Therapists in Indianapolis, IN

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Photo of Katie Ayres, Clinical Social Work/Therapist in Indianapolis, IN
Katie Ayres
Clinical Social Work/Therapist, LCSW
Verified Verified
Indianapolis, IN 46204  (Online Only)
Hello! My name is Katie Ayres and I am a Licensed Clinical Social Worker (LCSW) in the state of Indiana and have been in practice for the past 20 years. I have been told the following through client feedback, and I hope the same for you! "Thank you, Katie... I felt very connected ..and "heard" today... So grateful for you and your way of counseling..it is so kind...You have helped me so much..and continue to do that for me."
Hello! My name is Katie Ayres and I am a Licensed Clinical Social Worker (LCSW) in the state of Indiana and have been in practice for the past 20 years. I have been told the following through client feedback, and I hope the same for you! "Thank you, Katie... I felt very connected ..and "heard" today... So grateful for you and your way of counseling..it is so kind...You have helped me so much..and continue to do that for me."
(463) 263-4631 View (463) 263-4631
Photo of Ciera Good, Clinical Social Work/Therapist in Indianapolis, IN
Ciera Good
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
3 Endorsed
Indianapolis, IN 46260  (Online Only)
Waitlist for new clients
I currently have a waitlist for new clients. Help me, help you. Taking a step toward beginning therapy is brave and you aren’t alone! Though it may feel daunting initially, therapy can be quite rewarding. I find joy in discovering strengths in others they may not notice in themselves, while providing practical tools, resources, and support.
I currently have a waitlist for new clients. Help me, help you. Taking a step toward beginning therapy is brave and you aren’t alone! Though it may feel daunting initially, therapy can be quite rewarding. I find joy in discovering strengths in others they may not notice in themselves, while providing practical tools, resources, and support.
(317) 978-6578 View (317) 978-6578
Photo of Darnae' Scales, Clinical Social Work/Therapist in Indianapolis, IN
Darnae' Scales
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Indianapolis, IN 46229
Cornerstone Congregation Care provides mental health and spiritual support to pastors and church leaders who are often isolated, i.e., with no one in whom they can confide. We also serve other individuals who desire mental health services from a faith based perspective. Cornerstone provides them care with a high level of confidentiality and respect; in an environment of vulnerability and trust. We address issues of depression, anxiety, stress, relationship challenges, life adjustments and men's issues.
Cornerstone Congregation Care provides mental health and spiritual support to pastors and church leaders who are often isolated, i.e., with no one in whom they can confide. We also serve other individuals who desire mental health services from a faith based perspective. Cornerstone provides them care with a high level of confidentiality and respect; in an environment of vulnerability and trust. We address issues of depression, anxiety, stress, relationship challenges, life adjustments and men's issues.
(463) 243-5928 View (463) 243-5928
Photo of Madeline Stealy, Marriage & Family Therapist in Indianapolis, IN
Madeline Stealy
Marriage & Family Therapist, MAMFT, LMFT
Verified Verified
Indianapolis, IN 46201  (Online Only)
As a therapist, my goal is to provide a safe space for exploring and facilitating change through support and empathic listening so my clients can work through life's challenges with the goal of improving their overall mental and emotional wellbeing. I believe in a collaborative and integrative approach which is tailored to the needs and strengths of the individual, couple, or family.
As a therapist, my goal is to provide a safe space for exploring and facilitating change through support and empathic listening so my clients can work through life's challenges with the goal of improving their overall mental and emotional wellbeing. I believe in a collaborative and integrative approach which is tailored to the needs and strengths of the individual, couple, or family.
(317) 689-0918 View (317) 689-0918
Photo of Danielle Reed, Marriage & Family Therapist in Indianapolis, IN
Danielle Reed
Marriage & Family Therapist, LMFTA
Verified Verified
1 Endorsed
Indianapolis, IN 46208
In our sessions, I hold space for individuals, couples and families and the challenges they bring in. As a family therapist, I understand and manage family dynamics. I help clients explore their relationships, thoughts, and feelings. I work with couples and families to strengthen their bonds and navigate difficult situations. As a family therapist, I can help you manage family dynamics whether you bring them to sessions or not. Together, we will work through each part of the therapeutic process.
In our sessions, I hold space for individuals, couples and families and the challenges they bring in. As a family therapist, I understand and manage family dynamics. I help clients explore their relationships, thoughts, and feelings. I work with couples and families to strengthen their bonds and navigate difficult situations. As a family therapist, I can help you manage family dynamics whether you bring them to sessions or not. Together, we will work through each part of the therapeutic process.
(765) 563-2797 View (765) 563-2797
Photo of Laura Hosek, Pre-Licensed Professional in Indianapolis, IN
Laura Hosek
Pre-Licensed Professional
Verified Verified
1 Endorsed
Indianapolis, IN 46256
My approach to therapy is collaborative and transparent. I use the skills and experiences I've gained to help clients achieve their own goals. Instead of curing mental health I believe in helping people understand and manage their issues in sustainable ways. Since I use a lot of metaphors in therapy, the one I use to illustrate and describe my therapeutic process is likening it to a home improvement. My job is to help clients explore and find the right tools for their unique improvements and provide guidance so clients have support while making lasting changes they want in their life. The toolbox can then be used outside of therapy.
My approach to therapy is collaborative and transparent. I use the skills and experiences I've gained to help clients achieve their own goals. Instead of curing mental health I believe in helping people understand and manage their issues in sustainable ways. Since I use a lot of metaphors in therapy, the one I use to illustrate and describe my therapeutic process is likening it to a home improvement. My job is to help clients explore and find the right tools for their unique improvements and provide guidance so clients have support while making lasting changes they want in their life. The toolbox can then be used outside of therapy.
(463) 255-4677 View (463) 255-4677
Photo of Megan Ruvolo, Clinical Social Work/Therapist in Indianapolis, IN
Megan Ruvolo
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Indianapolis, IN 46250
Trauma impacts us in ways we can’t imagine. It affects human development and rewires our brain. I remember seeing the impact trauma from childhood had for my adult clients. I remember seeing elementary school children and the impact trauma has on their ability to develop healthy relationships. Processing trauma isn’t something you need to do alone. I can still remember meeting with a teen girl and seeing her relief after processing her trauma and expressing how much better she felt. Working through trauma allows my clients to feel relief and feel a decrease in their daily triggers.
Trauma impacts us in ways we can’t imagine. It affects human development and rewires our brain. I remember seeing the impact trauma from childhood had for my adult clients. I remember seeing elementary school children and the impact trauma has on their ability to develop healthy relationships. Processing trauma isn’t something you need to do alone. I can still remember meeting with a teen girl and seeing her relief after processing her trauma and expressing how much better she felt. Working through trauma allows my clients to feel relief and feel a decrease in their daily triggers.
(317) 526-4508 View (317) 526-4508
Photo of Tammi Prince, Counselor in Indianapolis, IN
Tammi Prince
Counselor, LMHC, LCAC, CSAYC
Verified Verified
Indianapolis, IN 46250  (Online Only)
Not accepting new clients
With more than 22 years of experience of counseling psychology, I strive to help others help themselves to reach their maximum potential, which involves goal-setting & motivating myself & others to realize our potential. I earned a Bachelor’s of Science degree in Psychology from Indiana State University. I continued my education & earned a Master’s of Science degree in Counseling Psychology from Indiana State University.
With more than 22 years of experience of counseling psychology, I strive to help others help themselves to reach their maximum potential, which involves goal-setting & motivating myself & others to realize our potential. I earned a Bachelor’s of Science degree in Psychology from Indiana State University. I continued my education & earned a Master’s of Science degree in Counseling Psychology from Indiana State University.
(812) 994-0931 View (812) 994-0931
Photo of Brittany Wright, LPC Intern in Indianapolis, IN
Brittany Wright
LPC Intern, LMHCA, CADC
Verified Verified
Indianapolis, IN 46250  (Online Only)
I have always had a desire for understanding feelings and behaviors as well as to assist individuals with understanding their own feelings and behaviors. Many clients want to understand why they struggle with certain disorders, or even how they can even begin to move forward.
I have always had a desire for understanding feelings and behaviors as well as to assist individuals with understanding their own feelings and behaviors. Many clients want to understand why they struggle with certain disorders, or even how they can even begin to move forward.
(463) 217-0631 View (463) 217-0631
Photo of Cardinal Counseling Services, LLC, Clinical Social Work/Therapist in Indianapolis, IN
Cardinal Counseling Services, LLC
Clinical Social Work/Therapist, LCSW, LAC, LLC
Verified Verified
1 Endorsed
Indianapolis, IN 46216
I enjoy working with anyone age 13 or older with struggles in the area of self-esteem, setting healthy boundaries with others, learning how to be self-respectful in words, thoughts & feelings, stress & managing anxiety as well as anyone who is healing from loss of either a loved one or pet(s). I also enjoy helping people during seasons of transition whether in young adulthood to increase independence or later years to adjust to decrease in independence resulting from illness, injury or the aging process. I especially enjoy working to provide faith-based struggles.
I enjoy working with anyone age 13 or older with struggles in the area of self-esteem, setting healthy boundaries with others, learning how to be self-respectful in words, thoughts & feelings, stress & managing anxiety as well as anyone who is healing from loss of either a loved one or pet(s). I also enjoy helping people during seasons of transition whether in young adulthood to increase independence or later years to adjust to decrease in independence resulting from illness, injury or the aging process. I especially enjoy working to provide faith-based struggles.
(317) 961-2738 View (317) 961-2738
Photo of Megan Passaloukos, Counselor in Indianapolis, IN
Megan Passaloukos
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Indianapolis, IN 46240  (Online Only)
Waitlist for new clients
Are you feeling stuck? Having difficulty keeping up? Wanting to make a change but don't know where to start? Change can be scary, and even more intimidating if feeling overwhelmed or alone. But change is possible, offers an opportunity for growth, and there is always hope for a better future. I have years of experience working in inpatient and outpatient settings with individuals of all ages and families of all backgrounds. I offer a calm, warm, nonjudgmental space where issues of all types and sizes may be explored. In a safe, supportive environment, therapeutic services are adapted to meet your individualized needs and goals.
Are you feeling stuck? Having difficulty keeping up? Wanting to make a change but don't know where to start? Change can be scary, and even more intimidating if feeling overwhelmed or alone. But change is possible, offers an opportunity for growth, and there is always hope for a better future. I have years of experience working in inpatient and outpatient settings with individuals of all ages and families of all backgrounds. I offer a calm, warm, nonjudgmental space where issues of all types and sizes may be explored. In a safe, supportive environment, therapeutic services are adapted to meet your individualized needs and goals.
(317) 699-8354 View (317) 699-8354
Photo of Tracie Tullus, Marriage & Family Therapist Associate in Indianapolis, IN
Tracie Tullus
Marriage & Family Therapist Associate, MACP, LMFTA
Verified Verified
1 Endorsed
Indianapolis, IN 46256
A motivator, my clients can count on me to be in their corner but also challenge them in ways they didn't know they could be successful. Mental health is a journey. I come along side you to support, guide, and encourage you to dig deeper and grow to the potential you wish to reach.
A motivator, my clients can count on me to be in their corner but also challenge them in ways they didn't know they could be successful. Mental health is a journey. I come along side you to support, guide, and encourage you to dig deeper and grow to the potential you wish to reach.
(317) 699-7405 x114 View (317) 699-7405 x114
Photo of Ashlyn Keltner, Clinical Social Work/Therapist in Indianapolis, IN
Ashlyn Keltner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Indianapolis, IN 46227
Currently accepting new clients! Over the course of our lives, we experience life changes and unexpected events. Therapy is a place where one can process and adjust to these transitions and events. Through my education and experience, I have learned how to help clients work through these changes. Therapy will not only help one learn skills during this time of adjustment, but it will also help one learn how they can utilize these skills and strengths when they need them in the future.
Currently accepting new clients! Over the course of our lives, we experience life changes and unexpected events. Therapy is a place where one can process and adjust to these transitions and events. Through my education and experience, I have learned how to help clients work through these changes. Therapy will not only help one learn skills during this time of adjustment, but it will also help one learn how they can utilize these skills and strengths when they need them in the future.
(317) 653-6566 View (317) 653-6566
Photo of Dr. Deep Kaur Battu, Counselor in Indianapolis, IN
Dr. Deep Kaur Battu
Counselor, PsyD, LMHC
Verified Verified
Indianapolis, IN 46240  (Online Only)
I decided that I wanted to give back and help my own community so here I am. I know all too well how it feels to grow up in "two different worlds" and feeling like I didn't belong in either (Indian or American). I also understand how it feels to be a female in the South Asian society. I recognize the pressures, stressors, and competitiveness that our culture/religion brings and expects. As well as the guilt and shame one experiences to constantly, please our families and others and always feel like "you are not enough" or "I have to be perfect."
I decided that I wanted to give back and help my own community so here I am. I know all too well how it feels to grow up in "two different worlds" and feeling like I didn't belong in either (Indian or American). I also understand how it feels to be a female in the South Asian society. I recognize the pressures, stressors, and competitiveness that our culture/religion brings and expects. As well as the guilt and shame one experiences to constantly, please our families and others and always feel like "you are not enough" or "I have to be perfect."
(317) 648-9016 View (317) 648-9016
Photo of Cynthia Drouin, Counselor in Indianapolis, IN
Cynthia Drouin
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Indianapolis, IN 46240
For all of us, change, loss, and challenge are natural, inevitable parts of life. Yet sometimes, changes and challenges seem to prevent our happiness and satisfaction. Sometimes, coping and maintaining our wellbeing can become difficult; we feel overwhelmed, or our emotions seem too hard to handle alone. We wonder how we arrived where we find ourselves, and how we can move forward with confidence that things can get better. Perhaps anxiety, depression, struggling to communicate or connect are more familiar to us than contentment, feeling hopeful, and valued for who we are. At times like these, therapy can be a source of help.
For all of us, change, loss, and challenge are natural, inevitable parts of life. Yet sometimes, changes and challenges seem to prevent our happiness and satisfaction. Sometimes, coping and maintaining our wellbeing can become difficult; we feel overwhelmed, or our emotions seem too hard to handle alone. We wonder how we arrived where we find ourselves, and how we can move forward with confidence that things can get better. Perhaps anxiety, depression, struggling to communicate or connect are more familiar to us than contentment, feeling hopeful, and valued for who we are. At times like these, therapy can be a source of help.
(317) 406-0972 View (317) 406-0972
Photo of Maggie Myers, Clinical Social Work/Therapist in Indianapolis, IN
Maggie Myers
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Indianapolis, IN 46227
Do you feel empty, sad or unfulfilled? Are you trying to make changes but get stuck and default back to old habits? We are here to assist and guide you through your journey of mental health recovery and renovation. I enjoy working alongside clients to identify strengths, realize goals and then utilize therapy to break down maladaptive patterns to start living a meaningful and thriving life. I also teach varied skills such as mindfulness and tapping to increase your resources and therefore your own resilience to take with you once therapy has been completed.
Do you feel empty, sad or unfulfilled? Are you trying to make changes but get stuck and default back to old habits? We are here to assist and guide you through your journey of mental health recovery and renovation. I enjoy working alongside clients to identify strengths, realize goals and then utilize therapy to break down maladaptive patterns to start living a meaningful and thriving life. I also teach varied skills such as mindfulness and tapping to increase your resources and therefore your own resilience to take with you once therapy has been completed.
(317) 548-8690 View (317) 548-8690
Photo of Andy Hirsch, Clinical Social Work/Therapist in Indianapolis, IN
Andy Hirsch
Clinical Social Work/Therapist, CSW
Verified Verified
Indianapolis, IN 46280
Andy Hirsch is a Licensed Clinical Social Worker in Indiana who has been practicing since 2017. He has a Bachelor of Science Sociology, Concentration in Social Work from Butler University and a Master of Social Work, Concentration in Mental Health from Washington University in St. Louis. Andy focuses on building trust and understanding each client as a person within their social environment. He then utilizes primarily Motivational Interviewing and CBT skills to learn how to heal, make improvements, and create a better life for themselves.
Andy Hirsch is a Licensed Clinical Social Worker in Indiana who has been practicing since 2017. He has a Bachelor of Science Sociology, Concentration in Social Work from Butler University and a Master of Social Work, Concentration in Mental Health from Washington University in St. Louis. Andy focuses on building trust and understanding each client as a person within their social environment. He then utilizes primarily Motivational Interviewing and CBT skills to learn how to heal, make improvements, and create a better life for themselves.
(463) 255-5080 View (463) 255-5080
Photo of Be Seen Therapy Solutions, Clinical Social Work/Therapist in Indianapolis, IN
Be Seen Therapy Solutions
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Indianapolis, IN 46236
Waitlist for new clients
Life is full of challenges, and as your Therapist, I would partner alongside you as you imagine new possibilities, consider your options, and move towards making meaningful change. I enjoy working with teens, young adults, and adults. Specialty areas include helping individuals with challenges related to transition into young adulthood, navigating relationship changes, career moves, infertility, depression, social anxiety, executive functioning, and affirming neurodiversity. I have a calm, reassuring therapy style, focused on recongizing the world needs who you are meant to be and I want to help you get there.
Life is full of challenges, and as your Therapist, I would partner alongside you as you imagine new possibilities, consider your options, and move towards making meaningful change. I enjoy working with teens, young adults, and adults. Specialty areas include helping individuals with challenges related to transition into young adulthood, navigating relationship changes, career moves, infertility, depression, social anxiety, executive functioning, and affirming neurodiversity. I have a calm, reassuring therapy style, focused on recongizing the world needs who you are meant to be and I want to help you get there.
(317) 483-8075 View (317) 483-8075
Photo of Jennifer Holzman, Psychologist in Indianapolis, IN
Jennifer Holzman
Psychologist, PsyD, HSPP
Verified Verified
Indianapolis, IN 46202
I specialize in providing individual and group therapy for adults with borderline personality disorder, difficulties managing their emotions, PTSD, and self-harm/suicidal behavior. I am a DBT-Linehan Board Certified Clinician. I utilize evidence-based treatment approaches including Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). I currently conduct comprehensive DBT for adults and co-lead DBT skills groups. I am licensed in both Indiana and Texas. I am only practicing virtually in Indianapolis and see clients in person or virtually in Houston.
I specialize in providing individual and group therapy for adults with borderline personality disorder, difficulties managing their emotions, PTSD, and self-harm/suicidal behavior. I am a DBT-Linehan Board Certified Clinician. I utilize evidence-based treatment approaches including Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). I currently conduct comprehensive DBT for adults and co-lead DBT skills groups. I am licensed in both Indiana and Texas. I am only practicing virtually in Indianapolis and see clients in person or virtually in Houston.
(832) 281-5156 View (832) 281-5156
Photo of Bradley Wantz, Clinical Social Work/Therapist in Indianapolis, IN
Bradley Wantz
Clinical Social Work/Therapist, MSW, LSW, LCAC-A
Verified Verified
1 Endorsed
Indianapolis, IN 46201  (Online Only)
I believe people are full of inherent strengths, waiting to be unlocked. My goal is to help you become the best version of yourself and accomplish your goals. By identifying your strengths, we can work together to overcome issues in your life. I don't fix people, and I don't tell them what to do. I believe in a therapeutic relationship that is built on empathy and equity. Whether you are working through a substance use disorder, anxiety, depression, relationships conflicts, grief, or low self-esteem, I'd love to be part of your healing journey.
I believe people are full of inherent strengths, waiting to be unlocked. My goal is to help you become the best version of yourself and accomplish your goals. By identifying your strengths, we can work together to overcome issues in your life. I don't fix people, and I don't tell them what to do. I believe in a therapeutic relationship that is built on empathy and equity. Whether you are working through a substance use disorder, anxiety, depression, relationships conflicts, grief, or low self-esteem, I'd love to be part of your healing journey.
(317) 754-7703 View (317) 754-7703

See more therapy options for Indianapolis

How does your Therapist compare?

Number of Therapists in Indianapolis, IN

1,000+

Average cost per session

$125

Therapists in Indianapolis, IN who prioritize treating:

92% Anxiety
87% Depression
74% Trauma and PTSD
73% Self Esteem
69% Coping Skills
66% Relationship Issues
65% Stress

Average years in practice

11 Years

Top 3 insurances accepted

71% BlueCross and BlueShield
67% UnitedHealthcare UHC | UBH
67% Anthem | Elevance

How Therapists in Indianapolis, IN see their clients

63% In Person and Online
37% Online Only

Gender breakdown

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

How can I find a therapist in Indianapolis?

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.