as you seek to figure out what is holding you back in your life! As a therapist, I am nonjudgmental and warm. I strive to meet you exactly where you are at and work with you to come up with a game plan to get you to where you want to be! I work with individuals, couples, and families. Some of my chosen areas are depression, anxiety, trauma, substance abuse, personality and co-occurring mood disorders, narcissistic abuse recovery, LGBTQIA+, and relationships.
(719) 767-1557 View (719) 767-1557
Photo of Tyler J Keidel, MA, LPCC, NCC, Counselor
Tyler J Keidel
Counselor, MA, LPCC, NCC
Verified Verified
Colorado Springs, CO 80903
I believe that in order for people to change and grow, they must first look inwardly, truly want to change, and be fully committed to personal growth and change when making the courageous decision to begin therapy. In my opinion, personal change and growth happens when people are genuine, authentic, and emotionally raw, although it may be difficult and scary, and that in order for rawness and authenticity to be genuine, people need to feel supported, safe, and build trust with their therapist. When working with you, I know that this will take time and I’ll do my best to build rapport with you and show you that you can trust me.
I believe that in order for people to change and grow, they must first look inwardly, truly want to change, and be fully committed to personal growth and change when making the courageous decision to begin therapy. In my opinion, personal change and growth happens when people are genuine, authentic, and emotionally raw, although it may be difficult and scary, and that in order for rawness and authenticity to be genuine, people need to feel supported, safe, and build trust with their therapist. When working with you, I know that this will take time and I’ll do my best to build rapport with you and show you that you can trust me.
(719) 642-6595 View (719) 642-6595
Photo of Kristin Frederick, LPCC
Kristin Frederick
Licensed Professional Counselor Candidate , LPCC
Verified Verified
1 Endorsed
Colorado Springs, CO 80918
Kristin is an approved provider with Colorado's I Matter program and can provide 6 FREE sessions of therapy to students through the age of 18. She enjoys working with children, adolescents, and adults. Her modalities include brief solution-focused and eclectic therapies. Specialties include: Anxiety, Depression, Self-harm, Academic concerns, Family issues, Peer relationships, and Military. Kristin currently serves as a high school counselor at a local public school supporting general and special education in academic, college and career, and social emotional learning.
Kristin is an approved provider with Colorado's I Matter program and can provide 6 FREE sessions of therapy to students through the age of 18. She enjoys working with children, adolescents, and adults. Her modalities include brief solution-focused and eclectic therapies. Specialties include: Anxiety, Depression, Self-harm, Academic concerns, Family issues, Peer relationships, and Military. Kristin currently serves as a high school counselor at a local public school supporting general and special education in academic, college and career, and social emotional learning.
(719) 223-3664 View (719) 223-3664
Photo of Krissy Thomas Smith, MA, LMFT-C, LPCC, Marriage & Family Therapist Associate
Krissy Thomas Smith
Marriage & Family Therapist Associate, MA, LMFT-C, LPCC
Verified Verified
Colorado Springs, CO 80917
As a South Asian immigrant woman in Colorado, I understand the intersection of cultural identity and everyday experiences and the impact on our lives. Your story is as unique as your background and you should have a safe and judgement free space to be yourself and process the experiences of your life. I understand the challenges of intergenerational trauma as well as the experiences of under-represented people groups and am committed to creating a compassionate and collaborative environment where you feel empowered to create healthy, positive changes.
As a South Asian immigrant woman in Colorado, I understand the intersection of cultural identity and everyday experiences and the impact on our lives. Your story is as unique as your background and you should have a safe and judgement free space to be yourself and process the experiences of your life. I understand the challenges of intergenerational trauma as well as the experiences of under-represented people groups and am committed to creating a compassionate and collaborative environment where you feel empowered to create healthy, positive changes.
(719) 298-3999 View (719) 298-3999
Photo of Alicia Ambroso, MS, Pre-Licensed Professional
Alicia Ambroso
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Colorado Springs, CO 80920
Waitlist for new clients
You know that feeling of not being "good enough" that distracts you and makes you feel small? Sometimes we need a little help to shake that feeling. Your story matters. Your pain and your collection of experiences are unique to you.
You know that feeling of not being "good enough" that distracts you and makes you feel small? Sometimes we need a little help to shake that feeling. Your story matters. Your pain and your collection of experiences are unique to you.
(719) 417-8713 View (719) 417-8713
Photo of Anna Duerst, LPC Intern
Anna Duerst
LPC Intern
Verified Verified
4 Endorsed
Colorado Springs, CO 80903
Anna (she/her) is working towards her master’s degree in Clinical Mental Health Counseling at University of Colorado Colorado Springs (UCCS). She is beginning her clinical internship journey and has experience working with adults impacted by trauma, mental health, incarceration, and substance use issues. She is also a Certified Addiction Technician and has worked within a residential treatment setting. Anna approaches counseling from a person-centered perspective and also uses attachment theory to help her clients understand their relationship patterns.
Anna (she/her) is working towards her master’s degree in Clinical Mental Health Counseling at University of Colorado Colorado Springs (UCCS). She is beginning her clinical internship journey and has experience working with adults impacted by trauma, mental health, incarceration, and substance use issues. She is also a Certified Addiction Technician and has worked within a residential treatment setting. Anna approaches counseling from a person-centered perspective and also uses attachment theory to help her clients understand their relationship patterns.
(719) 350-6791 View (719) 350-6791
Photo of Louis Hoffman, PhD, Psychologist
Louis Hoffman
Psychologist, PhD
Verified Verified
3 Endorsed
Colorado Springs, CO 80905
The relationship between client and therapist is essential to successful therapy. I seek to establish an empathetic, trusting relationship with clients, which provides the context for a deeper understanding of oneself and the difficulties bringing them to therapy. From this relational foundation, I work collaboratively with clients to find solutions to their problems.
The relationship between client and therapist is essential to successful therapy. I seek to establish an empathetic, trusting relationship with clients, which provides the context for a deeper understanding of oneself and the difficulties bringing them to therapy. From this relational foundation, I work collaboratively with clients to find solutions to their problems.
(719) 344-2172 View (719) 344-2172
Photo of Tyler Kabat, MA, LPCC, Counselor
Tyler Kabat
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Colorado Springs, CO 80917
(Video Teletherapy being offered in response to COVID-19) I enjoy working with adolescents as well as adults who are experiencing depression, anxiety, responses from trauma, or low self-esteem. It is important for me to get to know my clients so that we can work together to develop a plan on how to improve any issues that may be present. I tailor my approach to counseling based on client need rather than purely diagnosis as every individual responds to treatment differently. I am part of a group practice that has clinicians with a variety of specialties, populations they serve, and availability.
(Video Teletherapy being offered in response to COVID-19) I enjoy working with adolescents as well as adults who are experiencing depression, anxiety, responses from trauma, or low self-esteem. It is important for me to get to know my clients so that we can work together to develop a plan on how to improve any issues that may be present. I tailor my approach to counseling based on client need rather than purely diagnosis as every individual responds to treatment differently. I am part of a group practice that has clinicians with a variety of specialties, populations they serve, and availability.
(719) 445-1803 x711 View (719) 445-1803 x711
Photo of Andrea Pazdera, LMFT, Marriage & Family Therapist
Andrea Pazdera
Marriage & Family Therapist, LMFT
Verified Verified
Colorado Springs, CO 80917
As a family therapist, I am committed to helping individuals, couples, and families learn how to have healthier relationships with themselves and with others. I specialize in couples therapy, anxiety, depression, and recovery from symptoms of trauma, as well as guiding people toward personal power and internal strength. I believe each person and problem is unique and will collaboratively work with each client to build goals and solutions that honor your journey toward the changes you seek. I believe that therapy is a haven from which to grow.
As a family therapist, I am committed to helping individuals, couples, and families learn how to have healthier relationships with themselves and with others. I specialize in couples therapy, anxiety, depression, and recovery from symptoms of trauma, as well as guiding people toward personal power and internal strength. I believe each person and problem is unique and will collaboratively work with each client to build goals and solutions that honor your journey toward the changes you seek. I believe that therapy is a haven from which to grow.
(719) 781-5878 View (719) 781-5878
Photo of Dan Lundy, LPC, Licensed Professional Counselor
Dan Lundy
Licensed Professional Counselor, LPC
Verified Verified
Colorado Springs, CO 80904
Let's change your life! Let's do it now!! Are you tired of conventional therapy whereby you tell the therapist all about your trauma and feel worse? Or you share your story, feel better for a little while and then find yourself back in therapy repeating the same traumatic experiences? Guess what? You don't have to. You deserve therapy using a unique and dynamic protocol. Let your brain facilitate the healing process through the neurobiological protocol called Brainspotting. I am one of a small and select group of therapists trained in this specialty treatment. Make the choice to embrace the life you deserve. Call me NOW!!!
Let's change your life! Let's do it now!! Are you tired of conventional therapy whereby you tell the therapist all about your trauma and feel worse? Or you share your story, feel better for a little while and then find yourself back in therapy repeating the same traumatic experiences? Guess what? You don't have to. You deserve therapy using a unique and dynamic protocol. Let your brain facilitate the healing process through the neurobiological protocol called Brainspotting. I am one of a small and select group of therapists trained in this specialty treatment. Make the choice to embrace the life you deserve. Call me NOW!!!
(719) 694-3685 View (719) 694-3685
Photo of JoAnn Zepp - Jo Ann Zepp, LPC, PLLC, MA, RN, LPC, CACIII, Licensed Professional Counselor
Jo Ann Zepp, LPC, PLLC
Licensed Professional Counselor, MA, RN, LPC, CACIII
Verified Verified
Colorado Springs, CO 80920
"It's never too late to become who you were meant to be." T.S. Eliot. What are your words, your stories? What or who in your life would you like to be different? What's in the way of you living in the "more" of your life? It's my privilege to work with amazing people who have experienced relational issues, family struggles, betrayal, abuse, broken hearts, shattered dreams, unexpected loss, trauma and brokenness. For some it's hope deferred. Are you one who has lost your way and forgotten who you are? Let's talk. There's hope.
"It's never too late to become who you were meant to be." T.S. Eliot. What are your words, your stories? What or who in your life would you like to be different? What's in the way of you living in the "more" of your life? It's my privilege to work with amazing people who have experienced relational issues, family struggles, betrayal, abuse, broken hearts, shattered dreams, unexpected loss, trauma and brokenness. For some it's hope deferred. Are you one who has lost your way and forgotten who you are? Let's talk. There's hope.
(719) 387-0019 View (719) 387-0019
Photo of Erin Smalley, BSN, MS, LPC, Licensed Professional Counselor
Erin Smalley
Licensed Professional Counselor, BSN, MS, LPC
Verified Verified
4 Endorsed
Colorado Springs, CO 80921
Are you ready for things to change? Is your marriage needing a refresher or maybe an overhaul? Do you desire to grow to be a better version of yourself? Digging deeper into the heart allows people to discover the unique abilities and strengths that they bring to their lives. Healing wounds from life experiences is crucial, and discovering the truth about yourself is essential. Whatever you are currently struggling through, I would love to walk with you for a season in your journey.
Are you ready for things to change? Is your marriage needing a refresher or maybe an overhaul? Do you desire to grow to be a better version of yourself? Digging deeper into the heart allows people to discover the unique abilities and strengths that they bring to their lives. Healing wounds from life experiences is crucial, and discovering the truth about yourself is essential. Whatever you are currently struggling through, I would love to walk with you for a season in your journey.
(719) 387-5819 View (719) 387-5819
Photo of Kevin Richard Bogstad - Peak Therapeutic Services, MA, LPC, EMDR I, Licensed Professional Counselor
Peak Therapeutic Services
Licensed Professional Counselor, MA, LPC, EMDR I
Verified Verified
Colorado Springs, CO 80919
I am a dedicated therapist with 25 years of experience working with diverse populations and situations, resulting in an ability to work effectively with individuals, couples, families, children, and adolescents with differing and distinct needs. I provide a personable, relaxed, interactive, and collaborative style, using various models/modalities to meet individual therapeutic needs. I draw from numerous resources to develop a well rounded tailored treatment approach.
I am a dedicated therapist with 25 years of experience working with diverse populations and situations, resulting in an ability to work effectively with individuals, couples, families, children, and adolescents with differing and distinct needs. I provide a personable, relaxed, interactive, and collaborative style, using various models/modalities to meet individual therapeutic needs. I draw from numerous resources to develop a well rounded tailored treatment approach.
(951) 339-2713 View (951) 339-2713
Photo of Sharon Oates - Rooted In Strength Counseling LLC, LCSW, Clinical Social Work/Therapist
Rooted In Strength Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Colorado Springs, CO 80922  (Online Only)
Hello! I am Sharon and I'm a licensed clinical social worker in Colorado Springs. I am passionate about working with people and helping them realize their goals. I take a person-centered approach to treatment, meaning everyone is on a unique journey with their own challenges and situations. Together we can journey together to overcome these challenges. We will draw from your own strengths, learn new skills, and work together to best understand your emotions, thoughts, and behaviors, so that we can create positive change in your life.
Hello! I am Sharon and I'm a licensed clinical social worker in Colorado Springs. I am passionate about working with people and helping them realize their goals. I take a person-centered approach to treatment, meaning everyone is on a unique journey with their own challenges and situations. Together we can journey together to overcome these challenges. We will draw from your own strengths, learn new skills, and work together to best understand your emotions, thoughts, and behaviors, so that we can create positive change in your life.
(719) 350-6860 View (719) 350-6860
Photo of Elena Thomason, MEd, MA, LPC, Licensed Professional Counselor
Elena Thomason
Licensed Professional Counselor, MEd, MA, LPC
Verified Verified
3 Endorsed
Colorado Springs, CO 80920
Life is a journey with many different challenging seasons. You might be feeling stuck by current or past traumas, low self esteem, ongoing anxiety or depression, or unfulfilled relationships. Perhaps you have come out of physical, emotional or spiritual abuse and find that you are still affected by it. Therapy is a valuable tool to help you unpack the past, understand yourself deeper in the present, and move forward with confidence. It is my hope to provide an authentic and caring environment that will allow my clients to embrace the pain that is a necessary part of change and navigate the difficult seasons of life successfully.
Life is a journey with many different challenging seasons. You might be feeling stuck by current or past traumas, low self esteem, ongoing anxiety or depression, or unfulfilled relationships. Perhaps you have come out of physical, emotional or spiritual abuse and find that you are still affected by it. Therapy is a valuable tool to help you unpack the past, understand yourself deeper in the present, and move forward with confidence. It is my hope to provide an authentic and caring environment that will allow my clients to embrace the pain that is a necessary part of change and navigate the difficult seasons of life successfully.
(719) 419-9649 View (719) 419-9649
Photo of Travis Gray Call - Greater Love Counseling, MA, MFTC, Marriage & Family Therapist Associate
Greater Love Counseling
Marriage & Family Therapist Associate, MA, MFTC
Verified Verified
1 Endorsed
Colorado Springs, CO 80909
I am a passionate Marriage and Family Therapist with a burning drive to help you get fast and lasting solutions to your relationship problems. If you have been struggling to communicate, set healthy boundaries, resolve conflict, or maintain intimacy in your relationship, then this is the place for you. If you have been suffocating in your relationship because of betrayal, broken trust, resentment, or disappointment I can help.
I am a passionate Marriage and Family Therapist with a burning drive to help you get fast and lasting solutions to your relationship problems. If you have been struggling to communicate, set healthy boundaries, resolve conflict, or maintain intimacy in your relationship, then this is the place for you. If you have been suffocating in your relationship because of betrayal, broken trust, resentment, or disappointment I can help.
(719) 347-4258 View (719) 347-4258
Photo of Julia Baruffi, MA, LPCC
Julia Baruffi
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
Colorado Springs, CO 80920
Beginning your therapeutic journey is a vulnerable and courageous act. As a compassionate therapist, I am dedicated to helping you navigate life's challenges and creating lasting change. With an integrated approach, I blend various therapeutic modalities to foster healing and personal growth.
Beginning your therapeutic journey is a vulnerable and courageous act. As a compassionate therapist, I am dedicated to helping you navigate life's challenges and creating lasting change. With an integrated approach, I blend various therapeutic modalities to foster healing and personal growth.
(719) 249-6983 x714 View (719) 249-6983 x714
Photo of Steven Topper, LPC, Licensed Professional Counselor
Steven Topper
Licensed Professional Counselor, LPC
Verified Verified
Colorado Springs, CO 80903
Sometimes it's easy to define what our struggles are: sadness, loneliness, sorrow, grief, worry, fear, trauma, the past, relationships. Other times we simply know we aren't living how we'd most like to. Uncovering how to live more fully is the hope I bring to every session. I use Acceptance and Commitment Therapy (ACT) as a foundation for growth. Each hour and each day, I am committed to compassion, curiosity, openness, and nonjudgment and know that our work will go as far as you’re willing to trust me. I treat this work with reverence and deep care for the vulnerability inherent in seeking support.
Sometimes it's easy to define what our struggles are: sadness, loneliness, sorrow, grief, worry, fear, trauma, the past, relationships. Other times we simply know we aren't living how we'd most like to. Uncovering how to live more fully is the hope I bring to every session. I use Acceptance and Commitment Therapy (ACT) as a foundation for growth. Each hour and each day, I am committed to compassion, curiosity, openness, and nonjudgment and know that our work will go as far as you’re willing to trust me. I treat this work with reverence and deep care for the vulnerability inherent in seeking support.
(719) 800-7607 View (719) 800-7607
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How does your Therapist compare?

Number of Therapists in Colorado Springs, CO

1,000+

Average cost per session

$125

Therapists in Colorado Springs, CO who prioritize treating:

91% Anxiety
87% Depression
77% Trauma and PTSD
71% Relationship Issues
69% Self Esteem
68% Stress
66% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

80% Aetna
74% Cigna and Evernorth
73% UnitedHealthcare UHC | UBH

How Therapists in Colorado Springs, CO see their clients

67% In Person and Online
33% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Colorado Springs?

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.