Therapists in Spartanburg, SC

Photo of Roxie Medley - Positive Starts Counseling Services, LAC, MAC, NCC, Life, Coach, Licensed Professional Counselor
Positive Starts Counseling Services
Licensed Professional Counselor, LAC, MAC, NCC, Life, Coach
Verified Verified
Spartanburg, SC 29307
Welcome to Positive Starts with Roxie Medley, where every journey begins with a thought, an idea, a hope. I am a Licensed Professional Counselor, Licensed Addictions Counselor, and Life Coach with over 15 years of experience. I specialize in providing compassionate guidance and transformative support for individuals through a holistic approach to eclectic therapy and personal growth. At Positive Starts, we believe in the power of self-exploration, growth, and positive change. Whether navigating the challenges of early adulthood, redefining success, or striving for personal fulfillment, I'm here to guide you every step of the way.
Welcome to Positive Starts with Roxie Medley, where every journey begins with a thought, an idea, a hope. I am a Licensed Professional Counselor, Licensed Addictions Counselor, and Life Coach with over 15 years of experience. I specialize in providing compassionate guidance and transformative support for individuals through a holistic approach to eclectic therapy and personal growth. At Positive Starts, we believe in the power of self-exploration, growth, and positive change. Whether navigating the challenges of early adulthood, redefining success, or striving for personal fulfillment, I'm here to guide you every step of the way.
(864) 362-3212 View (864) 362-3212
Photo of Cherlyn Owens - Ascend Therapy Group, MA, MMFT, LMFT, Marriage & Family Therapist
Ascend Therapy Group
Marriage & Family Therapist, MA, MMFT, LMFT
Verified Verified
1 Endorsed
Spartanburg, SC 29302
Our lives may bring stress that can be difficult to manage alone. Do you have difficulty setting healthy boundaries and/or finding balance in your life? Is there a history of trauma or family of origin concerns that make it even more challenging to manage from day to day? I am committed to helping you develop self-awareness and learning healthy ways of coping. My passion is providing couples, individuals and family counseling for those who are challenged with relationship concerns and unhealthy communication patterns, and are genuinely wanting change.
Our lives may bring stress that can be difficult to manage alone. Do you have difficulty setting healthy boundaries and/or finding balance in your life? Is there a history of trauma or family of origin concerns that make it even more challenging to manage from day to day? I am committed to helping you develop self-awareness and learning healthy ways of coping. My passion is providing couples, individuals and family counseling for those who are challenged with relationship concerns and unhealthy communication patterns, and are genuinely wanting change.
(864) 362-9352 View (864) 362-9352
Photo of Markie Quillen, LPC-A
Markie Quillen
LPC Associate, LPC-A
Verified Verified
1 Endorsed
Spartanburg, SC 29306
Not accepting new clients
“You are your best thing.” These words, from one of my favorite novels, Beloved, by Toni Morrison, I believe define the power of therapy. Therapy is a journey of self discovery that aims to help clients achieve a sense of inner peace by enhancing awareness and strength. It isn’t without its challenges, though, and my goal is to be a safe and supportive companion on your journey.
“You are your best thing.” These words, from one of my favorite novels, Beloved, by Toni Morrison, I believe define the power of therapy. Therapy is a journey of self discovery that aims to help clients achieve a sense of inner peace by enhancing awareness and strength. It isn’t without its challenges, though, and my goal is to be a safe and supportive companion on your journey.
(864) 732-4305 View (864) 732-4305
Photo of Stacy Marshall Davis, MACC, LPC, Licensed Professional Counselor
Stacy Marshall Davis
Licensed Professional Counselor, MACC, LPC
Verified Verified
2 Endorsed
Spartanburg, SC 29307
I believe in establishing a relationship of trust in making counseling effective. My first priority is to get to know clients and seek to understand life from their perspective. From there I hope to help clients heal, grow and change. I seek to constantly grow as a counselor and be the best I can be for my clients.
I believe in establishing a relationship of trust in making counseling effective. My first priority is to get to know clients and seek to understand life from their perspective. From there I hope to help clients heal, grow and change. I seek to constantly grow as a counselor and be the best I can be for my clients.
(864) 778-2565 View (864) 778-2565
Photo of Megan E. Harris, MS, MEd, LPC, Licensed Professional Counselor
Megan E. Harris
Licensed Professional Counselor, MS, MEd, LPC
Verified Verified
Spartanburg, SC 29306
Our world is ever-changing, and we live in a society that can make every day a challenge. I am here to try and help make those days, and all of the days that follow, better for you. I take pride in being genuine, non-judgmental, open-minded, tolerant, patient, respectful, supportive, and honest. I will strive to build a positive therapeutic relationship with each of you, and to do all that I can to help you reach your goals. I own and operate Lotus Counseling, LLC. Why lotus? Because the lotus flower grows up through nasty, thick mud and still blooms into a beautiful flower - and people can, too! No mud, no lotus!
Our world is ever-changing, and we live in a society that can make every day a challenge. I am here to try and help make those days, and all of the days that follow, better for you. I take pride in being genuine, non-judgmental, open-minded, tolerant, patient, respectful, supportive, and honest. I will strive to build a positive therapeutic relationship with each of you, and to do all that I can to help you reach your goals. I own and operate Lotus Counseling, LLC. Why lotus? Because the lotus flower grows up through nasty, thick mud and still blooms into a beautiful flower - and people can, too! No mud, no lotus!
(864) 671-2726 View (864) 671-2726
Photo of Denise Levereaux, MSW, LISW-CP, Clinical Social Work/Therapist
Denise Levereaux
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
Spartanburg, SC 29301
I specialize in supporting individuals navigating the complex terrains of trauma, chronic illness, and stress. As a therapist deeply committed to your well-being, I bring a wealth of experience and expertise to our sessions. I draw from a blend of EMDR, somatic psychotherapy, and dialectical behavior therapy in my work. I understand the profound impact that trauma, chronic illness, and stress can have on every facet of your life. That's why I've dedicated myself to crafting a therapeutic approach that honors your unique journey and empowers you to reclaim agency over your life.
I specialize in supporting individuals navigating the complex terrains of trauma, chronic illness, and stress. As a therapist deeply committed to your well-being, I bring a wealth of experience and expertise to our sessions. I draw from a blend of EMDR, somatic psychotherapy, and dialectical behavior therapy in my work. I understand the profound impact that trauma, chronic illness, and stress can have on every facet of your life. That's why I've dedicated myself to crafting a therapeutic approach that honors your unique journey and empowers you to reclaim agency over your life.
(864) 707-9889 View (864) 707-9889
Photo of Anna Pendrey - Peaceful Empowerment Counseling and Coaching, LLC, LPC-A
Peaceful Empowerment Counseling and Coaching, LLC
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Spartanburg, SC 29303
Are you struggling with managing stress, emotions, or relationships? Do you find it hard to love yourself and sacrifice your mental health for those around you? I am able to help. I have 10 years experience in counseling, skills training, and coaching clients. I want to empower my clients to advocate for themselves, set goals, and find meaning and happiness in their lives. I offer individual therapy, processing groups, and coaching, all which are tailored to your individual needs and in a collaborative environment.
Are you struggling with managing stress, emotions, or relationships? Do you find it hard to love yourself and sacrifice your mental health for those around you? I am able to help. I have 10 years experience in counseling, skills training, and coaching clients. I want to empower my clients to advocate for themselves, set goals, and find meaning and happiness in their lives. I offer individual therapy, processing groups, and coaching, all which are tailored to your individual needs and in a collaborative environment.
(864) 740-8780 View (864) 740-8780
Photo of Alicia D Hart, MMFT, MDiv, EdS, CCTP, LMFTS, Marriage & Family Therapist
Alicia D Hart
Marriage & Family Therapist, MMFT, MDiv, EdS, CCTP, LMFTS
Verified Verified
2 Endorsed
Spartanburg, SC 29302
Alicia Hart has 25 years of experience working with individuals and families to meet their spiritual and clinical needs. She is dedicated to providing therapy that creates healing, change, and personal growth. The therapeutic process is different for each client. This is not a one size fits all process. Alicia understands that her job is help navigate change for her clients. The path to change requires insight and tools in order for the individual to overcome whatever obstacles they are facing. Alicia helps her clients to embrace the future and grow from the experiences of the past.
Alicia Hart has 25 years of experience working with individuals and families to meet their spiritual and clinical needs. She is dedicated to providing therapy that creates healing, change, and personal growth. The therapeutic process is different for each client. This is not a one size fits all process. Alicia understands that her job is help navigate change for her clients. The path to change requires insight and tools in order for the individual to overcome whatever obstacles they are facing. Alicia helps her clients to embrace the future and grow from the experiences of the past.
(864) 514-4915 View (864) 514-4915
Photo of Anne O'Connell Obermeyer, LMFT, RPT, CAMS II, Marriage & Family Therapist
Anne O'Connell Obermeyer
Marriage & Family Therapist, LMFT, RPT, CAMS II
Verified Verified
1 Endorsed
Spartanburg, SC 29302
I enjoy working with clients who are ready to make positive changes in their lives. I like to walk beside clients and help them find their strength and resiliency. Clients are then able to grow as individuals and to grow in relationships with others. I work with individuals, couples, and families to help them find the best ways to live healthy lives with loving relationships. I strive to create a safe environment for clients to express themselves and find new solutions that lead to serenity.
I enjoy working with clients who are ready to make positive changes in their lives. I like to walk beside clients and help them find their strength and resiliency. Clients are then able to grow as individuals and to grow in relationships with others. I work with individuals, couples, and families to help them find the best ways to live healthy lives with loving relationships. I strive to create a safe environment for clients to express themselves and find new solutions that lead to serenity.
(864) 383-9857 View (864) 383-9857
Photo of Sara-Katherine Wade, BS, MMFT, LMFT, Marriage & Family Therapist
Sara-Katherine Wade
Marriage & Family Therapist, BS, MMFT, LMFT
Verified Verified
Spartanburg, SC 29302
Maybe you have scoured the internet, the self help section, and your own exhausted brain looking for a way to make it better, but you’ve still come up empty. Maybe you are wondering, “Why do I still feel like this?” I'd love the honor of helping you explore your inner world, and find gentleness and compassion for yourself. I believe that you have the innate ability to achieve the life you want. My job as a therapist is to help you believe it too.
Maybe you have scoured the internet, the self help section, and your own exhausted brain looking for a way to make it better, but you’ve still come up empty. Maybe you are wondering, “Why do I still feel like this?” I'd love the honor of helping you explore your inner world, and find gentleness and compassion for yourself. I believe that you have the innate ability to achieve the life you want. My job as a therapist is to help you believe it too.
(864) 293-7557 View (864) 293-7557
Photo of Brittany Lanford, MA, LPC, Licensed Professional Counselor
Brittany Lanford
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Spartanburg, SC 29302
Waitlist for new clients
"My mission in life is not merely to survive, but to thrive." (Maya Angelou) Are you in "survival mode"? Struggling with anxiety? At a loss for how to help your child? Unhappy with your relationships? Whatever challenges you are facing, you deserve the opportunity to overcome them and thrive in a healthier, more satisfying life. Counseling can be an effective tool in working toward this end, and I enjoy being a part of the process with my clients. By focusing on your strengths and by using individualized approaches, I aim to provide a safe place to support you in gaining a better understanding of how you might achieve your goals.
"My mission in life is not merely to survive, but to thrive." (Maya Angelou) Are you in "survival mode"? Struggling with anxiety? At a loss for how to help your child? Unhappy with your relationships? Whatever challenges you are facing, you deserve the opportunity to overcome them and thrive in a healthier, more satisfying life. Counseling can be an effective tool in working toward this end, and I enjoy being a part of the process with my clients. By focusing on your strengths and by using individualized approaches, I aim to provide a safe place to support you in gaining a better understanding of how you might achieve your goals.
(864) 571-2519 View (864) 571-2519
Photo of Ashlyn Robbins, LMFT, Marriage & Family Therapist
Ashlyn Robbins
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Spartanburg, SC 29302
Waitlist for new clients
Each person has his or her own unique story, and this requires the therapist to place himself or herself aside and create a safe space for the client to explore and heal. As I work towards becoming a Registered Play Therapist, I enjoy working with a wide range of clientele including children, families, couples, and individuals. It would be a privilege to come along side you and talk with you about your journey in a judgment-free space where you feel both comfortable and safe.
Each person has his or her own unique story, and this requires the therapist to place himself or herself aside and create a safe space for the client to explore and heal. As I work towards becoming a Registered Play Therapist, I enjoy working with a wide range of clientele including children, families, couples, and individuals. It would be a privilege to come along side you and talk with you about your journey in a judgment-free space where you feel both comfortable and safe.
(864) 714-8766 View (864) 714-8766
Photo of Amy Christ, LISW-CP, Clinical Social Work/Therapist
Amy Christ
Clinical Social Work/Therapist, LISW-CP
Verified Verified
1 Endorsed
Spartanburg, SC 29302
Waitlist for new clients
Why should you have a therapist? I believe everyone needs to have someone in their corner, someone who is there to listen and help you through whatever is going on in your life, without judgment or bias. As your therapist, I can be that person for you. Whether you are facing a new challenge or have ongoing stressors, I want to help you find your way. By learning new techniques to cope and communicate, we can work toward making each day the best it can be.
Why should you have a therapist? I believe everyone needs to have someone in their corner, someone who is there to listen and help you through whatever is going on in your life, without judgment or bias. As your therapist, I can be that person for you. Whether you are facing a new challenge or have ongoing stressors, I want to help you find your way. By learning new techniques to cope and communicate, we can work toward making each day the best it can be.
(864) 712-7197 View (864) 712-7197
Photo of Saress Hudson, MA, NCC, LPC, Licensed Professional Counselor
Saress Hudson
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Spartanburg, SC 29306
I understand the weight of emotional pain—whether from a breakup, burnout, negative self talk, or major life transition. If you're feeling disconnected, overwhelmed, or stuck, I’m here to help you or your child honor your emotions while rediscovering your strength. I work well with children who are experiencing anxiety, difficulty expressing emotions and misconduct. Together, we'll explore what's holding you back, let go of what's no longer serving you, and use self-compassion and humor to heal. My approach is spiritual, intuitive, and deeply supportive, guiding you toward clarity, resilience, and a more joyful, balanced life.
I understand the weight of emotional pain—whether from a breakup, burnout, negative self talk, or major life transition. If you're feeling disconnected, overwhelmed, or stuck, I’m here to help you or your child honor your emotions while rediscovering your strength. I work well with children who are experiencing anxiety, difficulty expressing emotions and misconduct. Together, we'll explore what's holding you back, let go of what's no longer serving you, and use self-compassion and humor to heal. My approach is spiritual, intuitive, and deeply supportive, guiding you toward clarity, resilience, and a more joyful, balanced life.
(864) 668-3631 View (864) 668-3631
Photo of Amanda Bryant, MA, LPC, NCC
Amanda Bryant
MA, LPC, NCC
Verified Verified
1 Endorsed
Spartanburg, SC 29302
Let’s Talk! The stigma on Mental Health has encouraged me to advocate and bring awareness to the fact that we all in some way, shape, or form experience some type of challenge even if it is only situational. You do not have to let it define you. Sometimes talking through situations allows for recognition and growth, leading to a more productive and fulfilling life.
Let’s Talk! The stigma on Mental Health has encouraged me to advocate and bring awareness to the fact that we all in some way, shape, or form experience some type of challenge even if it is only situational. You do not have to let it define you. Sometimes talking through situations allows for recognition and growth, leading to a more productive and fulfilling life.
(864) 428-7159 View (864) 428-7159
Photo of Courtney Watford, MA, EdS, LPC-S, Licensed Professional Counselor
Courtney Watford
Licensed Professional Counselor, MA, EdS, LPC-S
Verified Verified
2 Endorsed
Spartanburg, SC 29302
"Caring for the mind is as important and as crucial as caring for the body. In fact, one cannot be healthy without the other"-Sid Garza-hillman. I truly believe this quote is the most accurate statement. Mental health is just as important as physical health. I have a true passion for helping others. I enjoy being able to see that moment when things come together and start to improve for each of my clients.
"Caring for the mind is as important and as crucial as caring for the body. In fact, one cannot be healthy without the other"-Sid Garza-hillman. I truly believe this quote is the most accurate statement. Mental health is just as important as physical health. I have a true passion for helping others. I enjoy being able to see that moment when things come together and start to improve for each of my clients.
(864) 387-1787 View (864) 387-1787
Photo of Kylene Taylor, LISW-CP, Clinical Social Work/Therapist
Kylene Taylor
Clinical Social Work/Therapist, LISW-CP
Verified Verified
1 Endorsed
Spartanburg, SC 29302
I believe every person holds within them the skills necessary to achieve the life they want. It is my job as a therapist to help you tap into those skills.
I believe every person holds within them the skills necessary to achieve the life they want. It is my job as a therapist to help you tap into those skills.
(864) 657-2748 View (864) 657-2748
Photo of Marie Lepage, PhD, Psychologist
Marie Lepage
Psychologist, PhD
Verified Verified
Spartanburg, SC 29302
Starting in mid-August I will be adding patients to my Wednesday Schedule. My professional experience has focused mostly on treating individuals suffering from eating disorders as well as individuals struggling with issues associated with obesity. However, I also have considerable experience working with people struggling with anxiety and depression. I enjoy helping people to gain a better understanding of their behaviors and how behaviors impact their emotional and physical health. I treat patients mostly with a cognitive behavioral approach.
Starting in mid-August I will be adding patients to my Wednesday Schedule. My professional experience has focused mostly on treating individuals suffering from eating disorders as well as individuals struggling with issues associated with obesity. However, I also have considerable experience working with people struggling with anxiety and depression. I enjoy helping people to gain a better understanding of their behaviors and how behaviors impact their emotional and physical health. I treat patients mostly with a cognitive behavioral approach.
(864) 938-7947 View (864) 938-7947
Photo of Heidi Moss, LISW-CP, CEDS, Clinical Social Work/Therapist
Heidi Moss
Clinical Social Work/Therapist, LISW-CP, CEDS
Verified Verified
Spartanburg, SC 29302
I believe that change can happen best in a safe, connected, caring environment and relationship. This is the foundation of my work as a therapist. I have a passion for working with adolescence, teens and adults who struggle with eating disorders, disordered eating, self esteem problems, anxiety, depression, life adjustment issues, and infertility.Being a Certified Eating Disorder counselor with 10 + years of training using Acceptance Commitment Therapy creates a solid foundation to create change. I work extensively with helping people get off the "diet rollercoaster" and learn to live a happier, supportive, mindful lifestyle.
I believe that change can happen best in a safe, connected, caring environment and relationship. This is the foundation of my work as a therapist. I have a passion for working with adolescence, teens and adults who struggle with eating disorders, disordered eating, self esteem problems, anxiety, depression, life adjustment issues, and infertility.Being a Certified Eating Disorder counselor with 10 + years of training using Acceptance Commitment Therapy creates a solid foundation to create change. I work extensively with helping people get off the "diet rollercoaster" and learn to live a happier, supportive, mindful lifestyle.
(864) 810-1234 View (864) 810-1234
Photo of Malikah Mills - Therapy Light Counseling Solutions, MA, LPCA
Therapy Light Counseling Solutions
LPC Associate, MA, LPCA
Verified Verified
2 Endorsed
Spartanburg, SC 29301  (Online Only)
Are you longing to feel more connected and build more intimate relationships with yourself, others, or family? Do you find yourself feeling stuck in thought patterns or behaviors that no longer serve you? Desiring a safe space to reflect and process? Whether you're an individual seeking a better sense of self or couple looking to rekindle & strengthen a bond, I'm here to support you every step of the way! My experience helps individuals and couples build heathier relationships with themselves and others. Providing hope in places of darkness using faith based principles. Your friendly neighborhood therapist is just steps away.
Are you longing to feel more connected and build more intimate relationships with yourself, others, or family? Do you find yourself feeling stuck in thought patterns or behaviors that no longer serve you? Desiring a safe space to reflect and process? Whether you're an individual seeking a better sense of self or couple looking to rekindle & strengthen a bond, I'm here to support you every step of the way! My experience helps individuals and couples build heathier relationships with themselves and others. Providing hope in places of darkness using faith based principles. Your friendly neighborhood therapist is just steps away.
(864) 351-7161 View (864) 351-7161
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How does your Therapist compare?

Number of Therapists in Spartanburg, SC

200+

Average cost per session

$125

Therapists in Spartanburg, SC who prioritize treating:

91% Anxiety
82% Depression
78% Self Esteem
76% Relationship Issues
65% Coping Skills
65% Stress
61% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
67% Aetna
55% Cigna and Evernorth

How Therapists in Spartanburg, SC see their clients

82% In Person and Online
18% Online Only

Gender breakdown

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

How can I find a therapist in Spartanburg?

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.