Therapists in Gaithersburg, MD

Photo of Lee Collins, Counselor in Gaithersburg, MD
Lee Collins
Counselor, LCPC
Verified Verified
Gaithersburg, MD 20877
I love working with clients who are serious about getting better, willing to engage in introspection, attempt to display consistency, and who struggle with their self-esteem.
I love working with clients who are serious about getting better, willing to engage in introspection, attempt to display consistency, and who struggle with their self-esteem.
(240) 872-0830 View (240) 872-0830
Photo of Sierra Hartsfield, Clinical Social Work/Therapist in Gaithersburg, MD
Sierra Hartsfield
Clinical Social Work/Therapist, LCSW-C, LCSW
Verified Verified
Gaithersburg, MD 20878  (Online Only)
My goal as a therapist is to provide a safe, supportive and nonjudgmental environment, to build a healthy and strong therapeutic relationship in order to start the healing process. By working together you will explore and process feelings, beliefs, or behaviors, and identify personal goals to improve problem areas in your life. I work with adolescents, adults and families. I specialize in treating numerous presenting problems including, depression, anxiety, ADHD, behavior management, life transitions and bipolar disorder.
My goal as a therapist is to provide a safe, supportive and nonjudgmental environment, to build a healthy and strong therapeutic relationship in order to start the healing process. By working together you will explore and process feelings, beliefs, or behaviors, and identify personal goals to improve problem areas in your life. I work with adolescents, adults and families. I specialize in treating numerous presenting problems including, depression, anxiety, ADHD, behavior management, life transitions and bipolar disorder.
(240) 455-4597 View (240) 455-4597
Photo of Hearts In Mind Counseling, Clinical Social Work/Therapist in Gaithersburg, MD
Hearts In Mind Counseling
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
1 Endorsed
Gaithersburg, MD 20877  (Online Only)
Mr. Williams is a seasoned Licensed Clinical Social Worker and psychotherapist who utilizes Solution-Focused Therapy, Insight Oriented Psychotherapy, Emotional Focused Therapy, and Cognitive Behavioral Therapy as a catalyst for change with his clients. His typical clients struggle with depression, anxiety, love addiction, anger management, attachment issues, divorce/separation, and blended family dynamics. He is able to see individuals, couples and families. He specializes in working with the adolescent to adult male population. Helping them navigate and understand their purpose in life while providing relatable life experiences to their circumstances.
Mr. Williams is a seasoned Licensed Clinical Social Worker and psychotherapist who utilizes Solution-Focused Therapy, Insight Oriented Psychotherapy, Emotional Focused Therapy, and Cognitive Behavioral Therapy as a catalyst for change with his clients. His typical clients struggle with depression, anxiety, love addiction, anger management, attachment issues, divorce/separation, and blended family dynamics. He is able to see individuals, couples and families. He specializes in working with the adolescent to adult male population. Helping them navigate and understand their purpose in life while providing relatable life experiences to their circumstances.
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Photo of Elena Wright-Aguilar, Clinical Social Work/Therapist in Gaithersburg, MD
Elena Wright-Aguilar
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Gaithersburg, MD 20878
I am a clinical social worker providing psychotherapy to adults, children and families to treat anxiety, depression, adjustment difficulties, chronic stress and trauma. My practice methods include adult therapy, child therapy, parent-child therapy and parent developmental guidance.
I am a clinical social worker providing psychotherapy to adults, children and families to treat anxiety, depression, adjustment difficulties, chronic stress and trauma. My practice methods include adult therapy, child therapy, parent-child therapy and parent developmental guidance.
(240) 201-2410 View (240) 201-2410
Photo of Elsie Gordon, Psychologist in Gaithersburg, MD
Elsie Gordon
Psychologist, PhD
Verified Verified
4 Endorsed
Gaithersburg, MD 20877
I appreciate the time you have taken to look up my profile, as the process of finding a therapist can be daunting. But it is well worth the effort when you find one with whom you can work collaboratively in your journey of growth and healing.
I appreciate the time you have taken to look up my profile, as the process of finding a therapist can be daunting. But it is well worth the effort when you find one with whom you can work collaboratively in your journey of growth and healing.
(240) 575-6449 View (240) 575-6449
Photo of Dyanne Dunlap, Clinical Social Work/Therapist in Gaithersburg, MD
Dyanne Dunlap
Clinical Social Work/Therapist, LMSW
Verified Verified
Gaithersburg, MD 20878  (Online Only)
As a therapist, I have 23 years of experience in the mental health field. A graduate of the University of Pennsylvania’s School of Social Work, my mission is to help you identify goals, focus on your future, and empower you to succeed. As a trauma survivor, I naturally relate to others as I empower and encourage you to be the best version of yourself. I have worked in a variety of settings including mental health agencies, residential centers, and psychiatric hospitals. I am accepting new patients exclusively through Telehealth to help people in a safe and convenient way.
As a therapist, I have 23 years of experience in the mental health field. A graduate of the University of Pennsylvania’s School of Social Work, my mission is to help you identify goals, focus on your future, and empower you to succeed. As a trauma survivor, I naturally relate to others as I empower and encourage you to be the best version of yourself. I have worked in a variety of settings including mental health agencies, residential centers, and psychiatric hospitals. I am accepting new patients exclusively through Telehealth to help people in a safe and convenient way.
(301) 835-2570 View (301) 835-2570
Photo of Brad Bryk, Psychologist in Gaithersburg, MD
Brad Bryk
Psychologist, PsyD
Verified Verified
2 Endorsed
Gaithersburg, MD 20877  (Online Only)
I work with adolescents and adults who struggle with anxiety, relationship distress, identity development, perfectionism, and managing change. One area of specialization is working with current and former athletes, coaches, caregivers of athletes, and individuals in high-stress jobs, particularly individuals who experience physical injury, burnout, relationship issues on and off the field, performance anxiety, self-esteem struggles, and body image concerns. My goal as a therapist is to create a supportive and collaborative space and relationship with my clients to allow for in-depth exploration and perspective taking.
I work with adolescents and adults who struggle with anxiety, relationship distress, identity development, perfectionism, and managing change. One area of specialization is working with current and former athletes, coaches, caregivers of athletes, and individuals in high-stress jobs, particularly individuals who experience physical injury, burnout, relationship issues on and off the field, performance anxiety, self-esteem struggles, and body image concerns. My goal as a therapist is to create a supportive and collaborative space and relationship with my clients to allow for in-depth exploration and perspective taking.
(240) 209-9662 View (240) 209-9662
Photo of M. Ivis Molina, Licensed Clinical Professional Counselor in Gaithersburg, MD
M. Ivis Molina
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Gaithersburg, MD 20879  (Online Only)
Welcome to Encourage Counseling! I am a bilingual Licensed Clinical Professional Counselor with more than 25 years of experience supporting adolescents and adults through life's challenges. Having served in public education and outpatient clinical settings, I provide a nurturing, non-judgmental space where you can explore and grow. I'm eager to join you on your journey to overall well-being. Please note, I am currently accepting clients aged 16 and older and provide only VIRTUAL sessions.
Welcome to Encourage Counseling! I am a bilingual Licensed Clinical Professional Counselor with more than 25 years of experience supporting adolescents and adults through life's challenges. Having served in public education and outpatient clinical settings, I provide a nurturing, non-judgmental space where you can explore and grow. I'm eager to join you on your journey to overall well-being. Please note, I am currently accepting clients aged 16 and older and provide only VIRTUAL sessions.
(240) 474-9278 View (240) 474-9278
Photo of Khameelah L Tomlin, Clinical Social Work/Therapist in Gaithersburg, MD
Khameelah L Tomlin
Clinical Social Work/Therapist, LCSW-C, TF-CBT
Verified Verified
Gaithersburg, MD 20878  (Online Only)
I specialize in helping clients who struggle with childhood trauma and family issues, manifesting as anxiety, depression, or relationship challenges. They desire a deeper understanding of their past, effective coping mechanisms, and paths to healing. My approach, rooted in empathy and practical strategies, aims to empower them with resilience and self-awareness, guiding them towards a life of clarity, growth, and fulfillment.
I specialize in helping clients who struggle with childhood trauma and family issues, manifesting as anxiety, depression, or relationship challenges. They desire a deeper understanding of their past, effective coping mechanisms, and paths to healing. My approach, rooted in empathy and practical strategies, aims to empower them with resilience and self-awareness, guiding them towards a life of clarity, growth, and fulfillment.
(301) 307-5594 View (301) 307-5594
Photo of Snapdragon Wellness, Psychologist in Gaithersburg, MD
Snapdragon Wellness
Psychologist, PhD
Verified Verified
1 Endorsed
Gaithersburg, MD 20878
Snapdragon Wellness (Heal. Grow. Thrive). Food therapy, Neuropsychology/Evaluations, and Consultations. Visit us at www.SnapdragonWellness.com For the quickest response, please email us or contact us via our contact form on our website. No More Long Wait Lists! We have immediate openings for neuropsychological/assessments for all ages to evaluate for various diagnoses (e.g., ADHD, learning disabilities, medical impacts on cognitive functioning). We are also taking new Therapy patients
Snapdragon Wellness (Heal. Grow. Thrive). Food therapy, Neuropsychology/Evaluations, and Consultations. Visit us at www.SnapdragonWellness.com For the quickest response, please email us or contact us via our contact form on our website. No More Long Wait Lists! We have immediate openings for neuropsychological/assessments for all ages to evaluate for various diagnoses (e.g., ADHD, learning disabilities, medical impacts on cognitive functioning). We are also taking new Therapy patients
(301) 321-8879 View (301) 321-8879
Photo of Lisa Povich, Clinical Social Work/Therapist in Gaithersburg, MD
Lisa Povich
Clinical Social Work/Therapist, LCSW-C, CPCC
Verified Verified
2 Endorsed
Gaithersburg, MD 20878
Are you feeling overwhelmed, stressed... maybe even depressed about your current situation? Have you tried to make your situation better on your own without much success? In my private practice, I work with clients to help them feel like themselves again and/or feel better than they ever thought possible. As a therapist and coach, I provide a safe, confidential, and non-judgmental atmosphere in which clients feel comfortable expressing their feelings. I help clients get unstuck and help them move forward in their lives.
Are you feeling overwhelmed, stressed... maybe even depressed about your current situation? Have you tried to make your situation better on your own without much success? In my private practice, I work with clients to help them feel like themselves again and/or feel better than they ever thought possible. As a therapist and coach, I provide a safe, confidential, and non-judgmental atmosphere in which clients feel comfortable expressing their feelings. I help clients get unstuck and help them move forward in their lives.
(240) 813-4525 View (240) 813-4525
Photo of Angela Mazer, Counselor in Gaithersburg, MD
Angela Mazer
Counselor, LCPC
Verified Verified
Gaithersburg, MD 20877
My ideal client is ready to share, learn, and be curious about their wellness journey. They want to share their hopes and fears as a way to clarify what they want to gain from therapy. I have honed my skills of client connection, combined with clinical expertise, to learn & assess the client's current needs.
My ideal client is ready to share, learn, and be curious about their wellness journey. They want to share their hopes and fears as a way to clarify what they want to gain from therapy. I have honed my skills of client connection, combined with clinical expertise, to learn & assess the client's current needs.
(240) 255-9076 View (240) 255-9076
Photo of Cathy Caldwell, Counselor in Gaithersburg, MD
Cathy Caldwell
Counselor, LCPC, ATR
Verified Verified
Gaithersburg, MD 20878
Accepting New Clients, after school appointments available! Is your child stressed, overwhelmed or more irritable now than ever? Are you exhausted trying to help your kids with their big feelings? Perhaps your child/teen is not happy or doesn't seem like themself anymore. I believe that every individual possesses innate strengths, resilience and the ability to live a fulfilling life. Counseling can be the support to help you and your kids live a more peaceful life. I help by supporting your child and your family through connection, empathy and creative expression and bolstering healthy self-concepts for all.
Accepting New Clients, after school appointments available! Is your child stressed, overwhelmed or more irritable now than ever? Are you exhausted trying to help your kids with their big feelings? Perhaps your child/teen is not happy or doesn't seem like themself anymore. I believe that every individual possesses innate strengths, resilience and the ability to live a fulfilling life. Counseling can be the support to help you and your kids live a more peaceful life. I help by supporting your child and your family through connection, empathy and creative expression and bolstering healthy self-concepts for all.
(240) 908-8146 View (240) 908-8146
Photo of Apricity Wellness Counseling, Counselor in Gaithersburg, MD
Apricity Wellness Counseling
Counselor, MS, NCC, LCPC, ACS
Verified Verified
Gaithersburg, MD 20877
In all stages of life there are storms, we do not have to figure out or face our struggles and road blocks alone. When a circumstance, situation, or event arises it can feel like you are alone, lost, or misunderstood; I am here to listen and walk with you on your journey. Stress, anxiety, worry, depression can reroute your path from unexpected, unanticipated, and even planned events. Together we can build skills, explore your strengths, access the power within, and process your emotions to heal, balance the hard times, and weather storms along your journey.
In all stages of life there are storms, we do not have to figure out or face our struggles and road blocks alone. When a circumstance, situation, or event arises it can feel like you are alone, lost, or misunderstood; I am here to listen and walk with you on your journey. Stress, anxiety, worry, depression can reroute your path from unexpected, unanticipated, and even planned events. Together we can build skills, explore your strengths, access the power within, and process your emotions to heal, balance the hard times, and weather storms along your journey.
(240) 720-2718 View (240) 720-2718
Photo of Life Support Counseling, Clinical Social Work/Therapist in Gaithersburg, MD
Life Support Counseling
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Gaithersburg, MD 20878
As a result of COVID-19, all therapeutic services will be provided using Telehealth, by video conference. Telehealth makes mental health care more accessible. It brings mental health care options to those with limited mobility, those who lack transportation, and those with limited mental health care options in their community. It also allows those who would ordinarily be reluctant to seek treatment because of the perceived stigma associated with receiving mental health care' to get the help they need. Flexible scheduling, evenings and weekends available, all from the comfort of your home, car, wherever you are.
As a result of COVID-19, all therapeutic services will be provided using Telehealth, by video conference. Telehealth makes mental health care more accessible. It brings mental health care options to those with limited mobility, those who lack transportation, and those with limited mental health care options in their community. It also allows those who would ordinarily be reluctant to seek treatment because of the perceived stigma associated with receiving mental health care' to get the help they need. Flexible scheduling, evenings and weekends available, all from the comfort of your home, car, wherever you are.
(410) 376-5614 View (410) 376-5614
Photo of Alaina Skloff, Clinical Social Work/Therapist in Gaithersburg, MD
Alaina Skloff
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Gaithersburg, MD 20878
Maybe managing your mental health has always been hard, but lately it’s felt impossible. Maybe your teen is struggling to adjust to all of the changes they are facing. Or maybe you just want someone to listen and truly hear you. No matter the reason, the decision to get help is rarely a simple one. In the therapy room, we’ll center your values as the focus of treatment. I know from my experiences as both a clinician and a client that the therapeutic relationship alone can be a powerful influence in growth and self-discovery.
Maybe managing your mental health has always been hard, but lately it’s felt impossible. Maybe your teen is struggling to adjust to all of the changes they are facing. Or maybe you just want someone to listen and truly hear you. No matter the reason, the decision to get help is rarely a simple one. In the therapy room, we’ll center your values as the focus of treatment. I know from my experiences as both a clinician and a client that the therapeutic relationship alone can be a powerful influence in growth and self-discovery.
(240) 312-3704 View (240) 312-3704
Photo of Lisa M Joy, Clinical Social Work/Therapist in Gaithersburg, MD
Lisa M Joy
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Gaithersburg, MD 20878  (Online Only)
Accepting New Clients! Lisa is a Licensed Certified Social Worker-Clinical & a board-approved clinical supervisor. With thirty years of eclectic clinical experience & eighteen years of behavioral health leadership experience, Lisa has helped a variety of people with diverse needs. This includes children, adolescents, adults, families, couples, parents, groups, communities, students, & professionals experiencing depression, anxiety, ADHD, stress, compassion fatigue, burnout, life changes, & workplace challenges. Empathy, compassion, trust, and unconditional regard are the foundation of the therapeutic relationship with Lisa.
Accepting New Clients! Lisa is a Licensed Certified Social Worker-Clinical & a board-approved clinical supervisor. With thirty years of eclectic clinical experience & eighteen years of behavioral health leadership experience, Lisa has helped a variety of people with diverse needs. This includes children, adolescents, adults, families, couples, parents, groups, communities, students, & professionals experiencing depression, anxiety, ADHD, stress, compassion fatigue, burnout, life changes, & workplace challenges. Empathy, compassion, trust, and unconditional regard are the foundation of the therapeutic relationship with Lisa.
(240) 734-2379 View (240) 734-2379
Photo of Raisa Manejwala, Psychologist in Gaithersburg, MD
Raisa Manejwala
Psychologist, PsyD
Verified Verified
1 Endorsed
Gaithersburg, MD 20878
I've provided individual and group therapy for at-risk youth, trauma-focused care for survivors of abuse, and relaxation training for adults experiencing anxiety and depression. I also teach mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance skills. I've conducted cognitive and personality assessments for those with learning, attention, and/or emotional concerns as well as pre-trial adult forensic evaluations. I value providing culturally-sensitive treatment if you wish to discuss your cultural background and/or religious/spiritual beliefs in therapy.
I've provided individual and group therapy for at-risk youth, trauma-focused care for survivors of abuse, and relaxation training for adults experiencing anxiety and depression. I also teach mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance skills. I've conducted cognitive and personality assessments for those with learning, attention, and/or emotional concerns as well as pre-trial adult forensic evaluations. I value providing culturally-sensitive treatment if you wish to discuss your cultural background and/or religious/spiritual beliefs in therapy.
(443) 569-6559 View (443) 569-6559
Photo of Rebecca Dudley, Psychologist in Gaithersburg, MD
Rebecca Dudley
Psychologist, PhD
Verified Verified
3 Endorsed
Gaithersburg, MD 20878  (Online Only)
Thank you for visiting my page! It takes a lot of courage to ask for help, and you've taken the first step! I believe that virtually everyone can benefit from treatment. I treat a wide range of presenting problems, and I have significant experience working with adolescents and young adults with mood and anxiety disorders. I recognize that each client has differing needs and expectations from therapy, and I work to personalize treatment to each presenting issue. Typical clients tend to be high-functioning and motivated for treatment, and they seek help to enact tools that could benefit them in alleviating their distress.
Thank you for visiting my page! It takes a lot of courage to ask for help, and you've taken the first step! I believe that virtually everyone can benefit from treatment. I treat a wide range of presenting problems, and I have significant experience working with adolescents and young adults with mood and anxiety disorders. I recognize that each client has differing needs and expectations from therapy, and I work to personalize treatment to each presenting issue. Typical clients tend to be high-functioning and motivated for treatment, and they seek help to enact tools that could benefit them in alleviating their distress.
(301) 603-3999 View (301) 603-3999
Photo of Amber Berkhart, Counselor in Gaithersburg, MD
Amber Berkhart
Counselor, LCPC
Verified Verified
Gaithersburg, MD 20878  (Online Only)
I am a Licensed Clinical Professional Counselor (LCPC) with a strong background working with adults and adolescents. Resistance is a completely normal part of the therapeutic process. My goal is to normalize this, and help you work toward acceptance. My experience has focused on addiction, mood disorders, trauma, gender/sexuality, sexual behaviors, and clients who have a difficult time making positive changes in their lives. Making long term, positive change in our lives is a learned skill set that many of us are not taught. It's not too late and every journey begins with one step. I'm here to be a guide on your journey.
I am a Licensed Clinical Professional Counselor (LCPC) with a strong background working with adults and adolescents. Resistance is a completely normal part of the therapeutic process. My goal is to normalize this, and help you work toward acceptance. My experience has focused on addiction, mood disorders, trauma, gender/sexuality, sexual behaviors, and clients who have a difficult time making positive changes in their lives. Making long term, positive change in our lives is a learned skill set that many of us are not taught. It's not too late and every journey begins with one step. I'm here to be a guide on your journey.
(443) 201-7294 View (443) 201-7294

See more therapy options for Gaithersburg

How does your Therapist compare?

Number of Therapists in Gaithersburg, MD

400+

Average cost per session

$155

Therapists in Gaithersburg, MD who prioritize treating:

95% Anxiety
91% Depression
82% Relationship Issues
82% Self Esteem
75% Coping Skills
72% Trauma and PTSD
70% Stress

Average years in practice

11 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
77% CareFirst
64% Cigna and Evernorth

How Therapists in Gaithersburg, MD see their clients

57% In Person and Online
43% Online Only

Gender breakdown

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

How can I find a therapist in Gaithersburg?

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.