Therapists in Augusta, GA

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Photo of Regina Sewell, LPC, Licensed Professional Counselor
Regina Sewell
Licensed Professional Counselor, LPC
Verified Verified
Augusta, GA 30901  (Online Only)
Sometimes it feels like you’ve been pursuing a career and a life that’s not your own. You may feel like society doesn’t value your culture, your sensitivity, and your expression. Your experiences have led to feeling stressed, anxious, and depressed. If this sounds like you, welcome to your return to joy. As a therapist specializing in empathetic and liberation-focused work, I am dedicated to supporting Black individuals from all gender identities. For the past eight years, I have provided individual and group therapy for multicultural populations in inpatient and outpatient settings.
Sometimes it feels like you’ve been pursuing a career and a life that’s not your own. You may feel like society doesn’t value your culture, your sensitivity, and your expression. Your experiences have led to feeling stressed, anxious, and depressed. If this sounds like you, welcome to your return to joy. As a therapist specializing in empathetic and liberation-focused work, I am dedicated to supporting Black individuals from all gender identities. For the past eight years, I have provided individual and group therapy for multicultural populations in inpatient and outpatient settings.
(762) 225-4999 View (762) 225-4999
Photo of Dawn M Jett, LCSW, Clinical Social Work/Therapist
Dawn M Jett
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, GA 30909
Believe it or not...this is a FUN process. The most important aspect of counseling is to attain the goals you identify. You are the expert in your own life. I am comfortable working with clients who have identified almost any problem area but specifically I am well trained in treating anxiety, depression, self-esteem issues, and problems in the social and family environment. I work on the goals you identify rather than my opinion of what you should work on. This makes me a very non-judgmental personal and I develop strong positive relationships with my clients.
Believe it or not...this is a FUN process. The most important aspect of counseling is to attain the goals you identify. You are the expert in your own life. I am comfortable working with clients who have identified almost any problem area but specifically I am well trained in treating anxiety, depression, self-esteem issues, and problems in the social and family environment. I work on the goals you identify rather than my opinion of what you should work on. This makes me a very non-judgmental personal and I develop strong positive relationships with my clients.
(706) 256-8291 View (706) 256-8291
Photo of Kabian Brown, Clinical Social Work/Therapist
Kabian Brown
Clinical Social Work/Therapist
Verified Verified
Augusta, GA 30906  (Online Only)
Hello, my name is Kabian Brown. I'm excited to meet you and start working with you on your goals in therapy. My ideal clients are teens, couples, and adults who are finding their way, dealing with trauma, and setting goals in their lives. I am a very transparent therapist and I bring that to sessions. I challenged my clients to be the best that they can be as I do 49% of the work and they do 51%. "Originally from Bronx, NY, I have worked with a huge demographic. I have worked as a contractor for the Army
Hello, my name is Kabian Brown. I'm excited to meet you and start working with you on your goals in therapy. My ideal clients are teens, couples, and adults who are finding their way, dealing with trauma, and setting goals in their lives. I am a very transparent therapist and I bring that to sessions. I challenged my clients to be the best that they can be as I do 49% of the work and they do 51%. "Originally from Bronx, NY, I have worked with a huge demographic. I have worked as a contractor for the Army
(706) 420-5157 View (706) 420-5157
Photo of Aishia Williams, EdD, LPC, CLC, Licensed Professional Counselor
Aishia Williams
Licensed Professional Counselor, EdD, LPC, CLC
Verified Verified
Augusta, GA 30909
I offer counseling and coaching sessions to encourage people to discover their entitlements in life. As a person, you are entitled to live life to the fullest and be the absolute best as you define it. No one can define success but you. If you can think it, you can achieve it. I also assist in discovering the obstacles and stumbling blocks that may be hindering you from living the life that you desire.
I offer counseling and coaching sessions to encourage people to discover their entitlements in life. As a person, you are entitled to live life to the fullest and be the absolute best as you define it. No one can define success but you. If you can think it, you can achieve it. I also assist in discovering the obstacles and stumbling blocks that may be hindering you from living the life that you desire.
(706) 696-8452 View (706) 696-8452
Photo of Ayesha Thomas, L, C, S, W, Clinical Social Work/Therapist
Ayesha Thomas
Clinical Social Work/Therapist, L, C, S, W
Verified Verified
Augusta, GA 30901
Hi there! My name is Ayesha Thomas and I am a Licensed Clinical Social Worker in Georgia. The name of my practice is "Purpose Driven Counseling, LLC". I have over five years of counseling individuals from various backgrounds to include Christian Counseling. My experience includes working with potential clients in various settings (home, religious settings, community, and academic environments). I further have experience working with those that are in crisis or who are diagnosed with Depression, Bipolar etc. My nonjudgmental and accepting personality allows for the foundation for an effective therapeutic relationship.
Hi there! My name is Ayesha Thomas and I am a Licensed Clinical Social Worker in Georgia. The name of my practice is "Purpose Driven Counseling, LLC". I have over five years of counseling individuals from various backgrounds to include Christian Counseling. My experience includes working with potential clients in various settings (home, religious settings, community, and academic environments). I further have experience working with those that are in crisis or who are diagnosed with Depression, Bipolar etc. My nonjudgmental and accepting personality allows for the foundation for an effective therapeutic relationship.
(762) 338-2571 View (762) 338-2571
Photo of Tiffany Fowler, LMFT, Marriage & Family Therapist
Tiffany Fowler
Marriage & Family Therapist, LMFT
Verified Verified
Augusta, GA 30901  (Online Only)
My name is Tiffany and I am an original native of Memphis, Tennessee. However, I was raised in Stone Mountain/Lithonia, GA, and began my academic journey in Augusta, GA. In 2012, I completed my undergraduate training at Paine College, where I achieved my Bachelor's of Science Degree in Biology with an emphasis in pre-professional studies. Seeking to understand more about human interaction and behavior, I developed an intense passion for mental health which led me to the obtainment of my Master’s of Science Degree in Applied Psychology with a special concentration in Behavioral Health from the University of Phoenix in 2016.
My name is Tiffany and I am an original native of Memphis, Tennessee. However, I was raised in Stone Mountain/Lithonia, GA, and began my academic journey in Augusta, GA. In 2012, I completed my undergraduate training at Paine College, where I achieved my Bachelor's of Science Degree in Biology with an emphasis in pre-professional studies. Seeking to understand more about human interaction and behavior, I developed an intense passion for mental health which led me to the obtainment of my Master’s of Science Degree in Applied Psychology with a special concentration in Behavioral Health from the University of Phoenix in 2016.
(762) 248-6872 View (762) 248-6872
Photo of Diane Loffmin, LPC, Licensed Professional Counselor
Diane Loffmin
Licensed Professional Counselor, LPC
Verified Verified
Augusta, GA 30901  (Online Only)
In 2012 I began my grad school application essay by saying that it had taken me 62 years to discover what I wanted to be when I grew up. I have now been practicing for about 10 years and I bring to my practice a love for learning and exploring, combined with a steadfast belief in not only the ability, but the right of people to grow and heal.
In 2012 I began my grad school application essay by saying that it had taken me 62 years to discover what I wanted to be when I grew up. I have now been practicing for about 10 years and I bring to my practice a love for learning and exploring, combined with a steadfast belief in not only the ability, but the right of people to grow and heal.
(762) 224-7727 View (762) 224-7727
Photo of Britta Reed - Life Management Group, Coach, Psychologist
Life Management Group
Psychologist, Coach
Verified Verified
Augusta, GA 30909
Life Management Group has been serving the CSRA for 18 years. Our counselors and coaches specialize in a variety of issues: anger management, anxiety, depression, addiction(s), self-esteem, wounded child and trauma--just to name a few. Or if you just need an experienced coach to help you process through life's changes, family matters, parenting issues, marriage problems or relationship difficulties, LMG has dedicated, healing counselors and coaches who have made it their life's work to help others find true peace and happiness.
Life Management Group has been serving the CSRA for 18 years. Our counselors and coaches specialize in a variety of issues: anger management, anxiety, depression, addiction(s), self-esteem, wounded child and trauma--just to name a few. Or if you just need an experienced coach to help you process through life's changes, family matters, parenting issues, marriage problems or relationship difficulties, LMG has dedicated, healing counselors and coaches who have made it their life's work to help others find true peace and happiness.
(762) 583-9017 View (762) 583-9017
Photo of Dr. Tara M Tanksley Stallings, MAPC, MCCLC, BCMHC, DPC
Dr. Tara M Tanksley Stallings
MAPC, MCCLC, BCMHC, DPC
Verified Verified
Augusta, GA 30909
Destiny Life Management Group is a Counseling, Coaching, and Consulting Group. We have a staff of highly trained and certified experts in their fields, who offer a non-traditional approach for people who are perplexed in managing their life, because of; Anxiety, Depression, Trauma healing, Mental health, Coping skills, Stress, Spiritual, Relationships, Marriage and Grief and Loss issues. We are a Bridge of Peace, Privacy and Confidentiality from the Stigmas associated with traditional Mental Health and Spiritual Counseling Services. We also offer Business and Financial Consulting, Anger Management, Grief, Divorce Coaching and more
Destiny Life Management Group is a Counseling, Coaching, and Consulting Group. We have a staff of highly trained and certified experts in their fields, who offer a non-traditional approach for people who are perplexed in managing their life, because of; Anxiety, Depression, Trauma healing, Mental health, Coping skills, Stress, Spiritual, Relationships, Marriage and Grief and Loss issues. We are a Bridge of Peace, Privacy and Confidentiality from the Stigmas associated with traditional Mental Health and Spiritual Counseling Services. We also offer Business and Financial Consulting, Anger Management, Grief, Divorce Coaching and more
(706) 414-5537 View (706) 414-5537
Photo of Ashlee Holsey, Licensed Professional Counselor
Ashlee Holsey
Licensed Professional Counselor
Verified Verified
Augusta, GA 30906  (Online Only)
I have more than a decade of experience counseling adolescents & families in the school setting. And the pandemic gave me the opportunity to tap into my passion for working with adults. As a result, my counseling services focus on helping people of color (BIPOC), ages 18 and up, address the following issues: anger, anxiety, complex trauma, depression, life transitions, nutrition, perfectionism, parenting, self-confidence and/or self-esteem, toxic/unhealthy relationships, and work-related stressors. I use a relational, cultural, and spiritual (if applicable) approach to help my clients address the disconnections to self and others
I have more than a decade of experience counseling adolescents & families in the school setting. And the pandemic gave me the opportunity to tap into my passion for working with adults. As a result, my counseling services focus on helping people of color (BIPOC), ages 18 and up, address the following issues: anger, anxiety, complex trauma, depression, life transitions, nutrition, perfectionism, parenting, self-confidence and/or self-esteem, toxic/unhealthy relationships, and work-related stressors. I use a relational, cultural, and spiritual (if applicable) approach to help my clients address the disconnections to self and others
(706) 420-4913 View (706) 420-4913
Photo of Brian Adams, LCSW, Clinical Social Work/Therapist
Brian Adams
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, GA 30909
Brian Adams is a Licensed Clinical Social Worker in Georgia who has been practicing since 2007. He has an MSW from University of Georgia and a BSW from SC. State University. Brian has experience working with clients of all age ranges, and experience working in criminal justice, hospice, dialysis, and school settings with voluntary and non-voluntary clients. He has an extensive history working with community support agencies, community brokers, and resources to meet needs of clients. Outside of work, Brian enjoys college sports fan, spending time with kids, and outdoor activities.
Brian Adams is a Licensed Clinical Social Worker in Georgia who has been practicing since 2007. He has an MSW from University of Georgia and a BSW from SC. State University. Brian has experience working with clients of all age ranges, and experience working in criminal justice, hospice, dialysis, and school settings with voluntary and non-voluntary clients. He has an extensive history working with community support agencies, community brokers, and resources to meet needs of clients. Outside of work, Brian enjoys college sports fan, spending time with kids, and outdoor activities.
(706) 503-5072 View (706) 503-5072
Photo of Elizabeth Harison, LAMFT, Marriage & Family Therapist Associate
Elizabeth Harison
Marriage & Family Therapist Associate, LAMFT
Verified Verified
Augusta, GA 30909
Elizabeth is an Associate Marriage and Family Therapist. She was born and raised in Augusta, GA. Elizabeth graduated from University of Georgia with a Bachelors in Human Development and Family Science and received a provisional certificate in Family Life Education. Go Dawgs! She, then, graduated from Mercer University with her Masters in Family Therapy. Elizabeth enjoys working with individuals, couples, and families. She is especially passionate about working with children and their parents to help build and navigate their relationships together.
Elizabeth is an Associate Marriage and Family Therapist. She was born and raised in Augusta, GA. Elizabeth graduated from University of Georgia with a Bachelors in Human Development and Family Science and received a provisional certificate in Family Life Education. Go Dawgs! She, then, graduated from Mercer University with her Masters in Family Therapy. Elizabeth enjoys working with individuals, couples, and families. She is especially passionate about working with children and their parents to help build and navigate their relationships together.
(706) 862-8434 View (706) 862-8434
Photo of Mary Brooks, LCSW, Clinical Social Work/Therapist
Mary Brooks
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Augusta, GA 30906
Hi, I'm Imani, a licensed clinical social worker. My approach in therapy comes from a strengths-based and client-centered perspective, which means I believe in collaborating with you to identify your personal strengths and develop solutions that work best for your unique situation. My areas of focus in practice include substance abuse, anxiety, depression, trauma, eating disorders, mood disorders, adjustment disorders, and relationship issues.
Hi, I'm Imani, a licensed clinical social worker. My approach in therapy comes from a strengths-based and client-centered perspective, which means I believe in collaborating with you to identify your personal strengths and develop solutions that work best for your unique situation. My areas of focus in practice include substance abuse, anxiety, depression, trauma, eating disorders, mood disorders, adjustment disorders, and relationship issues.
(470) 688-3861 View (470) 688-3861
Photo of Kelly Thorpe, LCSW, Clinical Social Work/Therapist
Kelly Thorpe
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, GA 30909
Kelly is a Licensed Clinical Social Worker who has been practicing since 1998. She believes that everyone has strengths inside them to deal with problems and changes in life. She uses a strengths perspective to help children and adults as they face challenges, as well as using various techniques of CBT and DBT to fit the needs of the patient. Kelly has been trained in motivational interviewing and has vast expertise in end of life and grief work for children and adults, as well as experience with military culture and veterans. Kelly moved to Georgia in 2013. She is married with two adult children.
Kelly is a Licensed Clinical Social Worker who has been practicing since 1998. She believes that everyone has strengths inside them to deal with problems and changes in life. She uses a strengths perspective to help children and adults as they face challenges, as well as using various techniques of CBT and DBT to fit the needs of the patient. Kelly has been trained in motivational interviewing and has vast expertise in end of life and grief work for children and adults, as well as experience with military culture and veterans. Kelly moved to Georgia in 2013. She is married with two adult children.
(706) 906-6718 View (706) 906-6718
Photo of Dayna Jones, LPC, Licensed Professional Counselor
Dayna Jones
Licensed Professional Counselor, LPC
Verified Verified
Augusta, GA 30907
I am committed to helping individuals and couples reach their fullest potential holistically. In my practice, I offer a safe and respectful environment where individuals can explore their concerns and needs. My therapeutic approach centers around cognitive behavior therapy, play therapy, solution-focused therapy, and emotional-focused therapy. My experience includes working with anxiety, depression, trauma, behavior modification, and stress management.
I am committed to helping individuals and couples reach their fullest potential holistically. In my practice, I offer a safe and respectful environment where individuals can explore their concerns and needs. My therapeutic approach centers around cognitive behavior therapy, play therapy, solution-focused therapy, and emotional-focused therapy. My experience includes working with anxiety, depression, trauma, behavior modification, and stress management.
(762) 533-3081 View (762) 533-3081
Photo of Katherine Brown, LCSW, Clinical Social Work/Therapist
Katherine Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Augusta, GA 30901  (Online Only)
Hi, my name is Katherine Brown.
Hi, my name is Katherine Brown.
(762) 247-5496 View (762) 247-5496
Photo of Kemesha Nickelson, LPC, Licensed Professional Counselor
Kemesha Nickelson
Licensed Professional Counselor, LPC
Verified Verified
Augusta, GA 30901  (Online Only)
Hello future client! I am Kemesha Nickelson, a licensed professional counselor. I have an extensive amount of experience in the mental health field for over 15 years as a recreation therapist and a therapist in many settings from residential, acute, and outpatient.
Hello future client! I am Kemesha Nickelson, a licensed professional counselor. I have an extensive amount of experience in the mental health field for over 15 years as a recreation therapist and a therapist in many settings from residential, acute, and outpatient.
(762) 337-6943 View (762) 337-6943
Photo of Natasha Lamb, Clinical Social Work/Therapist
Natasha Lamb
Clinical Social Work/Therapist
Verified Verified
Augusta, GA 30906  (Online Only)
I received my Bachelor’s of Arts degree in Psychology from the University of North Florida, minoring in Criminal Justice. I went on to earn my Master’s of Social Work Degree from the University of Southern California with a concentration in Children and Families. I am a Licensed Clinical Social Worker who has several years experience working with individuals seeking to overcome Depressive and Anxiety Disorders, Bi-polar Disorder, PTSD, grief and loss, as well as difficulty managing stress. While there is no cookie-cutter approach to working with different mental disorders, I have a strong foundation in Cognitive Behavioral Therapy (
I received my Bachelor’s of Arts degree in Psychology from the University of North Florida, minoring in Criminal Justice. I went on to earn my Master’s of Social Work Degree from the University of Southern California with a concentration in Children and Families. I am a Licensed Clinical Social Worker who has several years experience working with individuals seeking to overcome Depressive and Anxiety Disorders, Bi-polar Disorder, PTSD, grief and loss, as well as difficulty managing stress. While there is no cookie-cutter approach to working with different mental disorders, I have a strong foundation in Cognitive Behavioral Therapy (
(706) 420-5738 View (706) 420-5738
Photo of Teresa Lynn Disch - Heart Mind & Soul Christian Coaching & Counseling, MA, Pre-Licensed Professional
Heart Mind & Soul Christian Coaching & Counseling
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Augusta, GA 30907
I love to work with clients who wish to include their faith in their therapy. I use the best psychological interventions with Biblical principles and scripture to bring about healing and health. If you suffer from anxiety, depression, PTSD, chronic pain, sexual trauma, emotional trauma, premarital or marital counseling or more I can help you. Don't leave your Christian faith at the therapy door use it for healing.
I love to work with clients who wish to include their faith in their therapy. I use the best psychological interventions with Biblical principles and scripture to bring about healing and health. If you suffer from anxiety, depression, PTSD, chronic pain, sexual trauma, emotional trauma, premarital or marital counseling or more I can help you. Don't leave your Christian faith at the therapy door use it for healing.
(762) 221-5480 View (762) 221-5480
Photo of Dr. Terri Vernese Jenkins, EdD, LPC, NCC, ACS, Licensed Professional Counselor
Dr. Terri Vernese Jenkins
Licensed Professional Counselor, EdD, LPC, NCC, ACS
Verified Verified
Augusta, GA 30909
Life's adversities are difficult whether they are disguised as grief, depression, anger, domestic violence, behavioral problems, etc. They are the barriers that constitute a stagnate lifestyle. Are you some one that needs help with conquering your adversities. I CAN HELP! I am a licensed professional counselor that provide therapeutic services to adults, adolescents, couples, and families. I have a Masters degree in Counseling & Psychology from Troy University. I completed my doctoral degree in Counselor Education and Supervision at Argosy University. In addition, I am a National Certified Counselor and Approved Clinical Supervisor.
Life's adversities are difficult whether they are disguised as grief, depression, anger, domestic violence, behavioral problems, etc. They are the barriers that constitute a stagnate lifestyle. Are you some one that needs help with conquering your adversities. I CAN HELP! I am a licensed professional counselor that provide therapeutic services to adults, adolescents, couples, and families. I have a Masters degree in Counseling & Psychology from Troy University. I completed my doctoral degree in Counselor Education and Supervision at Argosy University. In addition, I am a National Certified Counselor and Approved Clinical Supervisor.
(706) 786-3379 View (706) 786-3379
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How does your Therapist compare?

Number of Therapists in Augusta, GA

500+

Average cost per session

$110

Therapists in Augusta, GA who prioritize treating:

93% Anxiety
86% Depression
62% Coping Skills
61% Trauma and PTSD
60% Self Esteem
59% Grief
52% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
88% UnitedHealthcare UHC | UBH
84% Cigna and Evernorth

How Therapists in Augusta, GA see their clients

60% Online Only
40% In Person and Online

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Augusta?

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.