Therapists in Shrewsbury, PA
![Photo of D. Marie Tribble, MDiv, MA, Pastoral Counselor](https://photos.psychologytoday.com/9791dce4-3aeb-4c74-b170-92a46a9f51f3/1/320x400.jpeg)
I believe in fostering a safe and inclusive space where individuals can explore the intersections of their spirituality and mental health. It is my conviction that healing occurs when individuals are empowered to connect with their faith, values, and inner strengths. Through pastoral counseling, I aim to facilitate this process, promoting resilience, self-discovery, and a sense of purpose. I am driven by a profound commitment to providing support, guidance, and healing to individuals facing life's challenges.
I believe in fostering a safe and inclusive space where individuals can explore the intersections of their spirituality and mental health. It is my conviction that healing occurs when individuals are empowered to connect with their faith, values, and inner strengths. Through pastoral counseling, I aim to facilitate this process, promoting resilience, self-discovery, and a sense of purpose. I am driven by a profound commitment to providing support, guidance, and healing to individuals facing life's challenges.
![Photo of Tyler John Schuhly - Active Therapy Counseling, MS, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/a411b555-1bf5-409c-a77b-13df4438fd57/2/320x400.jpeg)
Active Therapy Counseling
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Shrewsbury, PA 17361
Our ideal client is simply a client who truly wants to pursue bettering themselves or their current situation. We love working with all demographics and are honored to have any client that is willing to trust us with their journey. We also love clients that are open to experimenting with active therapy!
Our ideal client is simply a client who truly wants to pursue bettering themselves or their current situation. We love working with all demographics and are honored to have any client that is willing to trust us with their journey. We also love clients that are open to experimenting with active therapy!
![Photo of Angela Love, MA, NCC, Counselor](https://photos.psychologytoday.com/a76e98af-78fa-4ae4-b00c-2b754158b792/2/320x400.jpeg)
I am a National Certified Counselor (NCC) with a Master of Arts in Counseling from Messiah University. Above all else, I hope to provide a compassionate presence for those in need of someone to listen. And I offer an unconditional warmth for all who would share their stories with me. I believe that we each have a story through which to find meaning in our lives. And it is my honor to hold such stories with empathy and love.
I am a National Certified Counselor (NCC) with a Master of Arts in Counseling from Messiah University. Above all else, I hope to provide a compassionate presence for those in need of someone to listen. And I offer an unconditional warmth for all who would share their stories with me. I believe that we each have a story through which to find meaning in our lives. And it is my honor to hold such stories with empathy and love.
![Photo of Jonathan C Burchard - In Him Christian Wellness, MA, NCC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6c2fa3fa-472f-44da-9d6e-58494aaabc8e/2/320x400.png)
In Him Christian Wellness
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Shrewsbury, PA 17361
Feeling stuck is discouraging. Low self-esteem, worry about the future, and wounds from the past can hold us back from the freedom we crave to truly live and become 'unstuck.' Moving into that freedom requires both trust and a commitment to change. Change occurs as trust develops between a client and a compassionate therapist who serves as a guide through a journey of self-discovery and transformation. IHCW is a community is which pain and suffering meet hope and healing.
Feeling stuck is discouraging. Low self-esteem, worry about the future, and wounds from the past can hold us back from the freedom we crave to truly live and become 'unstuck.' Moving into that freedom requires both trust and a commitment to change. Change occurs as trust develops between a client and a compassionate therapist who serves as a guide through a journey of self-discovery and transformation. IHCW is a community is which pain and suffering meet hope and healing.
![Photo of Terry McGeehan, LCPC](https://photos.psychologytoday.com/a803581e-b4e2-4b94-b10f-f586e61cd3eb/2/320x400.jpeg)
Terry McGeehan
Licensed Clinical Professional Counselor, LCPC
Verified Verified
2 Endorsed
Shrewsbury, PA 17361
My style has been described as innovative yet practical. I work with clients to develop healthier ways of coping with life and creating more satisfying relationships. A non-judgmental, trusting therapeutic relationship is essential. Experiential learning and educational materials provide the basis for lasting change. Areas of skill building include, emotional regulation, grief relief, living with anxiety, depression, healing trauma. Relationship skills involve communication, conflict resolution, keeping love alive and refining commitment. Methods include Mindfulness, cognitive behavioral therapy, body centered therapy and desensitization with EMDR (www.emdria.org). The work of therapy becomes the joy and satisfaction of living.
My style has been described as innovative yet practical. I work with clients to develop healthier ways of coping with life and creating more satisfying relationships. A non-judgmental, trusting therapeutic relationship is essential. Experiential learning and educational materials provide the basis for lasting change. Areas of skill building include, emotional regulation, grief relief, living with anxiety, depression, healing trauma. Relationship skills involve communication, conflict resolution, keeping love alive and refining commitment. Methods include Mindfulness, cognitive behavioral therapy, body centered therapy and desensitization with EMDR (www.emdria.org). The work of therapy becomes the joy and satisfaction of living.
![Photo of Kimberly S Marsico, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/92bd3fc3-f129-42b0-b1ae-dad629cfe5d6/2/320x400.png)
Kimberly S Marsico
Licensed Professional Counselor, MS, LPC
Verified Verified
Shrewsbury, PA 17361 (Online Only)
When working with me, you can expect a safe, empathetic environment to share your needs. I help my clients to work through important relationships- past and present. We will work together to understand past issues that may be impacting your life currently. I believe in helping you find your personal strengths, purpose, and meaning to help create and realize your life goals.
When working with me, you can expect a safe, empathetic environment to share your needs. I help my clients to work through important relationships- past and present. We will work together to understand past issues that may be impacting your life currently. I believe in helping you find your personal strengths, purpose, and meaning to help create and realize your life goals.
![Photo of Jacqueline George - Hope Renewed Counseling Services LLC, LCSW, RPT-S, CAAPT-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/682e728d-9708-4835-b4e5-f357c87eeb56/2/320x400.jpeg)
Hope Renewed Counseling Services LLC
Clinical Social Work/Therapist, LCSW, RPT-S, CAAPT-S
Verified Verified
3 Endorsed
Shrewsbury, PA 17361
Whether you are looking for counseling for your child, yourself or your family, I would enjoy walking with you through your current need to the place of healing and success in life that you would like to reach. For 30+ years I have worked closely with children and their families who have experienced traumatic life events, including domestic violence, sexual assault and violent loss. There is hope for you to move from being a victim to being a survivor; or from being a harassed parent to one who experiences peace with their child.
Whether you are looking for counseling for your child, yourself or your family, I would enjoy walking with you through your current need to the place of healing and success in life that you would like to reach. For 30+ years I have worked closely with children and their families who have experienced traumatic life events, including domestic violence, sexual assault and violent loss. There is hope for you to move from being a victim to being a survivor; or from being a harassed parent to one who experiences peace with their child.
![Photo of Dr. Debra Doubrava - Emdr Trauma And Play Focused, PhD, LPC, RPT-S, Licensed Professional Counselor](https://photos.psychologytoday.com/b0a46616-9cd8-4e72-8fc3-b6d423a9386b/1/320x400.jpeg)
Dr. Debra Doubrava - Emdr Trauma And Play Focused
Licensed Professional Counselor, PhD, LPC, RPT-S
Verified Verified
2 Endorsed
Shrewsbury, PA 17361 (Online Only)
Be kind, for everyone you meet is fighting a hard battle.- John Watson...I am humbled & honored to have over 30 years experience working with clients of all ages & stages to lead more authentic, joyful, & peace-filled lives. I am an integrative, attachment focused & trauma-informed play therapist - inspired by theories grounded in client-centered, family systems, humanistic, Imago, mindfulness, & parts work. I enjoy working with a wide range of issues & diverse backgrounds in the human experience including LGBTQIA2S+. We all need to be truly seen and heard AND it is courageous and wise to seek help as we journey through life & love!
Be kind, for everyone you meet is fighting a hard battle.- John Watson...I am humbled & honored to have over 30 years experience working with clients of all ages & stages to lead more authentic, joyful, & peace-filled lives. I am an integrative, attachment focused & trauma-informed play therapist - inspired by theories grounded in client-centered, family systems, humanistic, Imago, mindfulness, & parts work. I enjoy working with a wide range of issues & diverse backgrounds in the human experience including LGBTQIA2S+. We all need to be truly seen and heard AND it is courageous and wise to seek help as we journey through life & love!
![Photo of David Haynes-Weller, PsyD, MA, MDiv, Psychologist](https://photos.psychologytoday.com/3cfd6688-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
David Haynes-Weller
Psychologist, PsyD, MA, MDiv
Verified Verified
Shrewsbury, PA 17361
Not accepting new clients
I am a licensed clinical psychologist trained in cognitive behavioral therapy and located in Red Lion, PA. I specialize in helping individuals restore emotional wellness and health relationships. I work with adolescents and adults to help them learn the skills and coping strategies to lead healthier lives when faced with depression, anxiety, trauma, loss, chronic pain, and life transitions.
I am a licensed clinical psychologist trained in cognitive behavioral therapy and located in Red Lion, PA. I specialize in helping individuals restore emotional wellness and health relationships. I work with adolescents and adults to help them learn the skills and coping strategies to lead healthier lives when faced with depression, anxiety, trauma, loss, chronic pain, and life transitions.
![Photo of Michael E. Ludwig - Dr. Michael E. Ludwig, PhD, BS, MS, PhD, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/da993602-7bf7-4a6c-a3c2-88ff864de020/1/320x400.png)
Dr. Michael E. Ludwig, PhD
Licensed Professional Counselor, BS, MS, PhD, LPC
Verified Verified
4 Endorsed
Shrewsbury, PA 17361
Not accepting new clients
I approach coaching, counseling, and psychotherapy as processes of self-discovery that are intended to lead to deep insight, focused clarity, and significant personal transformation. In order to facilitate these dynamics, I integratively employ only the most POTENT, PROVEN, and PRUDENT theories and interventions that are contained within the established schools of applied psychology (i.e., Psychodynamic, Cognitive-Behavioral, Existential, Social, etc.).
I approach coaching, counseling, and psychotherapy as processes of self-discovery that are intended to lead to deep insight, focused clarity, and significant personal transformation. In order to facilitate these dynamics, I integratively employ only the most POTENT, PROVEN, and PRUDENT theories and interventions that are contained within the established schools of applied psychology (i.e., Psychodynamic, Cognitive-Behavioral, Existential, Social, etc.).
![Photo of Amy Rominski, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/03fd40ab-7153-4648-b7fd-6c367bc70c26/1/320x400.jpeg)
As a therapist, my role is to help you move forward as you face life's challenges. We'll work together to take on your problems by working through them and creating healthy habits to effectively reduce your symptoms and achieve your goals.
As a therapist, my role is to help you move forward as you face life's challenges. We'll work together to take on your problems by working through them and creating healthy habits to effectively reduce your symptoms and achieve your goals.
15 Second Videos
Hope Renewed Counseling Services LLC
Debra Doubrava - Emdr Trauma And Play Focused
Molly Stackhouse
![Photo of Molly Stackhouse, LPC, NCSP, ABSNP, Licensed Professional Counselor](https://photos.psychologytoday.com/6e376cf6-0dec-49ef-8c5d-83ce775571a3/2/320x400.jpeg)
Molly Stackhouse
Licensed Professional Counselor, LPC, NCSP, ABSNP
Verified Verified
Shrewsbury, PA 17361 (Online Only)
PA Insurance clients - Contact me to be on my Waitlist! I'm a Licensed Professional Counselor practicing in PA, MD, South Carolina, Idaho, and Florida. With 20 years of experience in mental health, I have worked extensively with individuals seeking to enhance their lives and manage stress/anxiety, depression, boost self-confidence, establish healthy boundaries, and improve relationships. I'm trained in several cutting-edge modalities like EMDR, Brainspotting, and IFS-informed EMDR, giving us a toolbox full of evolved resources to help you survive life's twists and turns, helping you thrive, and unlocking your full potential.
PA Insurance clients - Contact me to be on my Waitlist! I'm a Licensed Professional Counselor practicing in PA, MD, South Carolina, Idaho, and Florida. With 20 years of experience in mental health, I have worked extensively with individuals seeking to enhance their lives and manage stress/anxiety, depression, boost self-confidence, establish healthy boundaries, and improve relationships. I'm trained in several cutting-edge modalities like EMDR, Brainspotting, and IFS-informed EMDR, giving us a toolbox full of evolved resources to help you survive life's twists and turns, helping you thrive, and unlocking your full potential.
More Therapists Nearby
![Photo of Carrie Lux Cattalo, MS](https://photos.psychologytoday.com/482319f3-bbf9-48eb-adff-c816addb869a/1/320x400.png)
Your life has value and purpose. I am passionate about helping individuals who feel lost reach their full potential and live healthy, happy, and fulfilled lives. I am here to support you on your journey towards healing and growth. I offer a compassionate and non-judgmental space where you can explore your thoughts, feelings, and challenges. My approach is collaborative and client-centered, where your needs and goals guide our work together.
Your life has value and purpose. I am passionate about helping individuals who feel lost reach their full potential and live healthy, happy, and fulfilled lives. I am here to support you on your journey towards healing and growth. I offer a compassionate and non-judgmental space where you can explore your thoughts, feelings, and challenges. My approach is collaborative and client-centered, where your needs and goals guide our work together.
![Photo of Angela Linebaugh, MA, ATR-BC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/462190b2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Angela Linebaugh
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Dallastown, PA 17313
I am a Registered, Board Certified Art Therapist and Licensed Professional Counselor who believes in the power of art to transform and heal. I like to create a comfortable environment for children, teens, adults and families to work on change. I offer creative arts therapies including art therapy, sand tray, and play techniques to help them overcome challenges. In sessions, you will see how art can provide a way to express your inner most feelings when words sometimes fail you. Once the words have been spoken then it is often easier to address the deeper issues and conflicts.
I am a Registered, Board Certified Art Therapist and Licensed Professional Counselor who believes in the power of art to transform and heal. I like to create a comfortable environment for children, teens, adults and families to work on change. I offer creative arts therapies including art therapy, sand tray, and play techniques to help them overcome challenges. In sessions, you will see how art can provide a way to express your inner most feelings when words sometimes fail you. Once the words have been spoken then it is often easier to address the deeper issues and conflicts.
![Photo of Peter Myers, MA, CNIT, Licensed Professional Counselor](https://photos.psychologytoday.com/379cf89f-cfc3-4927-aac0-510e8bb856dd/2/320x400.jpeg)
I have immediate openings Are you questioning what direction you are going in life? Are you feeling down and lack the normal energy or interest you have in life? Are you struggling with identity or having issues related to being othered? Do you worry about things you cannot control? Do you want to get from point A to point B? Do you just need someone to talk to in a safe space? This journey of life can be scary, confusing, and sometimes frustrating, are you ready to become the best version of yourself?
I have immediate openings Are you questioning what direction you are going in life? Are you feeling down and lack the normal energy or interest you have in life? Are you struggling with identity or having issues related to being othered? Do you worry about things you cannot control? Do you want to get from point A to point B? Do you just need someone to talk to in a safe space? This journey of life can be scary, confusing, and sometimes frustrating, are you ready to become the best version of yourself?
![Photo of Stacy F. Reimold, MS](https://photos.psychologytoday.com/c7f92b53-949d-440b-8868-f730d5edca54/2/320x400.jpeg)
Life can come at you hard sometimes and knock you off your path. It is sometimes difficult to get unstuck and back on track without help. Are you married and struggling to have the connection with your spouse that you desire to have? Are you an individual finding it difficult to face each day due to life's challenges? Do your goals for personal growth seem unattainable? I would be honored to join with you on your journey through difficulties and challenges to help you get back on a path of growth and forward movement.
Life can come at you hard sometimes and knock you off your path. It is sometimes difficult to get unstuck and back on track without help. Are you married and struggling to have the connection with your spouse that you desire to have? Are you an individual finding it difficult to face each day due to life's challenges? Do your goals for personal growth seem unattainable? I would be honored to join with you on your journey through difficulties and challenges to help you get back on a path of growth and forward movement.
![Photo of Steve Schmidt, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/40db7638-4cc4-4782-896b-740fd9e764ed/1/320x400.jpeg)
Steve Schmidt
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Felton, PA 17322 (Online Only)
Waitlist for new clients
Are you looking for better connection, satisfaction and communication in your relationships? Maybe there was an affair, life change, or maybe the fire just isn't as bright as it used to be. I have a strong passion for helping individuals and couples re-connect, work through conflict, find a sense of shared meaning and explore all that a good relationship has to offer.
Are you looking for better connection, satisfaction and communication in your relationships? Maybe there was an affair, life change, or maybe the fire just isn't as bright as it used to be. I have a strong passion for helping individuals and couples re-connect, work through conflict, find a sense of shared meaning and explore all that a good relationship has to offer.
![Photo of Alexys Grim, MS, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/f80091c7-b6c8-4f7b-8b20-9e623de4ef2f/2/320x400.jpeg)
Alexys Grim
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Dallastown, PA 17313
Waitlist for new clients
Alexys Grim is a Licensed Professional Counselor, who has been working in the human services field since 2010. She has a variety of experience working with children, families and couples, including a background in domestic violence and substance abuse. Alexys uses a client focused approach in her sessions and strives for full engagement of clients in building a strength based treatment plan. For younger clients, play and crafts are incorporated into sessions while addressing therapeutic topics.
Alexys Grim is a Licensed Professional Counselor, who has been working in the human services field since 2010. She has a variety of experience working with children, families and couples, including a background in domestic violence and substance abuse. Alexys uses a client focused approach in her sessions and strives for full engagement of clients in building a strength based treatment plan. For younger clients, play and crafts are incorporated into sessions while addressing therapeutic topics.
In Pursuit Psychological Services, PLLC
Psychologist, PsyD
Verified Verified
Seven Valleys, PA 17360 (Online Only)
Online Therapists
![Photo of Richard Brewer, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/743da17d-bbb9-4253-85a8-a1edca9302c3/1/320x400.jpeg)
Every conversation makes a difference. The differences may be subtle or they can be life-changing. I work in a direct and warm manner, creating an environment that is dynamic and safe. The therapeutic relationship is a very important one and can provide the basis for navigating through difficult life transitions, improving communication skills, healing from a loss, or exploring possibilities for enhancing one's life.
Every conversation makes a difference. The differences may be subtle or they can be life-changing. I work in a direct and warm manner, creating an environment that is dynamic and safe. The therapeutic relationship is a very important one and can provide the basis for navigating through difficult life transitions, improving communication skills, healing from a loss, or exploring possibilities for enhancing one's life.
See more therapy options for Shrewsbury
Nearby Searches for Shrewsbury
- Columbia
- Dover
- East York
- Hallam
- Hanover
- Marietta
- Millersville
- Mount Joy
- Mountville
- Red Lion
- Spring Grove
- Willow Street
How does your Therapist compare?
Number of Therapists in Shrewsbury, PA
10+
Average cost per session
$120
Therapists in Shrewsbury, PA who prioritize treating:
92% | Trauma and PTSD |
83% | Anxiety |
83% | Self Esteem |
75% | Relationship Issues |
75% | Depression |
75% | Grief |
75% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
57% | Highmark |
57% | Capital Blue Cross |
43% | Aetna |
How Therapists in Shrewsbury, PA see their clients
67% | In Person and Online | |
33% | Online Only |
Gender breakdown
60% | Female | |
40% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Shrewsbury?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.