Therapists in Saint Charles, MO

Photo of Courtney Michelle Baker, PhD, LPC, Licensed Professional Counselor
Courtney Michelle Baker
Licensed Professional Counselor, PhD, LPC
Verified Verified
4 Endorsed
Saint Charles, MO 63303
Not accepting new clients
I specialize in couples, working with those experiencing conflict, conflict-avoidance, infidelity/trust issues, communication problems, parenting/co-parenting struggles, and or when one or both partners experience depression, anxiety, or trauma. Relationships are the most important things in our lives, and when we get disconnected, everything in life can feel so much harder. I also see individuals who are struggling with self-worth issues, excessive worry, past history of trauma. Therapy can do a world of good, especially when life has been painful. I am dedicated to the therapy process, and help clients find hope and relief.
I specialize in couples, working with those experiencing conflict, conflict-avoidance, infidelity/trust issues, communication problems, parenting/co-parenting struggles, and or when one or both partners experience depression, anxiety, or trauma. Relationships are the most important things in our lives, and when we get disconnected, everything in life can feel so much harder. I also see individuals who are struggling with self-worth issues, excessive worry, past history of trauma. Therapy can do a world of good, especially when life has been painful. I am dedicated to the therapy process, and help clients find hope and relief.
(636) 442-0231 View (636) 442-0231
Photo of Mandy Hicks, MA, LPC, Licensed Professional Counselor
Mandy Hicks
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63301
Does life just suck right now? If just one of your problems went away what would that feel like? Would it feel like you could breathe again, maybe all of your anxiety or sadness is gone, or perhaps you are FINALLY getting the help you need from your loved ones. Trying to figure all of this out by yourself can be overwhelming, throw a life event in there such as relationship issues, divorce, or a change in employment, and you can lose your sense of self. I won't let that happen.
Does life just suck right now? If just one of your problems went away what would that feel like? Would it feel like you could breathe again, maybe all of your anxiety or sadness is gone, or perhaps you are FINALLY getting the help you need from your loved ones. Trying to figure all of this out by yourself can be overwhelming, throw a life event in there such as relationship issues, divorce, or a change in employment, and you can lose your sense of self. I won't let that happen.
(314) 328-8278 View (314) 328-8278
Photo of Adam Faulkner, MS, LPC, NCC, Licensed Professional Counselor
Adam Faulkner
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Saint Charles, MO 63301  (Online Only)
Oh, hello there! Thanks for wondering on by! You might be asking yourself, “what the heck am I doing here?” “how did I even get here?” and “Where did my sandwich go?” That last one might just be me…. Maybe you're feeling a bit like my imaginary friend Sarah, a marketing whiz with dreams as big as her to-do list. But sometimes, her brain resembles a squirrel on a caffeine bender rather than a well-oiled machine. Sound familiar?
Oh, hello there! Thanks for wondering on by! You might be asking yourself, “what the heck am I doing here?” “how did I even get here?” and “Where did my sandwich go?” That last one might just be me…. Maybe you're feeling a bit like my imaginary friend Sarah, a marketing whiz with dreams as big as her to-do list. But sometimes, her brain resembles a squirrel on a caffeine bender rather than a well-oiled machine. Sound familiar?
(636) 942-6271 View (636) 942-6271
Photo of Step By Step Counseling - Step By Step Counseling, LLC, Counselor
Step By Step Counseling, LLC
Counselor
Verified Verified
1 Endorsed
Saint Charles, MO 63303
We are a counseling practice that serves both adults and children. We offer individual, family, and couples therapy. It is an honor to have numerous therapists on staff with a variety of specialties and experiences. We currently have immediate openings for daytime, evening and weekends with both our provisional therapists and our Stepping Stones therapists (Interns). Our ultimate goal is to help you find a good fit.
We are a counseling practice that serves both adults and children. We offer individual, family, and couples therapy. It is an honor to have numerous therapists on staff with a variety of specialties and experiences. We currently have immediate openings for daytime, evening and weekends with both our provisional therapists and our Stepping Stones therapists (Interns). Our ultimate goal is to help you find a good fit.
(636) 736-0778 View (636) 736-0778
Photo of Lawonda Davis, MA, LPC, NCC, Licensed Professional Counselor
Lawonda Davis
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Charles, MO 63301  (Online Only)
Hi! You have made a big first step in finding joy! Are you looking to transition to your best self? Do you feel like your anxiety, depression or trauma (Little T or Big T) has made it hard for you to see the enjoyment in life? Do you struggle with low self-worth or questionable self-esteem? Do you continue to embrace relationships and choices that are not healthy and supporting of the life you really want? Do you struggle with setting boundaries and putting your values first? I can help you release those old habits and learn how to uncover the peace that you deserve and crave in your life.
Hi! You have made a big first step in finding joy! Are you looking to transition to your best self? Do you feel like your anxiety, depression or trauma (Little T or Big T) has made it hard for you to see the enjoyment in life? Do you struggle with low self-worth or questionable self-esteem? Do you continue to embrace relationships and choices that are not healthy and supporting of the life you really want? Do you struggle with setting boundaries and putting your values first? I can help you release those old habits and learn how to uncover the peace that you deserve and crave in your life.
(636) 538-5168 View (636) 538-5168
Photo of Lia A Roth, PsyaD, LCSW, CRAADC, Clinical Social Work/Therapist
Lia A Roth
Clinical Social Work/Therapist, PsyaD, LCSW, CRAADC
Verified Verified
Saint Charles, MO 63303
Hello, my name is Dr. Lia A. Roth. I was born in Argentina, and later moved to St. Louis, MO. I have experience working in multicultural environments. I have helped individuals and families overcome judgmental attitudes that can result in concerns about not being fit to fit in. Individuals that often feel isolated, confused, or ashamed. In addition to my psychotherapy practice, many times I have provided professional support during legal procedures regarding immigration, family, and injury.
Hello, my name is Dr. Lia A. Roth. I was born in Argentina, and later moved to St. Louis, MO. I have experience working in multicultural environments. I have helped individuals and families overcome judgmental attitudes that can result in concerns about not being fit to fit in. Individuals that often feel isolated, confused, or ashamed. In addition to my psychotherapy practice, many times I have provided professional support during legal procedures regarding immigration, family, and injury.
(636) 202-0850 View (636) 202-0850
Photo of Becky Coulson, MA, LPC, Licensed Professional Counselor
Becky Coulson
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Charles, MO 63303
Starting the search for a therapist is an act of bravery. As if life isn't tricky enough on its own, then we throw in anxiety, depression or trauma and it can feel even heavier. Self esteem struggles? Not sure what path to take? Feel like you just can't handle what life keeps throwing at you? I'm here for all of it. Are you a parent that needs strategies to help your child? I'm here to support you as well. I use a variety of approaches to support each client in their own unique needs.
Starting the search for a therapist is an act of bravery. As if life isn't tricky enough on its own, then we throw in anxiety, depression or trauma and it can feel even heavier. Self esteem struggles? Not sure what path to take? Feel like you just can't handle what life keeps throwing at you? I'm here for all of it. Are you a parent that needs strategies to help your child? I'm here to support you as well. I use a variety of approaches to support each client in their own unique needs.
(636) 202-1428 View (636) 202-1428
Photo of Connie Trunk, MEd, LPC, NCC, NBCCHH, Hypnosi, Licensed Professional Counselor
Connie Trunk
Licensed Professional Counselor, MEd, LPC, NCC, NBCCHH, Hypnosi
Verified Verified
Saint Charles, MO 63303
I am a Board Certified Counselor and Board Certified Clinical Hypnotherapist & Regression Therapist: Go Back to the past to Heal the present symptoms,Mind,Body & Spirit at a deeper level Counseling Clinical Hypnosis: Anxiety, Relationships, Addictive Relationships:Are you Addicted to someone? Specializing in Women's Issues,etc.,Counseling & Clinical Hypnosis Sessions Internal Family Systems (IFS)PartsTherapy,Inner Child Work,Clinical Hypnosis, Regression Therapy: Go back to past, Spiritual Healing,Reiki Master,gifted. Counseling Clinical Hypnosis sessions 2-3 hr $250-$300/sessions by Apt.Only: Call Connie : (314)731-7667
I am a Board Certified Counselor and Board Certified Clinical Hypnotherapist & Regression Therapist: Go Back to the past to Heal the present symptoms,Mind,Body & Spirit at a deeper level Counseling Clinical Hypnosis: Anxiety, Relationships, Addictive Relationships:Are you Addicted to someone? Specializing in Women's Issues,etc.,Counseling & Clinical Hypnosis Sessions Internal Family Systems (IFS)PartsTherapy,Inner Child Work,Clinical Hypnosis, Regression Therapy: Go back to past, Spiritual Healing,Reiki Master,gifted. Counseling Clinical Hypnosis sessions 2-3 hr $250-$300/sessions by Apt.Only: Call Connie : (314)731-7667
(314) 731-7667 View (314) 731-7667
Photo of Ashley LaFaver, MS, LPC, Licensed Professional Counselor
Ashley LaFaver
Licensed Professional Counselor, MS, LPC
Verified Verified
Saint Charles, MO 63301
The foundation to my approach of counseling, is that clients have to put in the work when they make the decision to start; this is how clients will be the most successful in their journey. Counseling can be messy, and the most impactful thing I can do for my clients is hold space, bring things into awareness that they might be missing, and find different, more effective ways of thinking, feeling, and behaving.
The foundation to my approach of counseling, is that clients have to put in the work when they make the decision to start; this is how clients will be the most successful in their journey. Counseling can be messy, and the most impactful thing I can do for my clients is hold space, bring things into awareness that they might be missing, and find different, more effective ways of thinking, feeling, and behaving.
(636) 202-1918 View (636) 202-1918
Photo of Jennifer Ball, LCSW, Clinical Social Work/Therapist
Jennifer Ball
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Saint Charles, MO 63301
Life can be challenging and as we walk along this journey, it can be helpful to have someone walk along side us for support, insight, encouragement and acceptance. I have found that therapy is often a good place to start when seeking those things. As a therapist, I am honored to be a part of that journey with each person I have the privilege of working with.
Life can be challenging and as we walk along this journey, it can be helpful to have someone walk along side us for support, insight, encouragement and acceptance. I have found that therapy is often a good place to start when seeking those things. As a therapist, I am honored to be a part of that journey with each person I have the privilege of working with.
(314) 970-5227 View (314) 970-5227
Photo of Michael Lipps, MA, PLPC, Pre-Licensed Professional
Michael Lipps
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Are you in need of someone who can provide a listening ear? Whether you are looking for counseling for yourself, significant other, or family member, I am here to listen. It is my goal to help clients move past difficult life events, whether grief, loss, anxiety, depression, or trauma, by building a counseling relationship based on trust in a non-judgmental atmosphere. We will work on this together using various methods including but not limited to Mindfulness (self awareness), DBT (short term therapy), and Person Centered Approach (self-guided therapy).
Are you in need of someone who can provide a listening ear? Whether you are looking for counseling for yourself, significant other, or family member, I am here to listen. It is my goal to help clients move past difficult life events, whether grief, loss, anxiety, depression, or trauma, by building a counseling relationship based on trust in a non-judgmental atmosphere. We will work on this together using various methods including but not limited to Mindfulness (self awareness), DBT (short term therapy), and Person Centered Approach (self-guided therapy).
(636) 317-5507 View (636) 317-5507
Photo of Maria Rupprecht, MA, PLPC, Pre-Licensed Professional
Maria Rupprecht
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
As a therapist, I look forward to walking with you through this journey to reach your healing and mental health goals. I currently work with children, adolescents and adults. I am trauma focused and recognize the importance of creating a safe space for my clients to process what they have experienced. Some of my focus areas include: emotional eating, eating disorders, trauma/PTSD, self-harm, substance abuse, depression, anxiety, panic disorders, family and relationship struggles, and infertility.
As a therapist, I look forward to walking with you through this journey to reach your healing and mental health goals. I currently work with children, adolescents and adults. I am trauma focused and recognize the importance of creating a safe space for my clients to process what they have experienced. Some of my focus areas include: emotional eating, eating disorders, trauma/PTSD, self-harm, substance abuse, depression, anxiety, panic disorders, family and relationship struggles, and infertility.
(636) 428-3055 View (636) 428-3055
Photo of Tara Stevens, LPC, MA, MSc, CCTP, Licensed Professional Counselor
Tara Stevens
Licensed Professional Counselor, LPC, MA, MSc, CCTP
Verified Verified
1 Endorsed
Saint Charles, MO 63304
Is your heart always racing? Are you suffering from headaches, belly aches, tension in your back or neck? Do you lack patience with your kids, partner, colleagues, friends? Let's be real, life is hard. When we become overwhelmed with daily stressors, chronic stress, or trauma our body is impacted. Sometimes we need someone who isn't related to us and has no judgments to talk to. Maybe you are facing a big life change, maybe an event is constantly replaying in your mind, maybe the daily stressors are adding up. There is hope!
Is your heart always racing? Are you suffering from headaches, belly aches, tension in your back or neck? Do you lack patience with your kids, partner, colleagues, friends? Let's be real, life is hard. When we become overwhelmed with daily stressors, chronic stress, or trauma our body is impacted. Sometimes we need someone who isn't related to us and has no judgments to talk to. Maybe you are facing a big life change, maybe an event is constantly replaying in your mind, maybe the daily stressors are adding up. There is hope!
(636) 228-2253 View (636) 228-2253
Photo of Rhonda L Bethmann - RB Counseling, LLC, MA, LPC, Licensed Professional Counselor
RB Counseling, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Charles, MO 63301
Congratulations! You have just taken the first step on your journey of personal growth and healing! In therapy, you will discover a place where you can share your experiences and process feelings without fear of judgement. I counsel couples and adults in a comfortable, confidential atmosphere. I am a dedicated professional and I take pride in my ability to provide highly personalized strategies to meet your unique needs. I look forward to meeting with you, and to joining you on your journey of growth and healing.
Congratulations! You have just taken the first step on your journey of personal growth and healing! In therapy, you will discover a place where you can share your experiences and process feelings without fear of judgement. I counsel couples and adults in a comfortable, confidential atmosphere. I am a dedicated professional and I take pride in my ability to provide highly personalized strategies to meet your unique needs. I look forward to meeting with you, and to joining you on your journey of growth and healing.
(636) 486-3619 View (636) 486-3619
Photo of Santianna Clay, PLPC, MAC, BSEd
Santianna Clay
Provisional Licensed Professional Counselor, PLPC, MAC, BSEd
Verified Verified
Saint Charles, MO 63301
Are you seeking growth, healing, or a deeper sense of self? Whether you're a child facing early challenges, an adult navigating life transitions, or anyone on a journey to be your best, I’m here to support you with compassion and a holistic approach. With my background as a former first-grade teacher, I’m especially attuned to the emotional needs of children, helping them build resilience and confidence. For individuals of all ages, I offer a safe, affirming space, using evidence-based therapies and mindfulness practices to foster self-awareness and emotional balance.
Are you seeking growth, healing, or a deeper sense of self? Whether you're a child facing early challenges, an adult navigating life transitions, or anyone on a journey to be your best, I’m here to support you with compassion and a holistic approach. With my background as a former first-grade teacher, I’m especially attuned to the emotional needs of children, helping them build resilience and confidence. For individuals of all ages, I offer a safe, affirming space, using evidence-based therapies and mindfulness practices to foster self-awareness and emotional balance.
(314) 948-5068 View (314) 948-5068
Photo of Stephanie Holdmeier - Stephanie Holdmeier, LCSW, LCSW, Clinical Social Work/Therapist
Stephanie Holdmeier, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Charles, MO 63301
At times life can feel challenging and complex. Most likely, if you are reading this, you are going through something which is leading you to want to talk to someone about it. Every day I help people like you find hope, coping skills, purpose and a true sense of well being. I support people as they figure who they are NOW in life and how to take steps to live a quality life that is true to them. Even though it can seem impossible at times, opportunities and possibilities do exist, we just have to discover what can and will work best for you.
At times life can feel challenging and complex. Most likely, if you are reading this, you are going through something which is leading you to want to talk to someone about it. Every day I help people like you find hope, coping skills, purpose and a true sense of well being. I support people as they figure who they are NOW in life and how to take steps to live a quality life that is true to them. Even though it can seem impossible at times, opportunities and possibilities do exist, we just have to discover what can and will work best for you.
(636) 856-4847 View (636) 856-4847
Photo of Denise Stoesz, MA, LPC, Licensed Professional Counselor
Denise Stoesz
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63304
I have dedicated my practice to work compassionately and collabratively with you in a non-judgemental environment to meet your needs. Reaching out for support can often times feel overhwelming, however everyone deserves the chance to explore underlying struggles that may be impacting daily living, contentment, and happiness.
I have dedicated my practice to work compassionately and collabratively with you in a non-judgemental environment to meet your needs. Reaching out for support can often times feel overhwelming, however everyone deserves the chance to explore underlying struggles that may be impacting daily living, contentment, and happiness.
(636) 779-4091 View (636) 779-4091
Photo of Melissa Mainini, LMSW, LCSW, Clinical Social Work/Therapist
Melissa Mainini
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
Saint Charles, MO 63303  (Online Only)
Hello! I'm glad you're here. I have experience in child welfare, family crisis intervention, inpatient psychiatric care, and I currently serve as a therapist in an IOP program. While I have worked with clients ranging from 4 to 94 and with those experiencing concerns equally as vast, I especially enjoy working alongside clients who are exploring their sense of self, improving their communication skills, developing healthier relationships and boundaries, and recovering from abuse and trauma in their past.
Hello! I'm glad you're here. I have experience in child welfare, family crisis intervention, inpatient psychiatric care, and I currently serve as a therapist in an IOP program. While I have worked with clients ranging from 4 to 94 and with those experiencing concerns equally as vast, I especially enjoy working alongside clients who are exploring their sense of self, improving their communication skills, developing healthier relationships and boundaries, and recovering from abuse and trauma in their past.
(636) 352-4745 View (636) 352-4745
Photo of MacKenzie Bradke, MSW, LCSW, Clinical Social Work/Therapist
MacKenzie Bradke
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Saint Charles, MO 63303
Being a mom is your hardest job. We carry A LOT and we expect a lot from ourselves. Being a mom, too, I get it. You try hard to be patient, but in no time, you're yelling and wishing you could escape from it all! You're angry with your partner for not getting it. You're angry with yourself for not being "better." You feel like you're failing everyone. You can't figure out how to make it all okay. As a struggling mom myself, I get it. It feels isolating and painful to want to be the best mom/partner you can be, yet feel like you're disappointing the most important people in your life.
Being a mom is your hardest job. We carry A LOT and we expect a lot from ourselves. Being a mom, too, I get it. You try hard to be patient, but in no time, you're yelling and wishing you could escape from it all! You're angry with your partner for not getting it. You're angry with yourself for not being "better." You feel like you're failing everyone. You can't figure out how to make it all okay. As a struggling mom myself, I get it. It feels isolating and painful to want to be the best mom/partner you can be, yet feel like you're disappointing the most important people in your life.
(636) 435-7184 View (636) 435-7184
Photo of Brittney Herman, MEd, LPC, NCC, RPT, Licensed Professional Counselor
Brittney Herman
Licensed Professional Counselor, MEd, LPC, NCC, RPT
Verified Verified
4 Endorsed
Saint Charles, MO 63303
Hello! I am a Licensed Professional Counselor (LPC), a Nationally Certified Counselor (NCC) and a Registered Play Therapist (RPT). I have experience working with children, adolescents, and young adults.
Hello! I am a Licensed Professional Counselor (LPC), a Nationally Certified Counselor (NCC) and a Registered Play Therapist (RPT). I have experience working with children, adolescents, and young adults.
(636) 685-2911 View (636) 685-2911
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How does your Therapist compare?

Number of Therapists in Saint Charles, MO

300+

Average cost per session

$118

Therapists in Saint Charles, MO who prioritize treating:

91% Anxiety
85% Depression
72% Trauma and PTSD
70% Stress
69% Relationship Issues
68% Self Esteem
67% Grief

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
82% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Saint Charles, MO see their clients

71% In Person and Online
29% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Charles?

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.