Therapists in Alexandria, MN

Photo of Alison L Rusk - HEAL Whole Health Therapy, MA, LMFT, Marriage & Family Therapist
HEAL Whole Health Therapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Alexandria, MN 56308
I believe the mind and body have an inherent ability to heal, but we often experience many variables that get in the way. I enjoy working with clients who have struggled to find success in improving their overall health & mental health, have experienced various forms of trauma, high stress and relationship issues. I work with individuals, couples and families ages 14+. Through various trainings, educational and professional experiences, therapy is uniquely tailored to the needs of my clients. Brainspotting, DBT, Prepare/enrich, Gottman and EMDR are examples of modalities that may be used to fit a client's specific needs and goals.
I believe the mind and body have an inherent ability to heal, but we often experience many variables that get in the way. I enjoy working with clients who have struggled to find success in improving their overall health & mental health, have experienced various forms of trauma, high stress and relationship issues. I work with individuals, couples and families ages 14+. Through various trainings, educational and professional experiences, therapy is uniquely tailored to the needs of my clients. Brainspotting, DBT, Prepare/enrich, Gottman and EMDR are examples of modalities that may be used to fit a client's specific needs and goals.
(320) 233-5843 View (320) 233-5843
Photo of Kimberly Zammitt, PhD, LICSW, Clinical Social Work/Therapist
Kimberly Zammitt
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
Alexandria, MN 56308  (Online Only)
My name is Dr. Kimberly Zammitt (please call me Kim). I am a Licensed Independent Clinical Social Worker and practice in Minnesota. I have twenty+ years of clinical social work practice experience. In my clinical practice, I maintain a culturally responsive, strengths-based approach in my work. I value collaboration and believe that trust and safety are the cornerstones of quality therapy.
My name is Dr. Kimberly Zammitt (please call me Kim). I am a Licensed Independent Clinical Social Worker and practice in Minnesota. I have twenty+ years of clinical social work practice experience. In my clinical practice, I maintain a culturally responsive, strengths-based approach in my work. I value collaboration and believe that trust and safety are the cornerstones of quality therapy.
(320) 322-7199 View (320) 322-7199
Photo of Kathleen J Raml, MSW, LISW, LADC, CSW-PIP, Clinical Social Work/Therapist
Kathleen J Raml
Clinical Social Work/Therapist, MSW, LISW, LADC, CSW-PIP
Verified Verified
Alexandria, MN 56308  (Online Only)
I work with clients who struggle with regulating their emotions, have an unstable sense of self, feelings of worthlessness, impulsivity that leads to negative consequences, and struggle keeping or maintaining healthy relationships. I work with clients who are motivated and willing to challenge their current perspectives to adopt a new and healthier way of living life mindfully.
I work with clients who struggle with regulating their emotions, have an unstable sense of self, feelings of worthlessness, impulsivity that leads to negative consequences, and struggle keeping or maintaining healthy relationships. I work with clients who are motivated and willing to challenge their current perspectives to adopt a new and healthier way of living life mindfully.
(320) 400-2433 View (320) 400-2433
Photo of Brooke Halliday, MA, LPCC
Brooke Halliday
Licensed professional clinical counselor, MA, LPCC
Verified Verified
Alexandria, MN 56308  (Online Only)
I have found my passion in helping Millennial and Gen Z women who are dealing with symptoms of anxiety, depression, trauma, and other life stressors. I create a non-judgmental space for my clients to show up just as they are. I believe in working collaboratively with clients using humor, validation, and empathy to build a solid connection which then allows for clients to feel safe enough to try explore societal norms and expectations that have prevented them from living their idealized life. In my experience I've found that when clients are able to try out new ways of being they can achieve the healing they've been desiring.
I have found my passion in helping Millennial and Gen Z women who are dealing with symptoms of anxiety, depression, trauma, and other life stressors. I create a non-judgmental space for my clients to show up just as they are. I believe in working collaboratively with clients using humor, validation, and empathy to build a solid connection which then allows for clients to feel safe enough to try explore societal norms and expectations that have prevented them from living their idealized life. In my experience I've found that when clients are able to try out new ways of being they can achieve the healing they've been desiring.
(320) 208-5556 View (320) 208-5556
Photo of Jillian McGuinness, MSW, LICSW, Clinical Social Work/Therapist
Jillian McGuinness
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Alexandria, MN 56308  (Online Only)
I work with adults who have experienced childhood trauma/abuse/neglect, those exposed to domestic violence or sexual assault, and individuals experiencing PTSD. Trauma, depression, anxiety, and low self-esteem can cause difficulties in your relationships and make you feel stuck in your life. I help people who may be carrying the weight of their past, feel their life is out of balance, or who are not living up to their full potential. If you'd like to relate better to those around you, learn new ways of coping, change negative behaviors, and improve your overall wellness I can help. I offer morning and weekend appointments.
I work with adults who have experienced childhood trauma/abuse/neglect, those exposed to domestic violence or sexual assault, and individuals experiencing PTSD. Trauma, depression, anxiety, and low self-esteem can cause difficulties in your relationships and make you feel stuck in your life. I help people who may be carrying the weight of their past, feel their life is out of balance, or who are not living up to their full potential. If you'd like to relate better to those around you, learn new ways of coping, change negative behaviors, and improve your overall wellness I can help. I offer morning and weekend appointments.
(320) 373-0763 View (320) 373-0763
Photo of Deann Reese, MSW, LICSW, Clinical Social Work/Therapist
Deann Reese
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Alexandria, MN 56308
We are taking new clients! Hi, my name is Deann, therapist and owner of Integrative Therapy Solutions. I have been practicing in the mental health field for over 30 years. I am a Licensed Independent Clinical Social Worker who serves children and adults. I am a Certified Clinical Trauma Professional and a Certified Integrative Mental Health Professional. I am also a Certified Clinical Anxiety Treatment Professional. I have roots in attachment and family system theories, and believe relationship is key; but I am also very solution focused in my practice. Kathleen Raml, MSW, LICSW, LADC is also taking new telehealth clients!
We are taking new clients! Hi, my name is Deann, therapist and owner of Integrative Therapy Solutions. I have been practicing in the mental health field for over 30 years. I am a Licensed Independent Clinical Social Worker who serves children and adults. I am a Certified Clinical Trauma Professional and a Certified Integrative Mental Health Professional. I am also a Certified Clinical Anxiety Treatment Professional. I have roots in attachment and family system theories, and believe relationship is key; but I am also very solution focused in my practice. Kathleen Raml, MSW, LICSW, LADC is also taking new telehealth clients!
(320) 344-3631 View (320) 344-3631
Photo of Colter Combellick, MSW, LICSW, CSW-PIP, Clinical Social Work/Therapist
Colter Combellick
Clinical Social Work/Therapist, MSW, LICSW, CSW-PIP
Verified Verified
2 Endorsed
Alexandria, MN 56308  (Online Only)
Hau Mitakuyepi, Cante Waste Nape Ciyuzapelo. (Hello my relative, I greet you with a warm heart and handshake). Colter Combellick, Mnicoujou - Lakota, and member of the Cheyenne River Sioux Tribe, comes from the Tin Cup, Spotted Bear, and Yellow Hawk families. Colter (Colt) specializes in providing culturally responsive mental health care for Indigenous folks. Colt also works well with athletes, and individuals struggling with Anxiety, Depression, and Trauma. Colt believes each client is sacred and understands that it is imperative to personalize services for each individual to ensure their success.
Hau Mitakuyepi, Cante Waste Nape Ciyuzapelo. (Hello my relative, I greet you with a warm heart and handshake). Colter Combellick, Mnicoujou - Lakota, and member of the Cheyenne River Sioux Tribe, comes from the Tin Cup, Spotted Bear, and Yellow Hawk families. Colter (Colt) specializes in providing culturally responsive mental health care for Indigenous folks. Colt also works well with athletes, and individuals struggling with Anxiety, Depression, and Trauma. Colt believes each client is sacred and understands that it is imperative to personalize services for each individual to ensure their success.
(507) 605-1205 View (507) 605-1205
Photo of Lyssa Oldre, MA, LPCC, Licensed Professional Counselor
Lyssa Oldre
Licensed Professional Counselor, MA, LPCC
Verified Verified
Alexandria, MN 56308  (Online Only)
Through a warm, down-to-earth, and collaborative approach, I'll partner with you to achieve your goals for change. With care and compassion, I will work to provide a supportive and safe environment for you to explore your thoughts, feelings, and behaviors and to look at ways to facilitate change to improve your life.
Through a warm, down-to-earth, and collaborative approach, I'll partner with you to achieve your goals for change. With care and compassion, I will work to provide a supportive and safe environment for you to explore your thoughts, feelings, and behaviors and to look at ways to facilitate change to improve your life.
(763) 265-6914 View (763) 265-6914
Photo of Tabitha Rose Cadmus, MA, LPC, LSC, Licensed Professional Counselor
Tabitha Rose Cadmus
Licensed Professional Counselor, MA, LPC, LSC
Verified Verified
Alexandria, MN 56308
I would love to work with clients who have experienced trauma to help them process through their trauma to reduce the amount of mental health symptoms they experience. It is possible to live in a way that these symptoms are drastically reduced and individuals are able to integrate these experiences into the rest of their life experiences. I would love to help clients be able to do this.
I would love to work with clients who have experienced trauma to help them process through their trauma to reduce the amount of mental health symptoms they experience. It is possible to live in a way that these symptoms are drastically reduced and individuals are able to integrate these experiences into the rest of their life experiences. I would love to help clients be able to do this.
(218) 695-8065 View (218) 695-8065
Photo of Amber Buzick, LICSW, LCSW, Clinical Social Work/Therapist
Amber Buzick
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Alexandria, MN 56308
Are you feeling overwhelmed, stuck, or unsure of your next steps in life? Do you find yourself struggling with relationships, self-esteem, and the constant juggle of responsibilities? Have you experienced past hurts that you just can't seem to "get over?" From navigating relationships to managing career aspirations, I provide a safe and supportive space where you can explore your feelings, gain insight, develop self-compassion, and make changes toward a more fulfilling life.
Are you feeling overwhelmed, stuck, or unsure of your next steps in life? Do you find yourself struggling with relationships, self-esteem, and the constant juggle of responsibilities? Have you experienced past hurts that you just can't seem to "get over?" From navigating relationships to managing career aspirations, I provide a safe and supportive space where you can explore your feelings, gain insight, develop self-compassion, and make changes toward a more fulfilling life.
(701) 732-9240 View (701) 732-9240
Photo of Mark Lysne, PhD, Psychologist
Mark Lysne
Psychologist, PhD
Verified Verified
Alexandria, MN 56308
There are several good reasons to find a therapist. Oftentimes, people seek assistance and support during times of transitions, a crisis, or because they've become stuck or confused about how their life is progressing. Common feelings during these times are often expressed through a increase in anxiety, developing depression, or a combination or different symptoms that simply start to feel overwhelming. If this is the place you find yourself and if you are looking to make a positive change in your life then your are in the right frame of mind to benefit from therapy.
There are several good reasons to find a therapist. Oftentimes, people seek assistance and support during times of transitions, a crisis, or because they've become stuck or confused about how their life is progressing. Common feelings during these times are often expressed through a increase in anxiety, developing depression, or a combination or different symptoms that simply start to feel overwhelming. If this is the place you find yourself and if you are looking to make a positive change in your life then your are in the right frame of mind to benefit from therapy.
(218) 483-6875 View (218) 483-6875
Photo of Kiersten Brooks, MS, LPCC, Counselor
Kiersten Brooks
Counselor, MS, LPCC
Verified Verified
Alexandria, MN 56308  (Online Only)
I’m a strengths-based and compassionate therapist who genuinely believes that positive change is always within reach, even during challenging times. I focus on building a strong, supportive relationship with my clients so you always feel heard and accepted. I see myself as a partner in your journey, helping to brainstorm solutions, offer fresh perspectives, and work together to find your path toward resilience, self-acceptance, and meaningful change. I primarily use Dialectical Behavior Therapy (DBT), which helps you build skills for managing emotions, improving relationships, and finding a balanced, fulfilling life.
I’m a strengths-based and compassionate therapist who genuinely believes that positive change is always within reach, even during challenging times. I focus on building a strong, supportive relationship with my clients so you always feel heard and accepted. I see myself as a partner in your journey, helping to brainstorm solutions, offer fresh perspectives, and work together to find your path toward resilience, self-acceptance, and meaningful change. I primarily use Dialectical Behavior Therapy (DBT), which helps you build skills for managing emotions, improving relationships, and finding a balanced, fulfilling life.
(763) 710-3701 View (763) 710-3701
Photo of Rebecca A Koskiniemi, MSW, LICSW, Clinical Social Work/Therapist
Rebecca A Koskiniemi
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Alexandria, MN 56308  (Online Only)
Life is a challenge and everyone handles it differently. People experience different challenges and sometimes need someone to assist them on the journey. That is where I come in, to walk beside you and make your journey the best it can be. One of the first areas people struggle in when dealing with life issues is their sleep. Unable to shut the mind down due to stress, anxiety or any other reason? Or feeling overwhelmed, stressed out, having nightmares? Everyone wants to find peace, to enjoy life and live it to its greatest potential.
Life is a challenge and everyone handles it differently. People experience different challenges and sometimes need someone to assist them on the journey. That is where I come in, to walk beside you and make your journey the best it can be. One of the first areas people struggle in when dealing with life issues is their sleep. Unable to shut the mind down due to stress, anxiety or any other reason? Or feeling overwhelmed, stressed out, having nightmares? Everyone wants to find peace, to enjoy life and live it to its greatest potential.
(218) 736-9415 View (218) 736-9415
Photo of Christianne Lysne, PhD, Psychologist
Christianne Lysne
Psychologist, PhD
Verified Verified
Alexandria, MN 56308
Sometimes we all feel lost. And yet, we all have an internal guidance system that can help us understand what's important in our lives and how to make choices. My job as a therapist is to help you strengthen that connection between you and your inner knowing. My role is to help you explore and understand yourself better, gently challenge when needed and give you feedback that may help you to find your way. My hope is that after each session, you feel that your needs have have been addressed and that you leave with questions to explore or tools to try out. Change can be difficult and it is my hope that I may support you through it.
Sometimes we all feel lost. And yet, we all have an internal guidance system that can help us understand what's important in our lives and how to make choices. My job as a therapist is to help you strengthen that connection between you and your inner knowing. My role is to help you explore and understand yourself better, gently challenge when needed and give you feedback that may help you to find your way. My hope is that after each session, you feel that your needs have have been addressed and that you leave with questions to explore or tools to try out. Change can be difficult and it is my hope that I may support you through it.
(218) 215-4131 View (218) 215-4131
Photo of Kacie Norlien, LICSW, PMH-C, Clinical Social Work/Therapist
Kacie Norlien
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
Alexandria, MN 56308  (Online Only)
(320) 233-5964 View (320) 233-5964

Online Therapists

Photo of Richard Chandler, MA, LPC, Counselor
Richard Chandler
Counselor, MA, LPC
Verified Verified
5 Endorsed
Saint Cloud, MN 56301  (Online Only)
Have you experienced infidelity, loss of trust, low intimacy, low sex or sexless marriage, hurtful arguing, silent treatment, anger, or threats of separation and divorce? I have helped couples improve their communication & intimacy. I seek to bring clarity to your relationship and, if possible, help you renew the attraction & romance that first brought you together. Couple's transformation packages for anger, divorce & infidelity. I specialize in strength-based, online teletherapy for couples & individual counseling. Please text, call, or email for a short phone or online conversation to see if working together is right for you.
Have you experienced infidelity, loss of trust, low intimacy, low sex or sexless marriage, hurtful arguing, silent treatment, anger, or threats of separation and divorce? I have helped couples improve their communication & intimacy. I seek to bring clarity to your relationship and, if possible, help you renew the attraction & romance that first brought you together. Couple's transformation packages for anger, divorce & infidelity. I specialize in strength-based, online teletherapy for couples & individual counseling. Please text, call, or email for a short phone or online conversation to see if working together is right for you.
(320) 358-6455 View (320) 358-6455
Photo of Katelyn Norwood, MS, LPC, NCC, Counselor
Katelyn Norwood
Counselor, MS, LPC, NCC
Verified Verified
Elk River, MN 55330
Welcome, I’m so happy you’re here! I enjoy working with individuals struggling with anxiety, self-esteem, and life transitions. Being a recent college graduate myself (in 2022), I know how challenging it can be to try to find your place in the world. It can be overwhelming and confusing which is why my goal is to work alongside you to help establish & accomplish your desired goals/personal growth. I aim to find the right balance between challenging you to achieve your full potential & just meeting you where you’re at. I work with ages 10+, teens, and adults.
Welcome, I’m so happy you’re here! I enjoy working with individuals struggling with anxiety, self-esteem, and life transitions. Being a recent college graduate myself (in 2022), I know how challenging it can be to try to find your place in the world. It can be overwhelming and confusing which is why my goal is to work alongside you to help establish & accomplish your desired goals/personal growth. I aim to find the right balance between challenging you to achieve your full potential & just meeting you where you’re at. I work with ages 10+, teens, and adults.
(320) 238-9568 View (320) 238-9568
Photo of Pamela Becker, MA, LMFT, RPT, Marriage & Family Therapist
Pamela Becker
Marriage & Family Therapist, MA, LMFT, RPT
Verified Verified
Sartell, MN 56377
As a marriage and family therapist I am passionate about working with families, couples, and individuals to help enhance and improve relationships. I enjoy working with all age groups including very young children with their families. I have been trained to view things from a systematic and attachment point of view. I use a client centered approach with all of my clients to best suit your needs. My practice focuses on families in high conflict, people who've experienced trauma and general mental health symptoms.
As a marriage and family therapist I am passionate about working with families, couples, and individuals to help enhance and improve relationships. I enjoy working with all age groups including very young children with their families. I have been trained to view things from a systematic and attachment point of view. I use a client centered approach with all of my clients to best suit your needs. My practice focuses on families in high conflict, people who've experienced trauma and general mental health symptoms.
(320) 315-4782 View (320) 315-4782
Photo of Casey Wagner, MSW, LICSW, Clinical Social Work/Therapist
Casey Wagner
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Brainerd, MN 56401
My heart is for people to experience healing and wellness. I specialize in treating children and adults with OCD, Anxiety, BFRBs, Tic Disorders, Phobias, and Scrupulosity. In addition, I work with individuals on habit development, grief and loss, managing stress, & adjusting to life changes. Please reach out for a free confidential consult. My approach is pressure free and compassionate. I provide Christian Faith Based Counseling for those interested. In therapy, we work to understand the issue you are dealing with and work together in finding positive ways to move forward. For more information, please visit www.eastwestocd.com.
My heart is for people to experience healing and wellness. I specialize in treating children and adults with OCD, Anxiety, BFRBs, Tic Disorders, Phobias, and Scrupulosity. In addition, I work with individuals on habit development, grief and loss, managing stress, & adjusting to life changes. Please reach out for a free confidential consult. My approach is pressure free and compassionate. I provide Christian Faith Based Counseling for those interested. In therapy, we work to understand the issue you are dealing with and work together in finding positive ways to move forward. For more information, please visit www.eastwestocd.com.
(218) 986-7643 View (218) 986-7643
Photo of Beka Swisher, MS, Pre-Licensed Professional
Beka Swisher
Pre-Licensed Professional, MS
Verified Verified
Little Falls, MN 56345
Waitlist for new clients
Today you are searching for a therapist. You are wondering if I might be a good fit for you...can I help? You may be experiencing a season of high anxiety, trying to deal with depressive thoughts, or feeling stuck. You may be struggling to set boundaries, feeling burned out or like your trauma and past are defining you. As a parent, you may be in a season of overwhelm while raising your own children. While healing and building new ways of thinking are not necessarily easy, I am honored to see if we might be a good fit to do this work together.
Today you are searching for a therapist. You are wondering if I might be a good fit for you...can I help? You may be experiencing a season of high anxiety, trying to deal with depressive thoughts, or feeling stuck. You may be struggling to set boundaries, feeling burned out or like your trauma and past are defining you. As a parent, you may be in a season of overwhelm while raising your own children. While healing and building new ways of thinking are not necessarily easy, I am honored to see if we might be a good fit to do this work together.
(320) 381-8336 x8 View (320) 381-8336 x8

How does your Therapist compare?

Number of Therapists in Alexandria, MN

10+

Average cost per session

$182

Therapists in Alexandria, MN who prioritize treating:

93% Anxiety
87% Trauma and PTSD
87% Stress
80% Relationship Issues
80% Depression
80% Self Esteem
73% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
92% UnitedHealthcare UHC | UBH
83% Medica

How Therapists in Alexandria, MN see their clients

60% Online Only
40% In Person and Online

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Alexandria?

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.