Therapists in Centennial, CO

Photo of Annette Nunez, PhD, LMFT, KAP, Marriage & Family Therapist
Annette Nunez
Marriage & Family Therapist, PhD, LMFT, KAP
Verified Verified
Centennial, CO 80111
Hello! I am a family and marriage therapist licensed in Colorado with over 28 years of experience working as a psychotherapist and NOW offering Ketamine Assisted Psychotherapy. I have worked with clients with a wide range of concerns including but not limited to anxiety, depression, grief, women's issues and coping with life transitions. My primary focus is to provide effective therapy to women who are going through life changes and struggle with self-esteem, stress, motivation, and confidence. Through CBT techniques I help my clients discover their self-worth and teach the importance of self-compassion, self-care, and self-love.
Hello! I am a family and marriage therapist licensed in Colorado with over 28 years of experience working as a psychotherapist and NOW offering Ketamine Assisted Psychotherapy. I have worked with clients with a wide range of concerns including but not limited to anxiety, depression, grief, women's issues and coping with life transitions. My primary focus is to provide effective therapy to women who are going through life changes and struggle with self-esteem, stress, motivation, and confidence. Through CBT techniques I help my clients discover their self-worth and teach the importance of self-compassion, self-care, and self-love.
(720) 734-6323 View (720) 734-6323
Photo of Josh Schmidt - Belay Counseling & Coaching, LLC, MA, LPC, Licensed Professional Counselor
Belay Counseling & Coaching, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, CO 80112
When is the last time you have had a fresh set of eyes on your story? We all have seasons of feeling stuck personally and relationally. I specialize in helping people, relationships and families connect buried pieces of their story together to reengage their journey with renewed hope and wholeheartedness. I developed my practice with the vision to walk with people through wilderness of their stories and guide them into healing and freedom. I offer a direct, yet playful style of relating in therapy with the aim of creating a safe, collaborative space to courageously face the storms of life.
When is the last time you have had a fresh set of eyes on your story? We all have seasons of feeling stuck personally and relationally. I specialize in helping people, relationships and families connect buried pieces of their story together to reengage their journey with renewed hope and wholeheartedness. I developed my practice with the vision to walk with people through wilderness of their stories and guide them into healing and freedom. I offer a direct, yet playful style of relating in therapy with the aim of creating a safe, collaborative space to courageously face the storms of life.
(720) 943-8573 View (720) 943-8573
Photo of Sharona Stone - Jump Starts for Growing Families, MEd, LCSW, DCH, Clinical Social Work/Therapist
Jump Starts for Growing Families
Clinical Social Work/Therapist, MEd, LCSW, DCH
Verified Verified
Centennial, CO 80112
Are you talking about starting a family, your life with a baby, toddler or small children? Whether planned now or later, the reality of becoming and being parents is life changing. Have the two of you shared your expectations and visions of family life? Do you know when you will be ready, who will do what, and how this fits with your personal needs and goals? Parenting is emotionally rewarding and demanding, and requires team work. How are you doing with each other, understanding differences in your experiences and needs? This is an opportunity to strengthen your loving relationship.
Are you talking about starting a family, your life with a baby, toddler or small children? Whether planned now or later, the reality of becoming and being parents is life changing. Have the two of you shared your expectations and visions of family life? Do you know when you will be ready, who will do what, and how this fits with your personal needs and goals? Parenting is emotionally rewarding and demanding, and requires team work. How are you doing with each other, understanding differences in your experiences and needs? This is an opportunity to strengthen your loving relationship.
(720) 613-2558 View (720) 613-2558
Photo of Amanda J Chaney, MSW, LCSW, Clinical Social Work/Therapist
Amanda J Chaney
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
6 Endorsed
Centennial, CO 80121
When therapy works best, it's a collaboration between you and your therapist to discover how to make your best choices in life. My hope is to help you learn about YOU and what makes life fulfilling to you and then how to go for it! Therapy can help you change course when you keep making choices that don't make you happy. I help my clients learn to understand how their personal history and relationship patterns affect their decisions and overall wellness. Whether it's just to have someone truly listen or if it's to learn some specific skills to make different choices in life, I will provide a safe space for you to grow and heal.
When therapy works best, it's a collaboration between you and your therapist to discover how to make your best choices in life. My hope is to help you learn about YOU and what makes life fulfilling to you and then how to go for it! Therapy can help you change course when you keep making choices that don't make you happy. I help my clients learn to understand how their personal history and relationship patterns affect their decisions and overall wellness. Whether it's just to have someone truly listen or if it's to learn some specific skills to make different choices in life, I will provide a safe space for you to grow and heal.
(720) 580-6609 View (720) 580-6609
Photo of Bruce Riecks, PsyD, Psychologist
Bruce Riecks
Psychologist, PsyD
Verified Verified
Centennial, CO 80112
Dr. Bruce Riecks is a Licensed Clinical Psychologist (LCP) with more than 30 years of experience in the mental health field. He is passionate about helping adults bring all parts of themselves into balance, with emphasis on the mental, emotional, relational and spiritual aspects. Dr. Riecks specializes in helping individuals who experience anxiety, depression, difficulty focusing their thoughts, grief and loss, trauma, relationship difficulties, end of life issues, and addiction of various kinds.
Dr. Bruce Riecks is a Licensed Clinical Psychologist (LCP) with more than 30 years of experience in the mental health field. He is passionate about helping adults bring all parts of themselves into balance, with emphasis on the mental, emotional, relational and spiritual aspects. Dr. Riecks specializes in helping individuals who experience anxiety, depression, difficulty focusing their thoughts, grief and loss, trauma, relationship difficulties, end of life issues, and addiction of various kinds.
(720) 928-9675 View (720) 928-9675
Photo of Amanda Bickel, LSW, Clinical Social Work/Therapist
Amanda Bickel
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
Centennial, CO 80111
I work with clients who are struggling with anxiety, depression, trauma, or life transitions. It’s okay to feel overwhelmed, disconnected, or uncertain about where to go next—those feelings are valid. My goal is to walk alongside you, supporting you in creating the life you envision. Through a strengths-based and holistic approach, I provide a space where you feel truly supported and heard. Together, we'll focus on building self-compassion and fostering an authentic, positive relationship with yourself. It’s a privilege to be part of your journey, and I’m here to help you face the challenges and opportunities that come your way.
I work with clients who are struggling with anxiety, depression, trauma, or life transitions. It’s okay to feel overwhelmed, disconnected, or uncertain about where to go next—those feelings are valid. My goal is to walk alongside you, supporting you in creating the life you envision. Through a strengths-based and holistic approach, I provide a space where you feel truly supported and heard. Together, we'll focus on building self-compassion and fostering an authentic, positive relationship with yourself. It’s a privilege to be part of your journey, and I’m here to help you face the challenges and opportunities that come your way.
(720) 927-9251 View (720) 927-9251
Photo of Adria N Pearson-Mauro, PhD, Psychologist
Adria N Pearson-Mauro
Psychologist, PhD
Verified Verified
Centennial, CO 80015
I am open to seeing a wide range of presenting problems in adults across the lifespan.
I am open to seeing a wide range of presenting problems in adults across the lifespan.
(303) 625-6607 View (303) 625-6607
Photo of Sarah Scheid - Peaks Counseling, MA, LPC, Licensed Professional Counselor
Peaks Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Centennial, CO 80112
I specialize in working with individuals that are struggling with daily life stressors that may result in depression, anxiety, grief, loss, and/or relationship problems. At some point in our lives, we all struggle with obstacles we need to overcome and I am dedicated to promoting a healthy healing process for each client that walks into my office. I provide clients with a warm and comfortable environment in which to share their feelings, and am here to help you overcome your personal life hurdles.
I specialize in working with individuals that are struggling with daily life stressors that may result in depression, anxiety, grief, loss, and/or relationship problems. At some point in our lives, we all struggle with obstacles we need to overcome and I am dedicated to promoting a healthy healing process for each client that walks into my office. I provide clients with a warm and comfortable environment in which to share their feelings, and am here to help you overcome your personal life hurdles.
(720) 863-6801 View (720) 863-6801
Photo of Tandis Hashemi, LPC, NCC, Licensed Professional Counselor
Tandis Hashemi
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Centennial, CO 80112
I specialize in working with adults, adolescents, couples and families struggling with family conflict, relationship issues, grief, and life transitions. My approach is curious, collaborative, compassionate, relational and centers you as the expert on your life.
I specialize in working with adults, adolescents, couples and families struggling with family conflict, relationship issues, grief, and life transitions. My approach is curious, collaborative, compassionate, relational and centers you as the expert on your life.
(720) 370-9725 View (720) 370-9725
Photo of Crystal Hartman, MA, LPC, Licensed Professional Counselor
Crystal Hartman
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, CO 80112
Waitlist for new clients
Is it time to make changes in your life? Despite your best efforts, do you find yourself feeling out of control? When you take a step forward, does your past seem to pull you back? We all go through challenging times. Without the resources and support we need, overcoming obstacles can feel impossible. I provide individually tailored, empowering therapy and coaching services to help you get forward momentum and harness your inner strength. Through our partnership, you will experience support, self-discovery, and gain tools to manage struggles and create meaningful self-growth.
Is it time to make changes in your life? Despite your best efforts, do you find yourself feeling out of control? When you take a step forward, does your past seem to pull you back? We all go through challenging times. Without the resources and support we need, overcoming obstacles can feel impossible. I provide individually tailored, empowering therapy and coaching services to help you get forward momentum and harness your inner strength. Through our partnership, you will experience support, self-discovery, and gain tools to manage struggles and create meaningful self-growth.
(720) 384-7837 View (720) 384-7837
Photo of Jackky Sirichantho, MA, Marriage & Family Therapist
Jackky Sirichantho
Marriage & Family Therapist, MA
Verified Verified
Centennial, CO 80122
Jackky Sirichantho, LMFT, has been providing counseling services for the last 10 years working with individuals, couples, and families, and supporting pre-license counselors pursuing their aspirations to becoming healers in their communities. Jackky has experience counseling folks from diverse backgrounds and walks of life with an open mind and multicultural approach. His greatest joy is to have the privilege to listen deeply while being thoughtful and intentional to every client’s unique experience and using that as a catalyst to help them navigate the changes they want to make in their life.
Jackky Sirichantho, LMFT, has been providing counseling services for the last 10 years working with individuals, couples, and families, and supporting pre-license counselors pursuing their aspirations to becoming healers in their communities. Jackky has experience counseling folks from diverse backgrounds and walks of life with an open mind and multicultural approach. His greatest joy is to have the privilege to listen deeply while being thoughtful and intentional to every client’s unique experience and using that as a catalyst to help them navigate the changes they want to make in their life.
(720) 597-8782 View (720) 597-8782
Photo of Jessire Breslin, MA, LPC, ACS, Licensed Professional Counselor
Jessire Breslin
Licensed Professional Counselor, MA, LPC, ACS
Verified Verified
5 Endorsed
Centennial, CO 80112  (Online Only)
I love collaborating with my clients, deciding together what goals to work on. I gently empower my clients by focusing on strengths to guide them in reaching their goals. As a Licensed Professional Counselor, I have experience helping individuals and couples work through anxiety, stress, life transitions, pregnancy, parenting, trauma and losses. My training in a variety of theoretical orientations and approaches allows me to utilize the most helpful tools from each modality to individualize a therapeutic plan.
I love collaborating with my clients, deciding together what goals to work on. I gently empower my clients by focusing on strengths to guide them in reaching their goals. As a Licensed Professional Counselor, I have experience helping individuals and couples work through anxiety, stress, life transitions, pregnancy, parenting, trauma and losses. My training in a variety of theoretical orientations and approaches allows me to utilize the most helpful tools from each modality to individualize a therapeutic plan.
(303) 816-8338 View (303) 816-8338
Photo of Sean McNamara - Taking New Clients, MA, LPCC
Sean McNamara - Taking New Clients
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
1 Endorsed
Centennial, CO 80112
Schedule instantly through my website link in my bio! Hello, I’m Sean McNamara. Whether you’re going through a major life change, relationship difficulties, loss of a loved one, want to feel happier, or change your behavior for the better, I’m here to help you as an individual or as a couple. Come as you are. You are welcome here. The broken-hearted you – the furious you – the depressed, traumatized, confused, anxious, distracted, abused, addicted, and overworked you. You don’t have to “get ready” to see me or get your “stuff” together first. Coming to my office or meeting with me online can be effortless.
Schedule instantly through my website link in my bio! Hello, I’m Sean McNamara. Whether you’re going through a major life change, relationship difficulties, loss of a loved one, want to feel happier, or change your behavior for the better, I’m here to help you as an individual or as a couple. Come as you are. You are welcome here. The broken-hearted you – the furious you – the depressed, traumatized, confused, anxious, distracted, abused, addicted, and overworked you. You don’t have to “get ready” to see me or get your “stuff” together first. Coming to my office or meeting with me online can be effortless.
(720) 706-6637 View (720) 706-6637
Photo of Erin Loffredo, MS, CAS, CASAC-M, Drug & Alcohol Counselor
Erin Loffredo
Drug & Alcohol Counselor, MS, CAS, CASAC-M
Verified Verified
Centennial, CO 80122
Erin has worked in the mental health and addiction field in a variety of modalities. She has worked in community-based programs, a correctional facility, and as a school counselor. During her work as a crime victim advocate, she received a Certificate in Bereavement Studies. Her passion is working with adolescents and adults who struggle with substance use, trauma, grief and loss, ADHD and transitions. Erin has advanced training in trauma, addiction, ADHD and grief and loss. Erin is a Credentialed Alcoholism and Substance Abuse Counselor – Master Level (CASAC-M) in New York State and a Certified Addiction Specialist.
Erin has worked in the mental health and addiction field in a variety of modalities. She has worked in community-based programs, a correctional facility, and as a school counselor. During her work as a crime victim advocate, she received a Certificate in Bereavement Studies. Her passion is working with adolescents and adults who struggle with substance use, trauma, grief and loss, ADHD and transitions. Erin has advanced training in trauma, addiction, ADHD and grief and loss. Erin is a Credentialed Alcoholism and Substance Abuse Counselor – Master Level (CASAC-M) in New York State and a Certified Addiction Specialist.
(720) 650-8544 View (720) 650-8544
Photo of Bernadine Merker, LCSW, Clinical Social Work/Therapist
Bernadine Merker
Clinical Social Work/Therapist, LCSW
Verified Verified
Centennial, CO 80111
Not accepting new clients
Since counseling is a very personal experience, your journey with me will include a personalized approach when exploring how to bring about self-acceptance, growth and change. I am a very solution oriented therapist, and work to provide tools to enhance my clients' lives. Tools can include anything from reading material, visual imagery, music, poetry, collage making or homework that you can grow from.
Since counseling is a very personal experience, your journey with me will include a personalized approach when exploring how to bring about self-acceptance, growth and change. I am a very solution oriented therapist, and work to provide tools to enhance my clients' lives. Tools can include anything from reading material, visual imagery, music, poetry, collage making or homework that you can grow from.
(720) 463-1870 View (720) 463-1870
Photo of Esther Park, PsyD, Psychologist
Esther Park
Psychologist, PsyD
Verified Verified
1 Endorsed
Centennial, CO 80112
Just because you carry it well doesn’t mean it’s not heavy. Your history, experiences, and situations have shaped who you are today. You’ve had to adapt and adjust by keeping quiet, by not having needs, or overcompensating with success or high achievements. Seeking approval, becoming self-critical or people-pleasing is the armor you wear to survive. Here at Cedar Psychology, we want to understand, identify, and help you change the patterns that are keeping you from living authentically. We help you find freedom from burdens that aren’t yours to bear.
Just because you carry it well doesn’t mean it’s not heavy. Your history, experiences, and situations have shaped who you are today. You’ve had to adapt and adjust by keeping quiet, by not having needs, or overcompensating with success or high achievements. Seeking approval, becoming self-critical or people-pleasing is the armor you wear to survive. Here at Cedar Psychology, we want to understand, identify, and help you change the patterns that are keeping you from living authentically. We help you find freedom from burdens that aren’t yours to bear.
(303) 622-5650 View (303) 622-5650
Photo of Tina L Cushman, MA, LPC, Licensed Professional Counselor
Tina L Cushman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Centennial, CO 80112
I work with children, teens and parents struggling with behavioral, emotional and academic performance issues. Whether it's daily life expectations or the unexpected consequences of divorce or family struggles, working with a trusted therapist can help your child. As a therapist, I will work with your child to build on strengths and develop coping skills to deal with stress, anxiety, mood and behavioral problems. I take holistic approach to therapy as I believe that children integrate change more quickly when emotional, behavioral, and environmental concerns are all addressed.
I work with children, teens and parents struggling with behavioral, emotional and academic performance issues. Whether it's daily life expectations or the unexpected consequences of divorce or family struggles, working with a trusted therapist can help your child. As a therapist, I will work with your child to build on strengths and develop coping skills to deal with stress, anxiety, mood and behavioral problems. I take holistic approach to therapy as I believe that children integrate change more quickly when emotional, behavioral, and environmental concerns are all addressed.
(720) 204-5939 View (720) 204-5939
Photo of Elizabeth Durbin, MA, NCC, LPCC, Counselor
Elizabeth Durbin
Counselor, MA, NCC, LPCC
Verified Verified
Centennial, CO 80112
Are challenges such as anxiety, depression, addictive behaviors, suicidal thoughts or effects from past trauma causing you distress? I have experience helping my clients navigate the complexities of their past experiences to foster healing and promote overall well-being. I specialize in identifying and addressing the root causes of various challenges. Also, I regularly see high acuity clients with an urgent need for stabilization.
Are challenges such as anxiety, depression, addictive behaviors, suicidal thoughts or effects from past trauma causing you distress? I have experience helping my clients navigate the complexities of their past experiences to foster healing and promote overall well-being. I specialize in identifying and addressing the root causes of various challenges. Also, I regularly see high acuity clients with an urgent need for stabilization.
(720) 802-6343 View (720) 802-6343
Photo of Courtney Fisher, LPC, Licensed Professional Counselor
Courtney Fisher
Licensed Professional Counselor, LPC
Verified Verified
Centennial, CO 80111
Courtney Fisher, LPC Courtney Fisher is a Licensed Professional Counselor in Colorado who has been practicing since 2020. She has a BA from The Ohio State University and an MA from the University of Northern Colorado. Courtney believes in a treatment philosophy that incorporates CBT, DBT, and is humanistic and eclectic. In her spare time, Courtney enjoys hiking, cycling, knitting, and crocheting.
Courtney Fisher, LPC Courtney Fisher is a Licensed Professional Counselor in Colorado who has been practicing since 2020. She has a BA from The Ohio State University and an MA from the University of Northern Colorado. Courtney believes in a treatment philosophy that incorporates CBT, DBT, and is humanistic and eclectic. In her spare time, Courtney enjoys hiking, cycling, knitting, and crocheting.
(720) 802-6385 View (720) 802-6385
Photo of Dr. David W Zierk, PsyD, Psychologist
Dr. David W Zierk
Psychologist, PsyD
Verified Verified
1 Endorsed
Centennial, CO 80111
Dr. Zierk specializes in behavioral medicine and health psychology, and approaches therapy from a wellness and whole-person perspective. Dr. Zierk is an expert in mood and anxiety disorders, bipolar, PTSD/trauma, adult ADD, and chronic pain. He also specializes in relationship-based, time-limited therapy with individuals, couples and families experiencing difficulties with meaningful connection and effective communication. His treatment focuses on issues such as communication, conflict resolution, intimacy, problem solving, anger management, mood management, and chronic pain recovery.
Dr. Zierk specializes in behavioral medicine and health psychology, and approaches therapy from a wellness and whole-person perspective. Dr. Zierk is an expert in mood and anxiety disorders, bipolar, PTSD/trauma, adult ADD, and chronic pain. He also specializes in relationship-based, time-limited therapy with individuals, couples and families experiencing difficulties with meaningful connection and effective communication. His treatment focuses on issues such as communication, conflict resolution, intimacy, problem solving, anger management, mood management, and chronic pain recovery.
(720) 213-5678 View (720) 213-5678
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How does your Therapist compare?

Number of Therapists in Centennial, CO

600+

Average cost per session

$150

Therapists in Centennial, CO who prioritize treating:

92% Anxiety
89% Depression
77% Relationship Issues
76% Self Esteem
75% Trauma and PTSD
68% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

70% Aetna
65% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in Centennial, CO see their clients

82% In Person and Online
18% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Centennial?

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.