Therapists in West Saint Paul, MN

Photo of Glorina S Fruetel, LMFT, Marriage & Family Therapist
Glorina S Fruetel
Marriage & Family Therapist, LMFT
Verified Verified
West Saint Paul, MN 55118
Glorina earned a multitude of skills, experience, and expertise surrounding issues related to Family and Children services: Child Protection, Foster Care, Intellectual Disabilities, Family Court as well as working with Adults and Children in Mental Health spanning over 20 plus years. Glorina works collaboratively with couples, and families, to uncover individual and collective strengths. She understands that when we embrace our strengths, we can be empowered to create the change that we desire for our life/family/relationships. She is committed in providing culturally attuned services.
Glorina earned a multitude of skills, experience, and expertise surrounding issues related to Family and Children services: Child Protection, Foster Care, Intellectual Disabilities, Family Court as well as working with Adults and Children in Mental Health spanning over 20 plus years. Glorina works collaboratively with couples, and families, to uncover individual and collective strengths. She understands that when we embrace our strengths, we can be empowered to create the change that we desire for our life/family/relationships. She is committed in providing culturally attuned services.
(651) 504-3063 View (651) 504-3063
Photo of Peter Jason Meilahn, MA, LPCC, Licensed Professional Counselor
Peter Jason Meilahn
Licensed Professional Counselor, MA, LPCC
Verified Verified
West Saint Paul, MN 55118
My clients can change anxiety, ADHD, autism, or pain with live heart and brain feedback called biofeedback or neurofeedback in online visits. Clients control music volume on their phones with their calm attention levels with free biofeedback equipment I provide. It is easy mindfulness therapy for kids and adults. It is proven to work as well as medication for anxiety, ADHD, and pain. I have years of experience as a therapist, and have taught clinicians at The University of MN Medical Center and elsewhere. Insurance covers this service. To schedule a 20 minute call, click here: https://neurotherapy.intakeq.com/booking
My clients can change anxiety, ADHD, autism, or pain with live heart and brain feedback called biofeedback or neurofeedback in online visits. Clients control music volume on their phones with their calm attention levels with free biofeedback equipment I provide. It is easy mindfulness therapy for kids and adults. It is proven to work as well as medication for anxiety, ADHD, and pain. I have years of experience as a therapist, and have taught clinicians at The University of MN Medical Center and elsewhere. Insurance covers this service. To schedule a 20 minute call, click here: https://neurotherapy.intakeq.com/booking
(651) 299-6579 View (651) 299-6579
Photo of Marlene Musu Nah - Champion Mental Health & Drug Addiction Services, MA, LADC, Drug & Alcohol Counselor
Champion Mental Health & Drug Addiction Services
Drug & Alcohol Counselor, MA, LADC
Verified Verified
West Saint Paul, MN 55118
As a therapist, I vIew my role as partnering with clients to create acceptance and change, and to facilitate awareness and growth to achieve clients goals to live meaningful lives. Whether you are looking for support and encouragement to maximize strengths, or need assistance in dealing with a wide variety of psychological issues, effective therapy begins with the formation of a relationship.
As a therapist, I vIew my role as partnering with clients to create acceptance and change, and to facilitate awareness and growth to achieve clients goals to live meaningful lives. Whether you are looking for support and encouragement to maximize strengths, or need assistance in dealing with a wide variety of psychological issues, effective therapy begins with the formation of a relationship.
(651) 661-4476 View (651) 661-4476
Photo of Kristen Schmidt-Shay, MSW, LICSW, Clinical Social Work/Therapist
Kristen Schmidt-Shay
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
West Saint Paul, MN 55118
I have a strong interest in working with people who have a history of trauma and mood disorders. I use a variety of techniques especially tailored to the individual including Dialectical Behavior Therapy, EMDR, and exposure therapy, as well as mindfulness and cognitive techniques (CBT). I am also certified by the Linehan Board for Dialectical Behavior Therapy (DBT).
I have a strong interest in working with people who have a history of trauma and mood disorders. I use a variety of techniques especially tailored to the individual including Dialectical Behavior Therapy, EMDR, and exposure therapy, as well as mindfulness and cognitive techniques (CBT). I am also certified by the Linehan Board for Dialectical Behavior Therapy (DBT).
(651) 450-0860 View (651) 450-0860
Photo of Peg Truax, MA, LPCC, Counselor
Peg Truax
Counselor, MA, LPCC
Verified Verified
West Saint Paul, MN 55118
People find themselves struggling with something that is making life more difficult than it needs to be. Maybe friends and family aren't there for you anymore, or they just can't understand what is happening with you. You need to talk to someone who can help you sort it out-someone who can listen and reflect with you, but won't tell you what to do. Someone who can help you find the answers that come from within. You want a good counselor. So, now that you know that, how do you choose one?
People find themselves struggling with something that is making life more difficult than it needs to be. Maybe friends and family aren't there for you anymore, or they just can't understand what is happening with you. You need to talk to someone who can help you sort it out-someone who can listen and reflect with you, but won't tell you what to do. Someone who can help you find the answers that come from within. You want a good counselor. So, now that you know that, how do you choose one?
(651) 538-6592 View (651) 538-6592
Photo of Anton Evans, MA, LMFT, Marriage & Family Therapist
Anton Evans
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
West Saint Paul, MN 55118
I enjoy working with clients that are fed up with constant feelings of dissatisfaction in life and are ready to discover new ways of thinking and being. The clients that I work with are from many different walks of life. They struggle with issues such as substance use, relationship problems, identity issues, depression, anxiety, life stressors and fears about the future. I enjoy working with clients to challenge beliefs about their reality and take control of their lives.
I enjoy working with clients that are fed up with constant feelings of dissatisfaction in life and are ready to discover new ways of thinking and being. The clients that I work with are from many different walks of life. They struggle with issues such as substance use, relationship problems, identity issues, depression, anxiety, life stressors and fears about the future. I enjoy working with clients to challenge beliefs about their reality and take control of their lives.
(651) 318-4688 View (651) 318-4688
Photo of Julie Blatz, MSW, LICSW, Clinical Social Work/Therapist
Julie Blatz
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
West Saint Paul, MN 55118
If you’re ready to start your journey, I’m here to help. Together we can work on the issues that matter to you and build a happier and healthier life. I am a Licensed Independent Clinical Social Worker and specialize in use Dialectical Behavior Therapy (DBT). I have training in CBT, CBT for Eating Disorders, and DBT for adolescents and children. I work with adolescents and adults struggling with regulating difficult emotions and navigating relationships. I use a nonjudgmental stance – meaning I seek to balance the truth of the client with the needs of the current moment.
If you’re ready to start your journey, I’m here to help. Together we can work on the issues that matter to you and build a happier and healthier life. I am a Licensed Independent Clinical Social Worker and specialize in use Dialectical Behavior Therapy (DBT). I have training in CBT, CBT for Eating Disorders, and DBT for adolescents and children. I work with adolescents and adults struggling with regulating difficult emotions and navigating relationships. I use a nonjudgmental stance – meaning I seek to balance the truth of the client with the needs of the current moment.
(651) 413-9038 View (651) 413-9038

More Therapists Nearby

Photo of Elizabeth Adams - Minnesota Neuropsychology: Dyslexia, ADHD Testing, PhD, LP, ABPP, Psychologist
Minnesota Neuropsychology: Dyslexia, ADHD Testing
Psychologist, PhD, LP, ABPP
Verified Verified
Saint Paul, MN 55102
We provide testing for children and adults in these areas: Dyslexia, Dysgraphia, Dyscalculia, ADHD, and Gifted and Talented/Twice Exceptional. A neuropsychological evaluation helps in determining the cause of the struggle, clarifying whether a diagnosis is appropriate, and creating a recommendation plan. At Minnesota Neuropsychology, we are dedicated to providing meaningful neuropsychological evaluations to address your specific questions. Let's work together to understand the struggle, highlight the strengths, and see what can be done to help.
We provide testing for children and adults in these areas: Dyslexia, Dysgraphia, Dyscalculia, ADHD, and Gifted and Talented/Twice Exceptional. A neuropsychological evaluation helps in determining the cause of the struggle, clarifying whether a diagnosis is appropriate, and creating a recommendation plan. At Minnesota Neuropsychology, we are dedicated to providing meaningful neuropsychological evaluations to address your specific questions. Let's work together to understand the struggle, highlight the strengths, and see what can be done to help.
(651) 358-2303 View (651) 358-2303
Photo of Mikke Papes, MSW, LGSW, LADC, Pre-Licensed Professional
Mikke Papes
Pre-Licensed Professional, MSW, LGSW, LADC
Verified Verified
1 Endorsed
Saint Paul, MN 55105
Immediate availability. You've carried the weight of your struggles alone for far too long. The mere thought of reaching out for help, expressing your needs, and acknowledging your worth as a person feels like an insurmountable hurdle! Anxiety and depression seem to have a firm grip, distorting your perspective. Navigating through emotions has become a labyrinth, and anger simmers beneath the surface. The pressures of life have left you seeking effective stress management strategies. Self-esteem feels elusive, and issues related to masculinity and femininity weigh heavily on your shoulders. Perfectionism has crushed self-acceptance.
Immediate availability. You've carried the weight of your struggles alone for far too long. The mere thought of reaching out for help, expressing your needs, and acknowledging your worth as a person feels like an insurmountable hurdle! Anxiety and depression seem to have a firm grip, distorting your perspective. Navigating through emotions has become a labyrinth, and anger simmers beneath the surface. The pressures of life have left you seeking effective stress management strategies. Self-esteem feels elusive, and issues related to masculinity and femininity weigh heavily on your shoulders. Perfectionism has crushed self-acceptance.
(763) 496-4895 View (763) 496-4895
Photo of Jeffrey Raich, MSW, LICSW, Clinical Social Work/Therapist
Jeffrey Raich
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Saint Paul, MN 55101
Life is hard. That’s pretty clear. But it’s made all the more difficult for those who are autistic, carry trauma, or are within the LGBTQIA+ community. The difficulty is unique. Whether it’s having an invisible disability, not being able to trust others, or fighting for acceptance, the ability to navigate life can be challenging. There’s hope. And I can help. Together we will work through the stories you’ve been taught, the expectations you’ve had to meet, and the experiences that brought you further and further from yourself.
Life is hard. That’s pretty clear. But it’s made all the more difficult for those who are autistic, carry trauma, or are within the LGBTQIA+ community. The difficulty is unique. Whether it’s having an invisible disability, not being able to trust others, or fighting for acceptance, the ability to navigate life can be challenging. There’s hope. And I can help. Together we will work through the stories you’ve been taught, the expectations you’ve had to meet, and the experiences that brought you further and further from yourself.
(651) 615-4686 View (651) 615-4686
Photo of Samantha Jackson, MSW, LICSW , Clinical Social Work/Therapist
Samantha Jackson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Saint Paul, MN 55107  (Online Only)
Book with me now by clicking on my website. I’m a Clinical Social Worker licensed in Minnesota and Oregon. I have specialized training to support Military families and Veterans, members of the LGBTQ2S+ community, and older adults. I enjoy working with adults of all ages and strive to be a supportive listener who helps you define the life that leads you to live within your values. My approach is humerous, validating, soft and genuine. Many clients have reported that they feel very comfortable with me upon our first session and this is something I pride myself on. All people are safe within my space.
Book with me now by clicking on my website. I’m a Clinical Social Worker licensed in Minnesota and Oregon. I have specialized training to support Military families and Veterans, members of the LGBTQ2S+ community, and older adults. I enjoy working with adults of all ages and strive to be a supportive listener who helps you define the life that leads you to live within your values. My approach is humerous, validating, soft and genuine. Many clients have reported that they feel very comfortable with me upon our first session and this is something I pride myself on. All people are safe within my space.
(612) 662-3169 View (612) 662-3169
Photo of Jennifer Karel, PsyD, LP, Psychologist
Jennifer Karel
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Saint Paul, MN 55105
Feel like you are constantly trying to achieve a healthy you, but with frustrating results? Let's get to the bottom of it so you can stop repeating the same unhelpful behaviors and live a healthy, intentional life. I focus on helping my clients achieve both emotional and physical health, as it can be difficult to achieve one without the other. My clients describe me as a straightforward, down to earth therapist. I don't sugar coat things, but rather let's cut out the fluff and get you feeling better physically and emotionally.
Feel like you are constantly trying to achieve a healthy you, but with frustrating results? Let's get to the bottom of it so you can stop repeating the same unhelpful behaviors and live a healthy, intentional life. I focus on helping my clients achieve both emotional and physical health, as it can be difficult to achieve one without the other. My clients describe me as a straightforward, down to earth therapist. I don't sugar coat things, but rather let's cut out the fluff and get you feeling better physically and emotionally.
(651) 565-7120 View (651) 565-7120
Photo of Carmen Kirchhoff, MA, LPCC, Counselor
Carmen Kirchhoff
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Saint Paul, MN 55102
Note: (I don't currently have availability, but please feel free to reach out to be added to my waiting list!) I believe that providing a collaborative, calm, non-judgmental, and empathic environment is key to encouraging healing and growth. My aim is to help guide clients through choices that move them toward living a more valued life. Having worked in the advertising & marketing fields for many years, I'm intimately familiar with the fast-paced and performance-demanding environment that many of us are faced with in modern society and strive to find ways to bring a sense of calm to everyday life.
Note: (I don't currently have availability, but please feel free to reach out to be added to my waiting list!) I believe that providing a collaborative, calm, non-judgmental, and empathic environment is key to encouraging healing and growth. My aim is to help guide clients through choices that move them toward living a more valued life. Having worked in the advertising & marketing fields for many years, I'm intimately familiar with the fast-paced and performance-demanding environment that many of us are faced with in modern society and strive to find ways to bring a sense of calm to everyday life.
(612) 712-4641 View (612) 712-4641
Photo of Lisa Rogers, PhD, LP, Psychologist
Lisa Rogers
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55118
I have been working in the field of psychology for 20+ years. When people ask why I do the work I do, I usually respond, "because people are always interesting." I enjoy the process of getting to know someone's story and helping them to work towards understanding and change.
I have been working in the field of psychology for 20+ years. When people ask why I do the work I do, I usually respond, "because people are always interesting." I enjoy the process of getting to know someone's story and helping them to work towards understanding and change.
(612) 808-9730 View (612) 808-9730
Photo of Thyra A Fossum, PhD, LP, Psychologist
Thyra A Fossum
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55102
I believe that a trusting and supportive relationship is the basis for meaningful and effective therapy. Earning your trust is deeply important to me. I will work with you to develop tools and strategies to face challenges and to develop your strengths, self-understanding, personal growth, and healing.
I believe that a trusting and supportive relationship is the basis for meaningful and effective therapy. Earning your trust is deeply important to me. I will work with you to develop tools and strategies to face challenges and to develop your strengths, self-understanding, personal growth, and healing.
(612) 229-8198 View (612) 229-8198
Photo of Steven Roger Wiese, MS, MDiv, License, Psychol, Psychologist
Steven Roger Wiese
Psychologist, MS, MDiv, License, Psychol
Verified Verified
1 Endorsed
Saint Paul, MN 55101
Not accepting new clients
I work with clients teen through adult, who are looking for a supportive, encouraging therapeutic environment with a Christian world view. I work best with people who need help with depression, anxiety, OCD, and related concerns using mainly a cognitive behavioral approach. I also enjoy marriage and pre-marriage, working primarily with John Gottman's approach. I have been licensed since 1984. I have completed the Basic Training in Accelerated Resolution Therapy (ART). I have also received specialized training in treating OCD from the organization NOCD. This focuses on Exposure and Response Prevention.
I work with clients teen through adult, who are looking for a supportive, encouraging therapeutic environment with a Christian world view. I work best with people who need help with depression, anxiety, OCD, and related concerns using mainly a cognitive behavioral approach. I also enjoy marriage and pre-marriage, working primarily with John Gottman's approach. I have been licensed since 1984. I have completed the Basic Training in Accelerated Resolution Therapy (ART). I have also received specialized training in treating OCD from the organization NOCD. This focuses on Exposure and Response Prevention.
(651) 504-0153 View (651) 504-0153
Photo of Jenny Johnson, MA, LPCC, Counselor
Jenny Johnson
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Saint Paul, MN 55101
Not accepting new clients
Do you want to understand grief better and the ways in which grief is impacting you? Do you need someone to listen? Do you need some validation that you are not going crazy? Grief affects people in many ways (cognitively, spiritually, physically, relationally, and so on). It can be helpful to talk about what or who you have lost as well as get information about the process. The world does not have a realistic timeline for how long grief can last, nor do they understand it. This can result in the grieving person feeling misunderstood, forgotten about or shunned.
Do you want to understand grief better and the ways in which grief is impacting you? Do you need someone to listen? Do you need some validation that you are not going crazy? Grief affects people in many ways (cognitively, spiritually, physically, relationally, and so on). It can be helpful to talk about what or who you have lost as well as get information about the process. The world does not have a realistic timeline for how long grief can last, nor do they understand it. This can result in the grieving person feeling misunderstood, forgotten about or shunned.
(952) 900-2433 View (952) 900-2433
Photo of Melinda R Coscarelli, PhD, LPCC, LADC, Counselor
Melinda R Coscarelli
Counselor, PhD, LPCC, LADC
Verified Verified
1 Endorsed
Saint Paul, MN 55102
Are you ready for something better in your life but don't know where to start? Welcome to the next generation in Therapy and Treatment Programming! We are a group of specialized therapists who get right to the root of the issue, helping you feel better much quicker than some of the traditional therapies. We offer evidenced based neuro-science techniques that are effective for treating everything from trauma, PTSD, self-esteem, depression, anxiety, substance abuse and several other concerns. We are warm, welcoming, compassionate and highly skilled. We take good care of our clients, and we will take good care of YOU!
Are you ready for something better in your life but don't know where to start? Welcome to the next generation in Therapy and Treatment Programming! We are a group of specialized therapists who get right to the root of the issue, helping you feel better much quicker than some of the traditional therapies. We offer evidenced based neuro-science techniques that are effective for treating everything from trauma, PTSD, self-esteem, depression, anxiety, substance abuse and several other concerns. We are warm, welcoming, compassionate and highly skilled. We take good care of our clients, and we will take good care of YOU!
(651) 372-8567 View (651) 372-8567
Photo of Matthew Daniel Long, MA, LPCC, LADC, Licensed Professional Counselor
Matthew Daniel Long
Licensed Professional Counselor, MA, LPCC, LADC
Verified Verified
Saint Paul, MN 55102
Immediate Openings for general mental health therapy and/or substance use counseling. My area of expertise is in recovery from substance use disorders and co-occurring mental health issues. I believe the reasons for substance use reside in our biological makeup, in our mind processes and in our relationships with others. You are the expert on yourself and I feel that on a journey together, using my clinical expertise, we can better align your behaviors with your values.
Immediate Openings for general mental health therapy and/or substance use counseling. My area of expertise is in recovery from substance use disorders and co-occurring mental health issues. I believe the reasons for substance use reside in our biological makeup, in our mind processes and in our relationships with others. You are the expert on yourself and I feel that on a journey together, using my clinical expertise, we can better align your behaviors with your values.
(651) 419-5767 View (651) 419-5767
Photo of John Newman, MS, LADC, LPCC, Counselor
John Newman
Counselor, MS, LADC, LPCC
Verified Verified
Saint Paul, MN 55102  (Online Only)
Waitlist for new clients
Do you often find yourself craving closeness and intimacy, only to feel insecure and unworthy around your loved ones? Do you struggle with rapid mood swings that leave you feeling isolated and ashamed? Does it sometimes seem like you never truly know yourself, like your life is never more than a few steps from chaos? If your answer to any of these questions is “yes,” then I hope I can be helpful to you.
Do you often find yourself craving closeness and intimacy, only to feel insecure and unworthy around your loved ones? Do you struggle with rapid mood swings that leave you feeling isolated and ashamed? Does it sometimes seem like you never truly know yourself, like your life is never more than a few steps from chaos? If your answer to any of these questions is “yes,” then I hope I can be helpful to you.
(507) 260-0624 View (507) 260-0624

See more therapy options for West Saint Paul

How does your Therapist compare?

Number of Therapists in West Saint Paul, MN

< 10

Therapists in West Saint Paul, MN who prioritize treating:

71% Anxiety
71% Coping Skills
57% Depression
57% Bipolar Disorder
57% Borderline Personality (BPD)
57% Self Esteem
57% Stress

Average years in practice

12 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% UCare
67% Medicaid

How Therapists in West Saint Paul, MN see their clients

100% In Person and Online

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in West Saint Paul?

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.