Therapists in Little Rock, AR

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Photo of Andrew Roach, Clinical Social Work/Therapist in Little Rock, AR
Andrew Roach
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Rock, AR 72211
Andrew Roach, a native of Monroe, Louisiana, has been a clinician in Arkansas since 1994. He has 25 years of experience working with the chronic mentally ill in both the inpatient and outpatient settings and been in private practice for over a decade, serving community members of Central Arkansas.
Andrew Roach, a native of Monroe, Louisiana, has been a clinician in Arkansas since 1994. He has 25 years of experience working with the chronic mentally ill in both the inpatient and outpatient settings and been in private practice for over a decade, serving community members of Central Arkansas.
(501) 290-4176 View (501) 290-4176
Photo of Sunnie M Butcher in Little Rock, AR
Sunnie M Butcher
MA, LPE-I, I
Verified Verified
Little Rock, AR 72211
I believe that no two people are alike and that your therapeutic experience depicts your nature and nurture that makes up whom you are today. As your therapist, we'll actively work on developing “good” emotional health; as we explore what has directly/indirectly affected you and has impacted whom you are, today. What I am seeking in a client, is an individual that is motivated for a change in their life. With that, I will need your dedication and commitment to this process. Will this be difficult and challenging at times? Yes, it will be. “Challenges is what make life interesting; overcoming them is what makes life meaningful.” J.M.
I believe that no two people are alike and that your therapeutic experience depicts your nature and nurture that makes up whom you are today. As your therapist, we'll actively work on developing “good” emotional health; as we explore what has directly/indirectly affected you and has impacted whom you are, today. What I am seeking in a client, is an individual that is motivated for a change in their life. With that, I will need your dedication and commitment to this process. Will this be difficult and challenging at times? Yes, it will be. “Challenges is what make life interesting; overcoming them is what makes life meaningful.” J.M.
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Photo of Jeanna Pennington, Licensed Professional Counselor in Little Rock, AR
Jeanna Pennington
Licensed Professional Counselor, LPC, RTP
Verified Verified
Little Rock, AR 72211
Jeanna started her career in mental health as a psychiatric case manager and then transitioned to a mental health therapist working for an outpatient clinic (office and school-based clients). She has been working in mental health for more than seven years and finds joy in helping others find their own path.
Jeanna started her career in mental health as a psychiatric case manager and then transitioned to a mental health therapist working for an outpatient clinic (office and school-based clients). She has been working in mental health for more than seven years and finds joy in helping others find their own path.
(501) 290-4150 View (501) 290-4150
Photo of Crystal Pace, Clinical Social Work/Therapist in Little Rock, AR
Crystal Pace
Clinical Social Work/Therapist, LCSW, EMDR II, CCATP, CCPT-II, BSP
Verified Verified
2 Endorsed
Little Rock, AR 72211
We are often dealt circumstances that are beyond our understanding and personal control. Many of these experiences distort our perception of who we truly are. My practice focuses on liberation- by overcoming the impact of childhood trauma, shame, eating disorders, self-esteem, anxiety, or difficulty attaching (codependency or anti-dependency). My goal is to join you in your discovery that change is possible. Treatment formats include IFS (parts work), EMDR, Brainspotting, and experiential therapies by Pia Melody's work on childhood trauma/codependency.
We are often dealt circumstances that are beyond our understanding and personal control. Many of these experiences distort our perception of who we truly are. My practice focuses on liberation- by overcoming the impact of childhood trauma, shame, eating disorders, self-esteem, anxiety, or difficulty attaching (codependency or anti-dependency). My goal is to join you in your discovery that change is possible. Treatment formats include IFS (parts work), EMDR, Brainspotting, and experiential therapies by Pia Melody's work on childhood trauma/codependency.
(501) 381-7384 View (501) 381-7384
Photo of Beth White, Clinical Social Work/Therapist in Little Rock, AR
Beth White
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Little Rock, AR 72207
Have you decided it’s time to conquer your fear & reclaim your life? If you experience strong fear in specific situations which you logically know are reasonably safe but just can’t get past, I’m glad you’re here. I'm a seasoned therapist specializing in brief therapy for specific phobias & chronic pain. Whether the situation you fear is a “routine” medical appointment, injection, heights, being near a certain type of animal/insect, or something else, I want you to know that relief is possible & treatment needn't be harsh. Ask me about my compassionate approach to phobia therapy. With the right support & treatment, you can do this.
Have you decided it’s time to conquer your fear & reclaim your life? If you experience strong fear in specific situations which you logically know are reasonably safe but just can’t get past, I’m glad you’re here. I'm a seasoned therapist specializing in brief therapy for specific phobias & chronic pain. Whether the situation you fear is a “routine” medical appointment, injection, heights, being near a certain type of animal/insect, or something else, I want you to know that relief is possible & treatment needn't be harsh. Ask me about my compassionate approach to phobia therapy. With the right support & treatment, you can do this.
(501) 441-4200 View (501) 441-4200
Photo of Holistic Counseling & Consulting, PLLC, Licensed Professional Counselor in Little Rock, AR
Holistic Counseling & Consulting, PLLC
Licensed Professional Counselor, MA, LPC-S, BC-THP
Verified Verified
1 Endorsed
Little Rock, AR 72204
My counseling approach focuses on rebuilding individuals and their families through self-discovery, inspiration, and self-actualization. This is achieved by using an integrated perspective, which focus on the mind, body and soul of each client. The purpose is to help clients that have paused on their journey due to life circumstances; seek true identity, learn tools for success, motivate, inspire hope, and embrace the process of self-improvement.
My counseling approach focuses on rebuilding individuals and their families through self-discovery, inspiration, and self-actualization. This is achieved by using an integrated perspective, which focus on the mind, body and soul of each client. The purpose is to help clients that have paused on their journey due to life circumstances; seek true identity, learn tools for success, motivate, inspire hope, and embrace the process of self-improvement.
(501) 881-2156 View (501) 881-2156
Photo of Dr. Cai Carvalhaes Phd, Clinical Social Work/Therapist in Little Rock, AR
Dr. Cai Carvalhaes Phd
Clinical Social Work/Therapist, PhD, LCSW, MSW, CH
Verified Verified
1 Endorsed
Little Rock, AR 72227
"Be gentle with yourself." I am a Ph.D. in Depth Psychology, a trained therapist (LCSW), and a hypnotherapist focused on past life soul regression and shadow and dream work. I am specialized in mindfulness providing individual therapy to help individuals in the treatment of stress, anxiety, depression, and gender issues. I am clinically trained by Dr. Brian Weiss in Past Lives Regression to address trauma and phobias. I am also a National Certified Hypnotherapist (CH) by the National Guild of Hypnotists an excellent approach to use with clients to improve quality of life.
"Be gentle with yourself." I am a Ph.D. in Depth Psychology, a trained therapist (LCSW), and a hypnotherapist focused on past life soul regression and shadow and dream work. I am specialized in mindfulness providing individual therapy to help individuals in the treatment of stress, anxiety, depression, and gender issues. I am clinically trained by Dr. Brian Weiss in Past Lives Regression to address trauma and phobias. I am also a National Certified Hypnotherapist (CH) by the National Guild of Hypnotists an excellent approach to use with clients to improve quality of life.
(805) 204-4617 View (805) 204-4617
Photo of Sabrina Louesa Blevins, Clinical Social Work/Therapist in Little Rock, AR
Sabrina Louesa Blevins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Little Rock, AR 72211
Not accepting new clients
Hello, I am providing individual and family sessions for those in need of therapeutic services. I can help you or your family address issues around trauma, depression, anxiety, anger and other family dynamics. My services include recovery from sexual abuse, abandonment, and grief work...
Hello, I am providing individual and family sessions for those in need of therapeutic services. I can help you or your family address issues around trauma, depression, anxiety, anger and other family dynamics. My services include recovery from sexual abuse, abandonment, and grief work...
(501) 404-9435 View (501) 404-9435
Mike Kirk
Licensed Professional Counselor, PhD, LPC, NCC, CRC, BC-TMH
Verified Verified
Little Rock, AR 72211
Not accepting new clients
Starting counseling simply means that you believe personal healing and improvement are possible. However, reaching out and acknowledging that you need some assistance in this growth process is a very tough thing to do. Further, this first step of reaching out often runs counter to your culture and/or the rules of your family system. Nonetheless, connecting with an experienced and understanding counselor can create a therapeutic relationship enabling you to openly and honestly explore more effective coping strategies to achieve your goals.
Starting counseling simply means that you believe personal healing and improvement are possible. However, reaching out and acknowledging that you need some assistance in this growth process is a very tough thing to do. Further, this first step of reaching out often runs counter to your culture and/or the rules of your family system. Nonetheless, connecting with an experienced and understanding counselor can create a therapeutic relationship enabling you to openly and honestly explore more effective coping strategies to achieve your goals.
(501) 200-9832 View (501) 200-9832
Photo of Megan Harris, Clinical Social Work/Therapist in Little Rock, AR
Megan Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Little Rock, AR 72223
My motto has always been "I'm here for it." No matter what the focus of therapy needs to be for you, whether it's processing your week or getting in the trenches of traumatic experiences, or marriage/family crises- I'm here for it, and I'm dedicated to the process that can help unlock an upgraded version of life for you.
My motto has always been "I'm here for it." No matter what the focus of therapy needs to be for you, whether it's processing your week or getting in the trenches of traumatic experiences, or marriage/family crises- I'm here for it, and I'm dedicated to the process that can help unlock an upgraded version of life for you.
(501) 299-5692 View (501) 299-5692
Photo of Joe Boatwright, Clinical Social Work/Therapist in Little Rock, AR
Joe Boatwright
Clinical Social Work/Therapist, MSW, LCSW, BCD, ACSW
Verified Verified
Little Rock, AR 72211
My goal as a therapist is to help people become more the master of their lives so they are living as fully, effectively, and joyfully as they want. I help clients resolve past traumas & issues and gain new skills in self-confidence, relationships, and accomplishing life's goals. During my 30+ years as a therapist, I have taught psychotherapy at graduate schools (8 years) in Indonesia and The Philippines as well as maintaining a full-time private practice specializing in depression, grief, relationships, parenting, divorce, phobias, anxiety, anger management, PTSD with military personnel and survivors of trauma / abuse; and cross-cultural & inter-faith issues.
My goal as a therapist is to help people become more the master of their lives so they are living as fully, effectively, and joyfully as they want. I help clients resolve past traumas & issues and gain new skills in self-confidence, relationships, and accomplishing life's goals. During my 30+ years as a therapist, I have taught psychotherapy at graduate schools (8 years) in Indonesia and The Philippines as well as maintaining a full-time private practice specializing in depression, grief, relationships, parenting, divorce, phobias, anxiety, anger management, PTSD with military personnel and survivors of trauma / abuse; and cross-cultural & inter-faith issues.
(501) 492-6232 View (501) 492-6232
Photo of Dr. Nioka Smith Counseling, Pastoral Counselor in Little Rock, AR
Dr. Nioka Smith Counseling
Pastoral Counselor, D Min, LCPC, MFT
Verified Verified
Little Rock, AR 72209
I am a Licensed Marriage and Family Therapist and a Licensed Clinical Christian Counselor. I have a divine purpose and gift for women and girls who are discouraged, stagnant, hurting, or stuck in bad relationship cycles, as well as those who just need a little boost to get ahead in life. I specialize in stress/anxiety/depression, sexual abuse recovery, marriage and family, personal and spiritual growth, and finding life's purpose. I have a burning passion to help transform marriages and to help others heal from their past as well as recognize and achieve their full potential in all areas of life.
I am a Licensed Marriage and Family Therapist and a Licensed Clinical Christian Counselor. I have a divine purpose and gift for women and girls who are discouraged, stagnant, hurting, or stuck in bad relationship cycles, as well as those who just need a little boost to get ahead in life. I specialize in stress/anxiety/depression, sexual abuse recovery, marriage and family, personal and spiritual growth, and finding life's purpose. I have a burning passion to help transform marriages and to help others heal from their past as well as recognize and achieve their full potential in all areas of life.
(501) 263-2618 View (501) 263-2618
Photo of Angela K Etchison, Licensed Psychological Examiner in Little Rock, AR
Angela K Etchison
Licensed Psychological Examiner, MS, LPE-I
Verified Verified
3 Endorsed
Little Rock, AR 72211
Hello! I'm Angela and I'm here to help you improve your mental health, decrease your stress, and live your life with more joy and purpose! While stress is a natural part of life, too much stress can be harmful to your overall health and well-being. I specialize in treating the anxiety and depression that often results from stressful life experiences, such as divorce, grief, trauma, and more. I also have extensive training and experience with autism spectrum disorders, ADHD, and other developmental disabilities.
Hello! I'm Angela and I'm here to help you improve your mental health, decrease your stress, and live your life with more joy and purpose! While stress is a natural part of life, too much stress can be harmful to your overall health and well-being. I specialize in treating the anxiety and depression that often results from stressful life experiences, such as divorce, grief, trauma, and more. I also have extensive training and experience with autism spectrum disorders, ADHD, and other developmental disabilities.
(501) 436-0088 View (501) 436-0088
Photo of Hillcrest Therapy Center, Clinical Social Work/Therapist in Little Rock, AR
Hillcrest Therapy Center
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Little Rock, AR 72205
Life can sometimes become overwhelming. I am dedicated to helping you find healthy ways to cope with what you are experiencing as well as provide the emotional support and validation you may be lacking. I do not judge your feelings, thoughts, lifestyle, or any part of who you are or how you identify. My hope is that through counseling you will identify your strengths, heal, and develop the tools you need to survive and thrive in this sometimes chaotic world. I provide a safe space for you to explore your feelings and seek solutions to the issue you are facing.
Life can sometimes become overwhelming. I am dedicated to helping you find healthy ways to cope with what you are experiencing as well as provide the emotional support and validation you may be lacking. I do not judge your feelings, thoughts, lifestyle, or any part of who you are or how you identify. My hope is that through counseling you will identify your strengths, heal, and develop the tools you need to survive and thrive in this sometimes chaotic world. I provide a safe space for you to explore your feelings and seek solutions to the issue you are facing.
(501) 612-7254 View (501) 612-7254
Photo of Dayshia Tanks, Licensed Professional Counselor in Little Rock, AR
Dayshia Tanks
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Little Rock, AR 72202
Do you or someone you know have difficulties with depression, anxiety, addiction, or out of control emotions and behaviors? Do you need a safe, private place to explore complex trauma, potential personality disorder symptoms, burnout, or other big changes in your life? Are you worried that burnout or other mental health concerns get in the way of your career, life, and family goals? If so, I may be able to help.
Do you or someone you know have difficulties with depression, anxiety, addiction, or out of control emotions and behaviors? Do you need a safe, private place to explore complex trauma, potential personality disorder symptoms, burnout, or other big changes in your life? Are you worried that burnout or other mental health concerns get in the way of your career, life, and family goals? If so, I may be able to help.
(501) 594-4762 View (501) 594-4762
Photo of JC McDaniel, Licensed Professional Counselor in Little Rock, AR
JC McDaniel
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72211
Marital or relationship problems, traumatic past, depression, anxiety, frustration, anger, unable to focus or concentrate, alcohol or substance abuse, or just struggling to take the next step in life. These are just a fraction of the issues and problems I help people with every day. People want peace in their lives, but the reality is peace has a price. Our lives are entangled in responsibilities and relationships that are extremely difficult and take a heavy toll upon us mentally. In many cases we are to believe that if you can't see the hurt or the pain then it doesn't exist. It does and it is real. There is help and it is here.
Marital or relationship problems, traumatic past, depression, anxiety, frustration, anger, unable to focus or concentrate, alcohol or substance abuse, or just struggling to take the next step in life. These are just a fraction of the issues and problems I help people with every day. People want peace in their lives, but the reality is peace has a price. Our lives are entangled in responsibilities and relationships that are extremely difficult and take a heavy toll upon us mentally. In many cases we are to believe that if you can't see the hurt or the pain then it doesn't exist. It does and it is real. There is help and it is here.
(501) 406-2242 View (501) 406-2242
Photo of Lisa Baldwin, Licensed Professional Counselor in Little Rock, AR
Lisa Baldwin
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Little Rock, AR 72207
Are you a person who finds yourself caring deeply for others while you struggle to care about yourself? Maybe you feel like an imposter and that there is no way that you can measure up to those around you. Do you avoid making decisions or taking risks because you know that you’ll fail anyway? You think even when something is a success that it is only a matter of time before it all falls apart. Do you want to feel that you are valued and have worth that allows you to establish the life that you imagine for yourself? Do you struggle to believe that it’s possible to feel good about yourself?
Are you a person who finds yourself caring deeply for others while you struggle to care about yourself? Maybe you feel like an imposter and that there is no way that you can measure up to those around you. Do you avoid making decisions or taking risks because you know that you’ll fail anyway? You think even when something is a success that it is only a matter of time before it all falls apart. Do you want to feel that you are valued and have worth that allows you to establish the life that you imagine for yourself? Do you struggle to believe that it’s possible to feel good about yourself?
(501) 381-1674 View (501) 381-1674
Photo of Derek Edwards, Counselor in Little Rock, AR
Derek Edwards
Counselor, LPC, CSATc, BSP, EMDR
Verified Verified
2 Endorsed
Little Rock, AR 72207
Bio video on my website! In 2011, I graduated from seminary & worked as a youth pastor for 5 years. From the vantage point of a pastor, I saw the need for good, quality, professional therapy in people's lives. When you walk through the therapist’s door, you expect to be given the tools you need to accomplish change. Good therapy is more than “What do you want to talk about today?” You need to work with a therapist who has the right tools to dig deep and do some heavy lifting, and that is what I offer.
Bio video on my website! In 2011, I graduated from seminary & worked as a youth pastor for 5 years. From the vantage point of a pastor, I saw the need for good, quality, professional therapy in people's lives. When you walk through the therapist’s door, you expect to be given the tools you need to accomplish change. Good therapy is more than “What do you want to talk about today?” You need to work with a therapist who has the right tools to dig deep and do some heavy lifting, and that is what I offer.
(501) 236-5769 View (501) 236-5769
Photo of Krameelah Marshae Banks, Psychologist in Little Rock, AR
Krameelah Marshae Banks
Psychologist, PhD
Verified Verified
Little Rock, AR 72211
As one of the Little Rock area’s most prominent resources for quality healthcare, Arkansas Behavioral Center specializes in a wide range of mental health services to get patients feeling healthier than ever before. And while we work hard to offer top-of-the-line treatments that help you feel better and get better, we also focus on preventative strategies to ensure you stay better for longer.
As one of the Little Rock area’s most prominent resources for quality healthcare, Arkansas Behavioral Center specializes in a wide range of mental health services to get patients feeling healthier than ever before. And while we work hard to offer top-of-the-line treatments that help you feel better and get better, we also focus on preventative strategies to ensure you stay better for longer.
(501) 434-2352 View (501) 434-2352
Photo of Therapeutic Solutions, PA, Psychologist in Little Rock, AR
Therapeutic Solutions, PA
Psychologist, LPE-I
Verified Verified
Little Rock, AR 72207
Overwhelming anxiety, depression, insomnia or unbalanced ? I invite you to take a journey, learn how to befriend your body. I utilize a Neuroaffective Relational Model (NARM) approach. The model targets: •affect regulation •attachment •attunement •interpersonal/social connection • body regulation. The model is "resource orientated", meaning towards your strengths and potentials, rather than problems and conflicts. The emphasis is on collaboration. Research supports this treatment as effective with the following populations: Autism Spectrum Sensory Processing Developmental Trauma Complex Trauma
Overwhelming anxiety, depression, insomnia or unbalanced ? I invite you to take a journey, learn how to befriend your body. I utilize a Neuroaffective Relational Model (NARM) approach. The model targets: •affect regulation •attachment •attunement •interpersonal/social connection • body regulation. The model is "resource orientated", meaning towards your strengths and potentials, rather than problems and conflicts. The emphasis is on collaboration. Research supports this treatment as effective with the following populations: Autism Spectrum Sensory Processing Developmental Trauma Complex Trauma
(501) 214-5972 View (501) 214-5972

How does your Therapist compare?

Number of Therapists in Little Rock, AR

400+

Average cost per session

$150

Therapists in Little Rock, AR who prioritize treating:

92% Depression
92% Anxiety
75% Relationship Issues
74% Self Esteem
73% Trauma and PTSD
73% Coping Skills
70% Stress

Average years in practice

12 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
70% Ambetter
55% QualChoice

How Therapists in Little Rock, AR see their clients

77% In Person and Online
23% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Little Rock?

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.