Therapists in Bellevue, NE
![Photo of Charice Butler - Charice Butler, LLC, LIMHP, Counselor](https://photos.psychologytoday.com/4931b918-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Charice Butler, LLC
Counselor, LIMHP
Verified Verified
2 Endorsed
Bellevue, NE 68005
Not accepting new clients
As a military veteran and active duty family member I recognize the unique stresses brought about by service to our country. I specialize in the treatment of trauma, depression, anxiety and a wide variety of mental health issues. I am trained in DBT, CBT and EMDR. You can find me in the Great Western Bank building in Bellevue on the corner of Galvin Rd and Harvel, just east of Hwy 75 if you use the Cornhusker Rd exit. Enter the building at the North entrance (the one closest to Galvin Rd).
As a military veteran and active duty family member I recognize the unique stresses brought about by service to our country. I specialize in the treatment of trauma, depression, anxiety and a wide variety of mental health issues. I am trained in DBT, CBT and EMDR. You can find me in the Great Western Bank building in Bellevue on the corner of Galvin Rd and Harvel, just east of Hwy 75 if you use the Cornhusker Rd exit. Enter the building at the North entrance (the one closest to Galvin Rd).
![Photo of Jennifer “Jenn” Coleman, MS, LIMHP, NCC, Counselor](https://photos.psychologytoday.com/e163f154-f1c4-402c-b2ab-e88b8fc6d07f/1/320x400.jpeg)
Jenn has experience with adolescents and adults in a variety of settings including partial hospitalization, individual and group settings, community-based mental health, and school-based programs. She is an empathetic and diligent therapist who has a passion for assisting others along their journey and works with specialized populations such as refugee mental health, LGTBQIA+, perinatal mood disorders, and postpartum mental health care. Jenn has experience working with various concerns including severe and persistent mental illness, personality disorders, depression, anxiety, PTSD, grief, trauma, and other life events.
Jenn has experience with adolescents and adults in a variety of settings including partial hospitalization, individual and group settings, community-based mental health, and school-based programs. She is an empathetic and diligent therapist who has a passion for assisting others along their journey and works with specialized populations such as refugee mental health, LGTBQIA+, perinatal mood disorders, and postpartum mental health care. Jenn has experience working with various concerns including severe and persistent mental illness, personality disorders, depression, anxiety, PTSD, grief, trauma, and other life events.
![Photo of Holli Younker-Schifferns, LIMHP](https://photos.psychologytoday.com/212c8d13-6a45-4113-973e-b3228c4f5bae/2/320x400.jpeg)
Holli Younker-Schifferns
Independent Mental Health Practitioner, LIMHP
Verified Verified
1 Endorsed
Bellevue, NE 68123
Not accepting new clients
My favorite thing about being a Mental Health Counselor is that I have a front row seat to witness the life change and healing that can take place in the therapeutic environment. Seeking counseling is a brave step and I enjoy coming alongside my clients and to help them find the tools in order to empower themselves toward their desired growth. My approach is supportive, compassionate and collaborative. Building trust is imperative to yielding results in therapy! My clients often say that they know that they can trust me; this is the foundation to a great therapeutic relationship.
My favorite thing about being a Mental Health Counselor is that I have a front row seat to witness the life change and healing that can take place in the therapeutic environment. Seeking counseling is a brave step and I enjoy coming alongside my clients and to help them find the tools in order to empower themselves toward their desired growth. My approach is supportive, compassionate and collaborative. Building trust is imperative to yielding results in therapy! My clients often say that they know that they can trust me; this is the foundation to a great therapeutic relationship.
![Photo of Clifton Hobbs III, MS, LIMHP, NCC, C-DBT, Counselor](https://photos.psychologytoday.com/2021ddbb-f0d2-4eca-aca5-85a6d281b402/2/320x400.jpeg)
I am here to help! We all face situations or challenges from time to time that we might not be quite sure how to handle. I am here to partner with you and help you through those times, or even act as a sounding board if you just need to talk! My counseling approach builds on a simple foundation – getting to know you. No two people are the same, and no two situations are exactly the same. I truly enjoy getting to know people, what your strengths are, what your challenges are, and what your goals are. We can work together to establish a treatment to achieve them, and maybe even have some fun along the way!
I am here to help! We all face situations or challenges from time to time that we might not be quite sure how to handle. I am here to partner with you and help you through those times, or even act as a sounding board if you just need to talk! My counseling approach builds on a simple foundation – getting to know you. No two people are the same, and no two situations are exactly the same. I truly enjoy getting to know people, what your strengths are, what your challenges are, and what your goals are. We can work together to establish a treatment to achieve them, and maybe even have some fun along the way!
![Photo of Celine Monif, LMHP, LMHC, LPC, NCC, Counselor](https://photos.psychologytoday.com/53be31f0-6e4b-481f-83d4-8ef29dbfdc64/1/320x400.jpeg)
Life can be overwhelming, making you feel helpless or create anguishing for you/your relationships. You may find your mind racing with "what if" and a sense of anxiety or foreboding. Other times, something so significant or shocking happens that it completely changes how you view the world. You may struggle to communicate or understand your emotions. And it may not stop there, disruptions can ripple out and affect your friends, partner, spouse, or family. They may want to help, want to understand, but like you may not know where to start. Finding serenity in yourself or your relationship can be a daunting task.
Life can be overwhelming, making you feel helpless or create anguishing for you/your relationships. You may find your mind racing with "what if" and a sense of anxiety or foreboding. Other times, something so significant or shocking happens that it completely changes how you view the world. You may struggle to communicate or understand your emotions. And it may not stop there, disruptions can ripple out and affect your friends, partner, spouse, or family. They may want to help, want to understand, but like you may not know where to start. Finding serenity in yourself or your relationship can be a daunting task.
![Photo of Johna Stephens, Counselor](https://photos.psychologytoday.com/f0248119-f684-40bf-a3e7-032c890e0e8c/1/320x400.jpeg)
I'm and artist and therapist. As an artist, I work in different types of media. I have found art to be healing. I have two cats and a dog who bring me a lot of joy. I work with people of all gender identities, age 13 and up. I have a Person Centered approached to therapy. I believe that you have the power to achieve a healthy and balanced life, my role as a therapist is to help you process through this journey. I specialize in anxiety, depression and substance abuse. I have worked in Treatment Centres
I'm and artist and therapist. As an artist, I work in different types of media. I have found art to be healing. I have two cats and a dog who bring me a lot of joy. I work with people of all gender identities, age 13 and up. I have a Person Centered approached to therapy. I believe that you have the power to achieve a healthy and balanced life, my role as a therapist is to help you process through this journey. I specialize in anxiety, depression and substance abuse. I have worked in Treatment Centres
![Photo of Candice Sortino, PLMHP](https://photos.psychologytoday.com/98679303-bdee-4e0a-9040-551c221f33d3/1/320x400.jpeg)
My passion for helping others has led me on a journey of creating positive change for those who are looking to improve their lives. I have experience working with people seeking help for depression, anxiety, self-esteem, trauma, and various other mental health issues. I enjoy working with all populations and have experience with people who are LGBTQIA+ and BIPOC. Everyone deserves to be heard. My goal is to create a therapist-client relationship where the client has a safe and comfortable environment. Life can get to the point of feeling overwhelming but you are not alone!
My passion for helping others has led me on a journey of creating positive change for those who are looking to improve their lives. I have experience working with people seeking help for depression, anxiety, self-esteem, trauma, and various other mental health issues. I enjoy working with all populations and have experience with people who are LGBTQIA+ and BIPOC. Everyone deserves to be heard. My goal is to create a therapist-client relationship where the client has a safe and comfortable environment. Life can get to the point of feeling overwhelming but you are not alone!
![Photo of Vickie DeBuhr, MS, LMHP, Counselor](https://photos.psychologytoday.com/48f8639f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My counseling and psychotherapy practice has grown from the roots of a 34- year career in public education. My experiences include 24 years in the classroom as a Spanish teacher (K-12), and a decade working as a high school Counselor. I have counseled diverse populations and cultures, and have extensive knowledge and practice in working with students who receive special education services. I have worked with families in crisis due to death, deployment and adverse circumstances. In addition, I have personal insight into the unique demands of military families as the mother of both an active duty soldier and a combat veteran.
My counseling and psychotherapy practice has grown from the roots of a 34- year career in public education. My experiences include 24 years in the classroom as a Spanish teacher (K-12), and a decade working as a high school Counselor. I have counseled diverse populations and cultures, and have extensive knowledge and practice in working with students who receive special education services. I have worked with families in crisis due to death, deployment and adverse circumstances. In addition, I have personal insight into the unique demands of military families as the mother of both an active duty soldier and a combat veteran.
![Photo of Nancy Herrera, LIMHP, Counselor](https://photos.psychologytoday.com/655d02bd-ad63-4ac5-9631-f8062145d373/3/320x400.jpeg)
As a dedicated Christian Psychotherapist with almost a decade of experience, I am committed to providing compassionate and faith-based mental health support to children, adults and families. My approach to psychotherapy integrates the principles of psychology with Christian values and beliefs to help clients navigate life's challenges while drawing upon their spiritual faith for strength and guidance. I offer one on one counseling sessions to address a wide range of emotional and psychological issues, including anxiety, depression, grief, trauma, and personal growth. My therapeutic approach is rooted in Christian principles.
As a dedicated Christian Psychotherapist with almost a decade of experience, I am committed to providing compassionate and faith-based mental health support to children, adults and families. My approach to psychotherapy integrates the principles of psychology with Christian values and beliefs to help clients navigate life's challenges while drawing upon their spiritual faith for strength and guidance. I offer one on one counseling sessions to address a wide range of emotional and psychological issues, including anxiety, depression, grief, trauma, and personal growth. My therapeutic approach is rooted in Christian principles.
![Photo of Shy Meckna, Counselor](https://photos.psychologytoday.com/120a8392-b07b-4001-b417-8d464864535d/1/320x400.jpeg)
I have been fully licensed for over a decade, but have worked with people in a variety of treatment settings since 2001. My approach is very client-centered. I believe that you are the expert of your own wants and needs. My goal is to help you achieve the things that you want in life in a safe and healthy fashion. I will partner with you to work through any issues or problems you might be experiencing. I have 10 years of experience working with adolescents, 3 years working with adults with severe
I have been fully licensed for over a decade, but have worked with people in a variety of treatment settings since 2001. My approach is very client-centered. I believe that you are the expert of your own wants and needs. My goal is to help you achieve the things that you want in life in a safe and healthy fashion. I will partner with you to work through any issues or problems you might be experiencing. I have 10 years of experience working with adolescents, 3 years working with adults with severe
![Photo of Donna Connely, Counselor](https://photos.psychologytoday.com/29d5c844-7761-4a5e-8b7e-309cc947838d/1/320x400.jpeg)
Did you ever watch the movie, "Forrest Gump"? This movie has one of my favorite quotes, "My mama always said, Life was like a box of chocolates. You never know what you're gonna get." This makes perfect sense to me. I too am often sideswiped at the surprises in life. Ever since age 12, I'd ask every wise person I knew about each new life surprise. Then I'd read every book I could find on the topic. I now share this knowledge with you in bibliotherapy-the use of books in therapy (& cinema-therapy). I also have vast life experience. Another way to look at how therapy helps is this, imagine that you've been travelling down the road
Did you ever watch the movie, "Forrest Gump"? This movie has one of my favorite quotes, "My mama always said, Life was like a box of chocolates. You never know what you're gonna get." This makes perfect sense to me. I too am often sideswiped at the surprises in life. Ever since age 12, I'd ask every wise person I knew about each new life surprise. Then I'd read every book I could find on the topic. I now share this knowledge with you in bibliotherapy-the use of books in therapy (& cinema-therapy). I also have vast life experience. Another way to look at how therapy helps is this, imagine that you've been travelling down the road
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![Photo of Michael McCann, LMHP, CPC, NCC, Counselor](https://photos.psychologytoday.com/7d504b4d-0512-4649-b43b-4ecf2ae99932/2/320x400.jpeg)
Hello, thank you for taking the time to visit my page. My clients come to therapy with a variety of different needs and goals. I love to work with clients in developing goals that are tailored to their individual needs. We will work collaboratively to explore underlying issues and come up with solutions that are designed to build resilience and coping skills. No one wants to feel alone and isolated in their struggles and I am here to help.
Hello, thank you for taking the time to visit my page. My clients come to therapy with a variety of different needs and goals. I love to work with clients in developing goals that are tailored to their individual needs. We will work collaboratively to explore underlying issues and come up with solutions that are designed to build resilience and coping skills. No one wants to feel alone and isolated in their struggles and I am here to help.
![Photo of Katherine (Kitty) Eisenbeil, LMFT, LIMHP, MA, Marriage & Family Therapist](https://photos.psychologytoday.com/e989cc32-fdbf-4dca-bc6d-4a5bdd64cd56/1/320x400.jpeg)
Katherine (Kitty) Eisenbeil
Marriage & Family Therapist, LMFT, LIMHP, MA
Verified Verified
Bellevue, NE 68005 (Online Only)
Sometimes we hit a point in our lives when we are unsure of where to go, what we want or what we need. We feel emotionally drained and need support and encouragement to move forward. Therapy is about learning how and when to make changes in your life. Focused on addressing physical and mental challenges, I strive to provide client-focused therapy that fits your needs. I will meet you where you are and provide you with the encouragement and skills you need to make the changes you want in your own life. I am licensed in Texas, Nebraska, Iowa and Colorado and able to provide telehealth (anyone) or in-person counseling (in NE).
Sometimes we hit a point in our lives when we are unsure of where to go, what we want or what we need. We feel emotionally drained and need support and encouragement to move forward. Therapy is about learning how and when to make changes in your life. Focused on addressing physical and mental challenges, I strive to provide client-focused therapy that fits your needs. I will meet you where you are and provide you with the encouragement and skills you need to make the changes you want in your own life. I am licensed in Texas, Nebraska, Iowa and Colorado and able to provide telehealth (anyone) or in-person counseling (in NE).
![Photo of John F Troy, PsyD, Psychologist](https://photos.psychologytoday.com/3be0bea8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I invite clients to explore their problems by working to create a safe, accepting environment. Believing that a problem holds the key to its solution, I try to help clients hear what they are saying and pay attention to the way they see things. Symptoms such as depression, anxiety, and relationship problems often echo patterns or concerns we have carried for years. I encourage clients to say what they think and feel so they can accept where they are, see the possibility of change, and take the risk of acting different.
I invite clients to explore their problems by working to create a safe, accepting environment. Believing that a problem holds the key to its solution, I try to help clients hear what they are saying and pay attention to the way they see things. Symptoms such as depression, anxiety, and relationship problems often echo patterns or concerns we have carried for years. I encourage clients to say what they think and feel so they can accept where they are, see the possibility of change, and take the risk of acting different.
![Photo of Ida-Marie Hebrank - IM Hebrank Psychotherapy, CMSW, LIMHP, LADAC](https://photos.psychologytoday.com/45da8d90-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
IM Hebrank Psychotherapy
Master Social Work, CMSW, LIMHP, LADAC
Verified Verified
1 Endorsed
Bellevue, NE 68005
Welcome to the beginning of a potentially transforming time in your life. The decision to seek therapy is both scary and courageous as it requires a person to be vulnerable with a perfect stranger. Every time I begin to work with a new person, I am always awed by the motivation and fortitude it takes to make changes in one's life. To explore our fears, motivations, dreams, goals and strengths is not necessarily the norm of our society, however, to embark on this journey provides a significantly more fulfilled life.
Welcome to the beginning of a potentially transforming time in your life. The decision to seek therapy is both scary and courageous as it requires a person to be vulnerable with a perfect stranger. Every time I begin to work with a new person, I am always awed by the motivation and fortitude it takes to make changes in one's life. To explore our fears, motivations, dreams, goals and strengths is not necessarily the norm of our society, however, to embark on this journey provides a significantly more fulfilled life.
![Photo of Ryan Bieck, LIMHP, CPC, Counselor](https://photos.psychologytoday.com/fb72b349-8d3d-4883-b5dc-6714eacb3d98/1/320x400.png)
I am passionate about and dedicated to the mission of helping others grow and learn. My sole focus is on helping you to reach your goals. I provide understanding and compassionate support as well as a safe place to process the many stressors we encounter in life. I have experience addressing a wide array of difficulties to include trauma, depression, anxiety, grief, and co-occurring concerns. I have worked in both outpatient and residential levels of care as well as within group settings. I am willing to meet all who walk through the door wherever they may be at in their own journey.
I am passionate about and dedicated to the mission of helping others grow and learn. My sole focus is on helping you to reach your goals. I provide understanding and compassionate support as well as a safe place to process the many stressors we encounter in life. I have experience addressing a wide array of difficulties to include trauma, depression, anxiety, grief, and co-occurring concerns. I have worked in both outpatient and residential levels of care as well as within group settings. I am willing to meet all who walk through the door wherever they may be at in their own journey.
![Photo of Brooklynn Prussing, PLMHP, Counselor](https://photos.psychologytoday.com/0204c884-f591-469f-aff0-67f05d791e4d/1/320x400.jpeg)
I specialize in trauma, substance abuse, sexual addiction, and symptoms of pre and post partum. I use various modalities such as cognitive behavioral therapy, dialectical behavioral therapy, solution focused therapy, and narrative therapy to treat various symptoms.
I specialize in trauma, substance abuse, sexual addiction, and symptoms of pre and post partum. I use various modalities such as cognitive behavioral therapy, dialectical behavioral therapy, solution focused therapy, and narrative therapy to treat various symptoms.
![Photo of Cesia Marino, LIMHP, LPC, MA](https://photos.psychologytoday.com/7f95485e-8e9d-4494-9f1f-bfc45fb16868/1/320x400.jpeg)
Cesia Marino
Independent Mental Health Practitioner, LIMHP, LPC, MA
Verified Verified
Bellevue, NE 68005
Hello! I have many years of experience working as a mental health therapist with a diverse client population. My passion is found in working with adolescents, their families/parents, adults, and couples.
Hello! I have many years of experience working as a mental health therapist with a diverse client population. My passion is found in working with adolescents, their families/parents, adults, and couples.
![Photo of Beau Carlson, Counselor](https://photos.psychologytoday.com/f24ddb1c-8fcd-400c-9847-50d18f6a381e/2/320x400.png)
As a therapist, it is my goal to help you learn to love and accept yourself. I believe that all of us possess goodness, and I would love to walk with you on your journey. I specialize in trauma recovery, treatment of spiritual and religious trauma, and crisis intervention. In our time together, I can help you learn to heal and become a more complete version of yourself.
As a therapist, it is my goal to help you learn to love and accept yourself. I believe that all of us possess goodness, and I would love to walk with you on your journey. I specialize in trauma recovery, treatment of spiritual and religious trauma, and crisis intervention. In our time together, I can help you learn to heal and become a more complete version of yourself.
![Photo of Jacqueline Litton, MS, PLMHP, Counselor](https://photos.psychologytoday.com/436a3cb5-b868-47ed-9c78-2a8d9374147e/1/320x400.jpeg)
Jacqueline uses a multifaceted approach grounded in research-based modalities such as Cognitive behavior therapy, person-centered therapy, acceptance and commitment therapy, and solution-focused therapy to create an individualized client-centered approach. Jacqueline has experience working with clients of all ages from children to adults, as well as families and couples.
Jacqueline uses a multifaceted approach grounded in research-based modalities such as Cognitive behavior therapy, person-centered therapy, acceptance and commitment therapy, and solution-focused therapy to create an individualized client-centered approach. Jacqueline has experience working with clients of all ages from children to adults, as well as families and couples.
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See More TherapistsHow does your Therapist compare?
Number of Therapists in Bellevue, NE
100+
Average cost per session
$125
Therapists in Bellevue, NE who prioritize treating:
96% | Anxiety |
92% | Depression |
85% | Trauma and PTSD |
69% | Stress |
68% | Relationship Issues |
67% | Grief |
65% | Self Esteem |
Average years in practice
9 Years
Top 3 insurances accepted
95% | BlueCross and BlueShield |
77% | UnitedHealthcare UHC | UBH |
76% | Aetna |
How Therapists in Bellevue, NE see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
79% | Female | |
20% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Bellevue?
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
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.
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.
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.