Therapists in Steep Falls, ME

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Photo of Dawn Blake, LCSW, Clinical Social Work/Therapist
Dawn Blake
Clinical Social Work/Therapist, LCSW
Verified Verified
West Baldwin, ME 04091
Dawn Blake is a Licensed Clinical Social Worker (LCSW) with over 13 years of experience in the mental health field, working with people from all walks of life, most recently working with those with substance use disorders. Dawn completed her Master's degree in Social Work (MSW) at the University of New England.
Dawn Blake is a Licensed Clinical Social Worker (LCSW) with over 13 years of experience in the mental health field, working with people from all walks of life, most recently working with those with substance use disorders. Dawn completed her Master's degree in Social Work (MSW) at the University of New England.
(207) 263-0499 View (207) 263-0499
Photo of Nicole Demisay - JALU Creative Healing LLC, LCSW, Clinical Social Work/Therapist
JALU Creative Healing LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gorham, ME 04038  (Online Only)
Connecting with your individual therapist can mean everything when trying to work through feelings of depression, anxiety, and past traumas. I’ve developed a creative treatment ideology that targets negative thought patterns through a unique treatment plan, accustomed to each and every client I meet. If you’re struggling to find meaning, move forward, or enjoy life, JALU creative healing can help you find your hope again. Through action oriented modalities, I want to help you get your life back and see everything you’re truly capable of.
Connecting with your individual therapist can mean everything when trying to work through feelings of depression, anxiety, and past traumas. I’ve developed a creative treatment ideology that targets negative thought patterns through a unique treatment plan, accustomed to each and every client I meet. If you’re struggling to find meaning, move forward, or enjoy life, JALU creative healing can help you find your hope again. Through action oriented modalities, I want to help you get your life back and see everything you’re truly capable of.
(207) 407-9977 View (207) 407-9977
Photo of Rebecca Hanson, LADC, CCS, Drug & Alcohol Counselor
Rebecca Hanson
Drug & Alcohol Counselor, LADC, CCS
Verified Verified
1 Endorsed
Sebago Lake, ME 04075
Life presents us with countless challenges resulting in pain, regret, anxiety, relationship difficulties, legal issues and more! In our search for relief, we may turn to drugs or alcohol, inadvertently falling into the grips of addiction. I am very passionate about recovery and understand that change can be daunting. I strive to guide you through your difficulties and make progress towards the life you desire. During our sessions, you can expect my undivided attention, this is YOUR time.
Life presents us with countless challenges resulting in pain, regret, anxiety, relationship difficulties, legal issues and more! In our search for relief, we may turn to drugs or alcohol, inadvertently falling into the grips of addiction. I am very passionate about recovery and understand that change can be daunting. I strive to guide you through your difficulties and make progress towards the life you desire. During our sessions, you can expect my undivided attention, this is YOUR time.
(207) 548-5672 View (207) 548-5672
Photo of James Martel, LCPC, Counselor
James Martel
Counselor, LCPC
Verified Verified
1 Endorsed
Standish, ME 04084
Counseling is a journey and in that I feel there most important factor is establishing a solid therapeutic alliance. In this we will work to develop options and opportunities to aid in your journey. In this I enjoy working with couples, teens and individuals in working to reduce anxiety, anger management issues with trauma, depression and inter personal and academic difficulties. Each day offers us a chance to grow and to enhance our confidence and interpersonal happiness. I also have specific training to support out military, veterans, first responders and their families who have their own unique challenges.
Counseling is a journey and in that I feel there most important factor is establishing a solid therapeutic alliance. In this we will work to develop options and opportunities to aid in your journey. In this I enjoy working with couples, teens and individuals in working to reduce anxiety, anger management issues with trauma, depression and inter personal and academic difficulties. Each day offers us a chance to grow and to enhance our confidence and interpersonal happiness. I also have specific training to support out military, veterans, first responders and their families who have their own unique challenges.
(207) 482-0363 View (207) 482-0363
Carol Lee Leonard
Psychologist, PhD
Verified Verified
Standish, ME 04084
Not accepting new clients
Not accepting new clients. I have been a therapist in Maine for 25 years, initially at the Master's level; I completed my PhD in Clinical Psychology in 2012. I work with people from all walks of life - people of diverse ethnicities, orientations, and beliefs. I have worked at in- and out-patient programs, and in private practice; with people who are having difficulty adjusting to changing life circumstances, and with people with severe, persistent, mental illness. This has confirmed my belief that, while our differences should be celebrated, human beings can always find connection, and those connections can be the basis for healing.
Not accepting new clients. I have been a therapist in Maine for 25 years, initially at the Master's level; I completed my PhD in Clinical Psychology in 2012. I work with people from all walks of life - people of diverse ethnicities, orientations, and beliefs. I have worked at in- and out-patient programs, and in private practice; with people who are having difficulty adjusting to changing life circumstances, and with people with severe, persistent, mental illness. This has confirmed my belief that, while our differences should be celebrated, human beings can always find connection, and those connections can be the basis for healing.
(207) 518-7287 View (207) 518-7287
Photo of Emma Young, LCPC , LMHC, Counselor
Emma Young
Counselor, LCPC , LMHC
Verified Verified
Standish, ME 04084  (Online Only)
Currently taking new clients. It is important that my client and I create a safe space to grow, heal, and learn how to manage life struggles. I have 14 years of experience working in the world of mental health, disabilities, and behavioral interventions. I use my behavioral intervention experience to help my clients identify unwanted behaviors, discover the root of the behavior, and move toward behavioral change. I use a variety of therapeutic techniques including mindfulness, cognitive behavioral therapy, psychotherapy, and client-centered counseling.
Currently taking new clients. It is important that my client and I create a safe space to grow, heal, and learn how to manage life struggles. I have 14 years of experience working in the world of mental health, disabilities, and behavioral interventions. I use my behavioral intervention experience to help my clients identify unwanted behaviors, discover the root of the behavior, and move toward behavioral change. I use a variety of therapeutic techniques including mindfulness, cognitive behavioral therapy, psychotherapy, and client-centered counseling.
(207) 515-8601 View (207) 515-8601
Photo of Matthew Roller, LADC, Drug & Alcohol Counselor
Matthew Roller
Drug & Alcohol Counselor, LADC
Verified Verified
East Waterboro, ME 04030  (Online Only)
Imagine someone deeply gripped by addiction, feeling overwhelmed and desperate for a way out. Physically, they suffer from symptoms like insomnia, fatigue, and malnutrition due to substance abuse. Emotionally, they're trapped in shame, guilt, and despair, straining relationships and damaging their self-worth. Mentally, cravings dominate their thoughts, leaving little room for anything else. Spiritually, they feel disconnected and purposeless, sinking deeper into isolation and despair. If this scenario is playing out in your life, it may be the right time to call. I will offer you a safe non-judgemental space to discuss these issues.
Imagine someone deeply gripped by addiction, feeling overwhelmed and desperate for a way out. Physically, they suffer from symptoms like insomnia, fatigue, and malnutrition due to substance abuse. Emotionally, they're trapped in shame, guilt, and despair, straining relationships and damaging their self-worth. Mentally, cravings dominate their thoughts, leaving little room for anything else. Spiritually, they feel disconnected and purposeless, sinking deeper into isolation and despair. If this scenario is playing out in your life, it may be the right time to call. I will offer you a safe non-judgemental space to discuss these issues.
(207) 223-3662 View (207) 223-3662
Photo of Krista Johnston - Lotus Flower Counseling, PLLC, LADC, Drug & Alcohol Counselor
Lotus Flower Counseling, PLLC
Drug & Alcohol Counselor, LADC
Verified Verified
Cornish, ME 04020
I am a Licensed Alcohol and Drug Counselor and enjoy working with teens and adults, as well as families. I have a laid back approach and find value in a harm reduction. I specifically enjoy facilitating DBT Skills and SMART Recovery. I just opened a second location in Baldwin, ME and will still be offering telehealth services.
I am a Licensed Alcohol and Drug Counselor and enjoy working with teens and adults, as well as families. I have a laid back approach and find value in a harm reduction. I specifically enjoy facilitating DBT Skills and SMART Recovery. I just opened a second location in Baldwin, ME and will still be offering telehealth services.
(207) 672-1128 View (207) 672-1128
Mary Catherwood Fletcher
Clinical Social Work/Therapist, LCSW
Verified Verified
Standish, ME 04084  (Online Only)
My background as an RN and teacher enrich my understanding of my client's needs. Listening to each person's experience and struggles with my ability to clarify what I hear, enables my clients to discover strengths and direction they need to overcome obstacle in their lives.
My background as an RN and teacher enrich my understanding of my client's needs. Listening to each person's experience and struggles with my ability to clarify what I hear, enables my clients to discover strengths and direction they need to overcome obstacle in their lives.
(207) 483-5872 View (207) 483-5872
Photo of Dylan Pierrotti, LCPC, CADC, NCC, Counselor
Dylan Pierrotti
Counselor, LCPC, CADC, NCC
Verified Verified
1 Endorsed
Standish, ME 04084
Not accepting new clients
As a licensed clinical mental health counselor I am trained and have experience working with children, adults, couples and families struggling with many of life's challenges. I use an existential humanistic framework with evidence based, trauma informed, neurodiversity affirming, and culturally sensitive treatments. This allows for meaningful exploration of ourselves and our relationships, while addressing immediate concerns of how we function in our daily lives, resulting in a more authentic way of being with ourselves and with one another.
As a licensed clinical mental health counselor I am trained and have experience working with children, adults, couples and families struggling with many of life's challenges. I use an existential humanistic framework with evidence based, trauma informed, neurodiversity affirming, and culturally sensitive treatments. This allows for meaningful exploration of ourselves and our relationships, while addressing immediate concerns of how we function in our daily lives, resulting in a more authentic way of being with ourselves and with one another.
(207) 517-2275 View (207) 517-2275
Photo of Joseph David Pearson - Life Counseling Services, LCPC, CADC, MS, Licensed Professional Counselor
Life Counseling Services
Licensed Professional Counselor, LCPC, CADC, MS
Verified Verified
2 Endorsed
Standish, ME 04084
New season here in Maine is slowly approaching as the February coldness passes. Personal change like the seasons can be a challenge, past experiences may impact the way forward, some need extra help working through trauma or some other issue. My practice could potentially help. I provide services in an up front and honest manner. My approach is to have active dialogue, not just sitting, typing, and waiting for something to happen. This means focusing on a growth mindset, a willingness to heal/change, being realistic, and genuine engagement in therapy. Learning to be responsible for yourself is part of change.
New season here in Maine is slowly approaching as the February coldness passes. Personal change like the seasons can be a challenge, past experiences may impact the way forward, some need extra help working through trauma or some other issue. My practice could potentially help. I provide services in an up front and honest manner. My approach is to have active dialogue, not just sitting, typing, and waiting for something to happen. This means focusing on a growth mindset, a willingness to heal/change, being realistic, and genuine engagement in therapy. Learning to be responsible for yourself is part of change.
(207) 494-4675 View (207) 494-4675
Photo of Theressa Harrigan, MS, JD, LCPC , LCMHC, Counselor
Theressa Harrigan
Counselor, MS, JD, LCPC , LCMHC
Verified Verified
Cornish, ME 04020  (Online Only)
Over the last several years, we have all learned a great deal about our values. We have learned what we do and do not want out of life and our relationships. What is important is much clearer than before. Therapy can help navigate the way to that new life and to healthier relationships. I work with adults and couples of all ages with an emphasis on providing uncomplicated tools and communication skills strongly supported by research. Many clients struggle to stand up for themselves. I can teach that! Client sessions include humor, as it is a coping skill available to all of us.
Over the last several years, we have all learned a great deal about our values. We have learned what we do and do not want out of life and our relationships. What is important is much clearer than before. Therapy can help navigate the way to that new life and to healthier relationships. I work with adults and couples of all ages with an emphasis on providing uncomplicated tools and communication skills strongly supported by research. Many clients struggle to stand up for themselves. I can teach that! Client sessions include humor, as it is a coping skill available to all of us.
(207) 618-8832 View (207) 618-8832
Photo of Erin Schlicher, MA, LCPC, Counselor
Erin Schlicher
Counselor, MA, LCPC
Verified Verified
Gorham, ME 04038
Please note- current openings are morning or midday times only. Offering counseling support for tweens, teens, adults and elders utilizing modalities tailored for each client. I work in a nurturing and collaborative style and find space for humor amidst the heavy stuff. Offering in-person animal-assisted therapy (partnering with the horses and other animals), office-based talk therapy and EMDR to address trauma, depression, anxiety and other difficulties. In addition to my private practice, I also work as a veterinary social worker providing support to pet parents and staff.
Please note- current openings are morning or midday times only. Offering counseling support for tweens, teens, adults and elders utilizing modalities tailored for each client. I work in a nurturing and collaborative style and find space for humor amidst the heavy stuff. Offering in-person animal-assisted therapy (partnering with the horses and other animals), office-based talk therapy and EMDR to address trauma, depression, anxiety and other difficulties. In addition to my private practice, I also work as a veterinary social worker providing support to pet parents and staff.
(207) 739-4230 View (207) 739-4230
Photo of Phyllis Warchol, LADC , CCS, MHRT-C, Deep, OUI's, Drug & Alcohol Counselor
Phyllis Warchol
Drug & Alcohol Counselor, LADC , CCS, MHRT-C, Deep, OUI's
Verified Verified
Standish, ME 04084
Choosing a recovery path is very individual and what may work for one person may not work for another. What I am interested in is what works for you and supporting you with the goals you want to achieve. I provide a confidential and caring environment giving you the opportunity to be in a neutral space and explore what's important to you. I offer alcohol/drug counseling for those wanting support in their recovery, struggling with addiction and for their loved ones, mutual aid support groups, parenting education groups and relationship coaching. Please feel free to read more about what I offer & my qualifications section below.
Choosing a recovery path is very individual and what may work for one person may not work for another. What I am interested in is what works for you and supporting you with the goals you want to achieve. I provide a confidential and caring environment giving you the opportunity to be in a neutral space and explore what's important to you. I offer alcohol/drug counseling for those wanting support in their recovery, struggling with addiction and for their loved ones, mutual aid support groups, parenting education groups and relationship coaching. Please feel free to read more about what I offer & my qualifications section below.
(207) 618-9876 View (207) 618-9876
Photo of Lacey Marie Graffam, LCPC, Counselor
Lacey Marie Graffam
Counselor, LCPC
Verified Verified
2 Endorsed
Limerick, ME 04048  (Online Only)
Have you experienced difficulty in your past that you feel impacts you presently? Would you benefit from having someone in your corner while you navigate this stage of your life? I would love to explore whether I might be a good fit to help you move forward towards positive change. The therapeutic space I provide for my clients is non-judgmental, confidential, and built upon empathic understanding. We collaborate as a team to understand your struggles, process potential roots, and apply appropriate coping strategies suited for you individually.
Have you experienced difficulty in your past that you feel impacts you presently? Would you benefit from having someone in your corner while you navigate this stage of your life? I would love to explore whether I might be a good fit to help you move forward towards positive change. The therapeutic space I provide for my clients is non-judgmental, confidential, and built upon empathic understanding. We collaborate as a team to understand your struggles, process potential roots, and apply appropriate coping strategies suited for you individually.
(207) 218-0509 View (207) 218-0509
Photo of Veronica E Hartman, LCSW, Clinical Social Work/Therapist
Veronica E Hartman
Clinical Social Work/Therapist, LCSW
Verified Verified
Hollis Center, ME 04042  (Online Only)
Seeing what is true relieves anxiety and opens one up; it is freeing. Life brings profound events to us, often without our permission. Our culture and society can challenge our sense of safety and our willingness to reach out for what we need. We take it personally because it is all around us. It can be confusing to try to figure out what exactly we have the ability to change. How do we identify and then begin our own heart’s work? If you are looking for a therapist, it is most likely because you need support and new information to get unstuck, to connect, to heal, or to just get your groove back on.
Seeing what is true relieves anxiety and opens one up; it is freeing. Life brings profound events to us, often without our permission. Our culture and society can challenge our sense of safety and our willingness to reach out for what we need. We take it personally because it is all around us. It can be confusing to try to figure out what exactly we have the ability to change. How do we identify and then begin our own heart’s work? If you are looking for a therapist, it is most likely because you need support and new information to get unstuck, to connect, to heal, or to just get your groove back on.
(207) 407-9408 View (207) 407-9408
Photo of Vary Fischer R N, ADN, BSN, MSEd, Level 2, IFS
Vary Fischer R N
ADN, BSN, MSEd, Level 2, IFS
Verified Verified
Standish, ME 04084  (Online Only)
I am an RN—and IFS Practitioner educated at IFSCA; and Level 2 Trained by IFS Institute. I am also a certified Grief Recovery Method Grief Specialist. Services I offer are professional, but warm and loving. In session, I strive to help you reach your goals by becoming acquainted with your Inner Thoughts…allowing you to understand the parts of you which affect feelings and emotions. My years of nursing experience help with understanding the body’s physical workings which affect responses, behaviors, and life choices you make, i.e., emotional / mental struggles and physical manifestations.
I am an RN—and IFS Practitioner educated at IFSCA; and Level 2 Trained by IFS Institute. I am also a certified Grief Recovery Method Grief Specialist. Services I offer are professional, but warm and loving. In session, I strive to help you reach your goals by becoming acquainted with your Inner Thoughts…allowing you to understand the parts of you which affect feelings and emotions. My years of nursing experience help with understanding the body’s physical workings which affect responses, behaviors, and life choices you make, i.e., emotional / mental struggles and physical manifestations.
(207) 255-7572 View (207) 255-7572
Photo of John E. Wood, LADC, Drug & Alcohol Counselor
John E. Wood
Drug & Alcohol Counselor, LADC
Verified Verified
Standish, ME 04084
Most of my clients have used alcohol or drugs as a crutch over the years and that has progressed into a daily habit that becomes a way of coping with life. This eventually leads to excessive drinking and drug use and can cause chaos in a person's life...and the lives of the people that love them. My goal is to help you develop coping skills that allow you to deal with life's difficulties without picking up a drink or a drug. Life can be so much better when you are not tethered to a drink or a drug in order to get through your day.
Most of my clients have used alcohol or drugs as a crutch over the years and that has progressed into a daily habit that becomes a way of coping with life. This eventually leads to excessive drinking and drug use and can cause chaos in a person's life...and the lives of the people that love them. My goal is to help you develop coping skills that allow you to deal with life's difficulties without picking up a drink or a drug. Life can be so much better when you are not tethered to a drink or a drug in order to get through your day.
(207) 305-9659 View (207) 305-9659
Photo of Maegan A Lapierre (Lambert-Irish), MS, LCPC, LADC, NCC, CCTP, Counselor
Maegan A Lapierre (Lambert-Irish)
Counselor, MS, LCPC, LADC, NCC, CCTP
Verified Verified
Buxton, ME 04093  (Online Only)
Currently Accepting New Self-Pay Clients. Telehealth Only. Are you having a problem with alcohol? Cannot stop using drugs? Struggling with a negative attitude? Have racing thoughts? Worry about everything? Just plain feeling down in the dumps, hopeless even? Maybe it is time to make a change. Maybe it is time to stop bottling up and stuffing those negative emotions. Maybe it is time to stop avoiding all your problems and letting them build up. It is time to take control of your life.
Currently Accepting New Self-Pay Clients. Telehealth Only. Are you having a problem with alcohol? Cannot stop using drugs? Struggling with a negative attitude? Have racing thoughts? Worry about everything? Just plain feeling down in the dumps, hopeless even? Maybe it is time to make a change. Maybe it is time to stop bottling up and stuffing those negative emotions. Maybe it is time to stop avoiding all your problems and letting them build up. It is time to take control of your life.
(207) 613-2045 View (207) 613-2045
Photo of Jennifer L Moss, LCSW, PMH-C, Clinical Social Work/Therapist
Jennifer L Moss
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Hollis Center, ME 04042  (Online Only)
Waitlist for new clients
Are you struggling to manage anxiety related to pregnancy, depression connected to your changing life roles, past or recent trauma, or relationship changes due to any of these concerns? Hope & Harmony is here to help. I provide professional knowledge in these areas along with others to include: parenting, relationship challenges, substance use & addiction, codependency, and self-care and compassion. Life's daily struggles can sometimes feel overwhelming and unmanageable. During these times, it can feel reassuring to connect with a certified and licensed professional who can help you put things into perspective.
Are you struggling to manage anxiety related to pregnancy, depression connected to your changing life roles, past or recent trauma, or relationship changes due to any of these concerns? Hope & Harmony is here to help. I provide professional knowledge in these areas along with others to include: parenting, relationship challenges, substance use & addiction, codependency, and self-care and compassion. Life's daily struggles can sometimes feel overwhelming and unmanageable. During these times, it can feel reassuring to connect with a certified and licensed professional who can help you put things into perspective.
(207) 517-2889 View (207) 517-2889

How does your Therapist compare?

Number of Therapists in Steep Falls, ME

< 10

Therapists in Steep Falls, ME who prioritize treating:

How Therapists in Steep Falls, ME see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Steep Falls?

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.