Therapists in Waukesha, WI

Photo of Kara Guevara, Clinical Social Work/Therapist in Waukesha, WI
Kara Guevara
Clinical Social Work/Therapist, LCSW
Verified Verified
Waukesha, WI 53186
Kara Guevara is a Psychotherapist, who has been a practicing social worker since 2013 and psychotherapy since 2017. She received a Bachelor of Social Work from Concordia University and a Master of Clinical Social Work from UWM. As a Social Worker, Kara has experience working in Hospice, Child Protective Services, skilled nursing facilities and the Aging and Disability Resource Center. As a Psychotherapist, she has 5 years of experience working at Rogers Behavioral Health. Kara believes in meeting clients where they are at, in a judgement free and accepting way.
Kara Guevara is a Psychotherapist, who has been a practicing social worker since 2013 and psychotherapy since 2017. She received a Bachelor of Social Work from Concordia University and a Master of Clinical Social Work from UWM. As a Social Worker, Kara has experience working in Hospice, Child Protective Services, skilled nursing facilities and the Aging and Disability Resource Center. As a Psychotherapist, she has 5 years of experience working at Rogers Behavioral Health. Kara believes in meeting clients where they are at, in a judgement free and accepting way.
(262) 383-4237 View (262) 383-4237
Photo of John Sullivan, Licensed Professional Counselor in Waukesha, WI
John Sullivan
Licensed Professional Counselor, LPC
Verified Verified
Waukesha, WI 53186
John Michael Sullivan is a Licensed Professional Counselor, Coach, Dad, and Husband who brings a wide array of experience and expertise to the Helping Professions field. Often referred by others as "Sully", John practices from a person centered approached working collaboratively with patients, utilizing a goal-oriented style, drawing from the key principles of Adlerian Therapy. As a soccer coach of 20 years, Sully incorporates many of the team building and motivational concepts that help build self-esteem and confidence in both oneself and others.
John Michael Sullivan is a Licensed Professional Counselor, Coach, Dad, and Husband who brings a wide array of experience and expertise to the Helping Professions field. Often referred by others as "Sully", John practices from a person centered approached working collaboratively with patients, utilizing a goal-oriented style, drawing from the key principles of Adlerian Therapy. As a soccer coach of 20 years, Sully incorporates many of the team building and motivational concepts that help build self-esteem and confidence in both oneself and others.
(262) 233-1185 View (262) 233-1185
Photo of Hope for a Better Tomorrow, Psychologist in Waukesha, WI
Hope for a Better Tomorrow
Psychologist, PsyD
Verified Verified
Waukesha, WI 53188
Hope is just a phone call away. Whether you struggle with anxiety, depression, addiction, or relationship issues- I will work with you to develop NEW ways of dealing with life's circumstances. Sometimes we get stuck in habits and thought patterns that keeps us from joy filled living. Therapy can help you feel supported and understood, while encouraging change.
Hope is just a phone call away. Whether you struggle with anxiety, depression, addiction, or relationship issues- I will work with you to develop NEW ways of dealing with life's circumstances. Sometimes we get stuck in habits and thought patterns that keeps us from joy filled living. Therapy can help you feel supported and understood, while encouraging change.
(262) 287-9081 View (262) 287-9081
Photo of Sadie Millen, Licensed Professional Counselor in Waukesha, WI
Sadie Millen
Licensed Professional Counselor, LPC
Verified Verified
Waukesha, WI 53186
Sadie Millen is a Licensed Professional Counselor in Wisconsin who has been practicing since 2018. She received her Bachelor's degree in Psychology from the University of Wisconsin-Madison and her Master's in Counseling with a clinical mental health concentration from Mount Mary University. Sadie specializes in working with children and young adults with neurodevelopmental disorders, anxiety, low self-esteem, and trauma histories. Her goal is to provide children and their families with a supportive environment where they can explore their life experiences and learn emotion regulation, communication, and social skills.
Sadie Millen is a Licensed Professional Counselor in Wisconsin who has been practicing since 2018. She received her Bachelor's degree in Psychology from the University of Wisconsin-Madison and her Master's in Counseling with a clinical mental health concentration from Mount Mary University. Sadie specializes in working with children and young adults with neurodevelopmental disorders, anxiety, low self-esteem, and trauma histories. Her goal is to provide children and their families with a supportive environment where they can explore their life experiences and learn emotion regulation, communication, and social skills.
(262) 236-5002 View (262) 236-5002
Photo of Kassidy Veness, Counselor in Waukesha, WI
Kassidy Veness
Counselor, LPC-IT
Verified Verified
Waukesha, WI 53188
Are you feeling trapped by the need to constantly meet impossible standards? Do you struggle with feelings of never being good enough, no matter how much you achieve? Together, we'll explore the underlying causes of your perfectionism and work on reprocessing past traumas that may be contributing to these feelings. Through our work, you'll learn to set realistic expectations for yourself, embrace your imperfections as part of what makes you unique, and be a part of your relationships more authentically and fully. You’ll have a new relationship with yourself, that has more compassion and clarity on what you really want in life.
Are you feeling trapped by the need to constantly meet impossible standards? Do you struggle with feelings of never being good enough, no matter how much you achieve? Together, we'll explore the underlying causes of your perfectionism and work on reprocessing past traumas that may be contributing to these feelings. Through our work, you'll learn to set realistic expectations for yourself, embrace your imperfections as part of what makes you unique, and be a part of your relationships more authentically and fully. You’ll have a new relationship with yourself, that has more compassion and clarity on what you really want in life.
(414) 446-0751 View (414) 446-0751
Photo of Alexis Condy, Clinical Social Work/Therapist in Waukesha, WI
Alexis Condy
Clinical Social Work/Therapist, APSW, SAC-IT
Verified Verified
Waukesha, WI 53188
Alexis has a wide range of experience working with adolescents and young adults. Her focus is helping clients manage feelings of Stress, OCD and Anxiety, Low Self-Esteem, Depression, and Substance Abuse. She offers a safe space for clients to process emotions, work through challenges, and learn new ways to cope. Alexis practices through a solution-focused lens and completed trainings in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). Her aim as a therapist is to highlight strengths and assist clients in meeting their goals through the use of skills, education, and self-compassion.
Alexis has a wide range of experience working with adolescents and young adults. Her focus is helping clients manage feelings of Stress, OCD and Anxiety, Low Self-Esteem, Depression, and Substance Abuse. She offers a safe space for clients to process emotions, work through challenges, and learn new ways to cope. Alexis practices through a solution-focused lens and completed trainings in Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). Her aim as a therapist is to highlight strengths and assist clients in meeting their goals through the use of skills, education, and self-compassion.
(262) 384-6838 View (262) 384-6838
Photo of Alyssa Printz, Counselor in Waukesha, WI
Alyssa Printz
Counselor, MS, LPC-IT
Verified Verified
2 Endorsed
Waukesha, WI 53188
One of the bravest things you can do is to start to understand your story. No matter where you are in your self-exploration journey, my goal is to meet you where you're at. Together we will identify your goals and utilize your unique strengths to live a fulfilled life. I will work collaboratively with you to address your personal needs and assist you in improved mental and emotional health.
One of the bravest things you can do is to start to understand your story. No matter where you are in your self-exploration journey, my goal is to meet you where you're at. Together we will identify your goals and utilize your unique strengths to live a fulfilled life. I will work collaboratively with you to address your personal needs and assist you in improved mental and emotional health.
View
Photo of Noelle Penshorn, Marriage & Family Therapist in Waukesha, WI
Noelle Penshorn
Marriage & Family Therapist, MS, LMFT
Verified Verified
Waukesha, WI 53188  (Online Only)
I believe that relationships are the center of our lives. When we are accepting and compassionate to ourselves, we can bring our best to our relationships. As your therapist, I aim to provide you a safe and caring environment, where you feel comfortable to discuss what is happening in your life. Together we will explore ways to heal emotional pain, recognize unhealthy patterns and resolve personal problems. Please contact me today to get started.
I believe that relationships are the center of our lives. When we are accepting and compassionate to ourselves, we can bring our best to our relationships. As your therapist, I aim to provide you a safe and caring environment, where you feel comfortable to discuss what is happening in your life. Together we will explore ways to heal emotional pain, recognize unhealthy patterns and resolve personal problems. Please contact me today to get started.
(262) 300-4778 View (262) 300-4778
Photo of Kaitlyn Sheskey, Licensed Professional Counselor in Waukesha, WI
Kaitlyn Sheskey
Licensed Professional Counselor, LPC
Verified Verified
Waukesha, WI 53186
Kate Sheskey is a Licensed Professional Counselor who has been practicing since 2017. She graduated from UW-Whitewater with a degree in Clinical Mental Health Counseling. Kate takes a client-centered approach when working with individuals while incorporating Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). In her spare time, Kate enjoys spending time with family and friends, trying new restaurants, and traveling.
Kate Sheskey is a Licensed Professional Counselor who has been practicing since 2017. She graduated from UW-Whitewater with a degree in Clinical Mental Health Counseling. Kate takes a client-centered approach when working with individuals while incorporating Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). In her spare time, Kate enjoys spending time with family and friends, trying new restaurants, and traveling.
(262) 588-4127 View (262) 588-4127
Photo of Courtney Senk, Licensed Professional Counselor in Waukesha, WI
Courtney Senk
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Waukesha, WI 53186
Has shame kept you in silence? Have circumstances robbed you of your peace? Are you struggling to cope with the stressors in your life? Do you feel like no one understands you or that you don’t fit in? Do you feel alone, overwhelmed, hopeless, angry, worthless, anxious, in constant pain, or out of control? Have you been hurt by people or systems that are supposed to help you? Trauma can shake the very foundation of our sense of well-being, safety, and belonging. And shame can hinder us from living the life we want and deserve. Whatever you find yourself struggling with, you don't need to suffer in silence or walk this journey alone.
Has shame kept you in silence? Have circumstances robbed you of your peace? Are you struggling to cope with the stressors in your life? Do you feel like no one understands you or that you don’t fit in? Do you feel alone, overwhelmed, hopeless, angry, worthless, anxious, in constant pain, or out of control? Have you been hurt by people or systems that are supposed to help you? Trauma can shake the very foundation of our sense of well-being, safety, and belonging. And shame can hinder us from living the life we want and deserve. Whatever you find yourself struggling with, you don't need to suffer in silence or walk this journey alone.
(262) 747-2872 View (262) 747-2872
Photo of Lexi Anderson, Pre-Licensed Professional in Waukesha, WI
Lexi Anderson
Pre-Licensed Professional
Verified Verified
Waukesha, WI 53188
Are you or your child experiencing difficulties at home or school? Are you or your teen looking for ways to let out the emotions you’re feeling in a healthy way? No matter where you are in life, we can work together to continue along your journey. I want to help you feel happy and confident in who you are and where you are at in life.
Are you or your child experiencing difficulties at home or school? Are you or your teen looking for ways to let out the emotions you’re feeling in a healthy way? No matter where you are in life, we can work together to continue along your journey. I want to help you feel happy and confident in who you are and where you are at in life.
(414) 367-7372 View (414) 367-7372
Photo of Trish Torzala, Licensed Professional Counselor in Waukesha, WI
Trish Torzala
Licensed Professional Counselor, MS, LPC
Verified Verified
Waukesha, WI 53188
Are you or a loved one struggling with sadness, anxiety, or hopelessness? Or perhaps bouts of anger or regret? Reaching out for support is not an easy action to take during times of mental health struggles. It’s not unusual that during these troubling times, motivation is scarce. Please know you are worth it and there is help. Knowing how difficult it can be to reach for help, my first priority is creating a space to talk about psychological issues. A space where someone listens to you with compassion and without judgment. Through listening and guidance, I can help you gain greater self-awareness and a happier, healthier you.
Are you or a loved one struggling with sadness, anxiety, or hopelessness? Or perhaps bouts of anger or regret? Reaching out for support is not an easy action to take during times of mental health struggles. It’s not unusual that during these troubling times, motivation is scarce. Please know you are worth it and there is help. Knowing how difficult it can be to reach for help, my first priority is creating a space to talk about psychological issues. A space where someone listens to you with compassion and without judgment. Through listening and guidance, I can help you gain greater self-awareness and a happier, healthier you.
(262) 588-3877 View (262) 588-3877
Photo of Katherine Harder, Counselor in Waukesha, WI
Katherine Harder
Counselor, MS, LPC
Verified Verified
Waukesha, WI 53188
Waitlist for new clients
Looking for someone to help you, a child/teen, or friend settle anxiety, sadness, or scary thoughts of hurting themselves? I'd like to offer my experience and support to promote safety and peace of mind. By exploring what may be "throwing off" the rhythm of life, we can create goals that better align with a hope filled life you deserve.
Looking for someone to help you, a child/teen, or friend settle anxiety, sadness, or scary thoughts of hurting themselves? I'd like to offer my experience and support to promote safety and peace of mind. By exploring what may be "throwing off" the rhythm of life, we can create goals that better align with a hope filled life you deserve.
(262) 624-1114 View (262) 624-1114
Photo of Summit Counseling LLC, Counselor in Waukesha, WI
Summit Counseling LLC
Counselor, MS, LPC, NCC
Verified Verified
Waukesha, WI 53188
I have immediate openings for new clients. I attempt to schedule all initial appointments within 5 business days. I provide in-office visits or secure HIPAA compliant messaging and video sessions, automatic email, text appointment reminders and secure online document signing. If you feel like your life is out of your control or relationships are becoming more difficult - I can help. Please call or email me to schedule an appointment.
I have immediate openings for new clients. I attempt to schedule all initial appointments within 5 business days. I provide in-office visits or secure HIPAA compliant messaging and video sessions, automatic email, text appointment reminders and secure online document signing. If you feel like your life is out of your control or relationships are becoming more difficult - I can help. Please call or email me to schedule an appointment.
(262) 205-2602 View (262) 205-2602
Photo of Leticia Mayes, Licensed Professional Counselor in Waukesha, WI
Leticia Mayes
Licensed Professional Counselor, MS, LPC, CCTP-II
Verified Verified
3 Endorsed
Waukesha, WI 53186
Have you or your child/adolescent found yourself in a very dark, messy, or hard place in life? Does it feel like you are stuck in quicksand and no matter what you try, you can't get out? I am here to support you in your journey to find relief from overwhelming emotions and painful memories due to trauma, anxiety, depression, suicidal ideation, or self-harm. I am also here to help parents and children work through attachment obstacles due to adoption or foster care related concerns. It's important to me that each person feels safe in their body and environment while also gaining the ability to trust and connect with others.
Have you or your child/adolescent found yourself in a very dark, messy, or hard place in life? Does it feel like you are stuck in quicksand and no matter what you try, you can't get out? I am here to support you in your journey to find relief from overwhelming emotions and painful memories due to trauma, anxiety, depression, suicidal ideation, or self-harm. I am also here to help parents and children work through attachment obstacles due to adoption or foster care related concerns. It's important to me that each person feels safe in their body and environment while also gaining the ability to trust and connect with others.
(262) 300-7562 View (262) 300-7562
Photo of Veronica Sosa Ms Lpc, Licensed Professional Counselor in Waukesha, WI
Veronica Sosa Ms Lpc
Licensed Professional Counselor, MS, PPS, LPC
Verified Verified
Waukesha, WI 53188  (Online Only)
Founder and CEO of LifeStriders. Clinical Supervisor for over 15 years, DEI certified. I am experienced in: Abuse & Trauma, Anger Management, ADD/ADHD, Children/Teen Issues,Career Counseling/Job Loss,Couples/Marriage & Relationship Enhancement,Depression, Diabetes, Bipolar Disorder, Postpartum Depression, Domestic Violence,Parenting & Constructive Discipline,Grief,Low Self Esteem,Parenting Children with Special Needs, Reactive Attachment Disorder/Adoption,School Issues/ Behavior Problems/ IEP's, Anxiety/ Panic Disorder, PTSD, Social Anxiety,Stress Management,Veterans Post-War Anxiety/Depression & Re-adjustment. DE&I certified
Founder and CEO of LifeStriders. Clinical Supervisor for over 15 years, DEI certified. I am experienced in: Abuse & Trauma, Anger Management, ADD/ADHD, Children/Teen Issues,Career Counseling/Job Loss,Couples/Marriage & Relationship Enhancement,Depression, Diabetes, Bipolar Disorder, Postpartum Depression, Domestic Violence,Parenting & Constructive Discipline,Grief,Low Self Esteem,Parenting Children with Special Needs, Reactive Attachment Disorder/Adoption,School Issues/ Behavior Problems/ IEP's, Anxiety/ Panic Disorder, PTSD, Social Anxiety,Stress Management,Veterans Post-War Anxiety/Depression & Re-adjustment. DE&I certified
(262) 563-2981 View (262) 563-2981
Photo of Erin Hernikl, Licensed Professional Counselor in Waukesha, WI
Erin Hernikl
Licensed Professional Counselor, LPC
Verified Verified
Waukesha, WI 53186
Erin Hernikl is a Licensed Professional Counselor in Wisconsin who has been practicing since 2020. Erin believes in an integrated approach that focuses on a strong therapeutic alliance to collaboratively meet each individuals' needs/goals In her spare time, Erin enjoys spending time outdoors and attending sporting events.
Erin Hernikl is a Licensed Professional Counselor in Wisconsin who has been practicing since 2020. Erin believes in an integrated approach that focuses on a strong therapeutic alliance to collaboratively meet each individuals' needs/goals In her spare time, Erin enjoys spending time outdoors and attending sporting events.
(262) 999-0857 View (262) 999-0857
Photo of Nicole Gies, LCSW, Clinical Social Work/Therapist in Waukesha, WI
Nicole Gies, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Waukesha, WI 53186
Has a recent loss turned your life upside down? Losing a loved one can make you feel empty and not like yourself. Family and friends try to help, but statements like "you'll get over it' and "it is time to move on" can be hurtful and insensitive. Coping with loss is a lifetime process that is never completely overcome. Our task to help you find ways to stay connected with their essence rather than find closure. Seeking guidance from a licensed therapist can help you regain life balance at school, home, and work.
Has a recent loss turned your life upside down? Losing a loved one can make you feel empty and not like yourself. Family and friends try to help, but statements like "you'll get over it' and "it is time to move on" can be hurtful and insensitive. Coping with loss is a lifetime process that is never completely overcome. Our task to help you find ways to stay connected with their essence rather than find closure. Seeking guidance from a licensed therapist can help you regain life balance at school, home, and work.
(262) 735-8179 View (262) 735-8179
Photo of Sue Schramka, Psychologist in Waukesha, WI
Sue Schramka
Psychologist, PsyD
Verified Verified
Waukesha, WI 53186
Sue Schramka is a clinical psychologist who has been practicing since 2002. She graduated from the Wisconsin School of Professional Psychology with a doctorate in child psychology. Sue provides psychotherapy for children, adolescents and adults with an emphasis on treating anxiety and mood disorders, interpersonal difficulties and difficulties with stress management. Her therapeutic approach focuses on building competent coping strategies, changing maladaptive cognitive processes and incorporates mindfulness meditation, acceptance and willingness strategies as well as behavioral activation.
Sue Schramka is a clinical psychologist who has been practicing since 2002. She graduated from the Wisconsin School of Professional Psychology with a doctorate in child psychology. Sue provides psychotherapy for children, adolescents and adults with an emphasis on treating anxiety and mood disorders, interpersonal difficulties and difficulties with stress management. Her therapeutic approach focuses on building competent coping strategies, changing maladaptive cognitive processes and incorporates mindfulness meditation, acceptance and willingness strategies as well as behavioral activation.
(262) 588-4003 View (262) 588-4003
Photo of Sue Pakula, Licensed Professional Counselor in Waukesha, WI
Sue Pakula
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Waukesha, WI 53186
As a counselor, I strive to be empathic and authentic with my clients. I practice with a Person Centered approach and draw from Interpersonal Psychotherapy and Existentialism. With these ideas, we build our therapeutic relationship on trust and understanding. We work on goals that you feel are important – you are the expert in your life!
As a counselor, I strive to be empathic and authentic with my clients. I practice with a Person Centered approach and draw from Interpersonal Psychotherapy and Existentialism. With these ideas, we build our therapeutic relationship on trust and understanding. We work on goals that you feel are important – you are the expert in your life!
(414) 404-5860 View (414) 404-5860

How does your Therapist compare?

Number of Therapists in Waukesha, WI

100+

Average cost per session

$130

Therapists in Waukesha, WI who prioritize treating:

94% Anxiety
90% Depression
73% Self Esteem
68% Relationship Issues
66% Trauma and PTSD
64% Life Transitions
63% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

81% UnitedHealthcare UHC | UBH
77% Aetna
68% BlueCross and BlueShield

How Therapists in Waukesha, WI see their clients

85% In Person and Online
15% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Waukesha?

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.