Therapists in Fort Collins, CO
![Photo of David Keyes, MA, LPCC](https://photos.psychologytoday.com/9bdb899a-2875-4431-a472-4d79cc2185b7/1/320x400.png)
David Keyes
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
2 Endorsed
Fort Collins, CO 80525
Sometimes in life it feels like we keep getting in our own way. We keep seeing the same unwanted results but we just can't find the point where we're getting it wrong. It can be hard to tell whether it's learned behaviors from past experiences, symptoms from something like ADHD or anxiety, or even a complete mystery. Taking some time to understand the what (am I doing?), why (is that what I do?), and how (that is impacting what I want?) can lay the foundations for change in those patterns. With a bit of self-compassion and hard work, of course.
Sometimes in life it feels like we keep getting in our own way. We keep seeing the same unwanted results but we just can't find the point where we're getting it wrong. It can be hard to tell whether it's learned behaviors from past experiences, symptoms from something like ADHD or anxiety, or even a complete mystery. Taking some time to understand the what (am I doing?), why (is that what I do?), and how (that is impacting what I want?) can lay the foundations for change in those patterns. With a bit of self-compassion and hard work, of course.
![Photo of Chloe Scruggs, Pre-Licensed Professional](https://photos.psychologytoday.com/bbf8f5d3-5ac5-415b-b5de-f8385622b78c/1/320x400.jpeg)
“People have no idea that I’m really falling apart on the inside.”... “I feel like this world wasn’t built for me, and it’s so hard to figure out how to stay afloat.”...“I’m so overwhelmed all the time.”...“I’m doing my best, but it never feels good enough.” You aren't alone in any of these feelings. I hear you, and I am here for you.
“People have no idea that I’m really falling apart on the inside.”... “I feel like this world wasn’t built for me, and it’s so hard to figure out how to stay afloat.”...“I’m so overwhelmed all the time.”...“I’m doing my best, but it never feels good enough.” You aren't alone in any of these feelings. I hear you, and I am here for you.
![Photo of Al Warner](https://photos.psychologytoday.com/5f474241-ee0f-478e-9350-cc70a1a88561/2/320x400.png)
I am a playful and tender adult who does their best work with humans 5-12. In the world of play therapy, toys are words and young clients have a safe space to explore, process and share their experiences. I also strive to support caregivers of clients in the ebb and flow of raising young humans. Most of my clients are kids, but we are all children at heart, and I do see adults as well. My hope is that we build a safe space together, and I will meet you where you are at, with radical acceptance and care.
I am a playful and tender adult who does their best work with humans 5-12. In the world of play therapy, toys are words and young clients have a safe space to explore, process and share their experiences. I also strive to support caregivers of clients in the ebb and flow of raising young humans. Most of my clients are kids, but we are all children at heart, and I do see adults as well. My hope is that we build a safe space together, and I will meet you where you are at, with radical acceptance and care.
![Photo of Savana Gutierrez, MSW, SWC](https://photos.psychologytoday.com/3e4c517a-8644-4540-ad42-a388ec26aacf/1/320x400.jpeg)
Savana Gutierrez has a heart for helping people will strive to create a safe, peaceful and compassionate place where you can address your concerns. She understands that life isn’t always easy to navigate alone, and is committed to walking alongside individuals seeking support, emotional well-being, and personal growth. Each day, she helps others embark on a journey of empathy and understanding, making a positive impact in their lives. Savana's passion for therapy is rooted in her dedication to helping others navigate life’s changes and challenges, discover their inner strengths and find healing.
Savana Gutierrez has a heart for helping people will strive to create a safe, peaceful and compassionate place where you can address your concerns. She understands that life isn’t always easy to navigate alone, and is committed to walking alongside individuals seeking support, emotional well-being, and personal growth. Each day, she helps others embark on a journey of empathy and understanding, making a positive impact in their lives. Savana's passion for therapy is rooted in her dedication to helping others navigate life’s changes and challenges, discover their inner strengths and find healing.
![Photo of Karen Cramer, MS, LPC, LCDC, Licensed Professional Counselor](https://photos.psychologytoday.com/44d04c35-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Karen Cramer
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
1 Endorsed
Fort Collins, CO 80528 (Online Only)
“When you’re taking care of everyone around you - who’s taking care of me?” This is a question I’ve asked myself countless times. My journey has been the driving force behind my work with women who are going through transition in their lives. From relationships, aging parents, grief, career changes, empty nesting, hormonal changes, substance use recovery, and loving someone with addiction we will work together to understand the significance of each experience. My approach is to combine compassion, empathy, directness and timely humor, in order to help them gain insight, and find JOY in the journey.
“When you’re taking care of everyone around you - who’s taking care of me?” This is a question I’ve asked myself countless times. My journey has been the driving force behind my work with women who are going through transition in their lives. From relationships, aging parents, grief, career changes, empty nesting, hormonal changes, substance use recovery, and loving someone with addiction we will work together to understand the significance of each experience. My approach is to combine compassion, empathy, directness and timely humor, in order to help them gain insight, and find JOY in the journey.
![Photo of Lynette R Gonzales, MEd, LPC, NBCC, Licensed Professional Counselor](https://photos.psychologytoday.com/067a34e4-3b39-4490-973d-6684ddc4d84e/1/320x400.jpeg)
Lynette R Gonzales
Licensed Professional Counselor, MEd, LPC, NBCC
Verified Verified
Fort Collins, CO 80526
When people experience painful events, emotions, and memories, we tend to lock them up in a dark place. I believe that as we bring these difficult experiences into the light, we can work together to confront and heal them. I will accompany you into your dark places so you don't have to go alone, and together we will bring freedom from these painful experiences. I believe in empowering people to learn how to help themselves, so you can handle future difficulties with the skills we learn together.
When people experience painful events, emotions, and memories, we tend to lock them up in a dark place. I believe that as we bring these difficult experiences into the light, we can work together to confront and heal them. I will accompany you into your dark places so you don't have to go alone, and together we will bring freedom from these painful experiences. I believe in empowering people to learn how to help themselves, so you can handle future difficulties with the skills we learn together.
![Photo of Nick Worstell, LPC, CAT, Licensed Professional Counselor](https://photos.psychologytoday.com/cdaccf8b-7c94-4ad5-9909-f8dc3acabbec/2/320x400.jpeg)
My name is Nick Worstell, and I'm so happy you're here! I am an experienced therapist specializing in helping clients identify and recognize triggers to manage intense emotions, improve relationships, and cope with distressing situations. I am skilled in guiding individuals to develop heightened self-awareness, identifying bodily responses to stressors, and implementing effective coping strategies based on their inherent strengths. I'm committed to fostering emotional resilience and empowering clients to navigate challenging emotions with confidence and self-assurance.
My name is Nick Worstell, and I'm so happy you're here! I am an experienced therapist specializing in helping clients identify and recognize triggers to manage intense emotions, improve relationships, and cope with distressing situations. I am skilled in guiding individuals to develop heightened self-awareness, identifying bodily responses to stressors, and implementing effective coping strategies based on their inherent strengths. I'm committed to fostering emotional resilience and empowering clients to navigate challenging emotions with confidence and self-assurance.
![Photo of Rachel Berglund, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/aeb68eb1-74cd-4f0f-bed2-c3ce874b498e/2/320x400.jpeg)
Rachel Berglund
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Fort Collins, CO 80526
Waitlist for new clients
Are you struggling to find balance in your life? Does it feel difficult to manage your worry? Are you struggling to break free of diet culture and find the true you? I can help with that. I believe everyone is built to heal from whatever has happened in their life, and I want to be a supportive person in that journey for you!
Are you struggling to find balance in your life? Does it feel difficult to manage your worry? Are you struggling to break free of diet culture and find the true you? I can help with that. I believe everyone is built to heal from whatever has happened in their life, and I want to be a supportive person in that journey for you!
![Photo of Ammonite Therapy - Kelly Shea, LCSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4ffe92be-7647-409f-8ebb-ca66708992ae/4/320x400.png)
Ammonite Therapy - Kelly Shea
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Fort Collins, CO 80524
Hi there! I am glad you’re here! Congratulations on taking the courageous step toward finding a therapist that is the best fit for you. As a therapist, my goal is to provide a nurturing, compassionate, non-judgemental space where you feel understood, even if we haven’t walked the same paths in life. I offer a warm, collaborative and consistent presence that supports you in building upon your inner strengths as you navigate the challenges that come with being human.
Hi there! I am glad you’re here! Congratulations on taking the courageous step toward finding a therapist that is the best fit for you. As a therapist, my goal is to provide a nurturing, compassionate, non-judgemental space where you feel understood, even if we haven’t walked the same paths in life. I offer a warm, collaborative and consistent presence that supports you in building upon your inner strengths as you navigate the challenges that come with being human.
![Photo of Cori Barnes, MA, LPCC, Pre-Licensed Professional](https://photos.psychologytoday.com/90f6df38-a4b9-41cb-876e-8246eac6a215/4/320x400.jpeg)
“I don't feel like I have anything to look forward to.” “I will never get over this breakup.” “I feel like nobody gets me.” “I think I'm past something, then I overreact.” “I spend most of my time worrying or avoiding." Do any of these resonate with you? We all struggle with difficult circumstances, thoughts and emotions at some point. Most times we can move through these but sometimes we get stuck. This does not mean we are broken, bad, or unloveable; although it can certainly feel that way. You are not alone! There is hope for a satisfying life. Having the courage to ask for help can be the first step toward positive change.
“I don't feel like I have anything to look forward to.” “I will never get over this breakup.” “I feel like nobody gets me.” “I think I'm past something, then I overreact.” “I spend most of my time worrying or avoiding." Do any of these resonate with you? We all struggle with difficult circumstances, thoughts and emotions at some point. Most times we can move through these but sometimes we get stuck. This does not mean we are broken, bad, or unloveable; although it can certainly feel that way. You are not alone! There is hope for a satisfying life. Having the courage to ask for help can be the first step toward positive change.
![Photo of Melissa Rauch, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/8bcc3e72-5283-407c-9eab-61a93577c70f/3/320x400.jpeg)
Melissa Rauch
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Fort Collins, CO 80521 (Online Only)
I believe every individual can benefit from counseling through guidance, coaching and a listening ear. I am dedicated to and passionate about helping my clients work through challenges and difficult life experiences by providing tools for personal growth and enhancement. Through counseling I hope to provide hope and encouragement to heal wounds and help transform their lives for the better, leading to meaningful and positive futures. In my 20+ years of experience in human services working with clients I have seen individuals cultivate greater confidence self-esteem, optimal emotional balance and build richer, fuller relationships.
I believe every individual can benefit from counseling through guidance, coaching and a listening ear. I am dedicated to and passionate about helping my clients work through challenges and difficult life experiences by providing tools for personal growth and enhancement. Through counseling I hope to provide hope and encouragement to heal wounds and help transform their lives for the better, leading to meaningful and positive futures. In my 20+ years of experience in human services working with clients I have seen individuals cultivate greater confidence self-esteem, optimal emotional balance and build richer, fuller relationships.
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![Photo of Jeff See, Pre-Licensed Professional](https://photos.psychologytoday.com/2d0cc06b-90c0-4008-82d7-256ce854315d/1/320x400.jpeg)
Choosing to seek therapy takes strength and courage, and you are already showing that within you. I believe that you are the expert of your own story and hope to treat you as such, while providing some additional insight that could be helpful to you. I value respect, honesty, and vulnerability in the work I do.
Choosing to seek therapy takes strength and courage, and you are already showing that within you. I believe that you are the expert of your own story and hope to treat you as such, while providing some additional insight that could be helpful to you. I value respect, honesty, and vulnerability in the work I do.
![Photo of Heather L Daniel, MA, LPC, CAS, CHT, Licensed Professional Counselor](https://photos.psychologytoday.com/3dd7a866-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Heather L Daniel
Licensed Professional Counselor, MA, LPC, CAS, CHT
Verified Verified
Fort Collins, CO 80525
Not accepting new clients
I have a passion for working with people struggling with a variety of issues, including dysfunctional behavior rooted in shame, including addiction, self-loathing, low self-esteem, perfectionism, and self-sabotage. I believe people are incredibly resilient, and recognize that deep healing comes through meaningful connection and unconditional support.
I have a passion for working with people struggling with a variety of issues, including dysfunctional behavior rooted in shame, including addiction, self-loathing, low self-esteem, perfectionism, and self-sabotage. I believe people are incredibly resilient, and recognize that deep healing comes through meaningful connection and unconditional support.
![Photo of Jennifer Silva, MSW, LCSW, LAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c99ae316-4b5c-4f0f-99de-870c05ff1436/1/320x400.jpeg)
Jennifer Silva
Clinical Social Work/Therapist, MSW, LCSW, LAC
Verified Verified
Fort Collins, CO 80525 (Online Only)
Not accepting new clients
I specialize in working with adolescents and young adults with a variety of different struggles; including, grief and loss, substance abuse, mood disorders, anxiety, relationships, suicidal ideations, self-harm, and trauma.
I specialize in working with adolescents and young adults with a variety of different struggles; including, grief and loss, substance abuse, mood disorders, anxiety, relationships, suicidal ideations, self-harm, and trauma.
![Photo of Monica Garcia, PsyD, ACS, Psychologist](https://photos.psychologytoday.com/8069663f-bd6e-4d08-b24e-c14c5d7522c4/1/320x400.png)
Monica Garcia
Psychologist, PsyD, ACS
Verified Verified
1 Endorsed
Fort Collins, CO 80525
Waitlist for new clients
I'm a warm and caring therapist who knows the value of humor, and I bring that into my work to help balance and cope with the more difficult parts of life. I'm trained in harm reduction, a collaborative approach between client and therapist that incorporates the belief that abstinence is one solution to drug and alcohol misuse but not the only solution. I also have experience with moderation management for alcohol use.
I'm a warm and caring therapist who knows the value of humor, and I bring that into my work to help balance and cope with the more difficult parts of life. I'm trained in harm reduction, a collaborative approach between client and therapist that incorporates the belief that abstinence is one solution to drug and alcohol misuse but not the only solution. I also have experience with moderation management for alcohol use.
![Photo of Marty J Rein, PhD, MEd, LPC, CAS, Counselor](https://photos.psychologytoday.com/3e87674f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
When working with clients, I utilize a client-centered, collaborative approach. I focus on meaning, encouragement, and support to help my clients obtain awareness, understanding, and acceptance of themselves. I approach the counseling relationship from a perspective of "meaning making" which suggests that people act on what they believe about situations, not the situation itself. Together, we use that knowledge as a basis to explore, assess, illuminate, unravel, and move forward through obstacles towards a goal-oriented outcome.
When working with clients, I utilize a client-centered, collaborative approach. I focus on meaning, encouragement, and support to help my clients obtain awareness, understanding, and acceptance of themselves. I approach the counseling relationship from a perspective of "meaning making" which suggests that people act on what they believe about situations, not the situation itself. Together, we use that knowledge as a basis to explore, assess, illuminate, unravel, and move forward through obstacles towards a goal-oriented outcome.
![Photo of Kelsey Kennedy, MA, LPC, LAC, Licensed Professional Counselor](https://photos.psychologytoday.com/d96129c0-e5ee-47f6-8a60-16a8edc9348e/1/320x400.jpeg)
Kelsey Kennedy
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
3 Endorsed
Fort Collins, CO 80525
Hello! When working together, my focus is on helping you navigate a continually changing life. I am here to help you overcome challenges, and support your growth. I view each individual holistically, understanding that the mind and body are connected as one. I welcome you to an empathetic and judgement free space where together we will work towards your goals, at a pace that feels comfortable for you (even with some humor when it is appropriate)! Ultimately, I want to help you achieve a more joyful and content life.
Hello! When working together, my focus is on helping you navigate a continually changing life. I am here to help you overcome challenges, and support your growth. I view each individual holistically, understanding that the mind and body are connected as one. I welcome you to an empathetic and judgement free space where together we will work towards your goals, at a pace that feels comfortable for you (even with some humor when it is appropriate)! Ultimately, I want to help you achieve a more joyful and content life.
![Photo of Pamela McCracken, LCSW, MAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d0370fc2-3dc8-44ef-ba23-84c127e45d48/2/320x400.jpeg)
Pamela McCracken
Clinical Social Work/Therapist, LCSW, MAC
Verified Verified
5 Endorsed
Fort Collins, CO 80521
Waitlist for new clients
It takes courage to address difficulties in our lives and finding a therapist can be challenging. I believe in working together to foster a relationship that is safe, collaborative, promotes self awareness and growth. Encouraging vulnerability and connection while exploring emotions and experiences that might get in your way of fulfillment - I work with you so you feel you are living a more wholehearted life of engagement and purpose.
It takes courage to address difficulties in our lives and finding a therapist can be challenging. I believe in working together to foster a relationship that is safe, collaborative, promotes self awareness and growth. Encouraging vulnerability and connection while exploring emotions and experiences that might get in your way of fulfillment - I work with you so you feel you are living a more wholehearted life of engagement and purpose.
![Photo of Gregory S Seibert, PhD, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e0660085-31f3-46e4-8d6c-44966092c61e/2/320x400.jpeg)
Gregory S Seibert
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Fort Collins, CO 80528 (Online Only)
Are you struggling with feeling sad, exhausted, irritable, restless and/or worrying about the littlest things? Are these symptoms negatively impacting your quality of life? Your relationships? Your productivity at work? You are not alone! Millions of people worldwide experience these same symptoms. Although, many do not seek support despite mental and relational well-being being intimately connected to our health and vital to living a long, healthy, and fulfilling life. It is never too early or too late to focus on you and/or your relationships.
Are you struggling with feeling sad, exhausted, irritable, restless and/or worrying about the littlest things? Are these symptoms negatively impacting your quality of life? Your relationships? Your productivity at work? You are not alone! Millions of people worldwide experience these same symptoms. Although, many do not seek support despite mental and relational well-being being intimately connected to our health and vital to living a long, healthy, and fulfilling life. It is never too early or too late to focus on you and/or your relationships.
![Photo of Jacob Anderson, Counselor](https://photos.psychologytoday.com/9b334de0-a2ea-4918-8b3a-0900803d12db/2/320x400.jpeg)
Do you feel lost or broken? Do you find yourself entrapped by negative cycles of thought or addiction? Are you feeling like you do not recognize yourself, or are disconnected from relationships? Do you find that you are overwhelmed or struggling to motivate yourself? Do you want an intentional touch point to be able to be candid and vulnerable without fear of judgment or consequences?
Do you feel lost or broken? Do you find yourself entrapped by negative cycles of thought or addiction? Are you feeling like you do not recognize yourself, or are disconnected from relationships? Do you find that you are overwhelmed or struggling to motivate yourself? Do you want an intentional touch point to be able to be candid and vulnerable without fear of judgment or consequences?
See more therapy options for Fort Collins
Nearby Searches for Fort Collins
See More TherapistsHow does your Therapist compare?
Number of Therapists in Fort Collins, CO
1,000+
Average cost per session
$140
Therapists in Fort Collins, CO who prioritize treating:
93% | Anxiety |
86% | Depression |
78% | Trauma and PTSD |
77% | Relationship Issues |
74% | Self Esteem |
68% | Stress |
66% | Life Transitions |
Average years in practice
10 Years
Top 3 insurances accepted
84% | Aetna |
75% | UnitedHealthcare UHC | UBH |
74% | Cigna and Evernorth |
How Therapists in Fort Collins, CO see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
76% | Female | |
22% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Fort Collins?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.