Therapists in Louisville, KY
![Photo of Traci Braun, MEd, LPCC, EMDR, Counselor](https://photos.psychologytoday.com/dbdd5243-03e2-4979-87d9-fa0cdc5f30a5/2/320x400.jpeg)
In addition to being a licensed counselor, I am also a committed Christian and practice in a Christian counseling center. I work with individuals: teenagers (14+) and adults of various ages and with a variety of issues. Although my experience is not limited to these, specific areas of focus include the following: depression, anxiety, high-functioning autism, adoption-related issues, alcoholism and eating disorders, spiritual struggles, and general life issues. I am interested in working with people who are ready to improve the quality of their life.
In addition to being a licensed counselor, I am also a committed Christian and practice in a Christian counseling center. I work with individuals: teenagers (14+) and adults of various ages and with a variety of issues. Although my experience is not limited to these, specific areas of focus include the following: depression, anxiety, high-functioning autism, adoption-related issues, alcoholism and eating disorders, spiritual struggles, and general life issues. I am interested in working with people who are ready to improve the quality of their life.
![Photo of Wilethia Durham, MS, LPCC-S, Counselor](https://photos.psychologytoday.com/393cae6b-2f3b-4993-9622-958becb09573/1/320x400.jpeg)
I can support clients with learning how to become emotionally stable and learn how to advocate for themselves utilizing self compassion.
I can support clients with learning how to become emotionally stable and learn how to advocate for themselves utilizing self compassion.
![Photo of Jennifer Curry Hoertz, LCSW, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3cf172be-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jennifer Curry Hoertz
Marriage & Family Therapist, LCSW, LMFT
Verified Verified
Louisville, KY 40207
I am a - PaSSPORT by MoLINA - Rreferred Prpvoder. Are you feeling overwhelmed, stressed, depressed, or struggling in a relationship? Therapy offers a wonderful opportunity to explorey and process struggles and develop skills to heal and find meaning in life! I specialize in mood issues(anxiety, depression, anger, emotional reactivity) , relationships(couples, families, blended families, divorce recovery) and everyday life transitions and stressors. Therapy can help you heal and live a healthy, happy and productive life.
I am a - PaSSPORT by MoLINA - Rreferred Prpvoder. Are you feeling overwhelmed, stressed, depressed, or struggling in a relationship? Therapy offers a wonderful opportunity to explorey and process struggles and develop skills to heal and find meaning in life! I specialize in mood issues(anxiety, depression, anger, emotional reactivity) , relationships(couples, families, blended families, divorce recovery) and everyday life transitions and stressors. Therapy can help you heal and live a healthy, happy and productive life.
![Photo of Bennett Alldredge, MAMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/fbb9e48c-81c6-4250-836c-ebe32f1f14ec/2/320x400.jpeg)
Bennett Alldredge
Marriage & Family Therapist Associate, MAMFT
Verified Verified
1 Endorsed
Louisville, KY 40222
Taking new clients now! I specialize in working with teenagers and young adults. I also work with children ages 5 and older and with their parents. With a deep understanding of the challenges faced by individuals in this age group, I believe I can provide a safe and supportive environment for you or your child to explore your concerns and develop healthy strategies for love and healing. I have developed a particular interest in the areas of anxiety, depression, self-esteem, spiritual harm, and concerns faced by those in the LGBTQIA+ community.
Taking new clients now! I specialize in working with teenagers and young adults. I also work with children ages 5 and older and with their parents. With a deep understanding of the challenges faced by individuals in this age group, I believe I can provide a safe and supportive environment for you or your child to explore your concerns and develop healthy strategies for love and healing. I have developed a particular interest in the areas of anxiety, depression, self-esteem, spiritual harm, and concerns faced by those in the LGBTQIA+ community.
![Photo of Patrick Dunn - Louisville Recovery Center](https://photos.psychologytoday.com/695bc54f-8fde-4c02-b147-dee0cf3ea571/1/320x400.png)
Treatment at Louisville Recovery Center aims to treat the whole person -mind, body, and spirit. Our program supports holistic recovery by providing a wide range of behavioral and experiential therapies, medication-assisted treatment, and nutritional assistance.
Treatment at Louisville Recovery Center aims to treat the whole person -mind, body, and spirit. Our program supports holistic recovery by providing a wide range of behavioral and experiential therapies, medication-assisted treatment, and nutritional assistance.
![Photo of Hannah Barrineau, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5d86c9e0-2ae0-4a81-a069-d4f93908c2c5/2/320x400.jpeg)
Hannah Barrineau
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40222
Accepting new clients immediately (licensed in KY and IN). I work with kids, teenagers, and young adults on issues including: self esteem, boundaries, coping skills, anxiety, depression, trauma history, and family dynamics. I really enjoy providing a casual and welcoming atmosphere for clients that allows them to safely explore what's on their minds and sort through things they are struggling with.
Accepting new clients immediately (licensed in KY and IN). I work with kids, teenagers, and young adults on issues including: self esteem, boundaries, coping skills, anxiety, depression, trauma history, and family dynamics. I really enjoy providing a casual and welcoming atmosphere for clients that allows them to safely explore what's on their minds and sort through things they are struggling with.
![Photo of Tangi Jones, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/536ac186-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Maybe you have been struggling with relationship issues, your new blended family, feeling anxious, depressed or experiencing trauma. Many individuals, particularly in marginalized communities, fear the stigma of exploring counseling as a form of self-care. My technique is to guide individuals, partners and families in a collaborative effort to develop healthy coping skills, improved communication and an enhanced self-concept to address many of life's challenging issues. Sometimes we just need a road map to help navigate adversity and bring about positive change,
Maybe you have been struggling with relationship issues, your new blended family, feeling anxious, depressed or experiencing trauma. Many individuals, particularly in marginalized communities, fear the stigma of exploring counseling as a form of self-care. My technique is to guide individuals, partners and families in a collaborative effort to develop healthy coping skills, improved communication and an enhanced self-concept to address many of life's challenging issues. Sometimes we just need a road map to help navigate adversity and bring about positive change,
![Photo of Abbie Gibitz, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/6e132fc6-b924-44e7-807f-5a801390d6a9/2/320x400.jpeg)
Women who are pregnant, newly postpartum, or mothers of any age are my ideal client. Issues may include postpartum depression, life changes, child-rearing, marital changes, etc. Goals may include smooth adjustment to changes, processing and healing from traumatic birth stories, and a smooth and joyous transition into motherhood. My years of work as a doula and childbirth educator as well as a mother of five children make me the ideal counselor for mothers who want to thrive not just survive.
Women who are pregnant, newly postpartum, or mothers of any age are my ideal client. Issues may include postpartum depression, life changes, child-rearing, marital changes, etc. Goals may include smooth adjustment to changes, processing and healing from traumatic birth stories, and a smooth and joyous transition into motherhood. My years of work as a doula and childbirth educator as well as a mother of five children make me the ideal counselor for mothers who want to thrive not just survive.
![Photo of Erin D Jarrett, LSGC, TCADC, EMDR, Drug & Alcohol Counselor](https://photos.psychologytoday.com/46b1271e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Troubled by PTSD? Anxiety? Depression? I'm the behavioral health professional for you! I employ a cutting edge therapeutic model called Eye Movement Desensitization and Reprocessing (EMDR) which is a powerful, psychotherapy technique for treatment of anxiety, panic, depression, and post-traumatic stress. I will teach you practical tools and techniques that are evidence-based and designed to help you quickly work through your current situation. I specialize in working with adults, adolescents, and military veterans with symptoms of trauma/PTSD, depression, and anxiety. My clinical style is very warm, strengths-based, and collaborative.
Troubled by PTSD? Anxiety? Depression? I'm the behavioral health professional for you! I employ a cutting edge therapeutic model called Eye Movement Desensitization and Reprocessing (EMDR) which is a powerful, psychotherapy technique for treatment of anxiety, panic, depression, and post-traumatic stress. I will teach you practical tools and techniques that are evidence-based and designed to help you quickly work through your current situation. I specialize in working with adults, adolescents, and military veterans with symptoms of trauma/PTSD, depression, and anxiety. My clinical style is very warm, strengths-based, and collaborative.
![Photo of Suzette Turner-Clark, LCSW-S, RPT/S, RYT-200, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d8da8a3c-1238-4768-9d29-ed138f6a41ae/2/320x400.jpeg)
Suzette Turner-Clark
Clinical Social Work/Therapist, LCSW-S, RPT/S, RYT-200
Verified Verified
2 Endorsed
Louisville, KY 40223 (Online Only)
People consult with a therapist for a positive connection and to problem solve troubles. Therapy is a very special journey, and I will help you to be successful with that process. I am a goal-oriented, accepting therapist working from a strength-based perspective focusing on what clients wish to accomplish at their own pace. Many individuals are looking for effective coping/communication skills, as well as understanding of feelings associated with specific life changes. Clients find it beneficial to receive direction identifying their unhelpful beliefs and replace them with healthier ways of thinking to improve their life quality.
People consult with a therapist for a positive connection and to problem solve troubles. Therapy is a very special journey, and I will help you to be successful with that process. I am a goal-oriented, accepting therapist working from a strength-based perspective focusing on what clients wish to accomplish at their own pace. Many individuals are looking for effective coping/communication skills, as well as understanding of feelings associated with specific life changes. Clients find it beneficial to receive direction identifying their unhelpful beliefs and replace them with healthier ways of thinking to improve their life quality.
![Photo of Katie Jacoby, CSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/60c059b0-f536-4edf-8637-110362827c3b/1/320x400.png)
Therapy is a safe place where individuals can be open and talk about their life and situations that may be difficult or uncomfortable to discuss. I take pride in meeting the client where they are in their journey of life. A main goal of mine is making the client feel comfortable and secure and to help them understand their situation. Most of my experience is working with pre-teens, teenagers, and adults helping them navigate through life circumstances and assisting them with setting goals for sustainable change that they want to make.
Therapy is a safe place where individuals can be open and talk about their life and situations that may be difficult or uncomfortable to discuss. I take pride in meeting the client where they are in their journey of life. A main goal of mine is making the client feel comfortable and secure and to help them understand their situation. Most of my experience is working with pre-teens, teenagers, and adults helping them navigate through life circumstances and assisting them with setting goals for sustainable change that they want to make.
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![Photo of Leslie Richardson, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/f8c2baad-abbe-424d-89c1-0adcbf9bea00/1/320x400.jpeg)
My approach to therapy is to meet you where you are at in your life. I view you as the expert. I know from my own life experiences and several years of helping others that to put yourself first and reach out for help can place you in a vulnerable state. Change can take a huge leap of faith. I would welcome the opportunity to be a part of your journey, wherever that may take you.
My approach to therapy is to meet you where you are at in your life. I view you as the expert. I know from my own life experiences and several years of helping others that to put yourself first and reach out for help can place you in a vulnerable state. Change can take a huge leap of faith. I would welcome the opportunity to be a part of your journey, wherever that may take you.
![Photo of Frankie W Jones, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/af2f23d7-8ed7-4c6a-b847-a2a2324df9be/1/320x400.jpeg)
Frankie W Jones
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
Louisville, KY 40204
Lately, life has felt overwhelming. You've worked really hard to get where you are, but it still feels like something is missing; sometimes it even feels like you're living someone else's life. You notice yourself falling into the same patterns, but you don't know where they came from or how to change them. Maybe you know exactly where you want to be going and wonder what is stopping you from getting there, or maybe you know that you need a change but you're not sure how to define what it is you're looking for. Either way, you don't have to figure it out alone.
Lately, life has felt overwhelming. You've worked really hard to get where you are, but it still feels like something is missing; sometimes it even feels like you're living someone else's life. You notice yourself falling into the same patterns, but you don't know where they came from or how to change them. Maybe you know exactly where you want to be going and wonder what is stopping you from getting there, or maybe you know that you need a change but you're not sure how to define what it is you're looking for. Either way, you don't have to figure it out alone.
![Photo of Stephanie Ruanto, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/452e86d1-18bf-4a47-87a1-8a41d9aaf47c/1/320x400.jpeg)
Stephanie Ruanto
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40205 (Online Only)
Stephanie is a licensed clinical therapist with over 30 years of experience in the treatment of a variety of mental health issues. She has worked extensively with adults who are struggling with depression, anxiety, relationship conflicts, substance abuse, as well as Bipolar Disorder. She has a keen interest in working with issues of aging and has also had over 20 yrs. of experience with trauma work and memory loss issues in the aging population. Stephanie works with all adults over age 20.
Stephanie is a licensed clinical therapist with over 30 years of experience in the treatment of a variety of mental health issues. She has worked extensively with adults who are struggling with depression, anxiety, relationship conflicts, substance abuse, as well as Bipolar Disorder. She has a keen interest in working with issues of aging and has also had over 20 yrs. of experience with trauma work and memory loss issues in the aging population. Stephanie works with all adults over age 20.
![Photo of Shereka Jackson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cfa4ccf7-c42b-4819-b060-f41beb6eebbe/2/320x400.jpeg)
Shereka Jackson
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40218
Not accepting new clients
Are you struggling to cope with a traumatic event? Do you feel like life is beating you up? Are you feeling defeated before your day gets started? Life’s hardships can be difficult to maneuver and can cause a decline in day to day functioning. That decline may show up in mood changes, increased anxiety, difficulty connecting with others, or lack of interest in the things you once enjoyed. If you’re feeling like life is beating you, don’t fight that battle alone. You can overcome these hardships, take back your life, and prevail.
Are you struggling to cope with a traumatic event? Do you feel like life is beating you up? Are you feeling defeated before your day gets started? Life’s hardships can be difficult to maneuver and can cause a decline in day to day functioning. That decline may show up in mood changes, increased anxiety, difficulty connecting with others, or lack of interest in the things you once enjoyed. If you’re feeling like life is beating you, don’t fight that battle alone. You can overcome these hardships, take back your life, and prevail.
![Photo of Tessa Banta, MEd, LPCC-S, LPAT, ATR-BC, EMDR, Counselor](https://photos.psychologytoday.com/2c9b9f37-bd32-48ee-80eb-12a8dd6ff7b1/1/320x400.jpeg)
Tessa Banta
Counselor, MEd, LPCC-S, LPAT, ATR-BC, EMDR
Verified Verified
1 Endorsed
Louisville, KY 40207
At times, it is forgotten that obstacles can also be seen as a time of growth and hope. Hope, what a beautiful word. I am Licensed Professional Clinical Counselor and Licensed Professional Art Therapist. I have worked in community mental health and private practice settings for a number of years assisting individuals, couples, and families.
At times, it is forgotten that obstacles can also be seen as a time of growth and hope. Hope, what a beautiful word. I am Licensed Professional Clinical Counselor and Licensed Professional Art Therapist. I have worked in community mental health and private practice settings for a number of years assisting individuals, couples, and families.
![Photo of Dr. Ghazel Tellawi, PhD, Psychologist](https://photos.psychologytoday.com/8aa68095-b007-4bdd-907d-a11ed7d4f63f/1/320x400.jpeg)
Hi! I am a queer, Syrian clinical psychologist who specializes in psychological testing, and working with the LGBTQ+ community and treating folks dealing with OCD, minority stress, depression, anxiety, and phobias. I also provide gender affirming care for individuals 12 and older who are at various stages in their gender journey. I enjoy working with folks navigating gender identity exploration/transition, as well as sexual and racial identity development. I write letters of support for gender affirming surgery, and can typically get folks in within a week. I also provide ADHD testing and diagnostic assessments for folks 12 and up.
Hi! I am a queer, Syrian clinical psychologist who specializes in psychological testing, and working with the LGBTQ+ community and treating folks dealing with OCD, minority stress, depression, anxiety, and phobias. I also provide gender affirming care for individuals 12 and older who are at various stages in their gender journey. I enjoy working with folks navigating gender identity exploration/transition, as well as sexual and racial identity development. I write letters of support for gender affirming surgery, and can typically get folks in within a week. I also provide ADHD testing and diagnostic assessments for folks 12 and up.
![Photo of Brad M Goebel, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/50d1406f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Brad M Goebel
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Louisville, KY 40222
Many times in life we are left searching for answers. We often develop feelings and behaviors that may become difficult to manage stemming from current circumstances or even previous experiences.
Many times in life we are left searching for answers. We often develop feelings and behaviors that may become difficult to manage stemming from current circumstances or even previous experiences.
![Photo of Dr. Olivia Hilchey, PhD](https://photos.psychologytoday.com/7efb2a65-98d3-4e9e-8bba-d5bd9a0477c0/1/320x400.jpeg)
It’s my passion to help individuals and couples improve their quality of life. I'm a specialist in helping couples with marital problems and individuals with depression or anxiety. As a clinical psychologist, I am dedicated to helping you live a happier, healthier, and more authentic life both individually and in your romantic relationship. For individuals, I am trained in evidence-based therapy methods including Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT). For couples, I'm trained in the Gottman Method which was created to prevent divorce and improve the overall quality of your marriage.
It’s my passion to help individuals and couples improve their quality of life. I'm a specialist in helping couples with marital problems and individuals with depression or anxiety. As a clinical psychologist, I am dedicated to helping you live a happier, healthier, and more authentic life both individually and in your romantic relationship. For individuals, I am trained in evidence-based therapy methods including Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT). For couples, I'm trained in the Gottman Method which was created to prevent divorce and improve the overall quality of your marriage.
![Photo of Joseph Carlton, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4bd855a7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
i am a preferred provider for Humana and Optum/UMR. Also accepted Anthem/ BCBS, Passport, most medicaid plans and self pay. I have the option of teletherapy and in office can be done. Clients are asked to wait in their cars until previous clients have left. In the office, markings indicate spaces so that everyone remains at a safe distance. i have over 20 years experience working with traumas, anxiety, depression and relationship difficulties.
i am a preferred provider for Humana and Optum/UMR. Also accepted Anthem/ BCBS, Passport, most medicaid plans and self pay. I have the option of teletherapy and in office can be done. Clients are asked to wait in their cars until previous clients have left. In the office, markings indicate spaces so that everyone remains at a safe distance. i have over 20 years experience working with traumas, anxiety, depression and relationship difficulties.
See more therapy options for Louisville
How does your Therapist compare?
Number of Therapists in Louisville, KY
1,000+
Average cost per session
$120
Therapists in Louisville, KY who prioritize treating:
90% | Anxiety |
84% | Depression |
72% | Trauma and PTSD |
69% | Self Esteem |
67% | Coping Skills |
59% | Relationship Issues |
58% | Grief |
Average years in practice
10 Years
Top 3 insurances accepted
75% | Aetna |
70% | UnitedHealthcare UHC | UBH |
63% | Humana |
How Therapists in Louisville, KY see their clients
65% | In Person and Online | |
35% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Louisville?
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.