Therapists in Houston County, MN

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Photo of Sharon Davern, MSEd, LMFT, Marriage & Family Therapist
Sharon Davern
Marriage & Family Therapist, MSEd, LMFT
Verified Verified
1 Endorsed
La Crescent, MN 55947  (Online Only)
I am only offering Televideo counseling. It is very effective. I have over 30 years in the human service field. I have worked extensively with individuals, couples, families and groups. My specialities are PTSD, relationship problems, depression, anxiety, OCD, co-dependency, domestic violence, children's behavioral problems, chemical abuse and dependency. My clients tell me that my direct style of interacting has been very helpful for them. I have a true belief that we all have the ability to get better and solve our issues, but we don't always know it and need assistance to find our own healing.
I am only offering Televideo counseling. It is very effective. I have over 30 years in the human service field. I have worked extensively with individuals, couples, families and groups. My specialities are PTSD, relationship problems, depression, anxiety, OCD, co-dependency, domestic violence, children's behavioral problems, chemical abuse and dependency. My clients tell me that my direct style of interacting has been very helpful for them. I have a true belief that we all have the ability to get better and solve our issues, but we don't always know it and need assistance to find our own healing.
(507) 881-9927 View (507) 881-9927
Photo of Megan Wurzel, MS, LPC, Licensed Professional Counselor
Megan Wurzel
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
La Crescent, MN 55947
Are you feeling stressed out? Are you juggling your career, household, and finding time for self-care that isn’t just managing to take a shower in peace?
Are you feeling stressed out? Are you juggling your career, household, and finding time for self-care that isn’t just managing to take a shower in peace?
(507) 533-3623 View (507) 533-3623
Photo of Kayla Larkin, LPCC, MS, NCC
Kayla Larkin
Licensed Professional Clinical Counselor, LPCC, MS, NCC
Verified Verified
Caledonia, MN 55921
Dealing with chronic pain, illness, autoimmune conditions, or disability can feel isolating, as if you're battling alone and misunderstood. The continuous struggle can lead to feelings of depression, anxiety, and isolation. My passion lies in supporting individuals through their struggles with anxiety, depression, aging, grief, loss, chronic illness, and trauma. I employ a variety of approaches, including Trauma Focused, Family Systems, and Strengths Based methodologies.
Dealing with chronic pain, illness, autoimmune conditions, or disability can feel isolating, as if you're battling alone and misunderstood. The continuous struggle can lead to feelings of depression, anxiety, and isolation. My passion lies in supporting individuals through their struggles with anxiety, depression, aging, grief, loss, chronic illness, and trauma. I employ a variety of approaches, including Trauma Focused, Family Systems, and Strengths Based methodologies.
(320) 431-8647 View (320) 431-8647
Photo of Jodie S Szewczyk, MA, Pre-Licensed Professional
Jodie S Szewczyk
Pre-Licensed Professional, MA
Not Verified Not Verified
Caledonia, MN 55921
I feel that meeting and speaking with each client allows me the opportunity to view them through the unique scope of listening and reflecting objectively. I am well-versed in anger management and domestic violence issues and have worked extensively with people dealing with depression and anxiety. My goal is to make a difference, small or large, in each session by helping a client to view himself or herself in a more positive, understood way than when they came in.
I feel that meeting and speaking with each client allows me the opportunity to view them through the unique scope of listening and reflecting objectively. I am well-versed in anger management and domestic violence issues and have worked extensively with people dealing with depression and anxiety. My goal is to make a difference, small or large, in each session by helping a client to view himself or herself in a more positive, understood way than when they came in.
(507) 722-1934 View (507) 722-1934
Photo of Chris Newton, PhD, Psychologist
Chris Newton
Psychologist, PhD
Verified Verified
La Crescent, MN 55947
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
(608) 530-0575 View (608) 530-0575
Photo of Jennifer L Burelbach, MSSA, LCSW, DCSW, Clinical Social Work/Therapist
Jennifer L Burelbach
Clinical Social Work/Therapist, MSSA, LCSW, DCSW
Verified Verified
La Crescent, MN 55947
I cannot think of a single person who hasn't hit a bump in the road of life. We all have this happen- you know, times when we go a bit off track. Maybe, it is difficulty at home or couples constantly arguing. Maybe parents and children are not getting along. Perhaps it is more personal: you are just not feeling quite right, are feeling down and depressed, or are anxious and disorganized. Maybe you are struggling with past hurts or trauma. I am here to help.
I cannot think of a single person who hasn't hit a bump in the road of life. We all have this happen- you know, times when we go a bit off track. Maybe, it is difficulty at home or couples constantly arguing. Maybe parents and children are not getting along. Perhaps it is more personal: you are just not feeling quite right, are feeling down and depressed, or are anxious and disorganized. Maybe you are struggling with past hurts or trauma. I am here to help.
(608) 530-0694 View (608) 530-0694
Photo of Toni Mathis, MS, LPC, SAC-IT, Counselor
Toni Mathis
Counselor, MS, LPC, SAC-IT
Verified Verified
La Crescent, MN 55947
If life is a road, it's not always a smooth highway. There are many paths, and knowing which path to take in your life is not always obvious or simple. Maybe you are down or unhappy and it's felt like this for a long time, but you feel stuck and unable to move on. Perhaps anxiety is a frequent companion in your life. Sometimes it may feel like nothing can change. If you have concerns about substance use, therapy can be a good place to talk about it - confidentially.
If life is a road, it's not always a smooth highway. There are many paths, and knowing which path to take in your life is not always obvious or simple. Maybe you are down or unhappy and it's felt like this for a long time, but you feel stuck and unable to move on. Perhaps anxiety is a frequent companion in your life. Sometimes it may feel like nothing can change. If you have concerns about substance use, therapy can be a good place to talk about it - confidentially.
(608) 571-1244 View (608) 571-1244
Photo of Jennifer Walker, LPC, CSAC, Licensed Professional Counselor
Jennifer Walker
Licensed Professional Counselor, LPC, CSAC
Verified Verified
La Crescent, MN 55947
Feeling overwhelmed by constant distractions, emotional highs and lows, or lingering effects of past trauma? Living with adult ADHD can make even the simplest tasks feel insurmountable, strain your relationships, and leave you feeling stuck. At Dovetail Counseling, I understand these challenges firsthand. Using specialized therapies like Dialectical Behavior Therapy (DBT) and Accelerated Resolution Therapy (ART), I help you turn these struggles into strengths, guiding you toward a more balanced, fulfilling life. Let’s work together to reclaim your focus, manage your emotions, and move past what’s been holding you back.
Feeling overwhelmed by constant distractions, emotional highs and lows, or lingering effects of past trauma? Living with adult ADHD can make even the simplest tasks feel insurmountable, strain your relationships, and leave you feeling stuck. At Dovetail Counseling, I understand these challenges firsthand. Using specialized therapies like Dialectical Behavior Therapy (DBT) and Accelerated Resolution Therapy (ART), I help you turn these struggles into strengths, guiding you toward a more balanced, fulfilling life. Let’s work together to reclaim your focus, manage your emotions, and move past what’s been holding you back.
(608) 924-5459 View (608) 924-5459
Photo of Cynthie Christensen - Cynthie Christensen, LPCC, LPCC, Counselor
Cynthie Christensen, LPCC
Counselor, LPCC
Verified Verified
1 Endorsed
La Crescent, MN 55947
Congratulations on beginning your search to find a therapist that will partner with you to create the life you imagine. A life that is more satisfying and reflects your personal goals and values. Life can be challenging as you juggle work/school, personal relationships, every day stress, and relaxation. While every emotion is important and has something to tell, negative emotions and stress can get you down and create doubt in yourself. Are you ready to challenge yourself to learn some different coping strategies, communicate your needs more effectively, and repair relationships?
Congratulations on beginning your search to find a therapist that will partner with you to create the life you imagine. A life that is more satisfying and reflects your personal goals and values. Life can be challenging as you juggle work/school, personal relationships, every day stress, and relaxation. While every emotion is important and has something to tell, negative emotions and stress can get you down and create doubt in yourself. Are you ready to challenge yourself to learn some different coping strategies, communicate your needs more effectively, and repair relationships?
(507) 307-4560 View (507) 307-4560

Online Therapists

Photo of Gilbert Clark, LPCC, Counselor
Gilbert Clark
Counselor, LPCC
Verified Verified
Rochester, MN 55901  (Online Only)
Gilbert Clark, LPCC and a CAADC. To create my therapeutic approach, I use an eclectic process which draws on cognitive, narrative, and solution focused therapy. I use ACT extensively. I am trained in EMDR. I specialize in addiction treatment and recovery and am able to guide you through the initial substance use assessment, all the phases of recovery, and towards ongoing wellness and maintenance. I also have a passion for mental health healing, and am skilled with relationship challenges, familial challenges, families seeking support for their loved ones, self-exploration, and trauma.
Gilbert Clark, LPCC and a CAADC. To create my therapeutic approach, I use an eclectic process which draws on cognitive, narrative, and solution focused therapy. I use ACT extensively. I am trained in EMDR. I specialize in addiction treatment and recovery and am able to guide you through the initial substance use assessment, all the phases of recovery, and towards ongoing wellness and maintenance. I also have a passion for mental health healing, and am skilled with relationship challenges, familial challenges, families seeking support for their loved ones, self-exploration, and trauma.
(651) 372-7757 View (651) 372-7757
Photo of April Justice, LICSW, Clinical Social Work/Therapist
April Justice
Clinical Social Work/Therapist, LICSW
Verified Verified
Rochester, MN 55901  (Online Only)
ANXIETY: maybe you've had it all your life, or it's something new for you. You find yourself lying awake at night, tossing and turning, trying to quiet the thoughts racing around in your mind so you can sleep. You snap at your partner for no reason at all. You don't feel like yourself. You have forgotten what it's like to relax, to enjoy life, and have peace. You look around and want what others seemingly have - happiness, fulfilling jobs, healthy relationships. You've come to the right place to find healing, a new way of looking at things, and validation that you are okay.
ANXIETY: maybe you've had it all your life, or it's something new for you. You find yourself lying awake at night, tossing and turning, trying to quiet the thoughts racing around in your mind so you can sleep. You snap at your partner for no reason at all. You don't feel like yourself. You have forgotten what it's like to relax, to enjoy life, and have peace. You look around and want what others seemingly have - happiness, fulfilling jobs, healthy relationships. You've come to the right place to find healing, a new way of looking at things, and validation that you are okay.
(507) 419-5065 View (507) 419-5065
Photo of Grace Boehnke, MA, LPCC, LADC, Licensed Professional Counselor
Grace Boehnke
Licensed Professional Counselor, MA, LPCC, LADC
Verified Verified
1 Endorsed
Byron, MN 55920
Waitlist for new clients
I received my masters in clinical mental health counseling in 2021, but have been providing counseling services since 2014. I am fully licensed as an LADC and LPCC to provide both mental health and substance use therapies. I enjoy working with a variety of clients and focus on showing up authentically in the work we do together. My goal is to provide an open and comfortable space for you to explore your experiences, and help you identify ways to move through and forward in life. I value identity and hope to help each of my clients feel solid in who they are and how they are living that out.
I received my masters in clinical mental health counseling in 2021, but have been providing counseling services since 2014. I am fully licensed as an LADC and LPCC to provide both mental health and substance use therapies. I enjoy working with a variety of clients and focus on showing up authentically in the work we do together. My goal is to provide an open and comfortable space for you to explore your experiences, and help you identify ways to move through and forward in life. I value identity and hope to help each of my clients feel solid in who they are and how they are living that out.
(507) 407-3776 x729 View (507) 407-3776 x729
Photo of Sara Fister, Pre-Licensed Professional
Sara Fister
Pre-Licensed Professional
Verified Verified
Rochester, MN 55902
Waitlist for new clients
My approach to the therapeutic space is through a validating, supportive, holistic framework to explore the challenges, concerns, and questions that arise in your journey. There are many broken and harmful systems in place that impact your well-being. Difficulties with your mental wellness are not inherently parts of you that are broken or wrong. Let’s explore where we can make changes in your life to enhance your mental well-being and bring more harmony and meaning to you.
My approach to the therapeutic space is through a validating, supportive, holistic framework to explore the challenges, concerns, and questions that arise in your journey. There are many broken and harmful systems in place that impact your well-being. Difficulties with your mental wellness are not inherently parts of you that are broken or wrong. Let’s explore where we can make changes in your life to enhance your mental well-being and bring more harmony and meaning to you.
(507) 728-2065 View (507) 728-2065
Photo of Jamie Sanders, LICSW, APSW, Clinical Social Work/Therapist
Jamie Sanders
Clinical Social Work/Therapist, LICSW, APSW
Verified Verified
2 Endorsed
Winona, MN 55987
You don't have to struggle with difficult emotions or experiences alone; let me help! If you are experiencing feelings of anxiety or depression, we may explore the parts of you that are hurting and how to resolve the hurt. We may focus on increasing positive emotions or learning from the difficult ones. Adjusting to the stress of college? I can help navigate changed relationships, cope with new roles, responsibilities, and emotions. Worried about your teen's stress and mood? I can guide you in parenting or provide therapy for your teen.
You don't have to struggle with difficult emotions or experiences alone; let me help! If you are experiencing feelings of anxiety or depression, we may explore the parts of you that are hurting and how to resolve the hurt. We may focus on increasing positive emotions or learning from the difficult ones. Adjusting to the stress of college? I can help navigate changed relationships, cope with new roles, responsibilities, and emotions. Worried about your teen's stress and mood? I can guide you in parenting or provide therapy for your teen.
(507) 307-4629 View (507) 307-4629
Photo of Jessica J Horstmann, MSW, LICSW, Clinical Social Work/Therapist
Jessica J Horstmann
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Rochester, MN 55904
Waitlist for new clients
Jessica provides individual therapy to adults experiencing a variety of symptoms and diagnoses, such as anxiety, depression, PTSD, personality disorders, obsessive compulsive disorder, adjustment disorders, and various other presenting concerns.
Jessica provides individual therapy to adults experiencing a variety of symptoms and diagnoses, such as anxiety, depression, PTSD, personality disorders, obsessive compulsive disorder, adjustment disorders, and various other presenting concerns.
(507) 565-0686 View (507) 565-0686
Photo of Casey Larson, MSW, LICSW, Clinical Social Work/Therapist
Casey Larson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Rochester, MN 55902
My name is Casey Larson, and I am a licensed independent clinical social worker (LICSW). I enjoy working with children (6 and under) and their caregivers, youth, and adults. I have experience assisting people with a variety of concerns including anxiety, depression, bipolar disorder, borderline personality disorder, ADHD, dependent personality disorder, trauma among others. I value meeting clients where they are at and exploring their goals. Call today to schedule an appointment.
My name is Casey Larson, and I am a licensed independent clinical social worker (LICSW). I enjoy working with children (6 and under) and their caregivers, youth, and adults. I have experience assisting people with a variety of concerns including anxiety, depression, bipolar disorder, borderline personality disorder, ADHD, dependent personality disorder, trauma among others. I value meeting clients where they are at and exploring their goals. Call today to schedule an appointment.
(507) 204-9738 View (507) 204-9738
Photo of Sabrena Plath, LICSW, MSW, Clinical Social Work/Therapist
Sabrena Plath
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Red Wing, MN 55066
It is my goal to develop a positive relationship with you that creates a safe space to share and process at your pace. It is important that I bring evidence-based treatments to you from a person and relationship centered focus. I prioritize bringing my best self to each session we have together. Whether you are a couple, a family, a teen, or individual adult, I am here to meet you where you are in your journey.
It is my goal to develop a positive relationship with you that creates a safe space to share and process at your pace. It is important that I bring evidence-based treatments to you from a person and relationship centered focus. I prioritize bringing my best self to each session we have together. Whether you are a couple, a family, a teen, or individual adult, I am here to meet you where you are in your journey.
(651) 409-9427 View (651) 409-9427
Photo of Kenneth Freeman, LPC, Licensed Professional Counselor
Kenneth Freeman
Licensed Professional Counselor, LPC
Verified Verified
Rochester, MN 55901
Hello, my name is Kenneth Freeman. I am a dedicated licensed mental health counselor endeavoring to help people to be their best. I have been working in the mental health field since 2013. My personal and professional motto is to help people recognize the importance of mental health wellness through warmth, acceptance, and empathy. realize success begins with “one person” and the rewards from that can be profound. I am committed to developing a consistent and acceptable treatment plan(s) through a Cognitive Behavioral modality to support adults.
Hello, my name is Kenneth Freeman. I am a dedicated licensed mental health counselor endeavoring to help people to be their best. I have been working in the mental health field since 2013. My personal and professional motto is to help people recognize the importance of mental health wellness through warmth, acceptance, and empathy. realize success begins with “one person” and the rewards from that can be profound. I am committed to developing a consistent and acceptable treatment plan(s) through a Cognitive Behavioral modality to support adults.
(651) 565-6061 View (651) 565-6061
Photo of Angela M. Langer, MSW, LICSW, Clinical Social Work/Therapist
Angela M. Langer
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Red Wing, MN 55066
New year, same old patterns? Another year has gone by, and the only predictable thing in life has been that there are no breaks. The constant pressure of doing everything perfectly causes you to want to escape everything important to you. Motherhood, marriage, friendships, work, and now a new year…… No one seems to understand how overwhelmed you are. They certainly don't know that you are living with a constant feeling in the pit of your stomach that makes you doubt yourself and feel like a failure. Things really are more chaotic than usual. But they don’t have to stay that way any longer.
New year, same old patterns? Another year has gone by, and the only predictable thing in life has been that there are no breaks. The constant pressure of doing everything perfectly causes you to want to escape everything important to you. Motherhood, marriage, friendships, work, and now a new year…… No one seems to understand how overwhelmed you are. They certainly don't know that you are living with a constant feeling in the pit of your stomach that makes you doubt yourself and feel like a failure. Things really are more chaotic than usual. But they don’t have to stay that way any longer.
(651) 412-3136 View (651) 412-3136
Photo of Amanda Vaske, MA, LMFT, PMH-C, CCTP-II, DBT-C, Marriage & Family Therapist
Amanda Vaske
Marriage & Family Therapist, MA, LMFT, PMH-C, CCTP-II, DBT-C
Verified Verified
Owatonna, MN 55060
Life's a rollercoaster, huh? Whether you're battling self-doubt, caught in the chaos, or doing the social media shuffle, I'm here to bring some good vibes to your journey. Let's chat about it all – the ups, the downs, and everything in between. Parenting got you spinning? Overwhelmed by the daily grind? Anxiety knocking? I've got your back. Meet your guide (yep, that's me!). I'm here to bring a bit of sunshine to your days, kick out the blues, and make life's wild ride a bit more enjoyable. Your struggles are real and tackling them together is the way to go. Shoot me a message, I'm here for the support and brighter days.
Life's a rollercoaster, huh? Whether you're battling self-doubt, caught in the chaos, or doing the social media shuffle, I'm here to bring some good vibes to your journey. Let's chat about it all – the ups, the downs, and everything in between. Parenting got you spinning? Overwhelmed by the daily grind? Anxiety knocking? I've got your back. Meet your guide (yep, that's me!). I'm here to bring a bit of sunshine to your days, kick out the blues, and make life's wild ride a bit more enjoyable. Your struggles are real and tackling them together is the way to go. Shoot me a message, I'm here for the support and brighter days.
(651) 309-8049 View (651) 309-8049

See more therapy options for Houston County

How does your Therapist compare?

Number of Therapists in Houston County, MN

< 10

Therapists in Houston County, MN who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
89% Trauma and PTSD
78% Grief
78% Coping Skills
67% Divorce

Average years in practice

9 Years

Top 3 insurances accepted

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

How Therapists in Houston County, MN see their clients

89% In Person and Online
11% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Houston County?

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.