Therapists in Racine County, WI

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Photo of Tessa Thompson - Balanced Vision LLC, MSW, APSW, Clinical Social Work/Therapist
Balanced Vision LLC
Clinical Social Work/Therapist, MSW, APSW
Verified Verified
Racine, WI 53403
What I hear from kiddos: "I feel alone, worried, anxious, and overwhelmed." Navigating mental health in a way that is non-judgmental and relatable is a big deal. How do they find "their" tools to navigate their present circumstances? School, family, work, social and self-discovery can all present with new challenges and transitions. How do you figure it all out?
What I hear from kiddos: "I feel alone, worried, anxious, and overwhelmed." Navigating mental health in a way that is non-judgmental and relatable is a big deal. How do they find "their" tools to navigate their present circumstances? School, family, work, social and self-discovery can all present with new challenges and transitions. How do you figure it all out?
(262) 846-5864 View (262) 846-5864
Photo of Sherry Lynn Ward, MS, LPC, CSAC, Licensed Professional Counselor
Sherry Lynn Ward
Licensed Professional Counselor, MS, LPC, CSAC
Verified Verified
Burlington, WI 53105
I believe that each of us wants to be the best person we can be. We each have all the internal resources to achieve this goal. Unfortunately, life experiences cloud our ability to see these resources and to trust our ability tonuse them effectively. Addiction, trauma, grief, depression and anxiety xan create obstacles to a life worth living. My goal is to assist you in overcoming obstacles, integrating life experiences and changing negative patterns to become the person you want to be and have a life you want and deserve.
I believe that each of us wants to be the best person we can be. We each have all the internal resources to achieve this goal. Unfortunately, life experiences cloud our ability to see these resources and to trust our ability tonuse them effectively. Addiction, trauma, grief, depression and anxiety xan create obstacles to a life worth living. My goal is to assist you in overcoming obstacles, integrating life experiences and changing negative patterns to become the person you want to be and have a life you want and deserve.
(262) 279-1674 View (262) 279-1674
Photo of Victoria Mahboub - Victoria Mahboub LCSW, MSW , LCSW, Clinical Social Work/Therapist
Victoria Mahboub LCSW
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
1 Endorsed
Racine, WI 53405
Improving the quality of your life is my focus. I've found that through talk therapy that can happen. Our experiences and our relationships contribute to the person we are today and how we respond to the world around us. I would be honored to join you in your journey or the journey of your child to increase insight and understanding and to develop a better way of coping when life gets complicated.
Improving the quality of your life is my focus. I've found that through talk therapy that can happen. Our experiences and our relationships contribute to the person we are today and how we respond to the world around us. I would be honored to join you in your journey or the journey of your child to increase insight and understanding and to develop a better way of coping when life gets complicated.
(262) 891-4185 View (262) 891-4185
Photo of Maria E. Guardiola, Licensed Professional Counselor
Maria E. Guardiola
Licensed Professional Counselor
Verified Verified
Racine, WI 53402  (Online Only)
Riding the difficult waves of life can lead to feelings of confusion, uncertainty, hopelessness, and even feelings of confinement, but these often unexpected and challenging tides can also serve as an invaluable catalyst for the goal creation process. Everyone's journey is unique, you are unique, and reflecting on both your past and present life experiences can help identify and interpret patterns of meaning that lead to a journey of healing, personal empowerment, and achieving optimal health. A commitment to evidence-based practice and integrated therapy approaches is central to my work as a psychological health provider.
Riding the difficult waves of life can lead to feelings of confusion, uncertainty, hopelessness, and even feelings of confinement, but these often unexpected and challenging tides can also serve as an invaluable catalyst for the goal creation process. Everyone's journey is unique, you are unique, and reflecting on both your past and present life experiences can help identify and interpret patterns of meaning that lead to a journey of healing, personal empowerment, and achieving optimal health. A commitment to evidence-based practice and integrated therapy approaches is central to my work as a psychological health provider.
(414) 240-5326 View (414) 240-5326
Photo of Janis M Paonessa, MA, LMFT, Marriage & Family Therapist
Janis M Paonessa
Marriage & Family Therapist, MA, LMFT
Verified Verified
Racine, WI 53406
Not accepting new clients
I am a Marriage and Family therapist who believes in the sanctity of a life well lived and lived well. With each new stage in life comes expectations, challenges, opportunity for learning and a variety of emotions. I can help you work through negative and self-defeating thoughts, disappointments and stubborn life questions through changing thoughts that are unhelpful and are not life-affirming to those that help you to learn, to grow, to feel happy. I work with individuals, children, families and couples to meet you where you are in your life.
I am a Marriage and Family therapist who believes in the sanctity of a life well lived and lived well. With each new stage in life comes expectations, challenges, opportunity for learning and a variety of emotions. I can help you work through negative and self-defeating thoughts, disappointments and stubborn life questions through changing thoughts that are unhelpful and are not life-affirming to those that help you to learn, to grow, to feel happy. I work with individuals, children, families and couples to meet you where you are in your life.
(262) 456-3712 View (262) 456-3712
Photo of Macey Villarreal, LCSW, Clinical Social Work/Therapist
Macey Villarreal
Clinical Social Work/Therapist, LCSW
Verified Verified
Racine, WI 53406
Macey Villarreal is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2009. She has an MSW from Loyola University. Macey provides a safe, nonjudgmental space for clients where she can support them as they make their journey towards change. Macey has specialized training in trauma and anxiety disorders. Outside of work, Macey enjoys plants, yoga, and meditation.
Macey Villarreal is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2009. She has an MSW from Loyola University. Macey provides a safe, nonjudgmental space for clients where she can support them as they make their journey towards change. Macey has specialized training in trauma and anxiety disorders. Outside of work, Macey enjoys plants, yoga, and meditation.
(262) 600-3185 View (262) 600-3185
Photo of Jeanne Denney, MA, CCE
Jeanne Denney
MA, CCE
Verified Verified
1 Endorsed
Racine, WI 53403
Waitlist for new clients
Would you like to transform your life issues into growth and have a deeper connection to your body, health and purpose? I listen with compassion, offer insight, and support you in finding practical solutions for your life issues: depression, anxiety, anger, relationship problems or something else. Over time I will expose you to body-based methods for physical and emotional renewal. Our work might include mindfulness, breath, movement or other body based techniques, which increases self-awareness and empowerment. Finding an understanding of these changes in the context of spirituality is supported if you find this useful.
Would you like to transform your life issues into growth and have a deeper connection to your body, health and purpose? I listen with compassion, offer insight, and support you in finding practical solutions for your life issues: depression, anxiety, anger, relationship problems or something else. Over time I will expose you to body-based methods for physical and emotional renewal. Our work might include mindfulness, breath, movement or other body based techniques, which increases self-awareness and empowerment. Finding an understanding of these changes in the context of spirituality is supported if you find this useful.
(262) 383-3680 View (262) 383-3680
Photo of Jasmyn Vallecillo Stengel, LMFT-I, Marriage & Family Therapist Intern
Jasmyn Vallecillo Stengel
Marriage & Family Therapist Intern, LMFT-I
Verified Verified
Racine, WI 53406
As a Marriage and Family Therapist Intern with a passion for empowering individuals, I bring a blend of narrative and person-centered therapy to my practice. My work is deeply rooted in the belief that clients are the experts of their own lives. This guiding principle shapes a collaborative therapeutic environment where the client's voice leads the journey. My approach is holistic, considering the entirety of a person's experience, including emotional, psychological, and physical wellness. With a foundation in multicultural awareness and a feminist perspective, I strive to create a space that is both inclusive and respectful.
As a Marriage and Family Therapist Intern with a passion for empowering individuals, I bring a blend of narrative and person-centered therapy to my practice. My work is deeply rooted in the belief that clients are the experts of their own lives. This guiding principle shapes a collaborative therapeutic environment where the client's voice leads the journey. My approach is holistic, considering the entirety of a person's experience, including emotional, psychological, and physical wellness. With a foundation in multicultural awareness and a feminist perspective, I strive to create a space that is both inclusive and respectful.
(262) 218-2430 View (262) 218-2430
Photo of Iman L Khan, MS, LPC, LMHC, Licensed Professional Counselor
Iman L Khan
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
Racine, WI 53405
Happiness is our natural state of being... if you're not happy, then you're not in alignment with your natural state. So the question is, "Do you want to be happy?" I will work with you to help identify your values; which are the foundation for your decision making. Decisions that stem from your values will bring you peace and clarity. Decisions that stem from fear or old unhealthy patterns will bring you conflict and confusion. It's that simple... Happiness is a choice and a practice, despite the labels we may have been given along the way.
Happiness is our natural state of being... if you're not happy, then you're not in alignment with your natural state. So the question is, "Do you want to be happy?" I will work with you to help identify your values; which are the foundation for your decision making. Decisions that stem from your values will bring you peace and clarity. Decisions that stem from fear or old unhealthy patterns will bring you conflict and confusion. It's that simple... Happiness is a choice and a practice, despite the labels we may have been given along the way.
(262) 421-4539 View (262) 421-4539
Photo of Evan Hart, LPC, Licensed Professional Counselor
Evan Hart
Licensed Professional Counselor, LPC
Verified Verified
Racine, WI 53406
Evan Hart is a licensed professional counselor. His clinical focus is helping individual adults with a variety of concerns including anxiety, depression, trauma, stress management, and transitional issues. Evan works with clients from a person-centered outlook employing Cognitive-Behavioral Therapy, Motivational Interviewing, and a variety of other therapeutic models. He uses evidence-based and research informed assessment and intervention practices in his work. It is essential for Evan to create a safe space in which empathic collaboration with clients will yield a customized plan that helps them progress towards identified goals.
Evan Hart is a licensed professional counselor. His clinical focus is helping individual adults with a variety of concerns including anxiety, depression, trauma, stress management, and transitional issues. Evan works with clients from a person-centered outlook employing Cognitive-Behavioral Therapy, Motivational Interviewing, and a variety of other therapeutic models. He uses evidence-based and research informed assessment and intervention practices in his work. It is essential for Evan to create a safe space in which empathic collaboration with clients will yield a customized plan that helps them progress towards identified goals.
(262) 846-5460 View (262) 846-5460
Rosanne K Poe
Psychologist, PsyD, RPTS
Verified Verified
Racine, WI 53406
I usually work first from a practical and cognitive-behavioral level, which may deepen eventually to inner personal levels through use of dreams (from a Jungian perspective) and sometimes Sand Play. I emphasize protection of trust and the therapeutic process as much as possible and help the individuals and family members who I work with to understand the reasoning. Each person is unique and I anticipate and enjoy building a relationship that assumes collaboration. I then work with them toward activating their own healing potential, no matter the age, with the hope that it is a lifelong learning and ability.
I usually work first from a practical and cognitive-behavioral level, which may deepen eventually to inner personal levels through use of dreams (from a Jungian perspective) and sometimes Sand Play. I emphasize protection of trust and the therapeutic process as much as possible and help the individuals and family members who I work with to understand the reasoning. Each person is unique and I anticipate and enjoy building a relationship that assumes collaboration. I then work with them toward activating their own healing potential, no matter the age, with the hope that it is a lifelong learning and ability.
(262) 584-4996 View (262) 584-4996
Photo of Stephanie Pattengale, LPC, Licensed Professional Counselor
Stephanie Pattengale
Licensed Professional Counselor, LPC
Verified Verified
Waterford, WI 53185  (Online Only)
Welcome! Life is not easy. It can be filled with stressors and struggles. Sometimes, these can significantly impact our daily routines. And we find we are no longer living the way we envisioned. As a therapist, my goal is to help clients get back to the way they envisioned living and find better days.
Welcome! Life is not easy. It can be filled with stressors and struggles. Sometimes, these can significantly impact our daily routines. And we find we are no longer living the way we envisioned. As a therapist, my goal is to help clients get back to the way they envisioned living and find better days.
(262) 419-3680 View (262) 419-3680
Photo of Alyson Gerdes, PhD, Psychologist
Alyson Gerdes
Psychologist, PhD
Verified Verified
Racine, WI 53406
Dr. Alyson Gerdes is a Licensed Clinical Psychologist who earned her Ph.D. from Purdue University in 2004. She has been a faculty member at Marquette University (MU) since 2004. At MU, Dr. Gerdes trains clinical psychology doctoral students and conducts research on childhood ADHD and student wellness. She joined the LifeStance (formerly Cornerstone Counseling) team in 2021 and sees clients 1 day/week. She is an empathetic listener who enjoys working with children, teens, and adults. When working with children who are experiencing ADHD or behavioral issues, Dr. Gerdes works within a behavioral framework.
Dr. Alyson Gerdes is a Licensed Clinical Psychologist who earned her Ph.D. from Purdue University in 2004. She has been a faculty member at Marquette University (MU) since 2004. At MU, Dr. Gerdes trains clinical psychology doctoral students and conducts research on childhood ADHD and student wellness. She joined the LifeStance (formerly Cornerstone Counseling) team in 2021 and sees clients 1 day/week. She is an empathetic listener who enjoys working with children, teens, and adults. When working with children who are experiencing ADHD or behavioral issues, Dr. Gerdes works within a behavioral framework.
(262) 624-1245 View (262) 624-1245
Photo of Monica Passage, LCSW, Clinical Social Work/Therapist
Monica Passage
Clinical Social Work/Therapist, LCSW
Verified Verified
Racine, WI 53406
Monica Passage is a Clinical Therapist with LifeStance. She provides mental healthcare to adults 21 years and older. Ms. Passage has a special interest in helping adults live their best life possible by providing a respectful, compassionate environment. She believes in treating the whole person, mind, body and spirit and uses an eclectic approach to tailor therapy based on the individual. She views the therapeutic relationship as collaborative, with her clients playing an active role in their treatment. Outside the office, Ms. Passage enjoys spending time with friends and family.
Monica Passage is a Clinical Therapist with LifeStance. She provides mental healthcare to adults 21 years and older. Ms. Passage has a special interest in helping adults live their best life possible by providing a respectful, compassionate environment. She believes in treating the whole person, mind, body and spirit and uses an eclectic approach to tailor therapy based on the individual. She views the therapeutic relationship as collaborative, with her clients playing an active role in their treatment. Outside the office, Ms. Passage enjoys spending time with friends and family.
(262) 592-5148 View (262) 592-5148
Photo of Kimberlee Marie Moster, MS, LPC, SAC, Licensed Professional Counselor
Kimberlee Marie Moster
Licensed Professional Counselor, MS, LPC, SAC
Verified Verified
Racine, WI 53406  (Online Only)
I believe in meeting clients where they are at in their healing process. Assisting my clients in identifying their unique strengths in order to find balance and joy in their lives is always at the core of the therapy process. I provide a straightforward, compassionate approach with my clients and take my work very seriously. I do not, however, take myself overly seriously, so clients feel I am very easy to relate to. I believe that everyone, at some point, can benefit from therapy. It's not only to fix what might feel broken, but also to improve on what's working in our lives.
I believe in meeting clients where they are at in their healing process. Assisting my clients in identifying their unique strengths in order to find balance and joy in their lives is always at the core of the therapy process. I provide a straightforward, compassionate approach with my clients and take my work very seriously. I do not, however, take myself overly seriously, so clients feel I am very easy to relate to. I believe that everyone, at some point, can benefit from therapy. It's not only to fix what might feel broken, but also to improve on what's working in our lives.
(262) 229-2767 View (262) 229-2767
Photo of Nia Delgado, MS, LPC-IT, SAC-IT, LPC Intern
Nia Delgado
LPC Intern, MS, LPC-IT, SAC-IT
Verified Verified
2 Endorsed
Racine, WI 53403
I am a licensed sex positive and affirming psychotherapist who is passionate about helping people reconnect to others in meaningful and intentional ways. Specific areas I help individuals and couples tackle are: trauma, depression, anxiety, porn addiction, sexual incompatibilities, desire discrepancy, shame and embarrassment, low desire and pain during sex, emotional difficulties, conflict and communication resolution. Therapy can provide a safe, supportive and thriving environment for you to reach your desired goals in life, connect with the people who matter most to you, and cultivate purpose.
I am a licensed sex positive and affirming psychotherapist who is passionate about helping people reconnect to others in meaningful and intentional ways. Specific areas I help individuals and couples tackle are: trauma, depression, anxiety, porn addiction, sexual incompatibilities, desire discrepancy, shame and embarrassment, low desire and pain during sex, emotional difficulties, conflict and communication resolution. Therapy can provide a safe, supportive and thriving environment for you to reach your desired goals in life, connect with the people who matter most to you, and cultivate purpose.
(262) 279-1354 View (262) 279-1354
Photo of Kristine Jacobs, LCSW, Clinical Social Work/Therapist
Kristine Jacobs
Clinical Social Work/Therapist, LCSW
Verified Verified
Racine, WI 53406
Kristine Jacobs is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2015. She has a BS in Psychology from University of Wisconsin-Madison and an MSW from University of California, Los Angeles. With more than 19 years of experience working with children and families, Kristine understands the complexities of child development. In the past 8 years as a licensed mental health professional, she has worked with children ages 2-18. Kristine has specialized training in child trauma, treatment for young children with behavioral problems, and families with adoption-specific issues.
Kristine Jacobs is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2015. She has a BS in Psychology from University of Wisconsin-Madison and an MSW from University of California, Los Angeles. With more than 19 years of experience working with children and families, Kristine understands the complexities of child development. In the past 8 years as a licensed mental health professional, she has worked with children ages 2-18. Kristine has specialized training in child trauma, treatment for young children with behavioral problems, and families with adoption-specific issues.
(262) 229-8055 View (262) 229-8055
Photo of Dr. Annette Vielleux, PsyD, Psychologist
Dr. Annette Vielleux
Psychologist, PsyD
Verified Verified
Burlington, WI 53105
If you struggle with "spacing out", difficulties concentrating, losing track of time, poor memory, unexplained mood swings, trauma triggers coming out of nowhere, or loved ones telling you that your behavior changes drastically in different situations that you do not remember, I may be able to help. These symptoms can often look like different disorders such as ADHD or Bipolar Disorder. If you have been diagnosed with PTSD in the past, but typical treatment has not been helpful, it may be because you have a dissociative disorder. If dissociation is not addressed directly in therapy, progress will be very limited.
If you struggle with "spacing out", difficulties concentrating, losing track of time, poor memory, unexplained mood swings, trauma triggers coming out of nowhere, or loved ones telling you that your behavior changes drastically in different situations that you do not remember, I may be able to help. These symptoms can often look like different disorders such as ADHD or Bipolar Disorder. If you have been diagnosed with PTSD in the past, but typical treatment has not been helpful, it may be because you have a dissociative disorder. If dissociation is not addressed directly in therapy, progress will be very limited.
(262) 537-5189 View (262) 537-5189
Photo of Mallory Sunstrom, MSW, LCSW, Clinical Social Work/Therapist
Mallory Sunstrom
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Wind Lake, WI 53185
Are you looking for a change? Are you feeling overwhelmed, anxious or depressed? I am here to help! I am a trauma-informed therapist that uses CBT and Solution-Focused approaches. I have over ten years of experience in the mental health field, with both children and adults, and would love the opportunity to meet with you! Call me today to schedule your free consultation.
Are you looking for a change? Are you feeling overwhelmed, anxious or depressed? I am here to help! I am a trauma-informed therapist that uses CBT and Solution-Focused approaches. I have over ten years of experience in the mental health field, with both children and adults, and would love the opportunity to meet with you! Call me today to schedule your free consultation.
(262) 518-9199 View (262) 518-9199
Photo of Jessica Aiello, LPC, Licensed Professional Counselor
Jessica Aiello
Licensed Professional Counselor, LPC
Verified Verified
Racine, WI 53403
Waitlist for new clients
Hello, unfortunately at this time, I cannot accept new clients as I am full serving the individuals I am currently working with. Please feel free to email me if you would like to be added to a waitlist to start servies in the near future. Thank You.
Hello, unfortunately at this time, I cannot accept new clients as I am full serving the individuals I am currently working with. Please feel free to email me if you would like to be added to a waitlist to start servies in the near future. Thank You.
(262) 239-7939 View (262) 239-7939
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How does your Therapist compare?

Number of Therapists in Racine County, WI

100+

Average cost per session

$150

Therapists in Racine County, WI who prioritize treating:

91% Depression
91% Anxiety
71% Trauma and PTSD
66% Self Esteem
64% Relationship Issues
58% Grief
58% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
73% Aetna
71% UnitedHealthcare UHC | UBH

How Therapists in Racine County, WI see their clients

76% In Person and Online
24% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Racine County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.