Therapists in Grand Junction, CO

Photo of Creative Directions Counseling & Consulting, LLC, Clinical Social Work/Therapist in Grand Junction, CO
Creative Directions Counseling & Consulting, LLC
Clinical Social Work/Therapist, MSW, LCSW, RPT-S
Verified Verified
1 Endorsed
Grand Junction, CO 81501
Creative Directions Counseling & Consulting, LLC focuses on the experience of therapy and integrating your senses with what is important to you. We encourage you to embrace your play, reconnect with your inner-self and revitalize your passion for life. Visit our website and complete a referral now (https://www.creativedirectionscc.org/referral-child or https://www.creativedirectionscc.org/referral-adult)
Creative Directions Counseling & Consulting, LLC focuses on the experience of therapy and integrating your senses with what is important to you. We encourage you to embrace your play, reconnect with your inner-self and revitalize your passion for life. Visit our website and complete a referral now (https://www.creativedirectionscc.org/referral-child or https://www.creativedirectionscc.org/referral-adult)
(970) 251-7831 View (970) 251-7831
Photo of Alissa A Singh, Licensed Professional Counselor in Grand Junction, CO
Alissa A Singh
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
5 Endorsed
Grand Junction, CO 81501
Do you feel like life is just giving it to you, and won’t let up? Are you feeling overwhelmed, unseen, invalidated, or just beat down? Maybe you just tragically lost someone special, your whole world is upside down, and your emotions have taken control. Maybe something unexpected and outside of your control happened, and you feel unsafe and unable to be. Maybe you feel numb. Maybe rage has taken over, a rage that scares the important people in your life, and honestly even scares you. Maybe the negative self talk seems constant, and you no longer have the energy to fight it. Maybe life just does not seem as bright at it once did.
Do you feel like life is just giving it to you, and won’t let up? Are you feeling overwhelmed, unseen, invalidated, or just beat down? Maybe you just tragically lost someone special, your whole world is upside down, and your emotions have taken control. Maybe something unexpected and outside of your control happened, and you feel unsafe and unable to be. Maybe you feel numb. Maybe rage has taken over, a rage that scares the important people in your life, and honestly even scares you. Maybe the negative self talk seems constant, and you no longer have the energy to fight it. Maybe life just does not seem as bright at it once did.
(970) 822-0485 View (970) 822-0485
Photo of Mac Fish, Licensed Professional Counselor in Grand Junction, CO
Mac Fish
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
4 Endorsed
Grand Junction, CO 81501
I am honored to work with you through dynamic trauma in your life to see the other side using intensive EMDR. Invest in 3 to 5 full days with me and get your life back, looking at your progress and saying "wow! I did that". Let's get started today! Half-day, 90-minute, or hourly sessions are available as well.
I am honored to work with you through dynamic trauma in your life to see the other side using intensive EMDR. Invest in 3 to 5 full days with me and get your life back, looking at your progress and saying "wow! I did that". Let's get started today! Half-day, 90-minute, or hourly sessions are available as well.
(970) 676-6235 View (970) 676-6235
Photo of Chelsea Henderson, Counselor in Grand Junction, CO
Chelsea Henderson
Counselor, LPC
Verified Verified
Grand Junction, CO 81506
Chelsea Henderson is a Licensed Professional Counselor in Colorado who has been practicing since 2018. She has a Bachelor's in Psychology and Masters in Clinical Mental Health Counseling. Chelsea has helped many clients to find helpful and sustainable ways to live healthier lives for themselves. She has treated depression, anxiety, trauma, bipolar disorder, dissociation, and many other common mental health conditions. Chelsea is passionate in helping transgender, non-binary, and gender expansive folks explore their identities and offer skills, advocacy and other processing interventions regarding challenges being in this population.
Chelsea Henderson is a Licensed Professional Counselor in Colorado who has been practicing since 2018. She has a Bachelor's in Psychology and Masters in Clinical Mental Health Counseling. Chelsea has helped many clients to find helpful and sustainable ways to live healthier lives for themselves. She has treated depression, anxiety, trauma, bipolar disorder, dissociation, and many other common mental health conditions. Chelsea is passionate in helping transgender, non-binary, and gender expansive folks explore their identities and offer skills, advocacy and other processing interventions regarding challenges being in this population.
(970) 517-4489 View (970) 517-4489
Photo of Bill Wimsatt, Clinical Social Work/Therapist in Grand Junction, CO
Bill Wimsatt
Clinical Social Work/Therapist, LCSW, CAC, III
Verified Verified
Grand Junction, CO 81501
My goal for each individual I work with is that we improve the balance they have in their lives. This often occurs by shifting perspectives within ourselves and of the world around. Participating in consistent evaluation with each other helps maintain this balance over time.
My goal for each individual I work with is that we improve the balance they have in their lives. This often occurs by shifting perspectives within ourselves and of the world around. Participating in consistent evaluation with each other helps maintain this balance over time.
(970) 373-4173 View (970) 373-4173
Photo of Amanda Cox, Licensed Professional Counselor in Grand Junction, CO
Amanda Cox
Licensed Professional Counselor, LPC
Verified Verified
Grand Junction, CO 81506
Amanda Cox is a Licensed Professional Counselor in Colorado who has been practicing since 2017. Amanda has experience with a variety of mental health challenges ranging from depression to trauma, to life transitions and stress management. Amanda enjoys working with clients dealing with depression, anxiety, PTSD, family conflict, and grief/loss. She works with ages 6 through young adults but enjoys children and teens most. Amanda utilizes Cognitive-Behavioral Therapy, Dialectical Behavior Therapy, and Person-Centered methods to focus on the needs of her clients and to walk alongside them through their challenges.
Amanda Cox is a Licensed Professional Counselor in Colorado who has been practicing since 2017. Amanda has experience with a variety of mental health challenges ranging from depression to trauma, to life transitions and stress management. Amanda enjoys working with clients dealing with depression, anxiety, PTSD, family conflict, and grief/loss. She works with ages 6 through young adults but enjoys children and teens most. Amanda utilizes Cognitive-Behavioral Therapy, Dialectical Behavior Therapy, and Person-Centered methods to focus on the needs of her clients and to walk alongside them through their challenges.
(970) 660-9637 View (970) 660-9637
Photo of Katie Schuckman, Licensed Professional Counselor in Grand Junction, CO
Katie Schuckman
Licensed Professional Counselor, MA, LPC, Reiki 1
Verified Verified
Grand Junction, CO 81501
Not accepting new clients
I am a Licensed Professional Counselor with ten years of experience in the mental health field. I specialize in working with women, teens and children that have experienced trauma in their life. I am passionate about helping others find their own path and find healing and growth within themselves. I strongly believe that there is a mind, body connection and through exploring and healing that connection that true change can occur.
I am a Licensed Professional Counselor with ten years of experience in the mental health field. I specialize in working with women, teens and children that have experienced trauma in their life. I am passionate about helping others find their own path and find healing and growth within themselves. I strongly believe that there is a mind, body connection and through exploring and healing that connection that true change can occur.
(970) 436-5473 View (970) 436-5473
Photo of Meghan Rodriguez, Licensed Professional Counselor in Grand Junction, CO
Meghan Rodriguez
Licensed Professional Counselor, LPC, NCC
Verified Verified
Grand Junction, CO 81501
Not accepting new clients
There is always pressure to connect with others that we forget that we need to connect with ourselves, and sometimes it’s hard to do this alone. Therapy helps us reconnect with ourselves and realign with our life goals, values, and morals. I will walk with you on your journey of self discovery, carving new paths, and connecting with the world in a way that supports who we are.
There is always pressure to connect with others that we forget that we need to connect with ourselves, and sometimes it’s hard to do this alone. Therapy helps us reconnect with ourselves and realign with our life goals, values, and morals. I will walk with you on your journey of self discovery, carving new paths, and connecting with the world in a way that supports who we are.
(970) 436-4107 View (970) 436-4107
Photo of Turning Point Christian Counseling, PLLC, Licensed Professional Counselor Candidate in Grand Junction, CO
Turning Point Christian Counseling, PLLC
Licensed Professional Counselor Candidate , MA, LPCC
Verified Verified
Grand Junction, CO 81503
My ideal client would be authentic and transparent, with a genuine desire to talk about what brought them in and a willingness to participate in faith based therapy.
My ideal client would be authentic and transparent, with a genuine desire to talk about what brought them in and a willingness to participate in faith based therapy.
(970) 233-1900 View (970) 233-1900
Photo of Lori Hammond, Licensed Professional Counselor in Grand Junction, CO
Lori Hammond
Licensed Professional Counselor, LPC
Verified Verified
Grand Junction, CO 81501
I believe I bring a wide breath of experience to the table as a former Elementary School Counselor/Early Interventionist Specialist as well as Community Mental Health therapist. Twenty years experience treating children and their parents who have experienced trauma. I also have experience working with adults and children with special needs. EMDR trained.
I believe I bring a wide breath of experience to the table as a former Elementary School Counselor/Early Interventionist Specialist as well as Community Mental Health therapist. Twenty years experience treating children and their parents who have experienced trauma. I also have experience working with adults and children with special needs. EMDR trained.
(970) 671-7198 View (970) 671-7198
Photo of Ashley Carter, Counselor in Grand Junction, CO
Ashley Carter
Counselor, LPC
Verified Verified
3 Endorsed
Grand Junction, CO 81505
I love couples work! To me, there is no greater fulfillment than helping two individuals reignite what was lost, and create new behaviors that have the ability to create a whole new relationship that both individuals may have lost hope for. Alternatively, couples counseling may also look like learning how to say goodbye, and doing so in the most productive and least painful way possible. The most painful option is to stay stagnant in an unhealthy relationship, having the same conflicts time and time again, and endlessly searching for an answer that isn’t appearing. You and your partner do not have to navigate these waters alone.
I love couples work! To me, there is no greater fulfillment than helping two individuals reignite what was lost, and create new behaviors that have the ability to create a whole new relationship that both individuals may have lost hope for. Alternatively, couples counseling may also look like learning how to say goodbye, and doing so in the most productive and least painful way possible. The most painful option is to stay stagnant in an unhealthy relationship, having the same conflicts time and time again, and endlessly searching for an answer that isn’t appearing. You and your partner do not have to navigate these waters alone.
(970) 289-5114 View (970) 289-5114
Photo of Jessica Downs, Clinical Social Work/Therapist in Grand Junction, CO
Jessica Downs
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Grand Junction, CO 81501
Do you find yourself stuck doing or thinking things that don't serve you? Whether that's at work, at home with your partner or children, or on your own, despite your best efforts, it isn't getting better. The world is flooded with ideas on self-help and coping with stress, which often shines a bright light how things aren't working. If you've felt overwhelmed by the circumstances of your life, the counselors at Live Well are here to help you find lasting resolution to the issues that keep you stuck. We move beyond coping with hard things, to the root, so you can experience deep healing, & live the rich life you are worthy of.
Do you find yourself stuck doing or thinking things that don't serve you? Whether that's at work, at home with your partner or children, or on your own, despite your best efforts, it isn't getting better. The world is flooded with ideas on self-help and coping with stress, which often shines a bright light how things aren't working. If you've felt overwhelmed by the circumstances of your life, the counselors at Live Well are here to help you find lasting resolution to the issues that keep you stuck. We move beyond coping with hard things, to the root, so you can experience deep healing, & live the rich life you are worthy of.
(970) 507-4368 View (970) 507-4368
Photo of Angela Paul, Clinical Social Work/Therapist in Grand Junction, CO
Angela Paul
Clinical Social Work/Therapist, MSW, LSW, LAC
Verified Verified
Grand Junction, CO 81504  (Online Only)
Deciding to take that first step can be a hard decision but you’re not alone! I’m a Licensed Addiction Counselor and Licensed Social Worker. In my practice, I specialize in providing support for individuals dealing with addiction. I offer a tailored approach that combines empathetic counseling with the latest advancements in addiction treatment such as the Sinclair Method for alcohol use. My goal is to empower individuals and provide support on their journey towards recovery, using a person-centered and harm reduction model. Addiction can affect anyone and I provide a safe, non-judgmental space for you to be heard and supported.
Deciding to take that first step can be a hard decision but you’re not alone! I’m a Licensed Addiction Counselor and Licensed Social Worker. In my practice, I specialize in providing support for individuals dealing with addiction. I offer a tailored approach that combines empathetic counseling with the latest advancements in addiction treatment such as the Sinclair Method for alcohol use. My goal is to empower individuals and provide support on their journey towards recovery, using a person-centered and harm reduction model. Addiction can affect anyone and I provide a safe, non-judgmental space for you to be heard and supported.
(719) 745-2742 View (719) 745-2742
Photo of Devin Pinkston, Licensed Professional Counselor in Grand Junction, CO
Devin Pinkston
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Grand Junction, CO 81501
Ready to embrace who you are? If you are seeking medical transitional/affirmation needs (hormone affirming therapy or gender affirming surgery), letter access is easy and streamlined. If you are a member of the LGBTQ2S+ community and seeking not only a safe space, but a competent provider who also understand the unique challenges navigating concepts of power and privilege, then you are in the right place! I also specialize in sex and intimacy counseling for couples and individuals and am kink/BDSM competent.
Ready to embrace who you are? If you are seeking medical transitional/affirmation needs (hormone affirming therapy or gender affirming surgery), letter access is easy and streamlined. If you are a member of the LGBTQ2S+ community and seeking not only a safe space, but a competent provider who also understand the unique challenges navigating concepts of power and privilege, then you are in the right place! I also specialize in sex and intimacy counseling for couples and individuals and am kink/BDSM competent.
(970) 644-6528 View (970) 644-6528
Photo of Michael M Olson, Marriage & Family Therapist in Grand Junction, CO
Michael M Olson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Grand Junction, CO 81505
For over twenty years, I've been helping individuals, couples, and families struggling with a range of problems including, but not limited to: anxiety, depression, ADD, bipolar disorder, eating disorders, marital and family distress, infidelity, and sexual addictions. Working as a therapist, researcher, and professor in medical settings throughout my career (University of Texas Medical Branch, University of Nebraska Medical Center) has informed my work with individuals and families to provide whole-personal care, integrating mind, body, and spirit.
For over twenty years, I've been helping individuals, couples, and families struggling with a range of problems including, but not limited to: anxiety, depression, ADD, bipolar disorder, eating disorders, marital and family distress, infidelity, and sexual addictions. Working as a therapist, researcher, and professor in medical settings throughout my career (University of Texas Medical Branch, University of Nebraska Medical Center) has informed my work with individuals and families to provide whole-personal care, integrating mind, body, and spirit.
(970) 236-7958 View (970) 236-7958
Photo of Temenos Counseling Services, Licensed Professional Counselor in Grand Junction, CO
Temenos Counseling Services
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Grand Junction, CO 81501
Now offering Telehealth and Coaching! My name is Don Self and I have 25+ years of experience as a Licensed Professional Counselor. Though my formative years as a counselor have been spent working with children and teenagers, I work with adults and couples. I started my agency, Temenos Counseling Services, to emphasize my philosophy that counseling should be a safe place to heal. As a counselor, I focus on helping clients heal from their individual traumas, develop their lives, and plan for their futures. I work with my clients to develop goals that lead to more meaningful and fulfilling lives.
Now offering Telehealth and Coaching! My name is Don Self and I have 25+ years of experience as a Licensed Professional Counselor. Though my formative years as a counselor have been spent working with children and teenagers, I work with adults and couples. I started my agency, Temenos Counseling Services, to emphasize my philosophy that counseling should be a safe place to heal. As a counselor, I focus on helping clients heal from their individual traumas, develop their lives, and plan for their futures. I work with my clients to develop goals that lead to more meaningful and fulfilling lives.
(970) 497-1385 View (970) 497-1385
Photo of Courtney Flores, Clinical Social Work/Therapist in Grand Junction, CO
Courtney Flores
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Grand Junction, CO 81501
Raising kids can be hard, especially when the only constant is change: changing bodies; changing brains; changing friends and family situations. As a parent or caregiver, it can be challenging to keep up, and to know what to do when it’s not going well. If your child or teen is struggling to navigate these changes, you are not alone. If they are battling anxiety or depression, or stuck with behaviors that aren’t serving them. Or if they have experienced trauma, loss, or divorce, I would love to work with you to design the best plan to help your child successfully navigate their challenges, and to feel better.
Raising kids can be hard, especially when the only constant is change: changing bodies; changing brains; changing friends and family situations. As a parent or caregiver, it can be challenging to keep up, and to know what to do when it’s not going well. If your child or teen is struggling to navigate these changes, you are not alone. If they are battling anxiety or depression, or stuck with behaviors that aren’t serving them. Or if they have experienced trauma, loss, or divorce, I would love to work with you to design the best plan to help your child successfully navigate their challenges, and to feel better.
(970) 436-9512 View (970) 436-9512
Photo of Charlotte Stapley, Marriage & Family Therapist in Grand Junction, CO
Charlotte Stapley
Marriage & Family Therapist, MA, LMFT
Verified Verified
Grand Junction, CO 81501
Since 2010, I have had the privilege of working with clients who have faced various challenges such as mood disorders, suicidal thoughts, anxiety, ADHD, Autism, difficulties adjusting to family life, coping with grief, dealing with trauma, challenging behavior, struggling with substance abuse, exploring gender identity, and adjusting to new situations.
Since 2010, I have had the privilege of working with clients who have faced various challenges such as mood disorders, suicidal thoughts, anxiety, ADHD, Autism, difficulties adjusting to family life, coping with grief, dealing with trauma, challenging behavior, struggling with substance abuse, exploring gender identity, and adjusting to new situations.
(970) 822-7433 View (970) 822-7433
Photo of Erin Boylan, Licensed Professional Counselor in Grand Junction, CO
Erin Boylan
Licensed Professional Counselor, LPC, ATR-P, EMDR
Verified Verified
2 Endorsed
Grand Junction, CO 81501  (Online Only)
Do you feel stuck in the trauma, activation in the body, & fear of abandonment? Are your symptoms not resolving through traditional talk therapy? I offer trauma resolution for women and queer folx ready to heal. Life certainly has a way of presenting what can feel like insurmountable challenges that distract us from our true nature. When we hit rock bottom it creates a crack for our greatness to flood through though often the pain of breaking distracts us in an unbearable way. Together we'll mend those cracks with gold. Sometimes we just need a lighthouse to show us the way back to our greatness, or to uncover it for the first time.
Do you feel stuck in the trauma, activation in the body, & fear of abandonment? Are your symptoms not resolving through traditional talk therapy? I offer trauma resolution for women and queer folx ready to heal. Life certainly has a way of presenting what can feel like insurmountable challenges that distract us from our true nature. When we hit rock bottom it creates a crack for our greatness to flood through though often the pain of breaking distracts us in an unbearable way. Together we'll mend those cracks with gold. Sometimes we just need a lighthouse to show us the way back to our greatness, or to uncover it for the first time.
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Photo of Monument Christian Counseling, PLLC, Licensed Professional Counselor in Grand Junction, CO
Monument Christian Counseling, PLLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Grand Junction, CO 81505
Everyone has unique contextual factors that contributes to their life story.  Your story matters! I consider it an honor and privilege to enter into your story with you.  I provide individual counseling for adolescents, young adults, and adults.  I also provide family counseling. My areas of focus are depression, anxiety, and trauma work.  I combine person-centered, cognitive behavioral therapy (CBT), and narrative therapy with spiritual interventions to meet your needs, but your goals will direct our therapeutic process.  We can partner together to explore your story and help you achieve your own vision of wellness.
Everyone has unique contextual factors that contributes to their life story.  Your story matters! I consider it an honor and privilege to enter into your story with you.  I provide individual counseling for adolescents, young adults, and adults.  I also provide family counseling. My areas of focus are depression, anxiety, and trauma work.  I combine person-centered, cognitive behavioral therapy (CBT), and narrative therapy with spiritual interventions to meet your needs, but your goals will direct our therapeutic process.  We can partner together to explore your story and help you achieve your own vision of wellness.
(970) 251-8588 View (970) 251-8588

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Number of Therapists in Grand Junction, CO

100+

Average cost per session

$125

Therapists in Grand Junction, CO who prioritize treating:

88% Anxiety
87% Depression
80% Trauma and PTSD
70% Relationship Issues
70% Self Esteem
68% Stress
63% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

77% Aetna
69% UnitedHealthcare UHC | UBH
64% Cigna and Evernorth

How Therapists in Grand Junction, CO see their clients

68% In Person and Online
32% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Grand Junction?

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.