Therapists in Pittsburgh, PA

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Photo of Patricia Hanson, Licensed Professional Counselor in Pittsburgh, PA
Patricia Hanson
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Pittsburgh, PA 15221
You can schedule on my Website if you like. What you can expect from our first session • A Safe and Nurturing Environment • Enhanced Self-awareness • Practical Coping Strategies • Holistic Well-being • Empowerment • A Deepened Connection • Transformational Conversations In essence, sessions with me are a blend of empathy, expertise, and empowerment. Whether in a crisis, seeking strategies for specific challenges, or yearning for personal growth, our collaborative journey is designed to illuminate paths forward and cultivate enduring mental and emotional strength.
You can schedule on my Website if you like. What you can expect from our first session • A Safe and Nurturing Environment • Enhanced Self-awareness • Practical Coping Strategies • Holistic Well-being • Empowerment • A Deepened Connection • Transformational Conversations In essence, sessions with me are a blend of empathy, expertise, and empowerment. Whether in a crisis, seeking strategies for specific challenges, or yearning for personal growth, our collaborative journey is designed to illuminate paths forward and cultivate enduring mental and emotional strength.
(878) 313-6450 View (878) 313-6450
Photo of Delilah Miller in Pittsburgh, PA
Delilah Miller
Verified Verified
Pittsburgh, PA 15202  (Online Only)
Welcome to my practice! Here you will find a unique approach and perspective to healing trauma, finding direction, and experiencing a shift in your life. This approach and perspective embodies love, light, creativity, and perfection as YOU! My approach and work is born from years of deep emotional trauma and a process of intricate healing involving body, soul and spirit.
Welcome to my practice! Here you will find a unique approach and perspective to healing trauma, finding direction, and experiencing a shift in your life. This approach and perspective embodies love, light, creativity, and perfection as YOU! My approach and work is born from years of deep emotional trauma and a process of intricate healing involving body, soul and spirit.
(412) 790-2852 View (412) 790-2852
Photo of Meggan Hudspeth, Licensed Professional Counselor in Pittsburgh, PA
Meggan Hudspeth
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15235
“Yoga means addition—addition of energy, strength, and beauty to body, mind, and soul.”—Amit Ray, Indian author and spiritualist In order to get to the root of what’s causing your discomfort we have to go towards and not away. This is painful but will cause change. I’m going to ask you to share your story with me. But you don’t have to do it alone. I see myself as both a support and a fierce advocate for clients to assist with their growth and navigation through the barriers. Through the addition of support and guidance I can help increase your energy strength and beauty of your self as a whole.
“Yoga means addition—addition of energy, strength, and beauty to body, mind, and soul.”—Amit Ray, Indian author and spiritualist In order to get to the root of what’s causing your discomfort we have to go towards and not away. This is painful but will cause change. I’m going to ask you to share your story with me. But you don’t have to do it alone. I see myself as both a support and a fierce advocate for clients to assist with their growth and navigation through the barriers. Through the addition of support and guidance I can help increase your energy strength and beauty of your self as a whole.
(412) 896-0076 View (412) 896-0076
Photo of Mandy Kushner, Licensed Professional Counselor in Pittsburgh, PA
Mandy Kushner
Licensed Professional Counselor, LPC-S, CCTP, NCC
Verified Verified
Pittsburgh, PA 15237
I strive to create a relaxed, supportive and positive environment for my clients during each counseling session, because I understand how difficult and scary it can be for clients to disclose personal information. I show my clients respect, honesty, compassion and I listen without judgement. I make sure my clients feel heard, validated, supported and gain insight. I have 22 years of experience working with children, adolescents and adults in a variety of settings which include: Outpatient, Home/Community, School-Based, Psychiatric Hospitals and Primary Care Physician Offices.
I strive to create a relaxed, supportive and positive environment for my clients during each counseling session, because I understand how difficult and scary it can be for clients to disclose personal information. I show my clients respect, honesty, compassion and I listen without judgement. I make sure my clients feel heard, validated, supported and gain insight. I have 22 years of experience working with children, adolescents and adults in a variety of settings which include: Outpatient, Home/Community, School-Based, Psychiatric Hospitals and Primary Care Physician Offices.
(412) 999-2244 View (412) 999-2244
Photo of Dr Laura Kessler Psychologist, LLC, Psychologist in Pittsburgh, PA
Dr Laura Kessler Psychologist, LLC
Psychologist, PhD, LP
Verified Verified
Pittsburgh, PA 15213
Waitlist for new clients
I strive to help clients understand their needs, issues, and suffering in the unique context of their lives. One person's symptoms may look and be caused by something very different than another's, requiring a deeper treatment approach than "generic textbook." I help clients to gain insight into the root causes of their distress so that they can work through rather than around their core issues. I help clients to understand what normal and healthy responses are to trauma (e.g., systems of oppression, grief, abuse) so that clients can externalize (e.g., not hold themselves responsible for) what they did not cause.
I strive to help clients understand their needs, issues, and suffering in the unique context of their lives. One person's symptoms may look and be caused by something very different than another's, requiring a deeper treatment approach than "generic textbook." I help clients to gain insight into the root causes of their distress so that they can work through rather than around their core issues. I help clients to understand what normal and healthy responses are to trauma (e.g., systems of oppression, grief, abuse) so that clients can externalize (e.g., not hold themselves responsible for) what they did not cause.
(412) 207-3414 View (412) 207-3414
Photo of Katelyn King, Clinical Social Work/Therapist in Pittsburgh, PA
Katelyn King
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15203
I am adept at supporting clients with anxiety, depression, and trauma-related symptoms, seeking greater self-awareness, clarity, and insight about their current struggles and how to shift them. My ideal client is motivated to change and is interested in co-creating the goals to work towards that change, with the ultimate aim being to reduce distress and build/nurture a rich and meaningful life. I often suggest homework to help practice the skills we are learning together in session. I integrate extensive clinical experience, specialized training, & my unique personality (including a healthy dose of confidence, humility, and humor).
I am adept at supporting clients with anxiety, depression, and trauma-related symptoms, seeking greater self-awareness, clarity, and insight about their current struggles and how to shift them. My ideal client is motivated to change and is interested in co-creating the goals to work towards that change, with the ultimate aim being to reduce distress and build/nurture a rich and meaningful life. I often suggest homework to help practice the skills we are learning together in session. I integrate extensive clinical experience, specialized training, & my unique personality (including a healthy dose of confidence, humility, and humor).
(412) 465-6378 View (412) 465-6378
Photo of Amanda E Zeiders in Pittsburgh, PA
Amanda E Zeiders
LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15224
I see one of the most important roles as a therapist to be putting in the work to earn someone’s trust and walking beside them as an accomplice on their path towards growth. I don’t believe that people are “broken” or “need to be fixed”, but rather that somewhere within every person lies the capacity to generate change. I believe this change begins by finding someone trustworthy to support them through this process. And—that being kinder and gentler towards ourselves goes a long way to building the foundation for this change to occur.
I see one of the most important roles as a therapist to be putting in the work to earn someone’s trust and walking beside them as an accomplice on their path towards growth. I don’t believe that people are “broken” or “need to be fixed”, but rather that somewhere within every person lies the capacity to generate change. I believe this change begins by finding someone trustworthy to support them through this process. And—that being kinder and gentler towards ourselves goes a long way to building the foundation for this change to occur.
(412) 754-7239 View (412) 754-7239
Photo of Matthew Markon, LCSW, Clinical Social Work/Therapist in Pittsburgh, PA
Matthew Markon, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15208
Together, we can work toward a better understanding of current difficulties in order to help resolve challenges in your life. Many of my clients are professionals, graduate students, or academics who are looking to understand the ways that they might be inhibiting themselves, in order to achieve their goals and lead more satisfying lives.
Together, we can work toward a better understanding of current difficulties in order to help resolve challenges in your life. Many of my clients are professionals, graduate students, or academics who are looking to understand the ways that they might be inhibiting themselves, in order to achieve their goals and lead more satisfying lives.
(412) 573-4135 View (412) 573-4135
Photo of Cynthia Seery, Counselor in Pittsburgh, PA
Cynthia Seery
Counselor, LPC
Verified Verified
Pittsburgh, PA 15210  (Online Only)
Hi, I'm Cynthia. Do you find yourself struggling to get through your day to day, maybe due to lack of interest, low energy, or difficulty concentrating? Or maybe you find yourself exhausted by what seems like endless worries, inability to relax, and restless nights. These are just a few of the common presenting issues I have experience working with.
Hi, I'm Cynthia. Do you find yourself struggling to get through your day to day, maybe due to lack of interest, low energy, or difficulty concentrating? Or maybe you find yourself exhausted by what seems like endless worries, inability to relax, and restless nights. These are just a few of the common presenting issues I have experience working with.
(484) 559-7609 View (484) 559-7609
Photo of Marcus Flournoy, Clinical Social Work/Therapist in Pittsburgh, PA
Marcus Flournoy
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15206
I was brought up in the helping tradition of the community where I was taught to give back to others. I have twenty years of experience in the mental health and drug and alcohol field. I have worked with individuals from all walks of life: socially, culturally, racially, economically, gender wise, and different sexual orientations and religions. I have conducted assessments, evaluations, individual therapy, family therapy and couple's therapy. I have treated individuals with a variety of conditions such as trauma, stress, depression including bipolar, anxiety, anger management problems, psychosis and addiction.
I was brought up in the helping tradition of the community where I was taught to give back to others. I have twenty years of experience in the mental health and drug and alcohol field. I have worked with individuals from all walks of life: socially, culturally, racially, economically, gender wise, and different sexual orientations and religions. I have conducted assessments, evaluations, individual therapy, family therapy and couple's therapy. I have treated individuals with a variety of conditions such as trauma, stress, depression including bipolar, anxiety, anger management problems, psychosis and addiction.
(878) 220-3027 View (878) 220-3027
Photo of Dane R Franko, Licensed Professional Counselor in Pittsburgh, PA
Dane R Franko
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Do you feel like your isolated, stuck, out-of-control, depressed, anxious, having difficulty relating to others, drinking/using substances too much, or just lacking a sense of direction/purpose? Do you get the sense that the world is against you or that whatever you do it’s not enough? For 20 years, I have honed my style to support personal growth by helping individuals honor/understand his/her/their style as necessary for survival, while promoting development of newer/adaptive styles that enable meaningful relationships, enhanced self-confidence, meet challenges of aging, life-transitions, grief/loss, trauma, and anger management.
Do you feel like your isolated, stuck, out-of-control, depressed, anxious, having difficulty relating to others, drinking/using substances too much, or just lacking a sense of direction/purpose? Do you get the sense that the world is against you or that whatever you do it’s not enough? For 20 years, I have honed my style to support personal growth by helping individuals honor/understand his/her/their style as necessary for survival, while promoting development of newer/adaptive styles that enable meaningful relationships, enhanced self-confidence, meet challenges of aging, life-transitions, grief/loss, trauma, and anger management.
(412) 503-7551 View (412) 503-7551
Photo of Lea Tambellini, Clinical Social Work/Therapist in Pittsburgh, PA
Lea Tambellini
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15211
Not accepting new clients
Understanding our life experiences and how they shape our views can be difficult to do alone. Traumatic events or troubling times, no matter how long ago, can bring up harmful thoughts and complicated feelings. Anxiety and self-doubt may be holding us back. Fortunately, it doesn’t always have to be this way. We will work to understand what you need for your own therapy journey. Building a trusting relationship is important to me, and I will be your support as you process what you have been through. Together, we can find balance in your life and bring hope and healing.
Understanding our life experiences and how they shape our views can be difficult to do alone. Traumatic events or troubling times, no matter how long ago, can bring up harmful thoughts and complicated feelings. Anxiety and self-doubt may be holding us back. Fortunately, it doesn’t always have to be this way. We will work to understand what you need for your own therapy journey. Building a trusting relationship is important to me, and I will be your support as you process what you have been through. Together, we can find balance in your life and bring hope and healing.
(412) 900-5158 View (412) 900-5158
Photo of Paget Bridget Wickard, Psychologist in Pittsburgh, PA
Paget Bridget Wickard
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15238
Now offering telehealth across most states! Welcome! My name is Paget. If you're feeling stuck and want to make some changes, please call. I would love to work with you! My clinical experience has been broad and varied, including the full spectrum of mental health issues, emotional problems and relationship challenges. Currently, I have an office in Dorseyville, PA.
Now offering telehealth across most states! Welcome! My name is Paget. If you're feeling stuck and want to make some changes, please call. I would love to work with you! My clinical experience has been broad and varied, including the full spectrum of mental health issues, emotional problems and relationship challenges. Currently, I have an office in Dorseyville, PA.
(412) 426-3319 View (412) 426-3319
Photo of Elizabeth Wilson Bayley, Licensed Professional Counselor in Pittsburgh, PA
Elizabeth Wilson Bayley
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Pittsburgh, PA 15237
Whether you’re ready to make a change, or need someone to hold space for you while you figure out the conditions needed to do so, I would be grateful to assist you on your journey to improved mental health. Feeling like one can be their authentic self is key to getting to the root of concerns like anxiety and depression—and I aim to create a space so this discovery may occur. As a Duquesne University graduate, with a focus in Marriage and Family Therapy, I've worked in a variety of settings-including inpatient, mobile family therapy, and at substance abuse facilities. I am a LPC & Nationally Certified Counselor.
Whether you’re ready to make a change, or need someone to hold space for you while you figure out the conditions needed to do so, I would be grateful to assist you on your journey to improved mental health. Feeling like one can be their authentic self is key to getting to the root of concerns like anxiety and depression—and I aim to create a space so this discovery may occur. As a Duquesne University graduate, with a focus in Marriage and Family Therapy, I've worked in a variety of settings-including inpatient, mobile family therapy, and at substance abuse facilities. I am a LPC & Nationally Certified Counselor.
(724) 577-7341 View (724) 577-7341
Photo of Victoria Elizabeth Brooks, Clinical Social Work/Therapist in Pittsburgh, PA
Victoria Elizabeth Brooks
Clinical Social Work/Therapist, LCSW, LISW, ICSW
Verified Verified
Pittsburgh, PA 15221
─── Telehealth Availability ─── "If we knew each other's secrets what comforts we should find." We are designed for connection, but in we can often find ourselves disconnected from others, and ourselves. Working together we will identify where you are, where you want to be, and what has gotten in the way of the life you want and deserve. We will work together to develop the skills and insight that can help you find and lean into the joy of life amidst the struggles.
─── Telehealth Availability ─── "If we knew each other's secrets what comforts we should find." We are designed for connection, but in we can often find ourselves disconnected from others, and ourselves. Working together we will identify where you are, where you want to be, and what has gotten in the way of the life you want and deserve. We will work together to develop the skills and insight that can help you find and lean into the joy of life amidst the struggles.
(412) 981-2010 View (412) 981-2010
Photo of Melva Hartzog, Licensed Professional Counselor in Pittsburgh, PA
Melva Hartzog
Licensed Professional Counselor, M, Div, MA, LPC, NCC
Verified Verified
Pittsburgh, PA 15214
"The past cannot be changed. The future is yet in your power." OpenMind Wellness Counseling Services, LLC provides individual and group counseling to adolescents, adults, and older adults. I believe in incorporating an integrative, holistic approach to wellness, acknowledging the role mind-body-spirit play in the healing process. Healing is also promoted through the development of psychosocial areas of life: career, emotional, social, and interpersonal. My therapeutic approach is Cognitive Behavior Therapy (CBT), including Christian- and spiritually-integrated CBT. I am a multicultural competent counselor. I am located in the Oakland area of Pittsburgh, and offer day, evening, and weekend hours.
"The past cannot be changed. The future is yet in your power." OpenMind Wellness Counseling Services, LLC provides individual and group counseling to adolescents, adults, and older adults. I believe in incorporating an integrative, holistic approach to wellness, acknowledging the role mind-body-spirit play in the healing process. Healing is also promoted through the development of psychosocial areas of life: career, emotional, social, and interpersonal. My therapeutic approach is Cognitive Behavior Therapy (CBT), including Christian- and spiritually-integrated CBT. I am a multicultural competent counselor. I am located in the Oakland area of Pittsburgh, and offer day, evening, and weekend hours.
(412) 312-4380 View (412) 312-4380
Photo of Lily VanDyk, Clinical Social Work/Therapist in Pittsburgh, PA
Lily VanDyk
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15213
My ideal client is a young adult navigating the currents of life. These are individuals seeking support and guidance in a world that can feel disconnected. Daily pressures, career uncertainties, and changing roles in relationships can lead to stress. Individualized coping skills and treatment in a safe and welcoming environment will help you to heal!
My ideal client is a young adult navigating the currents of life. These are individuals seeking support and guidance in a world that can feel disconnected. Daily pressures, career uncertainties, and changing roles in relationships can lead to stress. Individualized coping skills and treatment in a safe and welcoming environment will help you to heal!
(878) 208-4643 View (878) 208-4643
Photo of Kathleen Martinez, Licensed Professional Counselor in Pittsburgh, PA
Kathleen Martinez
Licensed Professional Counselor, MA, LPC
Verified Verified
Pittsburgh, PA 15203
My ideal client struggles with Anxiety, Depression, Eating Disorders, Trauma, and/or related conditions. They are motivated for change or at least open to the possibility of change. They are open to feedback and willing to lean into the therapeutic process. They do not need to have clear goals for the therapeutic process right away but are willing to work to identify these goals in the treatment process. They would want to improve their life in some way, or even just their relationship with themselves.
My ideal client struggles with Anxiety, Depression, Eating Disorders, Trauma, and/or related conditions. They are motivated for change or at least open to the possibility of change. They are open to feedback and willing to lean into the therapeutic process. They do not need to have clear goals for the therapeutic process right away but are willing to work to identify these goals in the treatment process. They would want to improve their life in some way, or even just their relationship with themselves.
(412) 754-7510 View (412) 754-7510
Photo of Better You Counseling Services, Licensed Professional Counselor in Pittsburgh, PA
Better You Counseling Services
Licensed Professional Counselor, MEd, LPC
Verified Verified
Pittsburgh, PA 15234
Better You Counseling Services is a private practice dedicated to providing mental health services to adolescents, adults, couples and families struggling with finding effecting ways to cope with stressors and unexpected challenges. We are a team of dedicated therapists trained in a variety of areas and with diverse backgrounds. However, we share the love and desire to help others and support our community.
Better You Counseling Services is a private practice dedicated to providing mental health services to adolescents, adults, couples and families struggling with finding effecting ways to cope with stressors and unexpected challenges. We are a team of dedicated therapists trained in a variety of areas and with diverse backgrounds. However, we share the love and desire to help others and support our community.
(412) 361-9309 View (412) 361-9309
Photo of Rachel E Noderer, Licensed Professional Counselor in Pittsburgh, PA
Rachel E Noderer
Licensed Professional Counselor, MSEd, LPC
Verified Verified
3 Endorsed
Pittsburgh, PA 15226
Would you like to feel more grounded and confident in your life? Perhaps you're feeling trapped by your thoughts and you're looking to gain skills to interrupt unhelpful thinking spirals? Or possibly you're feeling disconnected from your sense of self and would like a safe place to explore what makes you you? There are all sorts of reasons why you might be needing support right now and therapy can be a wonderful tool to help you build self compassion, manage overwhelming feelings, and build upon your existing strengths to accomplish your goals.
Would you like to feel more grounded and confident in your life? Perhaps you're feeling trapped by your thoughts and you're looking to gain skills to interrupt unhelpful thinking spirals? Or possibly you're feeling disconnected from your sense of self and would like a safe place to explore what makes you you? There are all sorts of reasons why you might be needing support right now and therapy can be a wonderful tool to help you build self compassion, manage overwhelming feelings, and build upon your existing strengths to accomplish your goals.
(412) 444-7542 View (412) 444-7542

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.