Therapists in Silver Spring, MD

Photo of Wellspring Restorative Therapy Services, LLC, Licensed Clinical Professional Counselor in Silver Spring, MD
Wellspring Restorative Therapy Services, LLC
Licensed Clinical Professional Counselor, LCPC, MBA, GC-C, Supervi
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
Waitlist for new clients
We can assist clients with healing based on trauma (including childhood, sexual, PTSD), grief, and other mental health issues through a holistic approach of treating mind, body and spirit. We help children, Adolescents and Adults with Anxiety Disorders, Bi-Polar Disorders, Conduct/Disruptive/Impulse-Control Disorders Depressive Disorders, Eating and Feeding Disorders, Death and Survivor Grief, Mood Disorders, and Trauma Disorders.
We can assist clients with healing based on trauma (including childhood, sexual, PTSD), grief, and other mental health issues through a holistic approach of treating mind, body and spirit. We help children, Adolescents and Adults with Anxiety Disorders, Bi-Polar Disorders, Conduct/Disruptive/Impulse-Control Disorders Depressive Disorders, Eating and Feeding Disorders, Death and Survivor Grief, Mood Disorders, and Trauma Disorders.
(240) 453-4723 View (240) 453-4723
Photo of Relational Excellence, LLC, Licensed Clinical Professional Counselor in Silver Spring, MD
Relational Excellence, LLC
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Silver Spring, MD 20910  (Online Only)
Are you looking for a different way to relate to the world? Are there areas in your life that you would like to change? Do you need help trying to find or take a different path? If so, come talk to the staff at Relational Excellence, LLC. We are a distinguished leader and provider of clinical services with medication management services. Our service offerings include individual and group options to help you meet your treatment needs. Our mission is to engage interactively and respectfully with every person, family, or agency that we come in contact with. We seek to inspire change in everyone that we serve.
Are you looking for a different way to relate to the world? Are there areas in your life that you would like to change? Do you need help trying to find or take a different path? If so, come talk to the staff at Relational Excellence, LLC. We are a distinguished leader and provider of clinical services with medication management services. Our service offerings include individual and group options to help you meet your treatment needs. Our mission is to engage interactively and respectfully with every person, family, or agency that we come in contact with. We seek to inspire change in everyone that we serve.
(202) 759-8061 View (202) 759-8061
Photo of Adam Freitag, Clinical Social Work/Therapist in Silver Spring, MD
Adam Freitag
Clinical Social Work/Therapist, LCSW
Verified Verified
Silver Spring, MD 20910
With a primary focus on working with adults living with ADHD, mood disorders, anxiety, and trauma, Adam is committed to providing compassionate and integrative care to support his clients by helping them empower themselves and draw upon their existing strengths. By employing a wide range of evidence-based treatment models—including CBT, ACT, psychodynamic psychotherapy, and age-appropriate play therapy—Adam works collaboratively with every client to develop a clear, personalized treatment plan that sets measurable goals based on their unique needs.
With a primary focus on working with adults living with ADHD, mood disorders, anxiety, and trauma, Adam is committed to providing compassionate and integrative care to support his clients by helping them empower themselves and draw upon their existing strengths. By employing a wide range of evidence-based treatment models—including CBT, ACT, psychodynamic psychotherapy, and age-appropriate play therapy—Adam works collaboratively with every client to develop a clear, personalized treatment plan that sets measurable goals based on their unique needs.
(347) 744-9682 View (347) 744-9682
Photo of Cognitive Therapy for Anxiety, Depression, ADHD, Clinical Social Work/Therapist in Silver Spring, MD
Cognitive Therapy for Anxiety, Depression, ADHD
Clinical Social Work/Therapist, LCSWC
Verified Verified
Silver Spring, MD 20910  (Online Only)
I’ve provided coping skills and solutions to hundreds of adults with ADHD: procrastination, difficulty staying focused, difficulty completing tasks. We can make your life better.
I’ve provided coping skills and solutions to hundreds of adults with ADHD: procrastination, difficulty staying focused, difficulty completing tasks. We can make your life better.
(240) 332-0649 View (240) 332-0649
Photo of Judith Gallant, Clinical Social Work/Therapist in Silver Spring, MD
Judith Gallant
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910
If you are struggling with issues that prevent you from being as happy as you would like, I can help. For over 35 years, I have specialized in working with children and adolescents, as well as adults. I no longer work with children, but with adolescents, I use various approaches depending on their emotional development and issues. For those of us a bit older, life transitions including college, marriage, becoming a parent and loss can be stressful, but also create opportunities for growth.
If you are struggling with issues that prevent you from being as happy as you would like, I can help. For over 35 years, I have specialized in working with children and adolescents, as well as adults. I no longer work with children, but with adolescents, I use various approaches depending on their emotional development and issues. For those of us a bit older, life transitions including college, marriage, becoming a parent and loss can be stressful, but also create opportunities for growth.
(301) 717-1004 View (301) 717-1004
Photo of The Blackest Sheep, Counselor in Silver Spring, MD
The Blackest Sheep
Counselor, LGPC, NCC
Verified Verified
Silver Spring, MD 20910
Finding the ideal therapist is often a daunting task. I work with individuals who have felt misplaced, misrepresented, and misunderstood in most places by "creating space for the misfits." Clients seeking a genuine, nonjudgmental space to release and rehabilitate while growing into their greatest selves have found their place to land, and it is here.
Finding the ideal therapist is often a daunting task. I work with individuals who have felt misplaced, misrepresented, and misunderstood in most places by "creating space for the misfits." Clients seeking a genuine, nonjudgmental space to release and rehabilitate while growing into their greatest selves have found their place to land, and it is here.
(240) 221-5641 View (240) 221-5641
Photo of Frank Fiorenini, Marriage & Family Therapist Intern in Silver Spring, MD
Frank Fiorenini
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Silver Spring, MD 20910
If you've been feeling disconnected, unmotivated, anxious, or low, you've come to the right place! Let's work together to get you back to feeling excited about life and joyful in your relationships. As a former wellness and fitness coach, I have years of experience empowering clients to reach their physical fitness aspirations, fostering resilience and discipline.
If you've been feeling disconnected, unmotivated, anxious, or low, you've come to the right place! Let's work together to get you back to feeling excited about life and joyful in your relationships. As a former wellness and fitness coach, I have years of experience empowering clients to reach their physical fitness aspirations, fostering resilience and discipline.
(240) 852-2236 View (240) 852-2236
Photo of Joseph C Melendez, Clinical Social Work/Therapist in Silver Spring, MD
Joseph C Melendez
Clinical Social Work/Therapist, LCSW, LICSW, LCSW-C
Verified Verified
Silver Spring, MD 20910  (Online Only)
Joseph is a holistic and integrative therapist and his core principles are compassion, collaboration, and transparency. He has extensive experience in counseling individuals experiencing depression, anxiety, trauma, relationship issues, work/life balance stressors, life transitions, substance use, and other areas. He provides counseling to couples and families to address stress, communication concerns, and conflict. Additionally, Joseph facilitates groups including a Men’s Wellness Group, an Emotional Regulation Basics group, and a Healthy Relationships Group.
Joseph is a holistic and integrative therapist and his core principles are compassion, collaboration, and transparency. He has extensive experience in counseling individuals experiencing depression, anxiety, trauma, relationship issues, work/life balance stressors, life transitions, substance use, and other areas. He provides counseling to couples and families to address stress, communication concerns, and conflict. Additionally, Joseph facilitates groups including a Men’s Wellness Group, an Emotional Regulation Basics group, and a Healthy Relationships Group.
(240) 730-4353 View (240) 730-4353
Photo of Sunshine Consulting & Counseling, Inc, Licensed Clinical Professional Counselor in Silver Spring, MD
Sunshine Consulting & Counseling, Inc
Licensed Clinical Professional Counselor, MA, MS, NCC, LCPC, SEP
Verified Verified
1 Endorsed
Silver Spring, MD 20902
Sometimes life just gets you down! It can be from stress in a relationship or from raising children, unequal work-life balance or the result of a traumatic event. The important thing to know is that you don't have to go through it alone. I also work with teenage girls on relationship issues, anxiety, and depression.
Sometimes life just gets you down! It can be from stress in a relationship or from raising children, unequal work-life balance or the result of a traumatic event. The important thing to know is that you don't have to go through it alone. I also work with teenage girls on relationship issues, anxiety, and depression.
(301) 747-0564 View (301) 747-0564
Photo of M Mental Health and Wellness Plus, Clinical Social Work/Therapist in Silver Spring, MD
M Mental Health and Wellness Plus
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20904
I believe in the inseparable aspects of mental wellness and healthy lifestyle changes as each complements the other. We offer a blend of therapeutic services aimed at integrating mental health techniques with lifestyle changes. I work with parents with children with behavioral problems and attend EIP meetings to support parents. The program offers medication management.
I believe in the inseparable aspects of mental wellness and healthy lifestyle changes as each complements the other. We offer a blend of therapeutic services aimed at integrating mental health techniques with lifestyle changes. I work with parents with children with behavioral problems and attend EIP meetings to support parents. The program offers medication management.
(301) 918-5349 View (301) 918-5349
Photo of Lindsey Foss, Marriage & Family Therapist in Silver Spring, MD
Lindsey Foss
Marriage & Family Therapist, LCMFT
Verified Verified
Silver Spring, MD 20910
Not accepting new clients
As we move through life, we all have times when things don't seem to be working. Perhaps you've noticed a way of interacting with your family that you don't like. Maybe you feel overwhelmed by pain--from recent events or events long ago. You might feel lost. Through a personalized and collaborative process, I can help you heal and propel your life and relationships to a better place.
As we move through life, we all have times when things don't seem to be working. Perhaps you've noticed a way of interacting with your family that you don't like. Maybe you feel overwhelmed by pain--from recent events or events long ago. You might feel lost. Through a personalized and collaborative process, I can help you heal and propel your life and relationships to a better place.
(240) 206-1884 View (240) 206-1884
Photo of Angela Gilbert, Psychologist in Silver Spring, MD
Angela Gilbert
Psychologist, PsyD, NBCCH
Verified Verified
Silver Spring, MD 20910
I am a seasoned psychologist, consultant, clinician who has been practicing in the DC 30 years. I'm returning to f/t self employment/ private practice after working f/t in the medical context at Walter Reed Bethesda, Kaiser, Nursing homes. Strengths as an agent of positive change include my personable, collaborative approach and our success in achieving agreed- upon desired results. I have extensive experience in the fields of behavioral medicine, trauma recovery, hypnosis, and clinical supervision and training. My clients see positive results and return on investment relatively quickly. I love this work, and always learning.
I am a seasoned psychologist, consultant, clinician who has been practicing in the DC 30 years. I'm returning to f/t self employment/ private practice after working f/t in the medical context at Walter Reed Bethesda, Kaiser, Nursing homes. Strengths as an agent of positive change include my personable, collaborative approach and our success in achieving agreed- upon desired results. I have extensive experience in the fields of behavioral medicine, trauma recovery, hypnosis, and clinical supervision and training. My clients see positive results and return on investment relatively quickly. I love this work, and always learning.
(240) 647-9278 View (240) 647-9278
Photo of Julia Dowling, Clinical Social Work/Therapist in Silver Spring, MD
Julia Dowling
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
2 Endorsed
Silver Spring, MD 20910  (Online Only)
Waitlist for new clients
Sometimes life can feel overwhelming and disheartening. Are you struggling with negative beliefs about yourself and the world? Do you feel jumpy, on edge, and unable to focus because your thoughts are running laps inside your head? Or maybe you feel dulled, disconnected and numbed. You aren't crazy. Any and all of these are common survival responses to trauma, but maybe they hurt more than help in your everyday life. Everyone has the innate ability to heal from trauma - individual or collective, current or generational - with the right circumstances. If you're ready to take gentle and concrete steps towards healing, let's talk.
Sometimes life can feel overwhelming and disheartening. Are you struggling with negative beliefs about yourself and the world? Do you feel jumpy, on edge, and unable to focus because your thoughts are running laps inside your head? Or maybe you feel dulled, disconnected and numbed. You aren't crazy. Any and all of these are common survival responses to trauma, but maybe they hurt more than help in your everyday life. Everyone has the innate ability to heal from trauma - individual or collective, current or generational - with the right circumstances. If you're ready to take gentle and concrete steps towards healing, let's talk.
(240) 852-2117 View (240) 852-2117
Photo of Imani Bowman, Licensed Clinical Professional Counselor in Silver Spring, MD
Imani Bowman
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Silver Spring, MD 20910
Waitlist for new clients
Are you ready to experience more joy and connection in your life? Do you want to tap into your resilience and live the life you imagine? I work with individuals, kids, and families to build their connection, joy and resilience.
Are you ready to experience more joy and connection in your life? Do you want to tap into your resilience and live the life you imagine? I work with individuals, kids, and families to build their connection, joy and resilience.
(240) 209-9586 View (240) 209-9586
Photo of Liza Harbison, Marriage & Family Therapist in Silver Spring, MD
Liza Harbison
Marriage & Family Therapist, LCM773
Verified Verified
2 Endorsed
Silver Spring, MD 20901
Are you struggling with relationship issues, overwhelming emotions, or difficult life transitions? With couples, I specialize in communication issues, infidelity, and infertility. I work with individuals with anxiety and chronic pain/illness, and and men looking to understand their emotions and improve their relationships. In our work together, you will find your voice, gain skills to face difficulties with confidence, and heal past hurt. I strive to create a safe environment for clients to grow and express themselves. Whatever your goal, I will work with you to create a fulfilling life and relationships.
Are you struggling with relationship issues, overwhelming emotions, or difficult life transitions? With couples, I specialize in communication issues, infidelity, and infertility. I work with individuals with anxiety and chronic pain/illness, and and men looking to understand their emotions and improve their relationships. In our work together, you will find your voice, gain skills to face difficulties with confidence, and heal past hurt. I strive to create a safe environment for clients to grow and express themselves. Whatever your goal, I will work with you to create a fulfilling life and relationships.
(240) 641-0627 x3 View (240) 641-0627 x3
Photo of Anne Lipp, Clinical Social Work/Therapist in Silver Spring, MD
Anne Lipp
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Silver Spring, MD 20901
I help people in the midst or aftermath of life’s upheavals, when the ways they coped with stress are no longer sufficient. People I help are seeking support with: difficult feelings and situations such as relationship strain, divorce, retirement, empty nest, illness, death and loss. Learning or practicing new skills or strategies to get through a challenging time. Conflict and self-criticism. Anxiety, depression and trauma. Inner conflict related to sexual orientation or gender identity, or that of a loved one. A roller coaster of emotions, such as anger, rage, and blame. Developing healthier ways of coping.
I help people in the midst or aftermath of life’s upheavals, when the ways they coped with stress are no longer sufficient. People I help are seeking support with: difficult feelings and situations such as relationship strain, divorce, retirement, empty nest, illness, death and loss. Learning or practicing new skills or strategies to get through a challenging time. Conflict and self-criticism. Anxiety, depression and trauma. Inner conflict related to sexual orientation or gender identity, or that of a loved one. A roller coaster of emotions, such as anger, rage, and blame. Developing healthier ways of coping.
(240) 213-9586 x5 View (240) 213-9586 x5
Photo of Teneisha McIntyre, Psychologist in Silver Spring, MD
Teneisha McIntyre
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
In our current, local and National climate, we know that people are experiencing stress, anxiety, and trauma now more than ever. My greatest passion is bringing understanding and healing to children and families who have been through a traumatic/stressful experience or struggle with mental health challenges. Consultation is also an instrument that I use to help parents and educators uncover strategies to shift behavior and improve family and classroom dynamics. I am also trained in psychological and psychoeducational assessment to evaluate areas of strengths and challenges for diagnostic consultation and educational planning.
In our current, local and National climate, we know that people are experiencing stress, anxiety, and trauma now more than ever. My greatest passion is bringing understanding and healing to children and families who have been through a traumatic/stressful experience or struggle with mental health challenges. Consultation is also an instrument that I use to help parents and educators uncover strategies to shift behavior and improve family and classroom dynamics. I am also trained in psychological and psychoeducational assessment to evaluate areas of strengths and challenges for diagnostic consultation and educational planning.
(240) 209-9577 View (240) 209-9577
Photo of Patrick DiSalvo, Clinical Social Work/Therapist in Silver Spring, MD
Patrick DiSalvo
Clinical Social Work/Therapist, LCSW, MSW, MST
Verified Verified
Silver Spring, MD 20910
Do you feel like you have run into a bit of a wall trying to navigate challenges in your life? Are you wondering how to improve your mood or lessen your anxiety when talk therapy hasn't always worked for you? I am here to work with you in exploring, accepting and traversing such obstacles. I specialize in working with pre-teens, adolescents, and young adults, and have done so for over 14 years as a teacher (MST) and mental health practitioner (MSW) in Harlem, NY and Washington, DC. This experience has given me a tremendous amount of insight into the challenges that young people face in today's world and today's academic settings.
Do you feel like you have run into a bit of a wall trying to navigate challenges in your life? Are you wondering how to improve your mood or lessen your anxiety when talk therapy hasn't always worked for you? I am here to work with you in exploring, accepting and traversing such obstacles. I specialize in working with pre-teens, adolescents, and young adults, and have done so for over 14 years as a teacher (MST) and mental health practitioner (MSW) in Harlem, NY and Washington, DC. This experience has given me a tremendous amount of insight into the challenges that young people face in today's world and today's academic settings.
(240) 266-0599 View (240) 266-0599
Photo of Healing Harmony Health & Wellness with Shana LLC, Clinical Social Work/Therapist in Silver Spring, MD
Healing Harmony Health & Wellness with Shana LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20902  (Online Only)
Trauma shatters your world and the world around you, including your personal and professional relationships. Finding your wellness requires having a therapist who understands your needs. We specialize in working with trauma and its related disorders. We bring creativity and above all else sincere caring for our clients. With children, we use play therapy and emotional regulation tools to facilitate and increase the child's wellness. For adolescents and adults, we create a warm self-honoring environment that increases in their ability to develop positive tools to navigate through their traumas, relationships, anxieties, and fears.
Trauma shatters your world and the world around you, including your personal and professional relationships. Finding your wellness requires having a therapist who understands your needs. We specialize in working with trauma and its related disorders. We bring creativity and above all else sincere caring for our clients. With children, we use play therapy and emotional regulation tools to facilitate and increase the child's wellness. For adolescents and adults, we create a warm self-honoring environment that increases in their ability to develop positive tools to navigate through their traumas, relationships, anxieties, and fears.
(240) 453-4828 View (240) 453-4828
Photo of Richard (Pinny) Roth @ Eft Center, Clinical Social Work/Therapist in Silver Spring, MD
Richard (Pinny) Roth @ Eft Center
Clinical Social Work/Therapist, LCSW-C
Verified Verified
4 Endorsed
Silver Spring, MD 20902
I CAN HELP YOU HEAL YOUR RELATIONSHIP. PREMARITAL AND COUPLES COUNSELING. "Why does my partner overreact?" "Why do I get so triggered?" "How come the punishment doesn't fit the crime?" “Why can’t he be more supportive?” “Is anything I do ever enough for her?” While you are feeling hurt, you have an added layer of confusion. You simultaneously love your partner and even hope to stay in this relationship to keep your love, family, and dreams intact. You are torn in a tug-of-war of emotions and desire to feel understood, accepted, and embraced by your partner.
I CAN HELP YOU HEAL YOUR RELATIONSHIP. PREMARITAL AND COUPLES COUNSELING. "Why does my partner overreact?" "Why do I get so triggered?" "How come the punishment doesn't fit the crime?" “Why can’t he be more supportive?” “Is anything I do ever enough for her?” While you are feeling hurt, you have an added layer of confusion. You simultaneously love your partner and even hope to stay in this relationship to keep your love, family, and dreams intact. You are torn in a tug-of-war of emotions and desire to feel understood, accepted, and embraced by your partner.
(301) 690-9503 View (301) 690-9503

See more therapy options for Silver Spring

How does your Therapist compare?

Number of Therapists in Silver Spring, MD

900+

Average cost per session

$160

Therapists in Silver Spring, MD who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
76% Self Esteem
69% Coping Skills
67% Trauma and PTSD
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% CareFirst
72% BlueCross and BlueShield
64% Cigna and Evernorth

How Therapists in Silver Spring, MD see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Silver Spring?

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.