Therapists in Leesburg, VA

Photo of Jeffrey Shinal, Licensed Professional Counselor in Leesburg, VA
Jeffrey Shinal
Licensed Professional Counselor, MS, BS Acc, LPC, LCPC
Verified Verified
4 Endorsed
Leesburg, VA 20175
Do you struggle with difficult feelings, visceral memories, or relationship conflicts? Do you find yourself feeling unsupported or even rejected for your unconventional or unpopular beliefs? Today it can be difficult to find a space where you can discuss topics important to you. In a safe, nonjudgemental and supportive environment you can be heard and understood. You can feel better and do better, strengthening your emotional wellbeing.
Do you struggle with difficult feelings, visceral memories, or relationship conflicts? Do you find yourself feeling unsupported or even rejected for your unconventional or unpopular beliefs? Today it can be difficult to find a space where you can discuss topics important to you. In a safe, nonjudgemental and supportive environment you can be heard and understood. You can feel better and do better, strengthening your emotional wellbeing.
(703) 343-9036 View (703) 343-9036
Photo of Katherine Phillips, Licensed Professional Counselor in Leesburg, VA
Katherine Phillips
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Leesburg, VA 20175
Are you looking for someone to talk to about your past and present struggles? Do you need an outside perspective to share insight on your life? Do you feel isolated, overwhelmed and stressed out? You've come to the right place! With over a decade of experience working with clients and their families, I am passionate about partnering with my clients to see them heal and reach their full potential!
Are you looking for someone to talk to about your past and present struggles? Do you need an outside perspective to share insight on your life? Do you feel isolated, overwhelmed and stressed out? You've come to the right place! With over a decade of experience working with clients and their families, I am passionate about partnering with my clients to see them heal and reach their full potential!
(540) 766-5526 View (540) 766-5526
Photo of Kimberley L. Berlin, Clinical Social Work/Therapist in Leesburg, VA
Kimberley L. Berlin
Clinical Social Work/Therapist, LCSW, CSAC, MAC, SAP, CCTP
Verified Verified
1 Endorsed
Leesburg, VA 20175  (Online Only)
I am an integrated therapist who uses traditional Western and Eastern mental health and wellness approaches to help you overcome anxiety, and depression, or work through layers of trauma that you may have experienced in your life. As a Level 3 Internal Family Systems (IFS) therapist, I can help you to connect to your self-energy, unburden wounds, and further your healing process. If you want to experience a greater sense of self-confidence and inner calm I can help you.
I am an integrated therapist who uses traditional Western and Eastern mental health and wellness approaches to help you overcome anxiety, and depression, or work through layers of trauma that you may have experienced in your life. As a Level 3 Internal Family Systems (IFS) therapist, I can help you to connect to your self-energy, unburden wounds, and further your healing process. If you want to experience a greater sense of self-confidence and inner calm I can help you.
(703) 775-1019 View (703) 775-1019
Photo of Melissa Jackson, Pre-Licensed Professional in Leesburg, VA
Melissa Jackson
Pre-Licensed Professional, MSW
Verified Verified
Leesburg, VA 20176
Life's challenges can often leave us feeling fragmented, with our physical, spiritual, emotional, and social aspects in disarray. It is easy to lose sight of our authentic selves when faced with life’s hardships and as a therapist, I will act as your co-captain throughout your therapeutic journey. Maybe you're experiencing a mix of emotions like sadness, frustration, stress, insecurity, and lack of motivation. Whatever it is, know that you are not alone. My goal is to guide you toward the equilibrium that fosters your well-being, tailoring evidence-based techniques that will suit your individuality best!
Life's challenges can often leave us feeling fragmented, with our physical, spiritual, emotional, and social aspects in disarray. It is easy to lose sight of our authentic selves when faced with life’s hardships and as a therapist, I will act as your co-captain throughout your therapeutic journey. Maybe you're experiencing a mix of emotions like sadness, frustration, stress, insecurity, and lack of motivation. Whatever it is, know that you are not alone. My goal is to guide you toward the equilibrium that fosters your well-being, tailoring evidence-based techniques that will suit your individuality best!
(540) 712-8642 View (540) 712-8642
Photo of Ana Maria Lastra, Licensed Professional Counselor in Leesburg, VA
Ana Maria Lastra
Licensed Professional Counselor, LPC
Verified Verified
Leesburg, VA 20176
Waitlist for new clients
We all want the same thing; to feel loved, secure, stable and, in one word, GOOD. When life throws us a curveball, or we feel stuck and are hurting it may be the time to reach out for support in a setting that feels safe, judgement free and confidential.
We all want the same thing; to feel loved, secure, stable and, in one word, GOOD. When life throws us a curveball, or we feel stuck and are hurting it may be the time to reach out for support in a setting that feels safe, judgement free and confidential.
(540) 307-0953 View (540) 307-0953
Photo of Mary O Leidy, Clinical Social Work/Therapist in Leesburg, VA
Mary O Leidy
Clinical Social Work/Therapist, LCSW
Verified Verified
Leesburg, VA 20175
I have learned throughout my career, that it takes courage to invest time towards self improvement, guidance and healing. Whatever "season " of life you find yourself in need of assistance; I am a therapist that strives to help my clients "find" their voice, confidence and renewed purpose in life. I will create a "safe" space in an authentic, direct relationship, for you to explore circumstances and help you determine what you need to live a peace filled and purposeful life. I use an integrative approach which is grounded in the belief that all people have strengths/talents that may need to be rediscovered.
I have learned throughout my career, that it takes courage to invest time towards self improvement, guidance and healing. Whatever "season " of life you find yourself in need of assistance; I am a therapist that strives to help my clients "find" their voice, confidence and renewed purpose in life. I will create a "safe" space in an authentic, direct relationship, for you to explore circumstances and help you determine what you need to live a peace filled and purposeful life. I use an integrative approach which is grounded in the belief that all people have strengths/talents that may need to be rediscovered.
(703) 244-6999 View (703) 244-6999
Photo of Sandra Dettra, Drug & Alcohol Counselor in Leesburg, VA
Sandra Dettra
Drug & Alcohol Counselor, BSW, CSAC, NCAC, II
Verified Verified
3 Endorsed
Leesburg, VA 20175
I am now accepting new clients for May 2024 in person and Zoom. I have been working in the recovery field as a Sub Abuse Counselor since 1994. I am a compassionate therapist, but with a bit of no nonsense thrown in. I want my clients to feel safe and know they can move forward with this challenge because staying stuck is not the answer. Recovery can be difficult and the path can seem daunting, but making changes is essential to living a better life. In addition to substance abuse I have assisted individuals recover from gambling addictions as well.
I am now accepting new clients for May 2024 in person and Zoom. I have been working in the recovery field as a Sub Abuse Counselor since 1994. I am a compassionate therapist, but with a bit of no nonsense thrown in. I want my clients to feel safe and know they can move forward with this challenge because staying stuck is not the answer. Recovery can be difficult and the path can seem daunting, but making changes is essential to living a better life. In addition to substance abuse I have assisted individuals recover from gambling addictions as well.
(703) 349-0563 View (703) 349-0563
Photo of Liz Witmer, Psychologist in Leesburg, VA
Liz Witmer
Psychologist, PhD
Verified Verified
7 Endorsed
Leesburg, VA 20175
Not accepting new clients
When we feel trapped by the way we think and feel about our lives, we lose hope. I help people to create a new narrative that reveals their strengths, abilities, and resilience. I help anxious and depressed students reach their potential, survivors of traumatic experiences seek posttraumatic growth, mothers who are adjusting to their new role to thrive, and emerging adults struggling with issues of identity development to explore their history of experiences in a nonjudgmental way. Clients who work with me find that they connect more deeply with loved ones and find profound meaning in their lives.
When we feel trapped by the way we think and feel about our lives, we lose hope. I help people to create a new narrative that reveals their strengths, abilities, and resilience. I help anxious and depressed students reach their potential, survivors of traumatic experiences seek posttraumatic growth, mothers who are adjusting to their new role to thrive, and emerging adults struggling with issues of identity development to explore their history of experiences in a nonjudgmental way. Clients who work with me find that they connect more deeply with loved ones and find profound meaning in their lives.
(571) 386-2797 View (571) 386-2797
Photo of Oriele Avalos, Clinical Social Work/Therapist in Leesburg, VA
Oriele Avalos
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Leesburg, VA 20176  (Online Only)
Two of the most important things in life are to feel understood and have a sense of belonging. However, when we experience challenges in our lives, it’s difficult to feel this way. My role as a bilingual therapist is to provide support and hold a safe space for you while discovering ways to cope with these challenges and develop skills to promote awareness, growth and healing in your life. During my career in the human services field for over 16 years, my passion has been to assist individuals and families cope with depression, anxiety, stress, mood challenges, acculturation and adjustment as a result of migration, and trauma.
Two of the most important things in life are to feel understood and have a sense of belonging. However, when we experience challenges in our lives, it’s difficult to feel this way. My role as a bilingual therapist is to provide support and hold a safe space for you while discovering ways to cope with these challenges and develop skills to promote awareness, growth and healing in your life. During my career in the human services field for over 16 years, my passion has been to assist individuals and families cope with depression, anxiety, stress, mood challenges, acculturation and adjustment as a result of migration, and trauma.
(540) 696-5939 View (540) 696-5939
Photo of Ashley DeCamp, Psychologist in Leesburg, VA
Ashley DeCamp
Psychologist, PsyD, RPT
Verified Verified
1 Endorsed
Leesburg, VA 20175
Not accepting new clients
Whether it is for you, your child, or your teen the decision to pursue therapy is one that can elicit a range of emotions. It is a decision that acknowledges hardships, but can open the door to growth and healing. I view therapy as a collaborative relationship, in which the comfort and trust established allows for safe, supported exploration of one's challenges. I take an integrative approach as I believe that by having access to traditional talk therapy and expressive therapy outlets, you, your child, or your family are able to express and process your emotions and experiences in whatever way feels comfortable.
Whether it is for you, your child, or your teen the decision to pursue therapy is one that can elicit a range of emotions. It is a decision that acknowledges hardships, but can open the door to growth and healing. I view therapy as a collaborative relationship, in which the comfort and trust established allows for safe, supported exploration of one's challenges. I take an integrative approach as I believe that by having access to traditional talk therapy and expressive therapy outlets, you, your child, or your family are able to express and process your emotions and experiences in whatever way feels comfortable.
(703) 297-8600 View (703) 297-8600
Photo of Jill Austin in Leesburg, VA
Jill Austin
MEd, BCBA
Verified Verified
Leesburg, VA 20175
We are a small group of credentialed ABA Therapists that believe in helping children in their natural environment. We want to teach our clients the skills needed to have a happy and satisfying life. We use a family-centered approach as it is important to meet the family where they are, as well as to work on goals that are important to them. We work with children with a variety of abilities, to include autism, ADHD, ODD, LD, and other behavioral difficulties.
We are a small group of credentialed ABA Therapists that believe in helping children in their natural environment. We want to teach our clients the skills needed to have a happy and satisfying life. We use a family-centered approach as it is important to meet the family where they are, as well as to work on goals that are important to them. We work with children with a variety of abilities, to include autism, ADHD, ODD, LD, and other behavioral difficulties.
(540) 210-1417 View (540) 210-1417
Photo of Pamela Powers, Pre-Licensed Professional in Leesburg, VA
Pamela Powers
Pre-Licensed Professional, CCTP
Verified Verified
1 Endorsed
Leesburg, VA 20176
I am a Certified Complex Trauma Professional Level I and EMDR trained. I have years of experience working with individuals with complex trauma, anxiety, depression, PTSD and chronic pain. I work with children and adults utilizing my professional and personal experience to create a collaborative and person-centered approach. I utilize cognitive behavior therapy and dialectical behavior therapy to assist others in getting to the root cause of what is creating discord in their life and work towards finding their personal empowerment. I have a diverse background and strive to create a welcoming space for all people.
I am a Certified Complex Trauma Professional Level I and EMDR trained. I have years of experience working with individuals with complex trauma, anxiety, depression, PTSD and chronic pain. I work with children and adults utilizing my professional and personal experience to create a collaborative and person-centered approach. I utilize cognitive behavior therapy and dialectical behavior therapy to assist others in getting to the root cause of what is creating discord in their life and work towards finding their personal empowerment. I have a diverse background and strive to create a welcoming space for all people.
(571) 200-7115 View (571) 200-7115
Photo of Kristen L Birkland, Marriage & Family Therapist in Leesburg, VA
Kristen L Birkland
Marriage & Family Therapist, MS, LMFT
Verified Verified
Leesburg, VA 20176
I believe in the power of having strong, healthy relationships. I work to help you strengthen those relationships by creating a safe, collaborative environment in which to experience and explore change. I believe that we all have strengths and work to highlight and build on those strengths. I currently see couples and individual adults . Issues that present themselves in my office include relationship struggles around infidelity, poor communication, conflict, blended family, parenting, depression and anxiety.
I believe in the power of having strong, healthy relationships. I work to help you strengthen those relationships by creating a safe, collaborative environment in which to experience and explore change. I believe that we all have strengths and work to highlight and build on those strengths. I currently see couples and individual adults . Issues that present themselves in my office include relationship struggles around infidelity, poor communication, conflict, blended family, parenting, depression and anxiety.
(703) 468-8015 View (703) 468-8015
Photo of Kimberly Culpepper, Licensed Professional Counselor in Leesburg, VA
Kimberly Culpepper
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Leesburg, VA 20175  (Online Only)
Since 2010, I have been in private practice helping women and adolescents work through anxiety, depression, bipolar disorder, OCD, relationship issues, trauma, chronic health issues, everyday stressors and adjustments to life’s everchanging dynamics. I am trained in EMDR therapy through EMDRIA and can provide this effectively via telehealth. Together, with the client, we work as a team to achieve their desired goals.
Since 2010, I have been in private practice helping women and adolescents work through anxiety, depression, bipolar disorder, OCD, relationship issues, trauma, chronic health issues, everyday stressors and adjustments to life’s everchanging dynamics. I am trained in EMDR therapy through EMDRIA and can provide this effectively via telehealth. Together, with the client, we work as a team to achieve their desired goals.
(571) 200-0797 View (571) 200-0797
Photo of Bronwyn Duffy, Clinical Social Work/Therapist in Leesburg, VA
Bronwyn Duffy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Leesburg, VA 20175  (Online Only)
I work with adolescents, adults, and families. My style is straightforward and collaborative. I am always willing to do short-term, results-oriented work, but I relish as well the opportunity to do longer-term work, which allows for the working-through of old hurts and for the gradual discovery of new ways to relate to ourselves, others, and our lives. At its best, therapy is a creative and richly rewarding endeavor. Clients over the years have reported that they find in me warmth, pragmatism, a keen mind, and a willingness to laugh and to be human.
I work with adolescents, adults, and families. My style is straightforward and collaborative. I am always willing to do short-term, results-oriented work, but I relish as well the opportunity to do longer-term work, which allows for the working-through of old hurts and for the gradual discovery of new ways to relate to ourselves, others, and our lives. At its best, therapy is a creative and richly rewarding endeavor. Clients over the years have reported that they find in me warmth, pragmatism, a keen mind, and a willingness to laugh and to be human.
(703) 994-4990 View (703) 994-4990
Photo of Colleen Fields, Psychologist in Leesburg, VA
Colleen Fields
Psychologist, PhD
Verified Verified
Leesburg, VA 20176  (Online Only)
There is true courage in vulnerability and in using therapy to foster insight and growth. I'm here with you to share in your vulnerability and to work on challenges related to mood, anxiety, trauma, grief, relationship problems, life transitions and stressors (including those related to having a baby), and more. And I am pleased to offer couple's therapy to couples at any stage of their relationship.
There is true courage in vulnerability and in using therapy to foster insight and growth. I'm here with you to share in your vulnerability and to work on challenges related to mood, anxiety, trauma, grief, relationship problems, life transitions and stressors (including those related to having a baby), and more. And I am pleased to offer couple's therapy to couples at any stage of their relationship.
(540) 296-2855 View (540) 296-2855
Photo of Rebecca O'Neill, Clinical Social Work/Therapist in Leesburg, VA
Rebecca O'Neill
Clinical Social Work/Therapist, LCSW, CAS
Verified Verified
Leesburg, VA 20175
I'm a passionate neurodiversity-affirming therapist specializing in developmental/relationship-based early intervention (DIR/Floortime & PLAY Project trained), play therapy, and strengths/interests-based approaches across the lifespan. I'm devoted to leveraging play's therapeutic potential for emotional well-being: Beyond childhood, play enriches lives! As a Certified Geek Therapist, Therapeutic Dungeon Master, and Problematic Gaming Specialist, I merge clients' passions with evidence-based approaches (ACT, CBT, Mindfulness) for growth and healing, addressing a variety of mental health needs.
I'm a passionate neurodiversity-affirming therapist specializing in developmental/relationship-based early intervention (DIR/Floortime & PLAY Project trained), play therapy, and strengths/interests-based approaches across the lifespan. I'm devoted to leveraging play's therapeutic potential for emotional well-being: Beyond childhood, play enriches lives! As a Certified Geek Therapist, Therapeutic Dungeon Master, and Problematic Gaming Specialist, I merge clients' passions with evidence-based approaches (ACT, CBT, Mindfulness) for growth and healing, addressing a variety of mental health needs.
(571) 556-8471 View (571) 556-8471
Photo of Alison Fincham, Licensed Professional Counselor in Leesburg, VA
Alison Fincham
Licensed Professional Counselor, LPC, MEd
Verified Verified
1 Endorsed
Leesburg, VA 20175
Welcome. Our journey in life can be incredibly rewarding but sometimes life experiences can cause stress, anxiety, or depression. Therapy can help to identify the cause of these feelings and help you move toward your goal of a more fulfilling life. Beginning or returning to therapy is a courageous step and my role as your therapist is to help you begin to navigate the journey and help you overcome difficult life experiences and the resulting impact on your mental health and wellbeing.
Welcome. Our journey in life can be incredibly rewarding but sometimes life experiences can cause stress, anxiety, or depression. Therapy can help to identify the cause of these feelings and help you move toward your goal of a more fulfilling life. Beginning or returning to therapy is a courageous step and my role as your therapist is to help you begin to navigate the journey and help you overcome difficult life experiences and the resulting impact on your mental health and wellbeing.
(540) 792-3703 View (540) 792-3703
Photo of Kimberley L Berlin, Drug & Alcohol Counselor in Leesburg, VA
Kimberley L Berlin
Drug & Alcohol Counselor, LCSW, CSAC, MAC, CCTP
Verified Verified
1 Endorsed
Leesburg, VA 20175  (Online Only)
Are you are struggling with alcohol or substance use, dependency or abuse, or finding yourself anxious, depressed, facing life situations that are overwhelming? Do you want to unburden yourself from past challenges or trauma, or create new pathways to the future? Perhaps you just need to be able to re-calibrate and adjust your lifestyle to achieve your goals? My practice addresses these issues in a compassionate, cutting edge approach, using East-West modalities, and grounded in a spiritual framework.
Are you are struggling with alcohol or substance use, dependency or abuse, or finding yourself anxious, depressed, facing life situations that are overwhelming? Do you want to unburden yourself from past challenges or trauma, or create new pathways to the future? Perhaps you just need to be able to re-calibrate and adjust your lifestyle to achieve your goals? My practice addresses these issues in a compassionate, cutting edge approach, using East-West modalities, and grounded in a spiritual framework.
(571) 223-6323 x491 View (571) 223-6323 x491
Photo of Dr. Hannah Kolodner, Clinical Social Work/Therapist in Leesburg, VA
Dr. Hannah Kolodner
Clinical Social Work/Therapist, PhD
Verified Verified
1 Endorsed
Leesburg, VA 20176  (Online Only)
I have the pleasure of serving adults, adolescents and couples seeking compassionate and evidence-based clinical care. My speciality is in trauma treatment. I have worked with clients facing a wide diversity of challenges including Anxiety, Depression, Mood Lability, Grief, Loss, Stress and more. I enjoy supporting clients through interpersonal milestones such as relationships, intimacy, divorce, re-coupling, reconciliation and other momentous life events.
I have the pleasure of serving adults, adolescents and couples seeking compassionate and evidence-based clinical care. My speciality is in trauma treatment. I have worked with clients facing a wide diversity of challenges including Anxiety, Depression, Mood Lability, Grief, Loss, Stress and more. I enjoy supporting clients through interpersonal milestones such as relationships, intimacy, divorce, re-coupling, reconciliation and other momentous life events.
(540) 889-3567 View (540) 889-3567

How does your Therapist compare?

Number of Therapists in Leesburg, VA

300+

Average cost per session

$150

Therapists in Leesburg, VA who prioritize treating:

94% Anxiety
90% Depression
76% Self Esteem
73% Coping Skills
71% Relationship Issues
63% Trauma and PTSD
58% Stress

Average years in practice

12 Years

Top 3 insurances accepted

69% Cigna and Evernorth
67% BlueCross and BlueShield
64% Aetna

How Therapists in Leesburg, VA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Leesburg?

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.