Therapists in Clayton, MO

Photo of Russell Hyken, PhD, EdSp, MA, LPC, NCC, Licensed Professional Counselor
Russell Hyken
Licensed Professional Counselor, PhD, EdSp, MA, LPC, NCC
Verified Verified
Clayton, MO 63105
By offering educational evaluations, ADHD assessments, and individual/family therapy, Russell Hyken provides comprehensive services to help individuals excel and families strengthen. Determining why someone is not reaching their full potential is the first step toward success. Is there a social/emotional issue that is making life difficult? Or is there some other concern impeding life happiness. Russell Hyken believes in creating a positive atmosphere to promote internal growth. Making permanent and positive changes in my client's life is the ultimate goal.
By offering educational evaluations, ADHD assessments, and individual/family therapy, Russell Hyken provides comprehensive services to help individuals excel and families strengthen. Determining why someone is not reaching their full potential is the first step toward success. Is there a social/emotional issue that is making life difficult? Or is there some other concern impeding life happiness. Russell Hyken believes in creating a positive atmosphere to promote internal growth. Making permanent and positive changes in my client's life is the ultimate goal.
(314) 881-8421 View (314) 881-8421
Photo of Robert Gould, LPC , Licensed Professional Counselor
Robert Gould
Licensed Professional Counselor, LPC
Verified Verified
Clayton, MO 63105  (Online Only)
My name is Robert Gould, and I am a Licensed Professional Counselor (LPC). My goal is to create a collaborative, non-judgmental space where clients feel empowered to work through their challenges and achieve personal growth. I also enjoy helping clients develop coping skills for managing overwhelming emotions and building resilience in the face of life’s difficulties. My focus is on creating a supportive environment where clients can feel understood and empowered to make meaningful changes.
My name is Robert Gould, and I am a Licensed Professional Counselor (LPC). My goal is to create a collaborative, non-judgmental space where clients feel empowered to work through their challenges and achieve personal growth. I also enjoy helping clients develop coping skills for managing overwhelming emotions and building resilience in the face of life’s difficulties. My focus is on creating a supportive environment where clients can feel understood and empowered to make meaningful changes.
(314) 310-7260 View (314) 310-7260
Photo of Dailee Joyce, MA, LCSW, Clinical Social Work/Therapist
Dailee Joyce
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
3 Endorsed
Clayton, MO 63105  (Online Only)
Waitlist for new clients
Life can be difficult. However, it is within the challenge that we have the potential to become fuller versions of ourselves. In a world that can feel overwhelmed by information, contradiction and noise, it can be easy to lose touch of our internal self. Maybe you are just beginning to recognize discord. Or maybe you have known for a while that things just don't feel right. Perhaps you are struggling through a life transition and recognize that you need and deserve your own time and space to safely express your unique story with an empathetic and thoughtful practitioner.
Life can be difficult. However, it is within the challenge that we have the potential to become fuller versions of ourselves. In a world that can feel overwhelmed by information, contradiction and noise, it can be easy to lose touch of our internal self. Maybe you are just beginning to recognize discord. Or maybe you have known for a while that things just don't feel right. Perhaps you are struggling through a life transition and recognize that you need and deserve your own time and space to safely express your unique story with an empathetic and thoughtful practitioner.
(314) 350-6601 View (314) 350-6601
Photo of Kelly Sensoli, LCSW, Clinical Social Work/Therapist
Kelly Sensoli
Clinical Social Work/Therapist, LCSW
Verified Verified
Clayton, MO 63105  (Online Only)
Kelly Sensoli, LCSW. I have 13 years of experience as a therapist to clients of all ages, with an emphasis on adolescents, young adults and adults with mood disorders, ADHD, impulse control disorders and relationship issues. I'm passionate about helping you through exploring your strengths, aiding you in gaining insight into your problem areas, and helping you to learn the skills needed for emotional and behavioral wellness.
Kelly Sensoli, LCSW. I have 13 years of experience as a therapist to clients of all ages, with an emphasis on adolescents, young adults and adults with mood disorders, ADHD, impulse control disorders and relationship issues. I'm passionate about helping you through exploring your strengths, aiding you in gaining insight into your problem areas, and helping you to learn the skills needed for emotional and behavioral wellness.
(323) 643-8569 View (323) 643-8569
Photo of Shannon Gartland, MA, LPC, Licensed Professional Counselor
Shannon Gartland
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Clayton, MO 63105
I am a licensed professional counselor who works from a client-centered approach. My goal is to provide a warm and compassionate environment where you can feel safe to share and process your experiences. I think of counseling as a place to gain greater insight and self-awareness around core beliefs. I will work with you to identify patterns of maladaptive coping and learn healthier ways to cope with life's challenges.
I am a licensed professional counselor who works from a client-centered approach. My goal is to provide a warm and compassionate environment where you can feel safe to share and process your experiences. I think of counseling as a place to gain greater insight and self-awareness around core beliefs. I will work with you to identify patterns of maladaptive coping and learn healthier ways to cope with life's challenges.
(314) 549-1055 View (314) 549-1055
Photo of Gladys Smith, PsyD, LPC, NCC, MAC, CCMHC, Licensed Professional Counselor
Gladys Smith
Licensed Professional Counselor, PsyD, LPC, NCC, MAC, CCMHC
Verified Verified
Clayton, MO 63105  (Online Only)
I have extensive training in trauma, addiction, depression and anxiety, as well as stress and adjustment. I address the whole person in treatment planning. Individuals that work with me are empowered and encourages to meet their selected goal to achieve balance in their lives. We work together to form goals and I help you navigate the journey to wellness. We will use the body as a resource, as well as art, movement and poetry if a person chooses.This is a veteran owned business. I served 27 years in the United States Navy as a Hospital Corpsman (Medic), I work with first Responders and thrir families, veterans and MST.
I have extensive training in trauma, addiction, depression and anxiety, as well as stress and adjustment. I address the whole person in treatment planning. Individuals that work with me are empowered and encourages to meet their selected goal to achieve balance in their lives. We work together to form goals and I help you navigate the journey to wellness. We will use the body as a resource, as well as art, movement and poetry if a person chooses.This is a veteran owned business. I served 27 years in the United States Navy as a Hospital Corpsman (Medic), I work with first Responders and thrir families, veterans and MST.
(314) 300-0370 View (314) 300-0370
Photo of Laura Benchie, LPC , Licensed Professional Counselor
Laura Benchie
Licensed Professional Counselor, LPC
Verified Verified
Clayton, MO 63105  (Online Only)
Hello, my name is Laura Benchie and I am a Licensed Professional Counselor (LPC), Art Therapist (ATR-BC), and Nationally Certified Counselor (NCC) based in St Louis, MO. I have over 25 years of experience working with children, teens and adults helping to improve their mental health and providing effective, individualized care to help my clients to make progress and start feeling better.
Hello, my name is Laura Benchie and I am a Licensed Professional Counselor (LPC), Art Therapist (ATR-BC), and Nationally Certified Counselor (NCC) based in St Louis, MO. I have over 25 years of experience working with children, teens and adults helping to improve their mental health and providing effective, individualized care to help my clients to make progress and start feeling better.
(323) 643-8569 View (323) 643-8569
Photo of Teryn Greer, LCSW, Clinical Social Work/Therapist
Teryn Greer
Clinical Social Work/Therapist, LCSW
Verified Verified
Clayton, MO 63105  (Online Only)
I am a Licensed Clinical Social Worker with a passion for helping people find their way through life's ups and downs. My approach is all about creating a safe, nonjudgmental space where you feel heard and understood. My therapeutic approach is grounded in creating an authentic, collaborative environment where you feel free to explore your thoughts and emotions. I primarily use cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), and acceptance and commitment therapy (ACT).
I am a Licensed Clinical Social Worker with a passion for helping people find their way through life's ups and downs. My approach is all about creating a safe, nonjudgmental space where you feel heard and understood. My therapeutic approach is grounded in creating an authentic, collaborative environment where you feel free to explore your thoughts and emotions. I primarily use cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), and acceptance and commitment therapy (ACT).
(636) 689-5456 View (636) 689-5456
Jason Endejan
LPC Intern
Verified Verified
Clayton, MO 63117
I love to work with clients to develop a deeper understanding of themselves, who they are, and how they connect with the world. Society is a complicated thing, and it didn't come with a manual, but we can work together to to learn, or decide, what it will be for you. Clients who find themselves in my office may have concerns about their relationships, about whether or not they're worthy as people, about how their mind works, or might just have questions about what it means to be a person. I see adults, teenagers, individuals, and couples. Occasionally I run groups.
I love to work with clients to develop a deeper understanding of themselves, who they are, and how they connect with the world. Society is a complicated thing, and it didn't come with a manual, but we can work together to to learn, or decide, what it will be for you. Clients who find themselves in my office may have concerns about their relationships, about whether or not they're worthy as people, about how their mind works, or might just have questions about what it means to be a person. I see adults, teenagers, individuals, and couples. Occasionally I run groups.
(314) 200-4611 View (314) 200-4611
Photo of Marlena Glenn, LPC , Licensed Professional Counselor
Marlena Glenn
Licensed Professional Counselor, LPC
Verified Verified
Clayton, MO 63105  (Online Only)
Hello, My name is Marlena Glenn. I am a Licensed Professional Counselor. I provide individual, and couples counseling for individuals facing challenges with anxiety, frustration and depression. My approach to therapy is holistic. During sessions the common modalities of therapy that are used include: Gottman, CBT, Motivational Interviewing, and Solution Focused.
Hello, My name is Marlena Glenn. I am a Licensed Professional Counselor. I provide individual, and couples counseling for individuals facing challenges with anxiety, frustration and depression. My approach to therapy is holistic. During sessions the common modalities of therapy that are used include: Gottman, CBT, Motivational Interviewing, and Solution Focused.
(323) 643-8569 View (323) 643-8569
Photo of Patricia Shaw, PhD, Psychologist
Patricia Shaw
Psychologist, PhD
Verified Verified
Clayton, MO 63105
Not accepting new clients
With over two decades of experience, Dr. Patricia Shaw practices with gentle expertise in helping individuals and couples heal from the wounds of the past, appreciate and savor the present and plan for a successful future. With years of positive results in treating depression and all manner of fears and anxiety, clients have come to rely and trust Dr. Shaw's therapeutic approach. Those with eating disorders receive understanding and guidance toward health and self-acceptance.
With over two decades of experience, Dr. Patricia Shaw practices with gentle expertise in helping individuals and couples heal from the wounds of the past, appreciate and savor the present and plan for a successful future. With years of positive results in treating depression and all manner of fears and anxiety, clients have come to rely and trust Dr. Shaw's therapeutic approach. Those with eating disorders receive understanding and guidance toward health and self-acceptance.
(314) 527-1174 x21 View (314) 527-1174 x21
Photo of Katie Bridges McDaniel, MS, LMFT, Marriage & Family Therapist
Katie Bridges McDaniel
Marriage & Family Therapist, MS, LMFT
Verified Verified
Clayton, MO 63105  (Online Only)
I am a Marriage and Family Therapist who enjoys working with individuals and couples. I have experience working with a variety of clinical issues including anxiety, depression, grief and loss, family and life transitions, parenting, school and work stressors, relationships, self-esteem, and trauma. I take a systems approach by understanding that each person is a part of a whole emotional and relational unit. I use Emotionally Focused Couple Therapy, Collaborative Language Therapy, and psychoeducation to help clients improve communication, foster coping skills, and plan for a better future.
I am a Marriage and Family Therapist who enjoys working with individuals and couples. I have experience working with a variety of clinical issues including anxiety, depression, grief and loss, family and life transitions, parenting, school and work stressors, relationships, self-esteem, and trauma. I take a systems approach by understanding that each person is a part of a whole emotional and relational unit. I use Emotionally Focused Couple Therapy, Collaborative Language Therapy, and psychoeducation to help clients improve communication, foster coping skills, and plan for a better future.
(314) 804-2001 View (314) 804-2001
Photo of Rebecca A Mowen, LCSW, CADC, CIP, Clinical Social Work/Therapist
Rebecca A Mowen
Clinical Social Work/Therapist, LCSW, CADC, CIP
Verified Verified
1 Endorsed
Clayton, MO 63105
I believe that in order to effectively navigate relationships, whether at home, in the workplace, or within the community, it is essential to understand and address the dynamics of the larger systems at play. By taking a holistic and systemic approach to therapy, I work collaboratively with clients to empower them to put their 'oxygen mask' on first and foster healthier relationships within the context of their unique systems.
I believe that in order to effectively navigate relationships, whether at home, in the workplace, or within the community, it is essential to understand and address the dynamics of the larger systems at play. By taking a holistic and systemic approach to therapy, I work collaboratively with clients to empower them to put their 'oxygen mask' on first and foster healthier relationships within the context of their unique systems.
(314) 254-9249 View (314) 254-9249
Photo of Candace Fruge, LPC, Licensed Professional Counselor
Candace Fruge
Licensed Professional Counselor, LPC
Verified Verified
Clayton, MO 63105  (Online Only)
Hello I'm Candace Faith Frugé and I am a Licensed Professional Counselor with 25+ years experience in Mind/Body Counseling. I can help you to calm your mind, relax your body, nourish and honor your spirit... Release mental and emotional patterns and blockages that are inhibiting your growth and well-being. Through true acceptance, listening and understanding, along with individually tailored therapeutic protocols, I can help you find peace, love and joy. Join me now in creating a healthy and thriving relationship with yourself and with others. Enjoy being alone, enjoy being with others, enjoy being yourself. Be content and fulfilled
Hello I'm Candace Faith Frugé and I am a Licensed Professional Counselor with 25+ years experience in Mind/Body Counseling. I can help you to calm your mind, relax your body, nourish and honor your spirit... Release mental and emotional patterns and blockages that are inhibiting your growth and well-being. Through true acceptance, listening and understanding, along with individually tailored therapeutic protocols, I can help you find peace, love and joy. Join me now in creating a healthy and thriving relationship with yourself and with others. Enjoy being alone, enjoy being with others, enjoy being yourself. Be content and fulfilled
(323) 643-8569 View (323) 643-8569
Photo of Tabor Burke, MEd, LPC, NCC, Licensed Professional Counselor
Tabor Burke
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Clayton, MO 63105
Relationships are hard, whether that relationship is with you, the people who matter to you or a co-parent or an ex. I serve adults with a variety of relationship issues, including co-parenting, divorce, family reunification, or parenting. I help couples and family members reconnect. I work with co-parents to help them reduce conflict and put their children first. I help parents with children of higher needs reconnect with themselves and their children. Or I can just help you on your own journey to repairing or establishing relationships. Whatever your goal, I hope you will invest in you and your path to feeling better.
Relationships are hard, whether that relationship is with you, the people who matter to you or a co-parent or an ex. I serve adults with a variety of relationship issues, including co-parenting, divorce, family reunification, or parenting. I help couples and family members reconnect. I work with co-parents to help them reduce conflict and put their children first. I help parents with children of higher needs reconnect with themselves and their children. Or I can just help you on your own journey to repairing or establishing relationships. Whatever your goal, I hope you will invest in you and your path to feeling better.
(314) 375-4812 View (314) 375-4812
Photo of Audra Bell, LCSW, Clinical Social Work/Therapist
Audra Bell
Clinical Social Work/Therapist, LCSW
Verified Verified
Clayton, MO 63105  (Online Only)
My name is Audra Bell and I am a Psychotherapist certified as a Licensed Clinical Social Worker (LCSW). I work with clients throughout Missouri via telehealth. I work with adults experiencing anxiety, depression, or other life stressors using Cognitive Behavioral Therapy (CBT) and Family Systems Theory. I find it most helpful to start where the client feels comfortable and work right away towards helping clients find progress and relief quickly.
My name is Audra Bell and I am a Psychotherapist certified as a Licensed Clinical Social Worker (LCSW). I work with clients throughout Missouri via telehealth. I work with adults experiencing anxiety, depression, or other life stressors using Cognitive Behavioral Therapy (CBT) and Family Systems Theory. I find it most helpful to start where the client feels comfortable and work right away towards helping clients find progress and relief quickly.
(323) 643-8569 View (323) 643-8569
Photo of Sarah Loughridge, LPC , Licensed Professional Counselor
Sarah Loughridge
Licensed Professional Counselor, LPC
Verified Verified
Clayton, MO 63105  (Online Only)
Hello, and congratulations on taking the first step on your therapeutic journey. That takes courage and I am so proud of you! My name is Sarah Loughridge. I am a Licensed Professional Counselor (LPC) based in the state of Missouri. I am a Certified Clinical Trauma Professional, Neurodiversity Affirmative, and LGBTQ friendly. I conduct all sessions via telehealth. I look forward to partnering with you as you set out on this journey to heal from your past, take control of your present, and learn skills to create a better future.
Hello, and congratulations on taking the first step on your therapeutic journey. That takes courage and I am so proud of you! My name is Sarah Loughridge. I am a Licensed Professional Counselor (LPC) based in the state of Missouri. I am a Certified Clinical Trauma Professional, Neurodiversity Affirmative, and LGBTQ friendly. I conduct all sessions via telehealth. I look forward to partnering with you as you set out on this journey to heal from your past, take control of your present, and learn skills to create a better future.
(323) 643-8569 View (323) 643-8569
Photo of Deborah L Tannenbaum, MSW, LCSW, Clinical Social Work/Therapist
Deborah L Tannenbaum
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Clayton, MO 63105
Change is one of the few things life guarantees us. If you're going through a transition in your life you may be feeling lost and confused. Maybe you're feeling stuck and wondering how you will ever get through this. Other people seem to skate through life effortlessly so why do you keep hitting every bump? Everything you're thinking and feeling right now is normal. Change is a difficult but necessary part of life. The good news is that you will get through this and come out a happier and stronger person on the other side.
Change is one of the few things life guarantees us. If you're going through a transition in your life you may be feeling lost and confused. Maybe you're feeling stuck and wondering how you will ever get through this. Other people seem to skate through life effortlessly so why do you keep hitting every bump? Everything you're thinking and feeling right now is normal. Change is a difficult but necessary part of life. The good news is that you will get through this and come out a happier and stronger person on the other side.
(636) 451-9386 View (636) 451-9386
Photo of Melinda Jones, LPC , Licensed Professional Counselor
Melinda Jones
Licensed Professional Counselor, LPC
Verified Verified
Clayton, MO 63105  (Online Only)
My name is Melinda Jones, and I am a Licensed Professional Counselor (LPC) based in Hazelwood, Missouri, working with clients remotely through telehealth. I specialize in trauma, substance abuse, and mental health challenges, utilizing EMDR, Cognitive Behavioral Therapy, and Motivational Interviewing to guide my clients toward healing and lasting change. I primarily work with adults who are navigating the complexities of trauma, substance abuse, and co-occurring mental health disorders. My approach is well-suited for individuals facing the challenges of addiction recovery or processing past trauma.
My name is Melinda Jones, and I am a Licensed Professional Counselor (LPC) based in Hazelwood, Missouri, working with clients remotely through telehealth. I specialize in trauma, substance abuse, and mental health challenges, utilizing EMDR, Cognitive Behavioral Therapy, and Motivational Interviewing to guide my clients toward healing and lasting change. I primarily work with adults who are navigating the complexities of trauma, substance abuse, and co-occurring mental health disorders. My approach is well-suited for individuals facing the challenges of addiction recovery or processing past trauma.
(323) 643-8569 View (323) 643-8569
Photo of Shayna Elaine Warner, LCSW, Clinical Social Work/Therapist
Shayna Elaine Warner
Clinical Social Work/Therapist, LCSW
Verified Verified
Clayton, MO 63105
The act of seeking support takes tremendous courage and is a powerful way to take care of yourself. I approach the therapeutic process with this in mind. Over the course of my career working with Individuals, Families, and Communities, I have gained expertise and enjoyment collaborating with people as they navigate and struggle through life's challenges. I believe that healing becomes more accessible when we are not alone in our suffering.
The act of seeking support takes tremendous courage and is a powerful way to take care of yourself. I approach the therapeutic process with this in mind. Over the course of my career working with Individuals, Families, and Communities, I have gained expertise and enjoyment collaborating with people as they navigate and struggle through life's challenges. I believe that healing becomes more accessible when we are not alone in our suffering.
(314) 937-6019 x719 View (314) 937-6019 x719
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How does your Therapist compare?

Number of Therapists in Clayton, MO

300+

Average cost per session

$150

Therapists in Clayton, MO who prioritize treating:

93% Anxiety
88% Depression
81% Relationship Issues
73% Self Esteem
65% Stress
64% Trauma and PTSD
62% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
79% Cigna and Evernorth
77% UnitedHealthcare UHC | UBH

How Therapists in Clayton, MO see their clients

73% In Person and Online
27% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Clayton?

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.