Therapists in Washington, DC

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Photo of Avé Maria Renard, Psychologist in Washington, DC
Avé Maria Renard
Psychologist, PsyD, MSN
Verified Verified
Washington, DC 20006
You are a Professional who wants help: to shut down the Inner Critic; to stop feeling out of control; to stop people pleasing and perfectionism. Yes, to reconnect with partner and friends. Yes to Self Care. No to burnout. Yes to healthy boundaries. Together, we bring curiosity and compassion to your sense of a responsibility that compels overdrive. Our work is collaborate. It is Intentional. The psychotherapy process may at times feel intense. Yet, step-by-step, we gradually dial down overwhelm, prioritize Self Discovery and Self Care. I assist and support you to cultivate a more emotionally resourced and affirming Authentic Self.
You are a Professional who wants help: to shut down the Inner Critic; to stop feeling out of control; to stop people pleasing and perfectionism. Yes, to reconnect with partner and friends. Yes to Self Care. No to burnout. Yes to healthy boundaries. Together, we bring curiosity and compassion to your sense of a responsibility that compels overdrive. Our work is collaborate. It is Intentional. The psychotherapy process may at times feel intense. Yet, step-by-step, we gradually dial down overwhelm, prioritize Self Discovery and Self Care. I assist and support you to cultivate a more emotionally resourced and affirming Authentic Self.
(202) 998-6411 View (202) 998-6411
Photo of Jessa Doeppner Llewellyn, Clinical Social Work/Therapist in Washington, DC
Jessa Doeppner Llewellyn
Clinical Social Work/Therapist, LICSW, LCSW-C, LCSW
Verified Verified
1 Endorsed
Washington, DC 20009
Tap into the wisdom and wealth of information that your body holds. Jessa provides body-focused care for trauma recovery and wellness. With compassion and curiosity, Jessa will support you to listen, safely feel, and move with embodied understanding.
Tap into the wisdom and wealth of information that your body holds. Jessa provides body-focused care for trauma recovery and wellness. With compassion and curiosity, Jessa will support you to listen, safely feel, and move with embodied understanding.
(833) 315-5631 View (833) 315-5631
Photo of Phyllis Kaye, Clinical Social Work/Therapist in Washington, DC
Phyllis Kaye
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20006  (Online Only)
I have been providing individual and couples therapy for 30 years. I have been told that my style is direct, compassionate and non-judgemental.
I have been providing individual and couples therapy for 30 years. I have been told that my style is direct, compassionate and non-judgemental.
(202) 656-8970 View (202) 656-8970
Photo of Chinwendu (Chewy) Utom, Clinical Social Work/Therapist in Washington, DC
Chinwendu (Chewy) Utom
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Washington, DC 20006  (Online Only)
Waitlist for new clients
Greetings! My name is Chinwendu "Chewy" Utom-Toe and I am a psychotherapist at Revo Well. I am a psychotherapist at Revo Well. We are a tribe of extraordinary clinicians. My goal is to provide clinical services tailored to meet the needs of each specific client - no cookie cutter model here! Anxiety, ADHD, depression, and/or unresolved trauma getting in your way? I can help. Struggling with navigating the dynamics of a difficult, coparenting relationship? I can help. Is your child displaying challenging behaviors? I can help. Not sure if your current romantic relationship or career is where you really want to/should be? I can help.
Greetings! My name is Chinwendu "Chewy" Utom-Toe and I am a psychotherapist at Revo Well. I am a psychotherapist at Revo Well. We are a tribe of extraordinary clinicians. My goal is to provide clinical services tailored to meet the needs of each specific client - no cookie cutter model here! Anxiety, ADHD, depression, and/or unresolved trauma getting in your way? I can help. Struggling with navigating the dynamics of a difficult, coparenting relationship? I can help. Is your child displaying challenging behaviors? I can help. Not sure if your current romantic relationship or career is where you really want to/should be? I can help.
(202) 902-9372 View (202) 902-9372
Photo of Lewis Smith, Licensed Professional Counselor in Washington, DC
Lewis Smith
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20011  (Online Only)
Thank you for reaching out for assistance. I am Lewis Smith, a licensed therapist in the District of Columbia. I have been working for over 20 years with individuals, couples, and families to resolve a myriad of problems. With your permission, I look forward to working with you!
Thank you for reaching out for assistance. I am Lewis Smith, a licensed therapist in the District of Columbia. I have been working for over 20 years with individuals, couples, and families to resolve a myriad of problems. With your permission, I look forward to working with you!
(202) 733-6418 View (202) 733-6418
Photo of Jessica Goodman, Licensed Professional Counselor in Washington, DC
Jessica Goodman
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
2 Endorsed
Washington, DC 20001
Waitlist for new clients
Thanks for visiting! We will be the right fit if you’re striving toward a better version of yourself. You might notice it's easier to think than feel–maybe even overthink–about how to live, be, and relate to others well. You want more honesty throughout your relationships (and with yourself), even when it's uncomfortable. You thrive with exploring, challenging questions, and occasional redirection toward larger goals. We will be reflecting on relationships, families of origin, career, and general stress of life that leads to feelings of discomfort.
Thanks for visiting! We will be the right fit if you’re striving toward a better version of yourself. You might notice it's easier to think than feel–maybe even overthink–about how to live, be, and relate to others well. You want more honesty throughout your relationships (and with yourself), even when it's uncomfortable. You thrive with exploring, challenging questions, and occasional redirection toward larger goals. We will be reflecting on relationships, families of origin, career, and general stress of life that leads to feelings of discomfort.
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Photo of Luis Felipe Cebas, Clinical Social Work/Therapist in Washington, DC
Luis Felipe Cebas
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Washington, DC 20010  (Online Only)
I am passionate about working with all communities, especially People of Color, Latino, and other minority communities to improve their mental health and wellness. I offer therapy services geared towards adults, couples, and elderly individuals. My goal is to create and facilitate a physical, emotional, and spiritual safe space where clients can unpack and begin their healing journey. I am committed to educating and providing guidance for minorities and other communities of color by building a trusting, empowering, and supportive relationship with each client.
I am passionate about working with all communities, especially People of Color, Latino, and other minority communities to improve their mental health and wellness. I offer therapy services geared towards adults, couples, and elderly individuals. My goal is to create and facilitate a physical, emotional, and spiritual safe space where clients can unpack and begin their healing journey. I am committed to educating and providing guidance for minorities and other communities of color by building a trusting, empowering, and supportive relationship with each client.
(202) 883-3834 View (202) 883-3834
Photo of Arielle Walls, Licensed Professional Counselor in Washington, DC
Arielle Walls
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Washington, DC 20002  (Online Only)
I get it... It's hard out here. In a world that demands more than it gives, it is imperative that one develops their voice to speak their truth and find their way to liberation and connection. It may feel impossible to find stability and security not only within your environment but also within yourself. As a clinician, my goal is to support you as you find empowerment, enact self-compassion, expand self- awareness, restore and improve relationships with self and others, and find inner security using an interpersonal/relational approach, psychotherapy, psycho-education. EMDR, and holistic interventions.
I get it... It's hard out here. In a world that demands more than it gives, it is imperative that one develops their voice to speak their truth and find their way to liberation and connection. It may feel impossible to find stability and security not only within your environment but also within yourself. As a clinician, my goal is to support you as you find empowerment, enact self-compassion, expand self- awareness, restore and improve relationships with self and others, and find inner security using an interpersonal/relational approach, psychotherapy, psycho-education. EMDR, and holistic interventions.
(202) 968-2800 View (202) 968-2800
Photo of Carrie Tiller, Clinical Social Work/Therapist in Washington, DC
Carrie Tiller
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Washington, DC 20036
My approach is geared towards helping clients make choices and relate to others in ways that reinforce their feelings of autonomy, fulfillment, and peace. We engage to explore current situations and the connection between thoughts, feelings, and behaviors, and then develop strategies to help better manage situations or make decisions. Strategies we explore may include short term action plans as well as longer term resilience building to manage ongoing challenges. I will work with clients to develop new ways of interpreting difficulties, understanding others, and communicating that are in line with their own values and hopes.
My approach is geared towards helping clients make choices and relate to others in ways that reinforce their feelings of autonomy, fulfillment, and peace. We engage to explore current situations and the connection between thoughts, feelings, and behaviors, and then develop strategies to help better manage situations or make decisions. Strategies we explore may include short term action plans as well as longer term resilience building to manage ongoing challenges. I will work with clients to develop new ways of interpreting difficulties, understanding others, and communicating that are in line with their own values and hopes.
(202) 935-7222 View (202) 935-7222
Photo of Hemi Hunt, Clinical Social Work/Therapist in Washington, DC
Hemi Hunt
Clinical Social Work/Therapist, LMSW
Verified Verified
Washington, DC 20003  (Online Only)
Working with families and couples to connect with each other, while helping individuals learn about themselves and helping them feel grounded in their identity is my passion. I work with single parents, teenagers, and children as young as 4 years old. In my work with my clients, I offer positive parenting skill-building to help parents connect more with their children and build greater empathy, trust, and respect. It is really important to me to offer you and your family a safe space to heal and reconnect.
Working with families and couples to connect with each other, while helping individuals learn about themselves and helping them feel grounded in their identity is my passion. I work with single parents, teenagers, and children as young as 4 years old. In my work with my clients, I offer positive parenting skill-building to help parents connect more with their children and build greater empathy, trust, and respect. It is really important to me to offer you and your family a safe space to heal and reconnect.
(202) 972-8182 View (202) 972-8182
Photo of Ana Radakovic, Licensed Professional Counselor in Washington, DC
Ana Radakovic
Licensed Professional Counselor, LPC, CGP, ATR
Verified Verified
3 Endorsed
Washington, DC 20036
I am a psychotherapist located in Washington, DC offering individual, group, and couples therapy. I enjoy helping people live authentically and thrive in all areas of their lives. I pull from a variety of therapeutic approaches and techniques, but collaborate with each individual to create a space that best suits one’s unique set of needs and goals. My therapeutic style is warm, compassionate, and appropriately challenging. I am also a 200-Hour Registered Yoga Teacher, and incorporate mindfulness and body-based approaches in therapy where its appropriate.
I am a psychotherapist located in Washington, DC offering individual, group, and couples therapy. I enjoy helping people live authentically and thrive in all areas of their lives. I pull from a variety of therapeutic approaches and techniques, but collaborate with each individual to create a space that best suits one’s unique set of needs and goals. My therapeutic style is warm, compassionate, and appropriately challenging. I am also a 200-Hour Registered Yoga Teacher, and incorporate mindfulness and body-based approaches in therapy where its appropriate.
(202) 915-3003 View (202) 915-3003
Photo of Natalie X Korytnyk, Psychologist in Washington, DC
Natalie X Korytnyk
Psychologist, PhD
Verified Verified
Washington, DC 20037
Are you feeling frustrated, stuck, or unhappy in your work life or relationships? Is there a deep loneliness with no one to talk to or really understand? Psychotherapy can help and heal. With over 30 years experience, I work by creating a safe, nurturing and understanding therapeutic relationship. My approach is to actively listen and work collaboratively on gaining a deeper understanding of the feelings, internal struggles, obstacles, the impact of earlier life experiences, as well as repeating patterns of behavior that may be underlying symptoms and the root cause of difficulties.
Are you feeling frustrated, stuck, or unhappy in your work life or relationships? Is there a deep loneliness with no one to talk to or really understand? Psychotherapy can help and heal. With over 30 years experience, I work by creating a safe, nurturing and understanding therapeutic relationship. My approach is to actively listen and work collaboratively on gaining a deeper understanding of the feelings, internal struggles, obstacles, the impact of earlier life experiences, as well as repeating patterns of behavior that may be underlying symptoms and the root cause of difficulties.
(202) 681-2924 View (202) 681-2924
Photo of Motivate with Grace Counseling Services, Clinical Social Work/Therapist in Washington, DC
Motivate with Grace Counseling Services
Clinical Social Work/Therapist, LICSW
Verified Verified
4 Endorsed
Washington, DC 20003  (Online Only)
The pressures of navigating traumatic events have left individuals feeling anxious, depressed, isolated, avoidant, stagnant, unmotivated, unsafe, and irritable. Anyone enduring such events may see the world as dangerous or worry about their ability to handle difficult situations. Trusting others and engaging with others can be challenging. Motivate with Grace Counseling Services can be a safe place for people struggling with traumatic events that have limited how they manage life.
The pressures of navigating traumatic events have left individuals feeling anxious, depressed, isolated, avoidant, stagnant, unmotivated, unsafe, and irritable. Anyone enduring such events may see the world as dangerous or worry about their ability to handle difficult situations. Trusting others and engaging with others can be challenging. Motivate with Grace Counseling Services can be a safe place for people struggling with traumatic events that have limited how they manage life.
(202) 951-8494 View (202) 951-8494
Photo of Kimberly Ottinger in Washington, DC
Kimberly Ottinger
Verified Verified
Washington, DC 20037
Your heart has been broken - you just went through a painful breakup. You feel like life as you know it is over and you can't imagine ever feeling good again or getting back into the dating world. I will coach you into making this breakup the best experience of your life. I offer one on one coaching via virtual video chat and at times that are convenient to your busy schedule - evenings, weekends, mornings, whatever works for you.
Your heart has been broken - you just went through a painful breakup. You feel like life as you know it is over and you can't imagine ever feeling good again or getting back into the dating world. I will coach you into making this breakup the best experience of your life. I offer one on one coaching via virtual video chat and at times that are convenient to your busy schedule - evenings, weekends, mornings, whatever works for you.
(202) 918-3495 View (202) 918-3495
Patricia Gershefski
Psychologist, PhD
Verified Verified
Washington, DC 20016
Clients come to me when they are dissatisfied with their lives and/or overwhelmed by a situation or stressor. I view therapy as a collaborative endeavor and work together with you to develop a treatment which incorporates your strengths, needs and life experiences. I also respect your wish to work on a specific area of concern short-term and/or to address a variety of complex issues over time. During the treatment, my clients report that they feel safe, supported and challenged by me, and that their lives are highly enriched by the experience. (See actual reviews by clients at Healthgrades.com.)
Clients come to me when they are dissatisfied with their lives and/or overwhelmed by a situation or stressor. I view therapy as a collaborative endeavor and work together with you to develop a treatment which incorporates your strengths, needs and life experiences. I also respect your wish to work on a specific area of concern short-term and/or to address a variety of complex issues over time. During the treatment, my clients report that they feel safe, supported and challenged by me, and that their lives are highly enriched by the experience. (See actual reviews by clients at Healthgrades.com.)
(240) 813-4351 View (240) 813-4351
Photo of iHeal Wellness Therapy and Consulting, LLC, Clinical Social Work/Therapist in Washington, DC
iHeal Wellness Therapy and Consulting, LLC
Clinical Social Work/Therapist, PhD, LCSW-C, LICSW
Verified Verified
1 Endorsed
Washington, DC 20006
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
(202) 952-9428 View (202) 952-9428
Photo of Nichola K Brown, Clinical Social Work/Therapist in Washington, DC
Nichola K Brown
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
3 Endorsed
Washington, DC 20006  (Online Only)
Not accepting new clients
Life brings all kinds of situations our way. From experiencing a traumatic event to managing difficult relationships, many experience a time in their lives in which they feel broken and in need of some help to try to put it all back together. It is my hope that you will allow me the privilege of journeying with you and working with you to once again create something beautiful from the broken pieces.
Life brings all kinds of situations our way. From experiencing a traumatic event to managing difficult relationships, many experience a time in their lives in which they feel broken and in need of some help to try to put it all back together. It is my hope that you will allow me the privilege of journeying with you and working with you to once again create something beautiful from the broken pieces.
(202) 831-0596 View (202) 831-0596
Photo of Tandy L Levine, Clinical Social Work/Therapist in Washington, DC
Tandy L Levine
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Washington, DC 20009
I have been providing psychotherapy for over 30 years to individuals, couples, and groups.Throughout one's life, feelings such as depression and anxiety can create a sense of loss of control. Life events such as the death of a loved one, divorce, or interpersonal conflict can feel overwhelming. My clients would say that I treat every one according to their particular issues, with respect, and with great support and understanding. I also teach at George Washington University Medical School and I am on the National Council of the Brown School of Social Work at Washington University. I provide supervision, as well, to other psychotherapists.
I have been providing psychotherapy for over 30 years to individuals, couples, and groups.Throughout one's life, feelings such as depression and anxiety can create a sense of loss of control. Life events such as the death of a loved one, divorce, or interpersonal conflict can feel overwhelming. My clients would say that I treat every one according to their particular issues, with respect, and with great support and understanding. I also teach at George Washington University Medical School and I am on the National Council of the Brown School of Social Work at Washington University. I provide supervision, as well, to other psychotherapists.
(202) 255-0985 View (202) 255-0985
Photo of Jenn Hudak, Licensed Professional Counselor in Washington, DC
Jenn Hudak
Licensed Professional Counselor, MSEd, LPC
Verified Verified
2 Endorsed
Washington, DC 20011  (Online Only)
Hi! I’m so glad our paths have crossed. I’m guessing you’ve landed here because something in your life isn’t quite where you want it to be. Maybe you struggle with your relationships. Perhaps you feel misunderstood or invisible. Perhaps you have been hurt by someone, maybe even by a lot of people, and maybe repeatedly. Maybe you feel like life is just passing you by or wondering why life must be hard. Whatever the reason that brought you to therapy, I’m glad you’re here. I’m Jenn & it’s great to meet you. Therapy can be a scary prospect, and guess what? You’ve already taken a step toward confronting that fear. Go you!
Hi! I’m so glad our paths have crossed. I’m guessing you’ve landed here because something in your life isn’t quite where you want it to be. Maybe you struggle with your relationships. Perhaps you feel misunderstood or invisible. Perhaps you have been hurt by someone, maybe even by a lot of people, and maybe repeatedly. Maybe you feel like life is just passing you by or wondering why life must be hard. Whatever the reason that brought you to therapy, I’m glad you’re here. I’m Jenn & it’s great to meet you. Therapy can be a scary prospect, and guess what? You’ve already taken a step toward confronting that fear. Go you!
(724) 573-3864 View (724) 573-3864
Photo of Dandelion Counseling & Care , Clinical Social Work/Therapist in Washington, DC
Dandelion Counseling & Care
Clinical Social Work/Therapist, MSW, LICSW, LCSW, LCSW-C, PMH-C
Verified Verified
1 Endorsed
Washington, DC 20016
We a group psychotherapy practice comprised of clinicians who provide compassionate counseling and therapy services, using a team approach, to meet the diverse needs of busy Washingtonians. We love to support families or people individually in their journeys to live healthier and more well lives. Our team includes graduate student interns, provisionally-licensed clinicians, fully licensed clinicians, and an executive leadership and life coach.
We a group psychotherapy practice comprised of clinicians who provide compassionate counseling and therapy services, using a team approach, to meet the diverse needs of busy Washingtonians. We love to support families or people individually in their journeys to live healthier and more well lives. Our team includes graduate student interns, provisionally-licensed clinicians, fully licensed clinicians, and an executive leadership and life coach.
(202) 999-3684 View (202) 999-3684

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.