Therapists in Little Rock, AR

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Photo of Kym Palmer, Clinical Social Work/Therapist in Little Rock, AR
Kym Palmer
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Little Rock, AR 72227
We all go through rough patches. I'm here to assist you in exploring the rough patch you are struggling with. We will explore your hidden strengths and develop new approaches to handle any old patterns tripping you up! I'm down to earth and easy to talk to. No pretentiousness here! Call today and let's make a plan talk about creating your ideal treatment plan together.
We all go through rough patches. I'm here to assist you in exploring the rough patch you are struggling with. We will explore your hidden strengths and develop new approaches to handle any old patterns tripping you up! I'm down to earth and easy to talk to. No pretentiousness here! Call today and let's make a plan talk about creating your ideal treatment plan together.
(501) 475-2426 View (501) 475-2426
Photo of Brooks Higginbotham, Clinical Social Work/Therapist in Little Rock, AR
Brooks Higginbotham
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Rock, AR 72205
I am a licensed therapist who works most often with trauma and addiction.
I am a licensed therapist who works most often with trauma and addiction.
(501) 200-9178 View (501) 200-9178
Photo of Kayla Wendel, Counselor in Little Rock, AR
Kayla Wendel
Counselor, LAC
Verified Verified
Little Rock, AR 72205
Kayla has her Masters in Marriage and Family Therapy and believes in utilizing a systemic approach when working with clients. Since 2018, she has worked as a licensed counselor. During this time she has worked with adolescents and families at a residential treatment center. Kayla also has specialized training in trauma therapy and attachment therapy and enjoys applying it to her work with all types of clients.
Kayla has her Masters in Marriage and Family Therapy and believes in utilizing a systemic approach when working with clients. Since 2018, she has worked as a licensed counselor. During this time she has worked with adolescents and families at a residential treatment center. Kayla also has specialized training in trauma therapy and attachment therapy and enjoys applying it to her work with all types of clients.
(501) 550-8287 View (501) 550-8287
Photo of Christy Smith, Clinical Social Work/Therapist in Little Rock, AR
Christy Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Little Rock, AR 72211
Life has challenging moments and obstacles and having someone to work with you on your journey can help make the impossible become possible. Are you looking to heal and build a better path? Do past events or daily stressors overwhelm you? Do you feel like you've attempted to make change or work through your emotional pain but nothing seems to be working? Often it can be frustrating when you've feel that you have exhausted your options to building a better path.
Life has challenging moments and obstacles and having someone to work with you on your journey can help make the impossible become possible. Are you looking to heal and build a better path? Do past events or daily stressors overwhelm you? Do you feel like you've attempted to make change or work through your emotional pain but nothing seems to be working? Often it can be frustrating when you've feel that you have exhausted your options to building a better path.
(501) 236-4381 View (501) 236-4381
Photo of Samantha Golden, Clinical Social Work/Therapist in Little Rock, AR
Samantha Golden
Clinical Social Work/Therapist, LCSW, LADAC
Verified Verified
Little Rock, AR 72211
Samantha Golden is a Licensed Clinical Social Worker and Licensed Alcohol Drug Abuse Counselor at Alleviant Health Centers of Little Rock. She believes in meeting the person where they are currently at and helping them work towards their desired goals while reducing symptoms to reduce challenges and increase healing.
Samantha Golden is a Licensed Clinical Social Worker and Licensed Alcohol Drug Abuse Counselor at Alleviant Health Centers of Little Rock. She believes in meeting the person where they are currently at and helping them work towards their desired goals while reducing symptoms to reduce challenges and increase healing.
(501) 426-6434 View (501) 426-6434
Photo of Therapeutic Solutions, PA, Psychologist in Little Rock, AR
Therapeutic Solutions, PA
Psychologist, LPE-I
Verified Verified
Little Rock, AR 72207
Overwhelming anxiety, depression, insomnia or unbalanced ? I invite you to take a journey, learn how to befriend your body. I utilize a Neuroaffective Relational Model (NARM) approach. The model targets: •affect regulation •attachment •attunement •interpersonal/social connection • body regulation. The model is "resource orientated", meaning towards your strengths and potentials, rather than problems and conflicts. The emphasis is on collaboration. Research supports this treatment as effective with the following populations: Autism Spectrum Sensory Processing Developmental Trauma Complex Trauma
Overwhelming anxiety, depression, insomnia or unbalanced ? I invite you to take a journey, learn how to befriend your body. I utilize a Neuroaffective Relational Model (NARM) approach. The model targets: •affect regulation •attachment •attunement •interpersonal/social connection • body regulation. The model is "resource orientated", meaning towards your strengths and potentials, rather than problems and conflicts. The emphasis is on collaboration. Research supports this treatment as effective with the following populations: Autism Spectrum Sensory Processing Developmental Trauma Complex Trauma
(501) 214-5972 View (501) 214-5972
Photo of Maci Nicole Scudder, Clinical Social Work/Therapist in Little Rock, AR
Maci Nicole Scudder
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Rock, AR 72205
Are you grappling with past trauma, seeking understanding and healing to reclaim your present and future? Do you find yourself struggling with the weight of anxiety and depression? If so, you have come to the right place. I specialize in providing compassionate support for individuals navigating lifelong trauma, often stemming from early experiences that shape their sense of self and well-being. Whether you're grappling with visible or invisible wounds, I am here to help you understand your experiences, learn practical skills, and embark on a journey towards healing and self-discovery.
Are you grappling with past trauma, seeking understanding and healing to reclaim your present and future? Do you find yourself struggling with the weight of anxiety and depression? If so, you have come to the right place. I specialize in providing compassionate support for individuals navigating lifelong trauma, often stemming from early experiences that shape their sense of self and well-being. Whether you're grappling with visible or invisible wounds, I am here to help you understand your experiences, learn practical skills, and embark on a journey towards healing and self-discovery.
(501) 727-2803 View (501) 727-2803
Photo of JC McDaniel, Licensed Professional Counselor in Little Rock, AR
JC McDaniel
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72211
Marital or relationship problems, traumatic past, depression, anxiety, frustration, anger, unable to focus or concentrate, alcohol or substance abuse, or just struggling to take the next step in life. These are just a fraction of the issues and problems I help people with every day. People want peace in their lives, but the reality is peace has a price. Our lives are entangled in responsibilities and relationships that are extremely difficult and take a heavy toll upon us mentally. In many cases we are to believe that if you can't see the hurt or the pain then it doesn't exist. It does and it is real. There is help and it is here.
Marital or relationship problems, traumatic past, depression, anxiety, frustration, anger, unable to focus or concentrate, alcohol or substance abuse, or just struggling to take the next step in life. These are just a fraction of the issues and problems I help people with every day. People want peace in their lives, but the reality is peace has a price. Our lives are entangled in responsibilities and relationships that are extremely difficult and take a heavy toll upon us mentally. In many cases we are to believe that if you can't see the hurt or the pain then it doesn't exist. It does and it is real. There is help and it is here.
(501) 406-2242 View (501) 406-2242
Photo of Sheila E Strong, Clinical Social Work/Therapist in Little Rock, AR
Sheila E Strong
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Rock, AR 72205
Are future fears preventing you from living today? Is the past weighing you down? Are fears of others ( how they may react, will they be angry, will they reject, will they drink or use drugs...) keeping you from being real? Depression, anxiety, trauma, dependency, co-dependency; I am here to help you through the minefield.
Are future fears preventing you from living today? Is the past weighing you down? Are fears of others ( how they may react, will they be angry, will they reject, will they drink or use drugs...) keeping you from being real? Depression, anxiety, trauma, dependency, co-dependency; I am here to help you through the minefield.
(501) 392-9618 View (501) 392-9618
Photo of Christina Hopson Allen, Licensed Professional Counselor in Little Rock, AR
Christina Hopson Allen
Licensed Professional Counselor, MA, LPC, BC-TMH
Verified Verified
7 Endorsed
Little Rock, AR 72205
Waitlist for new clients
Something has to change. You're tired, stressed and confused. You thought you would be further in life. You want happiness and fulfillment, but you don't know where to start. Maybe you are looking for a sense of direction. Or you feel overwhelmed by depression and anxiety and just want peace of mind. As your therapist, I want you to have hope, feel inspired and be filled with a new passion for life. I truly believe this is possible... So let's get started!
Something has to change. You're tired, stressed and confused. You thought you would be further in life. You want happiness and fulfillment, but you don't know where to start. Maybe you are looking for a sense of direction. Or you feel overwhelmed by depression and anxiety and just want peace of mind. As your therapist, I want you to have hope, feel inspired and be filled with a new passion for life. I truly believe this is possible... So let's get started!
(501) 214-6178 View (501) 214-6178
Photo of Nancy Lasiter Kozlowski, Licensed Professional Counselor in Little Rock, AR
Nancy Lasiter Kozlowski
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Little Rock, AR 72205
My hope for you is increased happiness, peace and coping. I honor the courage it takes to engage in talk therapy. I have been a licensed counselor (LPC) for over 30 years and I enjoy helping others. I am capable of working with a variety of client ages and issues. I believe that each person who engages in therapy deserves a tailored plan we develop together to help with your specific situations. I believe that processing feelings and thoughts along with education in a non-judgmental and safe environment can move you from surviving to thriving. I'm happy to help you!
My hope for you is increased happiness, peace and coping. I honor the courage it takes to engage in talk therapy. I have been a licensed counselor (LPC) for over 30 years and I enjoy helping others. I am capable of working with a variety of client ages and issues. I believe that each person who engages in therapy deserves a tailored plan we develop together to help with your specific situations. I believe that processing feelings and thoughts along with education in a non-judgmental and safe environment can move you from surviving to thriving. I'm happy to help you!
(501) 203-9959 View (501) 203-9959
Photo of John M Ray, Psychologist in Little Rock, AR
John M Ray
Psychologist, PhD
Verified Verified
Little Rock, AR 72201
It can be difficult to balance all the needs and demands of life, as well as those of people you love and care for, while still taking care of yourself. Circumstances can be made even more difficult when a person is dealt a major setback in the form of depression, anxiety, family or work stress, or a traumatic experience. The good news is that each of us has the strength and courage necessary to overcome even the most challenging obstacles. Sometimes we just need some help to realize our strengths and then put together a plan to make the most of them.
It can be difficult to balance all the needs and demands of life, as well as those of people you love and care for, while still taking care of yourself. Circumstances can be made even more difficult when a person is dealt a major setback in the form of depression, anxiety, family or work stress, or a traumatic experience. The good news is that each of us has the strength and courage necessary to overcome even the most challenging obstacles. Sometimes we just need some help to realize our strengths and then put together a plan to make the most of them.
(501) 404-2714 View (501) 404-2714
Photo of Nancy V Hicks in Little Rock, AR
Nancy V Hicks
LPE-I, MS
Verified Verified
Little Rock, AR 72205
Not accepting new clients
A therapist’s job is to guide people in realizing their potential and to reconnect with their authentic self. My approach stresses self-acceptance through recognizing, examining and effectively expressing our thoughts, feelings, and needs, as well as exploring any unfinished business from our past. Thoughts may be a source of suffering for many, and I help people examine their internal dialogue and break unhealthy patterns. These patterns are often the result of defense structures built of necessity to survive exposure to traumas and other behaviors modeled for us since childhood. As a Licensed Psychological Examiner - Independent I also administer clinical evaluations including IQ/Achievement, ADHD, and psychological/personality assessments. Since beginning practice in 2001 I was employed as an adjunct professor and clinical instructor of psychology at The University of Central Arkansas for 12 years and have been in private practice in Little Rock since 2002. I also have completed 21 hours of master level of teaching and counseling the gifted and talented student.
A therapist’s job is to guide people in realizing their potential and to reconnect with their authentic self. My approach stresses self-acceptance through recognizing, examining and effectively expressing our thoughts, feelings, and needs, as well as exploring any unfinished business from our past. Thoughts may be a source of suffering for many, and I help people examine their internal dialogue and break unhealthy patterns. These patterns are often the result of defense structures built of necessity to survive exposure to traumas and other behaviors modeled for us since childhood. As a Licensed Psychological Examiner - Independent I also administer clinical evaluations including IQ/Achievement, ADHD, and psychological/personality assessments. Since beginning practice in 2001 I was employed as an adjunct professor and clinical instructor of psychology at The University of Central Arkansas for 12 years and have been in private practice in Little Rock since 2002. I also have completed 21 hours of master level of teaching and counseling the gifted and talented student.
(501) 902-4270 View (501) 902-4270
Photo of Stephanie Anne Johnston, Clinical Social Work/Therapist in Little Rock, AR
Stephanie Anne Johnston
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Little Rock, AR 72223  (Online Only)
Spicy? Artsy? Neurodivergent? Hypermobile? Me too. Those on the fringe are my favorite kinds of people. Your emotions are intense. You see the best and worst in life. It can get hard though; the anxiety, rage, and sadness hurt. You get impulsive - say and do things you regret. You can be a hot mess. The emotional roller coaster is exhausting - you've been riding it all your life and want off. Familiar? The good news is it's gonna be ok. You're not "crazy". You don't have to live in misery. If you think you might have Borderline Personality Disorder, or are just a highly sensitive person, Dialectical Behavior Therapy can help.
Spicy? Artsy? Neurodivergent? Hypermobile? Me too. Those on the fringe are my favorite kinds of people. Your emotions are intense. You see the best and worst in life. It can get hard though; the anxiety, rage, and sadness hurt. You get impulsive - say and do things you regret. You can be a hot mess. The emotional roller coaster is exhausting - you've been riding it all your life and want off. Familiar? The good news is it's gonna be ok. You're not "crazy". You don't have to live in misery. If you think you might have Borderline Personality Disorder, or are just a highly sensitive person, Dialectical Behavior Therapy can help.
(501) 510-6014 View (501) 510-6014
Photo of Jeanna Pennington, Licensed Professional Counselor in Little Rock, AR
Jeanna Pennington
Licensed Professional Counselor, LPC, RTP
Verified Verified
Little Rock, AR 72211
Jeanna started her career in mental health as a psychiatric case manager and then transitioned to a mental health therapist working for an outpatient clinic (office and school-based clients). She has been working in mental health for more than seven years and finds joy in helping others find their own path.
Jeanna started her career in mental health as a psychiatric case manager and then transitioned to a mental health therapist working for an outpatient clinic (office and school-based clients). She has been working in mental health for more than seven years and finds joy in helping others find their own path.
(501) 290-4150 View (501) 290-4150
Photo of Mindy Moore, Clinical Social Work/Therapist in Little Rock, AR
Mindy Moore
Clinical Social Work/Therapist, LCSW, EMDR, CPT, Gottman, DBT
Verified Verified
2 Endorsed
Little Rock, AR 72205
Have you experienced trauma, abuse or distressing events? Are your relationships unsatisfying? Is your relationship in trouble? Do you spend your energy and time trying to hide feelings of anxiousness, depression, anger, fear and hopelessness? If you have been feeling stuck and desire additional support, you have come to the right place. I work with individuals and couples to assist them in finding the life they aspire. I believe that change happens when people are given the guidance they need to draw on their own strengths and realize their potential to live gratifying lives.
Have you experienced trauma, abuse or distressing events? Are your relationships unsatisfying? Is your relationship in trouble? Do you spend your energy and time trying to hide feelings of anxiousness, depression, anger, fear and hopelessness? If you have been feeling stuck and desire additional support, you have come to the right place. I work with individuals and couples to assist them in finding the life they aspire. I believe that change happens when people are given the guidance they need to draw on their own strengths and realize their potential to live gratifying lives.
(501) 474-6293 View (501) 474-6293
Photo of Shannan Stewart, Counselor in Little Rock, AR
Shannan Stewart
Counselor, MS, LPC
Verified Verified
2 Endorsed
Little Rock, AR 72223
Are you in a place where you desire to feel known and understood? Have you went about your day and questioned how did I arrive in this place? Does it seem like no matter what you do to experience a different outcome, you find yourself in the same cycle? Well, guess what? You are not alone! Life can be complicated but the beauty about life is that we do not have to walk in our valleys alone. If you have tried to conquer your mountain and still find yourself searching for peace and contentment, give me a call! I am here to walk with you and be present on your journey. Being at this step right now to seek help is courageous of you!
Are you in a place where you desire to feel known and understood? Have you went about your day and questioned how did I arrive in this place? Does it seem like no matter what you do to experience a different outcome, you find yourself in the same cycle? Well, guess what? You are not alone! Life can be complicated but the beauty about life is that we do not have to walk in our valleys alone. If you have tried to conquer your mountain and still find yourself searching for peace and contentment, give me a call! I am here to walk with you and be present on your journey. Being at this step right now to seek help is courageous of you!
(501) 290-4616 View (501) 290-4616
Photo of V Rose Counseling & Consulting Services LLC, Drug & Alcohol Counselor in Little Rock, AR
V Rose Counseling & Consulting Services LLC
Drug & Alcohol Counselor, MS, LADAC, CADC
Verified Verified
Little Rock, AR 72205
Greetings. I'm Yulonda Ross and I specialize in Substance Use Disorders and I provide counseling for anger management as well. Are you struggling with trying to quit using alcohol and drugs? Has your relationship been affected by your substance use? Is all of your leisure time consumed with using? You’re probably full of emotions, questions, and doubts. You may be wondering what I do now; is there any hope; and is it even possible to get better? You may be feeling overwhelmed, scared, and stressed. People do overcome substance abuse and return back to a healthy lifestyle. I’ll help steer you in the right direction.
Greetings. I'm Yulonda Ross and I specialize in Substance Use Disorders and I provide counseling for anger management as well. Are you struggling with trying to quit using alcohol and drugs? Has your relationship been affected by your substance use? Is all of your leisure time consumed with using? You’re probably full of emotions, questions, and doubts. You may be wondering what I do now; is there any hope; and is it even possible to get better? You may be feeling overwhelmed, scared, and stressed. People do overcome substance abuse and return back to a healthy lifestyle. I’ll help steer you in the right direction.
(501) 596-6926 View (501) 596-6926
Photo of Hillcrest Therapy Center, Clinical Social Work/Therapist in Little Rock, AR
Hillcrest Therapy Center
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Little Rock, AR 72205
Life can sometimes become overwhelming. I am dedicated to helping you find healthy ways to cope with what you are experiencing as well as provide the emotional support and validation you may be lacking. I do not judge your feelings, thoughts, lifestyle, or any part of who you are or how you identify. My hope is that through counseling you will identify your strengths, heal, and develop the tools you need to survive and thrive in this sometimes chaotic world. I provide a safe space for you to explore your feelings and seek solutions to the issue you are facing.
Life can sometimes become overwhelming. I am dedicated to helping you find healthy ways to cope with what you are experiencing as well as provide the emotional support and validation you may be lacking. I do not judge your feelings, thoughts, lifestyle, or any part of who you are or how you identify. My hope is that through counseling you will identify your strengths, heal, and develop the tools you need to survive and thrive in this sometimes chaotic world. I provide a safe space for you to explore your feelings and seek solutions to the issue you are facing.
(501) 612-7254 View (501) 612-7254
Photo of Whitney Norris, Licensed Professional Counselor in Little Rock, AR
Whitney Norris
Licensed Professional Counselor, EdS, LPC, EMDR, II, SEP
Verified Verified
Little Rock, AR 72211
I am passionate about working with individuals who are struggling with symptoms resulting from any type of overwhelming experience or trauma, especially early life trauma and neglect. Through my years of practice, I have seen that it's often true that, while people can experience great healing with talk therapy alone, it doesn't always feel like enough. Over the last 12 years, this has led me to pursue more specialized training in trauma-centered interventions, including Somatic Experiencing and clinical neurofeedback.
I am passionate about working with individuals who are struggling with symptoms resulting from any type of overwhelming experience or trauma, especially early life trauma and neglect. Through my years of practice, I have seen that it's often true that, while people can experience great healing with talk therapy alone, it doesn't always feel like enough. Over the last 12 years, this has led me to pursue more specialized training in trauma-centered interventions, including Somatic Experiencing and clinical neurofeedback.
(501) 273-1825 View (501) 273-1825

How does your Therapist compare?

Number of Therapists in Little Rock, AR

400+

Average cost per session

$151

Therapists in Little Rock, AR who prioritize treating:

92% Depression
92% Anxiety
75% Relationship Issues
73% Trauma and PTSD
73% Coping Skills
73% Self Esteem
70% Stress

Average years in practice

12 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
70% Ambetter
56% QualChoice

How Therapists in Little Rock, AR see their clients

77% In Person and Online
23% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Little Rock?

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.