Therapists in Milton, VT

Photo of Tory Stickney, LCMHC, LADC, PMH-C
Tory Stickney
Licensed Clinical Mental Health Counselor, LCMHC, LADC, PMH-C
Verified Verified
Milton, VT 05468  (Online Only)
Waitlist for new clients
Specializing in supporting folks through pregnancy, post-partum, parenting, and other life adventures (i.e. career changes, attending college, existential, relationship concerns, self-evolution). Prioritizing your needs by creating a space to reflect, process and mindfully move through your experiences while also incorporating ways to integrate insights outside of therapy. Those interested in mindful self-exploration and deeper healing to develop a greater sense of well-being find my collaborative, somatic-experiential approach to be a good fit. I use an attachment-based, relational treatment modality.
Specializing in supporting folks through pregnancy, post-partum, parenting, and other life adventures (i.e. career changes, attending college, existential, relationship concerns, self-evolution). Prioritizing your needs by creating a space to reflect, process and mindfully move through your experiences while also incorporating ways to integrate insights outside of therapy. Those interested in mindful self-exploration and deeper healing to develop a greater sense of well-being find my collaborative, somatic-experiential approach to be a good fit. I use an attachment-based, relational treatment modality.
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Photo of Karen Hastings, LCSW, MSW, BSW, AAS, Clinical Social Work/Therapist
Karen Hastings
Clinical Social Work/Therapist, LCSW, MSW, BSW, AAS
Verified Verified
1 Endorsed
Milton, VT 05468  (Online Only)
Sometimes on our journey we need an objective guide. I can help you manage problems involving "big feelings” that otherwise overwhelm. If your goal is to start getting new results for old recurring problems we can do that with compassion and curiosity. It is important to explore our personal history to understand why we think or behave the ways we currently do. While personal growth isn't always painless, you don't have to be alone in the process if you have a therapist who will commit to the process along side of you. I can help you gain new perspectives that will get you to solve problems effectively.
Sometimes on our journey we need an objective guide. I can help you manage problems involving "big feelings” that otherwise overwhelm. If your goal is to start getting new results for old recurring problems we can do that with compassion and curiosity. It is important to explore our personal history to understand why we think or behave the ways we currently do. While personal growth isn't always painless, you don't have to be alone in the process if you have a therapist who will commit to the process along side of you. I can help you gain new perspectives that will get you to solve problems effectively.
(480) 470-9590 View (480) 470-9590
Photo of Annie Mell, MA, LCMHC, LPC, ATR-BC, MBA-HA, Counselor
Annie Mell
Counselor, MA, LCMHC, LPC, ATR-BC, MBA-HA
Verified Verified
Milton, VT 05468  (Online Only)
People approach my door with different degrees of readiness for change, hope for the future, and understanding of themselves. I aim to guide you in building the life you want with confidence, whether you are new to therapy or a seasoned pro. Together, we will navigate your depression, anxiety, grief, life transitions, disordered eating, trauma, and other challenges. As no two people are alike, my approach to therapy is varied based on your needs, which may include challenging long-held beliefs, listening and validation, or bringing a sense of humor into the room.
People approach my door with different degrees of readiness for change, hope for the future, and understanding of themselves. I aim to guide you in building the life you want with confidence, whether you are new to therapy or a seasoned pro. Together, we will navigate your depression, anxiety, grief, life transitions, disordered eating, trauma, and other challenges. As no two people are alike, my approach to therapy is varied based on your needs, which may include challenging long-held beliefs, listening and validation, or bringing a sense of humor into the room.
(802) 723-2773 View (802) 723-2773
Photo of Jen Castonguay, MS, LCMHC, Counselor
Jen Castonguay
Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Milton, VT 05468
Not accepting new clients
I value an integrative approach to clinical work with children, adolescents, and families. I enjoy partnering with clients to identify strengths, create personal goals, and challenge perceived barriers to making change. I have experience with clients of varied age groups and presenting issues, including: anxiety, depression, ADHD, PTSD, anger management, adoption, family conflict, parenting issues, emotion regulation, coping skills, and social awareness/understanding skills.
I value an integrative approach to clinical work with children, adolescents, and families. I enjoy partnering with clients to identify strengths, create personal goals, and challenge perceived barriers to making change. I have experience with clients of varied age groups and presenting issues, including: anxiety, depression, ADHD, PTSD, anger management, adoption, family conflict, parenting issues, emotion regulation, coping skills, and social awareness/understanding skills.
(802) 664-4519 View (802) 664-4519
Photo of Meghan Lewellen, MSW, LICSW, Clinical Social Work/Therapist
Meghan Lewellen
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Milton, VT 05468
Not accepting new clients
My approach to counseling is largely based on the therapeutic connection between an individual and their therapist, as this is one of the best predictors of progress and improvement over the course of therapy. I use strengths-based and relational methods to connect with individuals and support them in making changes to their lives. Clients can expect validation, respect, safety, and empathy when working with me.
My approach to counseling is largely based on the therapeutic connection between an individual and their therapist, as this is one of the best predictors of progress and improvement over the course of therapy. I use strengths-based and relational methods to connect with individuals and support them in making changes to their lives. Clients can expect validation, respect, safety, and empathy when working with me.
(802) 559-0255 View (802) 559-0255
Photo of Nacara Foss, CMHC, Pre-Licensed Professional
Nacara Foss
Pre-Licensed Professional, CMHC
Verified Verified
Milton, VT 05468  (Online Only)
I'm dedicated to helping you unlock the potential within yourself and embark on a transformative journey towards self-discovery and personal growth. I wholeheartedly believe that you are the expert in your own life journey. Together, we'll forge a partnership guided by your unique needs, values, and aspirations. I'm here to support and empower you, offering guidance and insights along the way. At the heart of effective counseling is the establishment of a strong, trusting, and secure client-therapist relationship. This is where our work begins.
I'm dedicated to helping you unlock the potential within yourself and embark on a transformative journey towards self-discovery and personal growth. I wholeheartedly believe that you are the expert in your own life journey. Together, we'll forge a partnership guided by your unique needs, values, and aspirations. I'm here to support and empower you, offering guidance and insights along the way. At the heart of effective counseling is the establishment of a strong, trusting, and secure client-therapist relationship. This is where our work begins.
(802) 392-2632 View (802) 392-2632
Photo of Julia Kimball, LICSW, Clinical Social Work/Therapist
Julia Kimball
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Milton, VT 05468
Not accepting new clients
** UNFORTUNATELY I AM NOT ABLE TO ACCEPT NEW CLIENTS AT THIS TIME ** I believe that all people have innate potential for growth and change. This belief is the cornerstone of my practice and my commitment to you is to use that conviction to inform our work together. I have experience working with individuals experiencing life transitions, anxiety, depression, PTSD and other effects of trauma, grief and loss, aging, and parenting and relationship challenges. I also have extensive experience working with individuals diagnosed with Autism spectrum disorders and/or intellectual disabilities and their families.
** UNFORTUNATELY I AM NOT ABLE TO ACCEPT NEW CLIENTS AT THIS TIME ** I believe that all people have innate potential for growth and change. This belief is the cornerstone of my practice and my commitment to you is to use that conviction to inform our work together. I have experience working with individuals experiencing life transitions, anxiety, depression, PTSD and other effects of trauma, grief and loss, aging, and parenting and relationship challenges. I also have extensive experience working with individuals diagnosed with Autism spectrum disorders and/or intellectual disabilities and their families.
(802) 277-3021 View (802) 277-3021
Photo of Nikki Builta-Paradise, MA, LCMHC, Counselor
Nikki Builta-Paradise
Counselor, MA, LCMHC
Verified Verified
Milton, VT 05468
Hi there. Thanks for stopping to read my blurb. My name is Nikki and I have worked in the Community Mental Health field for over 20 years. I have had the pleasure of working with many types of people in various stages of need- from case management to Crisis Intervention and support. I feel honored that people have let me into their lives and be witness to such vulnerable parts. I'm invested in working with people and meeting them where they are at. I believe that people can do incredible things and that at times we all need some support, guidance and someone to talk and process with- I'd love the chance to be that person.
Hi there. Thanks for stopping to read my blurb. My name is Nikki and I have worked in the Community Mental Health field for over 20 years. I have had the pleasure of working with many types of people in various stages of need- from case management to Crisis Intervention and support. I feel honored that people have let me into their lives and be witness to such vulnerable parts. I'm invested in working with people and meeting them where they are at. I believe that people can do incredible things and that at times we all need some support, guidance and someone to talk and process with- I'd love the chance to be that person.
(802) 278-6866 View (802) 278-6866
Photo of Angela Vogel Arigo, LCMHC, Counselor
Angela Vogel Arigo
Counselor, LCMHC
Verified Verified
Milton, VT 05468
Not accepting new clients
How amazing would it be if there was one 'go-to' book to guide everyone in learning how to live their lives to the fullest, discover true happiness, and relish in the satisfaction of working through the daily challenges we are handed. I have yet to discover this book. However, in my 13 years of working with children, youth, adults, and families with emotional and behavioral challenges I've learned that our experiences in life, no matter how difficult, are important and shape how we relate to others, how we feel, and move through this journey of life.
How amazing would it be if there was one 'go-to' book to guide everyone in learning how to live their lives to the fullest, discover true happiness, and relish in the satisfaction of working through the daily challenges we are handed. I have yet to discover this book. However, in my 13 years of working with children, youth, adults, and families with emotional and behavioral challenges I've learned that our experiences in life, no matter how difficult, are important and shape how we relate to others, how we feel, and move through this journey of life.
(802) 278-6085 View (802) 278-6085
Photo of Christian M. Dymond - Nature-Centered Psychotherapy, MA, LMFT, Marriage & Family Therapist
Nature-Centered Psychotherapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Milton, VT 05468
Not accepting new clients
I am passionate about helping people grow. I work with a variety of ages. I find family therapy to be very valuable work andI believe that people can grow throughout their lives. If you are a parent struggling with a teen, or an adult struggling in relationships, I believe that psychotherapy can help. Nature centered psychotherapy uses research based approaches to help people develop healthy coping skills, recover from trauma, and to develop a deeper connection to themselves. Sessions take place outdoors in a natural setting drawing from principles of Ecotherapy.
I am passionate about helping people grow. I work with a variety of ages. I find family therapy to be very valuable work andI believe that people can grow throughout their lives. If you are a parent struggling with a teen, or an adult struggling in relationships, I believe that psychotherapy can help. Nature centered psychotherapy uses research based approaches to help people develop healthy coping skills, recover from trauma, and to develop a deeper connection to themselves. Sessions take place outdoors in a natural setting drawing from principles of Ecotherapy.
(802) 560-3189 View (802) 560-3189
Photo of Kelley M Tessier, MS, LCMHC, LADC, Counselor
Kelley M Tessier
Counselor, MS, LCMHC, LADC
Verified Verified
Milton, VT 05468
Not accepting new clients
Making the decision to seek support for life challenges, takes a lot of courage and I am dedicated to helping those who are wanting to explore something different. I have worked in the addiction and mental health field for the past 20 years with all different age groups and am thankful for having the privilege of sitting with others and witnessing their stories. I have a strong focus around grief and loss and exploring how grief impacts our life decisions and changes our relationships with others and ourselves.
Making the decision to seek support for life challenges, takes a lot of courage and I am dedicated to helping those who are wanting to explore something different. I have worked in the addiction and mental health field for the past 20 years with all different age groups and am thankful for having the privilege of sitting with others and witnessing their stories. I have a strong focus around grief and loss and exploring how grief impacts our life decisions and changes our relationships with others and ourselves.
(802) 750-9210 View (802) 750-9210
Photo of Sigrid Alexandersen, MA, LCPC, LMFT, Counselor
Sigrid Alexandersen
Counselor, MA, LCPC, LMFT
Verified Verified
Milton, VT 05468  (Online Only)
I take a modern approach to therapy, As an LMFT and LCPC I see individuals of all ages and life stages : individuals, children, and families. As you search for a therapist you want someone who is empathic, but also experienced and competent. You need to be able to trust that your therapist has a plan for cure! if this is your first attempt in therapy or you have had therapy but need something more than you got, come and talk with me.
I take a modern approach to therapy, As an LMFT and LCPC I see individuals of all ages and life stages : individuals, children, and families. As you search for a therapist you want someone who is empathic, but also experienced and competent. You need to be able to trust that your therapist has a plan for cure! if this is your first attempt in therapy or you have had therapy but need something more than you got, come and talk with me.
(786) 744-3617 View (786) 744-3617
Photo of Amy Cook, MA, LCHMC, Counselor
Amy Cook
Counselor, MA, LCHMC
Verified Verified
Milton, VT 05468
Finding relief, support, meaning, and a clear path forward are the goals of most of my clients. We work together on both practical possibilities and internal understanding. A major part of the process is increasing the ability to really see and use the goodness within oneself to not only navigate complicated situations or recover from painful events but to find a sort of personal freedom capable of improving the quality of everyday life. Exercising this victory muscle can be a deeply spiritual endeavor. I invite you to call me to explore our potential for a mutually comfortable fit.
Finding relief, support, meaning, and a clear path forward are the goals of most of my clients. We work together on both practical possibilities and internal understanding. A major part of the process is increasing the ability to really see and use the goodness within oneself to not only navigate complicated situations or recover from painful events but to find a sort of personal freedom capable of improving the quality of everyday life. Exercising this victory muscle can be a deeply spiritual endeavor. I invite you to call me to explore our potential for a mutually comfortable fit.
(802) 494-1182 View (802) 494-1182
Photo of Dianne Vock DuPrat, MA, LCMHC, Counselor
Dianne Vock DuPrat
Counselor, MA, LCMHC
Verified Verified
Milton, VT 05468
Not accepting new clients
Psychotherapy is very rewarding and challenging work. Anyone seeking to make themselves healthier needs to know that and be open to change. Despite how difficult it is to work through the issues that disrupt our lives, the reward is learning that life is a process worth living and improving on a continuous basis. I treat people with trauma issues, depression, anxiety, PTSD, career moves, family issues, OCD, addictive behaviors, relationship problems and interpersonal unhappiness often beginning with providing psycho-educational information such as personal boundaries, basic human rights, safety, and coping and advocacy skills.
Psychotherapy is very rewarding and challenging work. Anyone seeking to make themselves healthier needs to know that and be open to change. Despite how difficult it is to work through the issues that disrupt our lives, the reward is learning that life is a process worth living and improving on a continuous basis. I treat people with trauma issues, depression, anxiety, PTSD, career moves, family issues, OCD, addictive behaviors, relationship problems and interpersonal unhappiness often beginning with providing psycho-educational information such as personal boundaries, basic human rights, safety, and coping and advocacy skills.
(802) 532-4022 View (802) 532-4022
Photo of Robert Munger, MA, LADC, LCMHC, Counselor
Robert Munger
Counselor, MA, LADC, LCMHC
Verified Verified
2 Endorsed
Milton, VT 05468
Not accepting new clients
I am retiring as of December 29, 2023. I'll continue to volunteer as a facilitator with SMART Recovery. For more information about SMART Recovery go to www.smartrecovery.org.
I am retiring as of December 29, 2023. I'll continue to volunteer as a facilitator with SMART Recovery. For more information about SMART Recovery go to www.smartrecovery.org.
(802) 490-3143 View (802) 490-3143
Photo of Robert J. Narucki Licensed Psychologist-Master, MA, Psychol, Psychologist
Robert J. Narucki Licensed Psychologist-Master
Psychologist, MA, Psychol
Verified Verified
Milton, VT 05468
I offer therapy services for children, adolescents, adults, and families. Developing a dialogue between therapist and client we work together in the relationship to understand, and expand one's understanding of one's personal and life narrative. Meeting the individual at their level is important in the development of a trusting working alliance. My belief in the therapeutic relationship itself plays a pivotal role in the healing process, where my work is founded on trust, empathy, and humor. I offer my commitment to the human journey and look forward to working collaboratively with my clients to renewed understanding, growth, and healing.
I offer therapy services for children, adolescents, adults, and families. Developing a dialogue between therapist and client we work together in the relationship to understand, and expand one's understanding of one's personal and life narrative. Meeting the individual at their level is important in the development of a trusting working alliance. My belief in the therapeutic relationship itself plays a pivotal role in the healing process, where my work is founded on trust, empathy, and humor. I offer my commitment to the human journey and look forward to working collaboratively with my clients to renewed understanding, growth, and healing.
(802) 872-7645 View (802) 872-7645
Photo of Tammie Colburn Consejo, LCMHC, PhD, LLC
Tammie Colburn Consejo
Licensed Clinical Mental Health Counselor, LCMHC, PhD, LLC
Verified Verified
2 Endorsed
Milton, VT 05468
Not accepting new clients
Hello! Not accepting new clients at this time. Services available for Psychotherapists: Clinical Supervision (individual and group), Consultations, Trainings and Seminars. Licensure hours and CEU's available for LCMHC, LicSW and LMFT. Supervision and training for supervisors is also available.
Hello! Not accepting new clients at this time. Services available for Psychotherapists: Clinical Supervision (individual and group), Consultations, Trainings and Seminars. Licensure hours and CEU's available for LCMHC, LicSW and LMFT. Supervision and training for supervisors is also available.
(802) 526-8116 View (802) 526-8116
Photo of Candie Killackey, LICSW, Clinical Social Work/Therapist
Candie Killackey
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Milton, VT 05468
Not accepting new clients
I provide a safe and comfortable place for my clients to express themselves and find a caring and supportive therapist who will come alongside them in their struggles. My clients come in for support around challenges including: sadness and depressed mood, grief and loss, low self confidence, stress or anxiety, medical and health struggles, being a caregiver, relationship troubles, parenting, family and life transitions (examples: divorce, going off to college, beginning a new job, moving)
I provide a safe and comfortable place for my clients to express themselves and find a caring and supportive therapist who will come alongside them in their struggles. My clients come in for support around challenges including: sadness and depressed mood, grief and loss, low self confidence, stress or anxiety, medical and health struggles, being a caregiver, relationship troubles, parenting, family and life transitions (examples: divorce, going off to college, beginning a new job, moving)
(802) 992-8219 View (802) 992-8219
Photo of Thomas Mock, LICSW, ACSW, BCD, Clinical Social Work/Therapist
Thomas Mock
Clinical Social Work/Therapist, LICSW, ACSW, BCD
Verified Verified
Milton, VT 05468
Choosing a therapist for yourself or loved one can be a difficult task. A true "Master" of the healing arts is one who has spent years learning, practicing, and refining their skills as a healer. Individuals, couples and families first entering into the therapeutic relationship often feel overwhelmed, confused, anxious and vulnerable. They need to feel safe by knowing that they are truly being heard and respected. They also need to trust that their therapist has sufficient experience to patiently guide them thru the process of self discovery on their path to wellness and feeling whole, perhaps for the first time in their life.
Choosing a therapist for yourself or loved one can be a difficult task. A true "Master" of the healing arts is one who has spent years learning, practicing, and refining their skills as a healer. Individuals, couples and families first entering into the therapeutic relationship often feel overwhelmed, confused, anxious and vulnerable. They need to feel safe by knowing that they are truly being heard and respected. They also need to trust that their therapist has sufficient experience to patiently guide them thru the process of self discovery on their path to wellness and feeling whole, perhaps for the first time in their life.
(802) 278-0404 View (802) 278-0404
Photo of Jodi Pickel, LICSW, Clinical Social Work/Therapist
Jodi Pickel
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Milton, VT 05468  (Online Only)
Accepting Medicaid and Self Pay. I provide online therapy only for individual adults. In practice, I provide integrated therapy, combining a variety of approaches to work toward goals together. My belief is that each individual needs the opportunity to be heard, understood and accepted to move forward in their path to self fulfillment. My work is to help navigate through obstacles and create awareness and appreciation for each individual story and couples journey.
Accepting Medicaid and Self Pay. I provide online therapy only for individual adults. In practice, I provide integrated therapy, combining a variety of approaches to work toward goals together. My belief is that each individual needs the opportunity to be heard, understood and accepted to move forward in their path to self fulfillment. My work is to help navigate through obstacles and create awareness and appreciation for each individual story and couples journey.
(802) 528-7030 View (802) 528-7030
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See more therapy options for Milton

How does your Therapist compare?

Number of Therapists in Milton, VT

20+

Average cost per session

$125

Therapists in Milton, VT who prioritize treating:

96% Anxiety
92% Self Esteem
88% Grief
83% Relationship Issues
83% Depression
83% Trauma and PTSD
83% Coping Skills

Average years in practice

16 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
82% Medicaid
73% MVP Health Care

How Therapists in Milton, VT see their clients

71% In Person and Online
29% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Milton?

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.