Therapists in Santa Fe, NM
Traci McMinn-Joubert
Counselor, MA, LMHC, CHT, CCC
Verified Verified
Santa Fe, NM 87505
Not accepting new clients
PRACTICE CURRENTLY FULL-NOT ACCEPTING NEW CLIENTS Through their sessions with me, people create profound change in their lives and earn new self-perspective. Together, we work as a team to wade through the depths of trauma, grief, mood issues, confusions and conflicts in their lives. People who work with me learn how to step off the merry-go-round in their minds/hearts. They learn how to identify and speak about what carry and wrestle. Skills are developed to create the lives they have craved. Strengths are brought forth and utilized. Clarity and satisfaction is created. Working together, we can help create this for you too!
PRACTICE CURRENTLY FULL-NOT ACCEPTING NEW CLIENTS Through their sessions with me, people create profound change in their lives and earn new self-perspective. Together, we work as a team to wade through the depths of trauma, grief, mood issues, confusions and conflicts in their lives. People who work with me learn how to step off the merry-go-round in their minds/hearts. They learn how to identify and speak about what carry and wrestle. Skills are developed to create the lives they have craved. Strengths are brought forth and utilized. Clarity and satisfaction is created. Working together, we can help create this for you too!
Karen M Doyle
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Santa Fe, NM 87508 (Online Only)
I have over 30 years of experience as a Licensed Independent Social Worker in private practice. I specialize in treating Adults who struggle with anxiety, impulse control, trauma, personality disorders, OCD, depression, and mood disorders. My approach is solution-focused with an emphasis on behavioral effectiveness. I am experienced and interested in evidence-based practice, The "life skills" I teach are based on Mindfulness and designed to increase emotional stability, as well as improve and deepen relationships with peers, family, and oneself. Free 15 min. phone consultation. I am Certified as both an EMDR and DBT Therapist.
I have over 30 years of experience as a Licensed Independent Social Worker in private practice. I specialize in treating Adults who struggle with anxiety, impulse control, trauma, personality disorders, OCD, depression, and mood disorders. My approach is solution-focused with an emphasis on behavioral effectiveness. I am experienced and interested in evidence-based practice, The "life skills" I teach are based on Mindfulness and designed to increase emotional stability, as well as improve and deepen relationships with peers, family, and oneself. Free 15 min. phone consultation. I am Certified as both an EMDR and DBT Therapist.
Santa Fe Art Therapy & Counseling
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Santa Fe, NM 87507 (Online Only)
Waitlist for new clients
Many of us have lived through hard and painful life experiences. For some of us, the physical and emotional memory of those experiences keep us locked in a state of shame, anxiety, fear and loneliness (this experience is often labeled with a variety of diagnoses: PTSD, Complex PTSD, Anxiety, Depression, ADHD). It can seem impossible to create and sustain meaningful, fulfilling and nurturing relationships (including the one with yourself!) from an isolated and fearful place. If you are seeking to feel better and create healthy and sustainable changes in your life, this may be the work for you.
Many of us have lived through hard and painful life experiences. For some of us, the physical and emotional memory of those experiences keep us locked in a state of shame, anxiety, fear and loneliness (this experience is often labeled with a variety of diagnoses: PTSD, Complex PTSD, Anxiety, Depression, ADHD). It can seem impossible to create and sustain meaningful, fulfilling and nurturing relationships (including the one with yourself!) from an isolated and fearful place. If you are seeking to feel better and create healthy and sustainable changes in your life, this may be the work for you.
Nina Ross, PhD.
PhD, LPAT, ATR
Verified Verified
4 Endorsed
Santa Fe, NM 87505
I work with individual adults, both men and women. Clients looking for new discoveries about themselves and seeking tools for change are a sampling of client needs that I work with. Clients will achieve greater clarity, as well as self- acceptance in our work together. I believe that we all have our own "inner healer," and I help individuals find this voice of truth inside themselves. Learning to trust this voice empowers clients to make decisions and choices that are right and true for them. Learning to release old behaviors that no longer serve creates healthy self-worth. I am happy to work by telehealth; location is not an issue.
I work with individual adults, both men and women. Clients looking for new discoveries about themselves and seeking tools for change are a sampling of client needs that I work with. Clients will achieve greater clarity, as well as self- acceptance in our work together. I believe that we all have our own "inner healer," and I help individuals find this voice of truth inside themselves. Learning to trust this voice empowers clients to make decisions and choices that are right and true for them. Learning to release old behaviors that no longer serve creates healthy self-worth. I am happy to work by telehealth; location is not an issue.
Naomi L Shtilman
Counselor, MA
Verified Verified
Santa Fe, NM 87501 (Online Only)
Qualified to provide individual, couples, and family therapy. My Master's in Clinical Psychotherapy emphasized the Psychodynamic approach, which means the therapeutic relationship is the catalyst for deeper healing. (It's the therapeutic modality of Attachment Theory). Practically speaking, our relationship is grist for the mill and practice so you can take what you learn in our connection out into the relationships of your life. My approach can be summed up as deepening self-awareness, developing life-affirming skills, and practicing intentional responses.
Qualified to provide individual, couples, and family therapy. My Master's in Clinical Psychotherapy emphasized the Psychodynamic approach, which means the therapeutic relationship is the catalyst for deeper healing. (It's the therapeutic modality of Attachment Theory). Practically speaking, our relationship is grist for the mill and practice so you can take what you learn in our connection out into the relationships of your life. My approach can be summed up as deepening self-awareness, developing life-affirming skills, and practicing intentional responses.
Megan V. Phillips
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505 (Online Only)
In psychotherapy, I aim to offer an authentic space for self-exploration and healing. My therapy practice is grounded in mindfulness and cognitive behavioral approaches. My clients include individuals and couples experiencing stressful life transitions. I practice culturally responsive and trauma sensitive therapy and provide a safe, non-judgemental place to process uncomfortable emotions and mental stress. I see my role as a guide to help you and navigate authentic healing.
In psychotherapy, I aim to offer an authentic space for self-exploration and healing. My therapy practice is grounded in mindfulness and cognitive behavioral approaches. My clients include individuals and couples experiencing stressful life transitions. I practice culturally responsive and trauma sensitive therapy and provide a safe, non-judgemental place to process uncomfortable emotions and mental stress. I see my role as a guide to help you and navigate authentic healing.
Kevin D Larkin
Marriage & Family Therapist, RN, MA
Verified Verified
Santa Fe, NM 87508 (Online Only)
I appreciate how difficult the process of choosing a therapist can be. When we are feeling hurt, overwhelmed, and vulnerable finding the right "fit" for therapy is essential. I believe that therapy is a powerful opportunity to exam what is, or is not, working in our lives. We all have the capacity to meet the challenges and struggles life will inevitably bring, but sometimes we need assistance to see what the next right steps are for us to move forward. If you are seeking a compassionate listener who will non-judgmentally assist you in making sense of life, I am the therapist you are looking for.
I appreciate how difficult the process of choosing a therapist can be. When we are feeling hurt, overwhelmed, and vulnerable finding the right "fit" for therapy is essential. I believe that therapy is a powerful opportunity to exam what is, or is not, working in our lives. We all have the capacity to meet the challenges and struggles life will inevitably bring, but sometimes we need assistance to see what the next right steps are for us to move forward. If you are seeking a compassionate listener who will non-judgmentally assist you in making sense of life, I am the therapist you are looking for.
Susan Carswell
Psychologist, PsyD, PhD
Verified Verified
Santa Fe, NM 87501
I successfully treat individuals and couples in distress, often when life circumstances change. I help them understand and then alter the factors that interfere with their functioning. Sessions with me frequently focus on problematic relationships because so many problems stem from issues in current and past relationships. Furthermore, regardless of what causes problems, we are often empowered to address them when we have support from others. I strive to be warm, non-judgmental, and, when needed, verbally interactive, to foster the emotional safety and confidentiality that are essential for honest, productive self-examinations.
I successfully treat individuals and couples in distress, often when life circumstances change. I help them understand and then alter the factors that interfere with their functioning. Sessions with me frequently focus on problematic relationships because so many problems stem from issues in current and past relationships. Furthermore, regardless of what causes problems, we are often empowered to address them when we have support from others. I strive to be warm, non-judgmental, and, when needed, verbally interactive, to foster the emotional safety and confidentiality that are essential for honest, productive self-examinations.
Wholebeing Wellness Counseling
PhD, MACP
Verified Verified
Santa Fe, NM 87505
I am a transpersonal psychologist, expressive arts therapist, wellness counselor, shamanic teacher and healer, and Reiki Master of the Usui lineage. I have practiced and taught since 1985 in California, Oregon, and New Mexico, sharing life lessons and healing methods that saved my life long ago. I have a Master's degree in Counseling Psychology and a PhD in Transpersonal Psychology, and continue to learn new approaches to healing through my own research, as well as interaction with clients and colleagues.
I am a transpersonal psychologist, expressive arts therapist, wellness counselor, shamanic teacher and healer, and Reiki Master of the Usui lineage. I have practiced and taught since 1985 in California, Oregon, and New Mexico, sharing life lessons and healing methods that saved my life long ago. I have a Master's degree in Counseling Psychology and a PhD in Transpersonal Psychology, and continue to learn new approaches to healing through my own research, as well as interaction with clients and colleagues.
Annie Rabinovitch
Psychologist, PhD
Verified Verified
1 Endorsed
Santa Fe, NM 87505 (Online Only)
I am a Licensed Clinical Psychologist who has been in practice for over 10 years. I completed my Clinical Internship and Post-doctoral Fellowship at the Kennedy Krieger Institute/John Hopkins University School of Medicine, and prior to that, received my Ph.D. in Clinical Psychology from Virginia Commonwealth University. I am passionate about working with children, teens, adults, and families experiencing a wide range of behavioral, emotional, and interpersonal issues. My approach is collaborative, research-informed, and is designed to meet the unique needs of clients.
I am a Licensed Clinical Psychologist who has been in practice for over 10 years. I completed my Clinical Internship and Post-doctoral Fellowship at the Kennedy Krieger Institute/John Hopkins University School of Medicine, and prior to that, received my Ph.D. in Clinical Psychology from Virginia Commonwealth University. I am passionate about working with children, teens, adults, and families experiencing a wide range of behavioral, emotional, and interpersonal issues. My approach is collaborative, research-informed, and is designed to meet the unique needs of clients.
Ben Bjorgaard
Counselor, PhDc, MA, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87505
By addressing troubling thoughts and feelings, self-sabotaging behaviors, and traumas, life can be made more manageable, productive, and fulfilling. Feelings such as grief, shame, anxiety, sadness, and anger often signal that something needs to change. Listening to and working with these feelings—some that consume us and others that gently nudge us—can move us forward. Through this, we sometimes discover that our everyday dilemmas are part of larger patterns waiting to be resolved as a whole.
By addressing troubling thoughts and feelings, self-sabotaging behaviors, and traumas, life can be made more manageable, productive, and fulfilling. Feelings such as grief, shame, anxiety, sadness, and anger often signal that something needs to change. Listening to and working with these feelings—some that consume us and others that gently nudge us—can move us forward. Through this, we sometimes discover that our everyday dilemmas are part of larger patterns waiting to be resolved as a whole.
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Michelle George
Counselor, MA, LPCC, LCMHC, SEP
Verified Verified
5 Endorsed
Santa Fe, NM 87505
Talk therapy can be helpful, but sometimes it's just not enough. Maladaptive patterns of stress, trauma, anxiety, and depression lie in our bodies. You and I will untangle these problematic patterns to get to the root of your pain together. Our sessions will allow you to metaphorically dip your toe into the pain and then always come back to safety. In this way you are challenged to grow in a slow, safe manner.
Talk therapy can be helpful, but sometimes it's just not enough. Maladaptive patterns of stress, trauma, anxiety, and depression lie in our bodies. You and I will untangle these problematic patterns to get to the root of your pain together. Our sessions will allow you to metaphorically dip your toe into the pain and then always come back to safety. In this way you are challenged to grow in a slow, safe manner.
Ecotherapy NM LLC
Counselor, MA, LMHC
Verified Verified
Santa Fe, NM 87505
By fostering deep and genuine connections with my clients, I help them develop deeper and more genuine connections with themselves. By clarifying what’s true for you—your needs, desires, conflicts, and dreams—the next step for you to take becomes clearer and less effortful. Together, we will resolve the stressors, conflicts, and adversities that weigh you down in order to find your flow—a way of being that’s more natural, enjoyable, and true to you. No matter how alone you’re feeling, how daunting the challenges you're facing, or how long a particular issue has been draining you, we’ll face it head on and find our way through.
By fostering deep and genuine connections with my clients, I help them develop deeper and more genuine connections with themselves. By clarifying what’s true for you—your needs, desires, conflicts, and dreams—the next step for you to take becomes clearer and less effortful. Together, we will resolve the stressors, conflicts, and adversities that weigh you down in order to find your flow—a way of being that’s more natural, enjoyable, and true to you. No matter how alone you’re feeling, how daunting the challenges you're facing, or how long a particular issue has been draining you, we’ll face it head on and find our way through.
Rich Ryan
Clinical Social Work/Therapist, PhD, LCSW, LISW
Verified Verified
1 Endorsed
Santa Fe, NM 87505
Not accepting new clients
I will provide you with a warm, safe and confidential environment in which we will explore whatever is preventing you from living your best life. I can help you achieve greater levels of self empowerment, self acceptance and effectiveness in all areas of your life. My practice is guided by my training in clinical social work, my PhD in clinical psychology, and Jungian analysis. I employ an eclectic mix of psychodynamic techniques. I treat symptoms of Depression, Anxiety, and PTSD. Please visit my website: www.richryanphd.com for more information, contact and mapping
I will provide you with a warm, safe and confidential environment in which we will explore whatever is preventing you from living your best life. I can help you achieve greater levels of self empowerment, self acceptance and effectiveness in all areas of your life. My practice is guided by my training in clinical social work, my PhD in clinical psychology, and Jungian analysis. I employ an eclectic mix of psychodynamic techniques. I treat symptoms of Depression, Anxiety, and PTSD. Please visit my website: www.richryanphd.com for more information, contact and mapping
Nora Gluck
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87506 (Online Only)
Waitlist for new clients
For 50 years, I have helped individuals and couples find more pleasure in life through creating satisfying relationships and meaningful work. Therapy at its best is a collaborative process between client and therapist. I have special interest and expertise in couple therapy and psychotherapy and have extensive training and experience in both. I practice trauma-informed therapy, including EMDR and other trauma-clearing techniques. I incorporate yoga, meditation, deep relaxation, visualization and other mind/body techniques. I customize my approach to the unique needs of each client. My work is informed by my own healing journey.
For 50 years, I have helped individuals and couples find more pleasure in life through creating satisfying relationships and meaningful work. Therapy at its best is a collaborative process between client and therapist. I have special interest and expertise in couple therapy and psychotherapy and have extensive training and experience in both. I practice trauma-informed therapy, including EMDR and other trauma-clearing techniques. I incorporate yoga, meditation, deep relaxation, visualization and other mind/body techniques. I customize my approach to the unique needs of each client. My work is informed by my own healing journey.
Claire Lynne Siwula
Marriage & Family Therapist, LMFT
Verified Verified
Santa Fe, NM 87507
Are you having trouble coping? Crisis can be an opportunity for positive change. I can assist you with coping strategies, communication tools, and support if you are feeling stuck. I utilize a strength-based, holistic approach that is respectful and collaborative. Over 20 years experience utilizing evidence-based interventions for depression, relationship issues, anxiety, and trauma (EMDR, CPT, Internal Family Systems).
Are you having trouble coping? Crisis can be an opportunity for positive change. I can assist you with coping strategies, communication tools, and support if you are feeling stuck. I utilize a strength-based, holistic approach that is respectful and collaborative. Over 20 years experience utilizing evidence-based interventions for depression, relationship issues, anxiety, and trauma (EMDR, CPT, Internal Family Systems).
Gene Dennehy
Counselor, MA, LPCC, LADAC, EMDR
Verified Verified
Santa Fe, NM 87505
Sometimes life events and experiences interfere with our ability to make sense of the world and find our place in it. We may lose our sense of safety and control and become flooded with overwhelming thoughts and emotions. Whether you’re feeling isolated, lonely, frustrated, fearful or confused, it is possible to emerge courageous and hopeful.
Sometimes life events and experiences interfere with our ability to make sense of the world and find our place in it. We may lose our sense of safety and control and become flooded with overwhelming thoughts and emotions. Whether you’re feeling isolated, lonely, frustrated, fearful or confused, it is possible to emerge courageous and hopeful.
Rebecca M Wright
Counselor, MA, LPCC, NCC
Verified Verified
Santa Fe, NM 87505
Not accepting new clients
Are you struggling with a life transition, relationship issues or painful emotions? Together we will endeavor to attain unique solutions to your specific problems. Increasing happiness and hope to facilitate meaningful, productive living, are primary goals of my practice. Over the course of my 25 years practicing therapy in New Mexico, I have worked with a wide variety of clients and issues. Methods are tailored to the individual's personality, culture, problems and wants. I strive to help clients find clear vision, meaning and a positive sense of self as well an appreciation of purpose in relation to others and the community.
Are you struggling with a life transition, relationship issues or painful emotions? Together we will endeavor to attain unique solutions to your specific problems. Increasing happiness and hope to facilitate meaningful, productive living, are primary goals of my practice. Over the course of my 25 years practicing therapy in New Mexico, I have worked with a wide variety of clients and issues. Methods are tailored to the individual's personality, culture, problems and wants. I strive to help clients find clear vision, meaning and a positive sense of self as well an appreciation of purpose in relation to others and the community.
Susan Nelsen
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505
Robert Frost wrote “THE BEST WAY OUT IS ALWAYS THROUGH”. I come from a strength-based perspective, using an eclectic approach by offering a variety of therapeutic modalities that are oriented to the individual. Modalities inlcude EMDR and Cognitive Behavioral Therapy. I seek to help clients transition through difficult/challenging times to experiencing life in a more fulfilling & positive light.
Robert Frost wrote “THE BEST WAY OUT IS ALWAYS THROUGH”. I come from a strength-based perspective, using an eclectic approach by offering a variety of therapeutic modalities that are oriented to the individual. Modalities inlcude EMDR and Cognitive Behavioral Therapy. I seek to help clients transition through difficult/challenging times to experiencing life in a more fulfilling & positive light.
Star Mountain Therapy, LLC
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Santa Fe, NM 87505
Challenges are a part of life and when we are faced with a difficulty, we are presented with an opportunity for growth. This can be difficult to see when you are in the midst of the challenging situation, especially if you are feeling alone. Reaching out for help is not always easy and takes courage. You may be wanting to develop greater self-awareness and insight, are in need of relief from symptoms of depression or anxiety or wanting caring and unbiased support through a significant moment in life. I believe that each person is unique and I will start with where you are and we’ll work together from there to reach your goals.
Challenges are a part of life and when we are faced with a difficulty, we are presented with an opportunity for growth. This can be difficult to see when you are in the midst of the challenging situation, especially if you are feeling alone. Reaching out for help is not always easy and takes courage. You may be wanting to develop greater self-awareness and insight, are in need of relief from symptoms of depression or anxiety or wanting caring and unbiased support through a significant moment in life. I believe that each person is unique and I will start with where you are and we’ll work together from there to reach your goals.
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Nearby Searches for Santa Fe
See More TherapistsHow does your Therapist compare?
Number of Therapists in Santa Fe, NM
500+
Average cost per session
$135
Therapists in Santa Fe, NM who prioritize treating:
90% | Anxiety |
85% | Depression |
79% | Relationship Issues |
76% | Trauma and PTSD |
76% | Self Esteem |
71% | Grief |
64% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
74% | Presbyterian |
72% | BlueCross and BlueShield |
66% | Medicaid |
How Therapists in Santa Fe, NM see their clients
61% | In Person and Online | |
39% | Online Only |
Gender breakdown
76% | Female | |
22% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Santa Fe?
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.