Therapists in Phoenix, AZ

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Photo of Elizabeth Sedano, Drug & Alcohol Counselor in Phoenix, AZ
Elizabeth Sedano
Drug & Alcohol Counselor, PhD, LISAC
Verified Verified
Phoenix, AZ 85016
As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating.By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.If you're looking for extra support and guidance through a challenging situation, if you're ready to move in a new direction in your life, or if you are searching for peace or mind, I look forward to working with you to help you achieve your goals. I AM NOW DOING THERAPY ONLINE.
As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating.By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.If you're looking for extra support and guidance through a challenging situation, if you're ready to move in a new direction in your life, or if you are searching for peace or mind, I look forward to working with you to help you achieve your goals. I AM NOW DOING THERAPY ONLINE.
(480) 992-1123 View (480) 992-1123
Photo of John R Kowite, Counselor in Phoenix, AZ
John R Kowite
Counselor, LPC
Verified Verified
2 Endorsed
Phoenix, AZ 85050  (Online Only)
You sit on your bed – heart pounding, face flushed, muscles tensed – still seething after the fight you just had with your partner. “This is it,” you tell yourself. “I can’t take anymore.” The arguments are becoming more frequent and hostile by the day. You remember when you loved being together. You used to look on with pity and bemusement at those married couples who always seemed to be in a state of continual conflict. But now you’re one of those couples. It’s painful and embarrassing to realize how fractured this once seemingly-unbreakable bond has become. You know that something has to change, but you just do not know how.
You sit on your bed – heart pounding, face flushed, muscles tensed – still seething after the fight you just had with your partner. “This is it,” you tell yourself. “I can’t take anymore.” The arguments are becoming more frequent and hostile by the day. You remember when you loved being together. You used to look on with pity and bemusement at those married couples who always seemed to be in a state of continual conflict. But now you’re one of those couples. It’s painful and embarrassing to realize how fractured this once seemingly-unbreakable bond has become. You know that something has to change, but you just do not know how.
(480) 382-0875 View (480) 382-0875
Jessica Mormann
CNP, PMHNP
Verified Verified
Phoenix, AZ 85003  (Online Only)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
(480) 608-9473 View (480) 608-9473
Photo of Dr. Brenda Aranda, Psychologist in Phoenix, AZ
Dr. Brenda Aranda
Psychologist, PhD
Verified Verified
1 Endorsed
Phoenix, AZ 85028
Dr. Brenda Aranda works with a variety of conditions common to children, adolescents, and young adults (ages 19-25) including depression and anxiety disorders, behavior problems, pediatric obesity, and trauma related concerns. Dr. Aranda has the ability to conduct psychotherapy and psychological assessments in both English and Spanish.
Dr. Brenda Aranda works with a variety of conditions common to children, adolescents, and young adults (ages 19-25) including depression and anxiety disorders, behavior problems, pediatric obesity, and trauma related concerns. Dr. Aranda has the ability to conduct psychotherapy and psychological assessments in both English and Spanish.
(602) 362-6890 x2 View (602) 362-6890 x2
Photo of James Edwards, Counselor in Phoenix, AZ
James Edwards
Counselor, MA, LAC, NCC
Verified Verified
1 Endorsed
Phoenix, AZ 85051
Human language is so powerful that one word can change a life, or destroy the lives of millions" This is a quote from the "Four Agreements". Language can be used to create a collaborative and engaging therapeutic experience that facilitates the development of lasting personal change. I will support you through thoughtful reflection, mindful consultation and experiential life change strategies, to identify and alleviate unresolved trauma, creating a more compassionate and empowered, lived experience.
Human language is so powerful that one word can change a life, or destroy the lives of millions" This is a quote from the "Four Agreements". Language can be used to create a collaborative and engaging therapeutic experience that facilitates the development of lasting personal change. I will support you through thoughtful reflection, mindful consultation and experiential life change strategies, to identify and alleviate unresolved trauma, creating a more compassionate and empowered, lived experience.
(623) 323-9423 View (623) 323-9423
Photo of Kayla Byrd, Counselor in Phoenix, AZ
Kayla Byrd
Counselor, LAC, CTP
Verified Verified
Phoenix, AZ 85020
Life can feel easier when you can feel confident about the tools you're using to build fulfillment. Drawing from multiple approaches including Mindfulness, CBT, and strength-based counseling, I work with those experiencing anxiety, depression, trauma, grief, career development, and more. Cultural influences are strongly considered when exploring your life factors to help us understand together the more realistic possibilities for change, growth, or development.
Life can feel easier when you can feel confident about the tools you're using to build fulfillment. Drawing from multiple approaches including Mindfulness, CBT, and strength-based counseling, I work with those experiencing anxiety, depression, trauma, grief, career development, and more. Cultural influences are strongly considered when exploring your life factors to help us understand together the more realistic possibilities for change, growth, or development.
(602) 698-9176 View (602) 698-9176
Photo of Eve Knadjian, Licensed Professional Counselor in Phoenix, AZ
Eve Knadjian
Licensed Professional Counselor, MC, LPC
Verified Verified
Phoenix, AZ 85016
Welcome! Know that you do not not have to face what you’re experiencing alone; I would be honored to join you on your path and help carry the weight of these experiences and feelings. Together, we will identify the root causes of what you’re experiencing, and then, empower you to find the wellness and healing you deserve. I aim to personalize my approach with each of my clients in order to help you cultivate the life you want to live.
Welcome! Know that you do not not have to face what you’re experiencing alone; I would be honored to join you on your path and help carry the weight of these experiences and feelings. Together, we will identify the root causes of what you’re experiencing, and then, empower you to find the wellness and healing you deserve. I aim to personalize my approach with each of my clients in order to help you cultivate the life you want to live.
(623) 303-7746 View (623) 303-7746
Photo of Robbin Cooley in Phoenix, AZ
Robbin Cooley
MA, LAC
Verified Verified
Phoenix, AZ 85018
Things aren’t going quite the way you’d thought. You’re caught between trying to decide if your problem is “bad enough” that you need help and wondering if one more book, date night, or meditation might do the trick. After all, you’ve made it this far, and life looks mostly good (on the outside) even if it doesn’t feel that good on the inside. Fake it ‘til ya make it though, right? But then again, your exhaustion is growing and your efforts seem more like whack-a-mole than actual change.
Things aren’t going quite the way you’d thought. You’re caught between trying to decide if your problem is “bad enough” that you need help and wondering if one more book, date night, or meditation might do the trick. After all, you’ve made it this far, and life looks mostly good (on the outside) even if it doesn’t feel that good on the inside. Fake it ‘til ya make it though, right? But then again, your exhaustion is growing and your efforts seem more like whack-a-mole than actual change.
(602) 362-8183 View (602) 362-8183
Photo of CFND Behavioral Health in Phoenix, AZ
CFND Behavioral Health
LMFT
Verified Verified
Phoenix, AZ 85016  (Online Only)
Welcome to CFND Behavioral Health. We are so incredibly glad you are here with us. Since 1992, CFND Behavioral Health has had the philosophy that no one should go through life alone. As a community, we believe in creating an environment of exceptional client care through immediate accessibility to affordable mental health services and we appreciate the courage it takes for you to seek help. Our impact is due to the abilities of our incredible and talented Licensed Marriage and Family Therapists, Licensed Clinical Social Workers, and behavioral health administrators who strive to serve you daily.
Welcome to CFND Behavioral Health. We are so incredibly glad you are here with us. Since 1992, CFND Behavioral Health has had the philosophy that no one should go through life alone. As a community, we believe in creating an environment of exceptional client care through immediate accessibility to affordable mental health services and we appreciate the courage it takes for you to seek help. Our impact is due to the abilities of our incredible and talented Licensed Marriage and Family Therapists, Licensed Clinical Social Workers, and behavioral health administrators who strive to serve you daily.
(520) 727-6103 View (520) 727-6103
Photo of Uko Okon, Pre-Licensed Professional in Phoenix, AZ
Uko Okon
Pre-Licensed Professional
Verified Verified
Phoenix, AZ 85009
As a dedicated clinician specializing in the mental health and well-being of young adults aged 15 to 35, I bring a compassionate and holistic approach to addressing a range of challenges, including depression, anxiety, substance abuse, and anger issues. My practice is grounded in evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Person-Centered Therapy, and trauma-informed approaches, ensuring tailored and effective interventions for each individual. I specialize in depression, anxiety, substance abuse, and anger management.
As a dedicated clinician specializing in the mental health and well-being of young adults aged 15 to 35, I bring a compassionate and holistic approach to addressing a range of challenges, including depression, anxiety, substance abuse, and anger issues. My practice is grounded in evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Person-Centered Therapy, and trauma-informed approaches, ensuring tailored and effective interventions for each individual. I specialize in depression, anxiety, substance abuse, and anger management.
(602) 641-4581 View (602) 641-4581
Jessica Mormann
CNP, PMHNP
Verified Verified
Phoenix, AZ 85012  (Online Only)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
(480) 442-8978 View (480) 442-8978
Photo of Stacey Keane, Counselor in Phoenix, AZ
Stacey Keane
Counselor, MSc, LPC, SC-C, NCC
Verified Verified
Phoenix, AZ 85029
*ACCEPTING NEW CLIENTS* I work with adolescents and adults who suffer from trauma or identity issues looking to eliminate suicidal thoughts and reduce symptoms of depression, anxiety, and intrusive thoughts and/or hallucinations. I help clients understand their symptoms and learn methods of coping. I also encourage clients to create meaning for their experiences and grow as a result. I assist clients in assigning meaning to hallucinations and/or intrusive thoughts so that they can use appropriate methods to take back control, including use of client's spiritual beliefs and practices as well as CBT and DBT methods.
*ACCEPTING NEW CLIENTS* I work with adolescents and adults who suffer from trauma or identity issues looking to eliminate suicidal thoughts and reduce symptoms of depression, anxiety, and intrusive thoughts and/or hallucinations. I help clients understand their symptoms and learn methods of coping. I also encourage clients to create meaning for their experiences and grow as a result. I assist clients in assigning meaning to hallucinations and/or intrusive thoughts so that they can use appropriate methods to take back control, including use of client's spiritual beliefs and practices as well as CBT and DBT methods.
(844) 996-0046 View (844) 996-0046
Photo of InterventionASAP, Drug & Alcohol Counselor in Phoenix, AZ
InterventionASAP
Drug & Alcohol Counselor, MA, ICAADAC, BRI-II, CIP, CAI
Verified Verified
Phoenix, AZ 85022
Our focus is helping people that care about someone struggling with an addiction that is resistant to facing and addressing their problem (denial that such a problem exists). Being trained in all models of a addiction intervention we blend approaches to provide the most effective results based on the unique aspects of your situation Through the intervention process, we work together to facilitate entry into treatment for a loved ones addiction. Our collaborative intervention process educating, coaching and empowering people that care by taking action in the form of a professionally led intervention. WE TRAVEL NATIONWIDE TO HELP FAMILIES
Our focus is helping people that care about someone struggling with an addiction that is resistant to facing and addressing their problem (denial that such a problem exists). Being trained in all models of a addiction intervention we blend approaches to provide the most effective results based on the unique aspects of your situation Through the intervention process, we work together to facilitate entry into treatment for a loved ones addiction. Our collaborative intervention process educating, coaching and empowering people that care by taking action in the form of a professionally led intervention. WE TRAVEL NATIONWIDE TO HELP FAMILIES
(602) 492-5341 View (602) 492-5341
Photo of Susan Kinkel, Marriage & Family Therapist in Phoenix, AZ
Susan Kinkel
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Phoenix, AZ 85012
Accepting New Client and Immediate Availability on Tuesday and Wednesday evenings. Are you someone who at times feels like there’s not much hope in finding healing, or a way forward? You can see the barriers and wish you could move them, but feel like it’s overwhelming, or impossible. Maybe now is the right time to start your journey towards healing. If you feel ready to dip your toe into starting the journey, but need some guidance, and support, I am here to assist.
Accepting New Client and Immediate Availability on Tuesday and Wednesday evenings. Are you someone who at times feels like there’s not much hope in finding healing, or a way forward? You can see the barriers and wish you could move them, but feel like it’s overwhelming, or impossible. Maybe now is the right time to start your journey towards healing. If you feel ready to dip your toe into starting the journey, but need some guidance, and support, I am here to assist.
(623) 300-1014 View (623) 300-1014
Photo of Sierra Carroll, Counselor in Phoenix, AZ
Sierra Carroll
Counselor, LPC
Verified Verified
2 Endorsed
Phoenix, AZ 85029  (Online Only)
Hello! My name is Sierra Carroll and I am a licensed therapist in Arizona. I completed my BS in Psychology from Sam Houston State University in 2013 before moving to Arizona and completing a Masters in Professional Counseling in 2018. I have worked with clients of all ages and walks of life through both my career in the medical field and experience in counseling. It is my passion to help guide clients through their own personal journey of healing as no two are the same.
Hello! My name is Sierra Carroll and I am a licensed therapist in Arizona. I completed my BS in Psychology from Sam Houston State University in 2013 before moving to Arizona and completing a Masters in Professional Counseling in 2018. I have worked with clients of all ages and walks of life through both my career in the medical field and experience in counseling. It is my passion to help guide clients through their own personal journey of healing as no two are the same.
(623) 267-9658 View (623) 267-9658
Photo of Suzanne Peterson, Licensed Professional Counselor in Phoenix, AZ
Suzanne Peterson
Licensed Professional Counselor, LPC, LISAC
Verified Verified
Phoenix, AZ 85016  (Online Only)
In my 10 years as a therapist, I have primarily worked with adolescents and young adults struggling with mental health and/or substance use issues and I utilize relapse prevention and harm reduction strategies to help support individuals through their recovery, or help guide the individual through supporting a loved one struggling with addiction. Through a holistic approach towards wellness, and using cognitive-behavioral interventions, trauma-informed care, and positive psychology, I help individuals make changes to improve their behavior, mood, thinking, and well-being to identify and maximize their personal strengths.
In my 10 years as a therapist, I have primarily worked with adolescents and young adults struggling with mental health and/or substance use issues and I utilize relapse prevention and harm reduction strategies to help support individuals through their recovery, or help guide the individual through supporting a loved one struggling with addiction. Through a holistic approach towards wellness, and using cognitive-behavioral interventions, trauma-informed care, and positive psychology, I help individuals make changes to improve their behavior, mood, thinking, and well-being to identify and maximize their personal strengths.
(206) 752-6430 View (206) 752-6430
Photo of Casey Moran in Phoenix, AZ
Casey Moran
BA, TPC
Verified Verified
Phoenix, AZ 85054
Would you like to take control of your life, instead of it controlling you? Do you have a good life, but know there's something more? Are you struggling to tap into your full potential? I will show you how to take back control, find that missing something and reach your full potential! I'm very flexible and if we are a good fit...I will do what I can to make sure to customize something that works.
Would you like to take control of your life, instead of it controlling you? Do you have a good life, but know there's something more? Are you struggling to tap into your full potential? I will show you how to take back control, find that missing something and reach your full potential! I'm very flexible and if we are a good fit...I will do what I can to make sure to customize something that works.
(602) 459-9705 View (602) 459-9705
Photo of Wendy Robb, Pre-Licensed Professional in Phoenix, AZ
Wendy Robb
Pre-Licensed Professional
Verified Verified
Phoenix, AZ 85016
Life is complicated! It is normal to feel, at times, you are in a balancing act of managing your thoughts, interactions, past traumas, and your day-to-day life. It is natural to have times when it can feel like too much. In these times, finding what is serving you and your relationships, and what isn't, is key to continuing to move forward. I am here to hold space for you and your family and to help you discover your patterns, strengths, resilience, and help you find your path forward. I am available to work with couples, families, and individuals including children and teens.
Life is complicated! It is normal to feel, at times, you are in a balancing act of managing your thoughts, interactions, past traumas, and your day-to-day life. It is natural to have times when it can feel like too much. In these times, finding what is serving you and your relationships, and what isn't, is key to continuing to move forward. I am here to hold space for you and your family and to help you discover your patterns, strengths, resilience, and help you find your path forward. I am available to work with couples, families, and individuals including children and teens.
(623) 624-3083 View (623) 624-3083
Photo of Liza Loofbourrow, Marriage & Family Therapist in Phoenix, AZ
Liza Loofbourrow
Marriage & Family Therapist, MFT
Verified Verified
2 Endorsed
Phoenix, AZ 85012
Congratulations on taking this step; I would be honored to help. I offer strengths-based, in-person therapy in the Phoenix area, and telehealth in California, using cognitive-behavioral techniques, inner-child work, EMDR and Exposure and Response Prevention. Specializations include Obsessive-Compulsive Disorder, PTSD, addiction and recovery, and treating children and adolescents with anxiety. I am well-versed in 12-Step philosophy and love helping people thrive in their sobriety.
Congratulations on taking this step; I would be honored to help. I offer strengths-based, in-person therapy in the Phoenix area, and telehealth in California, using cognitive-behavioral techniques, inner-child work, EMDR and Exposure and Response Prevention. Specializations include Obsessive-Compulsive Disorder, PTSD, addiction and recovery, and treating children and adolescents with anxiety. I am well-versed in 12-Step philosophy and love helping people thrive in their sobriety.
(520) 502-6324 View (520) 502-6324
Photo of Forrest Marvin, Clinical Social Work/Therapist in Phoenix, AZ
Forrest Marvin
Clinical Social Work/Therapist, LMSW-T
Verified Verified
1 Endorsed
Phoenix, AZ 85003
Maybe you're feeling stuck in the same cycles you can't seem to break out of. Maybe you're struggling to maintain relationships that feel safe and supportive. Maybe you know that you've been impacted by the painful experiences you've had, but you don't know where to start with unpacking them. It can be scary to face your pain, and you deserve support. You're not too much, and you're not alone. I want to support you with deepening your self-understanding and self-compassion. Healing is possible when you're ready to start.
Maybe you're feeling stuck in the same cycles you can't seem to break out of. Maybe you're struggling to maintain relationships that feel safe and supportive. Maybe you know that you've been impacted by the painful experiences you've had, but you don't know where to start with unpacking them. It can be scary to face your pain, and you deserve support. You're not too much, and you're not alone. I want to support you with deepening your self-understanding and self-compassion. Healing is possible when you're ready to start.
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How does your Therapist compare?

Number of Therapists in Phoenix, AZ

1,000+

Average cost per session

$150

Therapists in Phoenix, AZ who prioritize treating:

91% Anxiety
84% Depression
76% Trauma and PTSD
76% Self Esteem
75% Relationship Issues
70% Stress
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
67% BlueCross and BlueShield
66% UnitedHealthcare UHC | UBH

How Therapists in Phoenix, AZ see their clients

67% In Person and Online
33% Online Only

Gender breakdown

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

How can I find a therapist in Phoenix?

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.