Therapists in Wilmington, DE
Jade Esquivel
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Wilmington, DE 19808 (Online Only)
I specialize in helping children ages 7-10 and adults manage depression, anxiety, substance use, grief, anger, and life transitions. I am a firm believer that one size does not fit all, therefore I specifically tailor my skills and approach to each of my client’s unique needs. It is important to me that you feel empowered to navigate life stressors and recognize that you are the one who is capable of making positive changes. I enjoy helping my clients find their voice and learn skills to better advocate for their wants and needs. NOTE: email is preferred form of contact for quicker response. I currently offer telehealth ONLY.
I specialize in helping children ages 7-10 and adults manage depression, anxiety, substance use, grief, anger, and life transitions. I am a firm believer that one size does not fit all, therefore I specifically tailor my skills and approach to each of my client’s unique needs. It is important to me that you feel empowered to navigate life stressors and recognize that you are the one who is capable of making positive changes. I enjoy helping my clients find their voice and learn skills to better advocate for their wants and needs. NOTE: email is preferred form of contact for quicker response. I currently offer telehealth ONLY.
Serenity Healing Counseling Center
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
Wilmington, DE 19810 (Online Only)
Feeling stuck and yearning for change? I offer a safe, non-judgmental space to explore your thoughts, build resilience, and cultivate tools to thrive. No matter your background, you deserve to feel seen and supported on your journey to a life full of meaning, purpose, and incredible potential. If this resonates with you, I'm here to guide you towards the transformative growth you seek!
Feeling stuck and yearning for change? I offer a safe, non-judgmental space to explore your thoughts, build resilience, and cultivate tools to thrive. No matter your background, you deserve to feel seen and supported on your journey to a life full of meaning, purpose, and incredible potential. If this resonates with you, I'm here to guide you towards the transformative growth you seek!
Kathleen A Dobek
Psychologist, PsyD
Verified Verified
Wilmington, DE 19806
I am a clinical psychologist who specializes in individual and couples therapy. My primary areas of clinical experience are depression, anxiety, life transitions, womens' issues, and couples therapy. Each client is a unique individual who comes to therapy with a particular concern or problem which they wish to explore and amend. Therapy can give a client the needed support to translate feelings, thoughts, insights, and yearnings into coherent sense and meaning. Therapy is a process, not an event. As such, clients can progress and change at a pace and level of challenge that is comfortable, safe, and ongoing.
I am a clinical psychologist who specializes in individual and couples therapy. My primary areas of clinical experience are depression, anxiety, life transitions, womens' issues, and couples therapy. Each client is a unique individual who comes to therapy with a particular concern or problem which they wish to explore and amend. Therapy can give a client the needed support to translate feelings, thoughts, insights, and yearnings into coherent sense and meaning. Therapy is a process, not an event. As such, clients can progress and change at a pace and level of challenge that is comfortable, safe, and ongoing.
Marcus Scarfo
Counselor, LPCMH, NCC, ATR-P, CT
Verified Verified
1 Endorsed
Wilmington, DE 19808
Not accepting new clients
As a counselor and an art therapist, I offer both talk therapy and art therapy services. Sometimes, words aren't enough, and that's where the art comes in. The creative process can promote calm, focus, release of energy, conflict resolution, confidence, and self-awareness. If you would prefer not to make art, and just want to talk, that's fine too!
As a counselor and an art therapist, I offer both talk therapy and art therapy services. Sometimes, words aren't enough, and that's where the art comes in. The creative process can promote calm, focus, release of energy, conflict resolution, confidence, and self-awareness. If you would prefer not to make art, and just want to talk, that's fine too!
Jay Ann Jemail
Psychologist, PhD
Not Verified Not Verified
Wilmington, DE 19807
The therapy process is a confidential relationship based on mutual respect and trust. The needs of the individual, couple, and family are addressed via traditional and alternative approaches. Dr. Jemail values good listening, kindness, a nonjudgmental approach and draws from the wisdom of research, experience, as well as, common sense. The goal is to promote healing, growth and independence. Therapy via Doxy, FaceTime or phone sessions are an option depending on circumstances. She will provide as needed support out of session. You can call or email Dr. Jemail to discuss your specific needs.
The therapy process is a confidential relationship based on mutual respect and trust. The needs of the individual, couple, and family are addressed via traditional and alternative approaches. Dr. Jemail values good listening, kindness, a nonjudgmental approach and draws from the wisdom of research, experience, as well as, common sense. The goal is to promote healing, growth and independence. Therapy via Doxy, FaceTime or phone sessions are an option depending on circumstances. She will provide as needed support out of session. You can call or email Dr. Jemail to discuss your specific needs.
Keri Will-del Tufo LPCMH
Licensed Professional Counselor, MS, NCC, LPCMH
Verified Verified
Wilmington, DE 19810
Not accepting new clients
NOT TAKING NEW CLIENTS RIGHT NOW. Self-compassion is where healing begins. How we treat ourselves and what we say to ourselves is vital to healing the things that aren’t working in our lives. My goal, as a therapist, is to be your guide as you remove blocks and recognize your own strengths. I integrate Mindfulness and Cognitive Behavioral Therapy (CBT) approaches, which help people to grasp their potential and increase their own power. Mindfulness gives us the space to look at things that might be interfering with our ability to see our strengths and CBT allows us to use those insights to change the way we talk to ourselves.
NOT TAKING NEW CLIENTS RIGHT NOW. Self-compassion is where healing begins. How we treat ourselves and what we say to ourselves is vital to healing the things that aren’t working in our lives. My goal, as a therapist, is to be your guide as you remove blocks and recognize your own strengths. I integrate Mindfulness and Cognitive Behavioral Therapy (CBT) approaches, which help people to grasp their potential and increase their own power. Mindfulness gives us the space to look at things that might be interfering with our ability to see our strengths and CBT allows us to use those insights to change the way we talk to ourselves.
Elizabeth (Lisa) P. Hollandsworth
Licensed Professional Counselor, MEC, LPCMH
Verified Verified
Wilmington, DE 19809 (Online Only)
Not accepting new clients
Prior to becoming a Licensed Professional Counselor, I worked as a School Counselor for over 10 years in both regular and alternative school settings. Some of my most important work has been with adolescents whose behavior has spiraled out of control due to feelings of low self worth and depression, manifested through conflict and fighting, eating disorders and/or self injurious behaviors. When teens gain insight into what motivates their behaviors, they are better equipped to move forward in a positive way. When they feel better about themselves, their interactions with others greatly improve.
Prior to becoming a Licensed Professional Counselor, I worked as a School Counselor for over 10 years in both regular and alternative school settings. Some of my most important work has been with adolescents whose behavior has spiraled out of control due to feelings of low self worth and depression, manifested through conflict and fighting, eating disorders and/or self injurious behaviors. When teens gain insight into what motivates their behaviors, they are better equipped to move forward in a positive way. When they feel better about themselves, their interactions with others greatly improve.
Aya Counseling Services
Licensed Professional Counselor, MS, NCC, LPCMH
Verified Verified
Wilmington, DE 19805
Precious Morris-Browning is a graduate of the University of Delaware, where she received her BA in sociology. She also received a MS in mental health counseling from Springfield College in 2015. She is also a National Certified Counselor. More recently Precious has worked as a clinical therapist, working with various populations. Precious has worked with adolescents, the substance abuse population, and those with serious and persistent mental health issues such as schizophrenia, PTSD, and depression. Precious is currently working towards obtaining her LPC license in an effort to continue to serve in an even greater capacity.
Precious Morris-Browning is a graduate of the University of Delaware, where she received her BA in sociology. She also received a MS in mental health counseling from Springfield College in 2015. She is also a National Certified Counselor. More recently Precious has worked as a clinical therapist, working with various populations. Precious has worked with adolescents, the substance abuse population, and those with serious and persistent mental health issues such as schizophrenia, PTSD, and depression. Precious is currently working towards obtaining her LPC license in an effort to continue to serve in an even greater capacity.
Leland G. Orlov, Ph.D.
Psychologist, PhD
Verified Verified
Wilmington, DE 19808
I offer a unique blend of longevity as a therapist as well as an integration of the latest trends in treatment. My own life experiences have included several challenging medical and family issues. Learning to deal with these effectively has expanded my awareness on many levels and has made me a more compassionate and creative therapist. I am very comfortable working with children, adolescents, families and stepfamilies, single adults, married couples and committed partners, and seniors.
I offer a unique blend of longevity as a therapist as well as an integration of the latest trends in treatment. My own life experiences have included several challenging medical and family issues. Learning to deal with these effectively has expanded my awareness on many levels and has made me a more compassionate and creative therapist. I am very comfortable working with children, adolescents, families and stepfamilies, single adults, married couples and committed partners, and seniors.
Kirsten Teklits
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19806
Does fear or worry consume your time, keep you awake at night and prevent you from living the life you desire? Are you feeling tired, sad and hopeless about the future? Are you having distressing feelings such as guilt, anger or shame? If this describes you, I can help. I provide research-based treatment that teaches you the skills needed to solve your problems and feel better. It is my privilege to help people overcome obstacles, alleviate their pain and find joy and peace in their life.
Does fear or worry consume your time, keep you awake at night and prevent you from living the life you desire? Are you feeling tired, sad and hopeless about the future? Are you having distressing feelings such as guilt, anger or shame? If this describes you, I can help. I provide research-based treatment that teaches you the skills needed to solve your problems and feel better. It is my privilege to help people overcome obstacles, alleviate their pain and find joy and peace in their life.
Julie Donahue
Counselor, LPC, LPCMH, NCC
Verified Verified
Wilmington, DE 19810
Welcome! The idea of counseling can be scary no matter what our age. And finding the right “fit” can be critical for your success in counseling. Here’s a bit about me and my practice and why we may be a good fit for you. Clients and their families come to my practice to gain a sense of what patterns are keeping them stuck. Together we face what has been avoided in order to achieve greater satisfaction and fulfillment in our lives. Counselors are human too! I use humor to normalize symptoms of stress and provide a warm comfortable environment to let go and take new supported risks.
Welcome! The idea of counseling can be scary no matter what our age. And finding the right “fit” can be critical for your success in counseling. Here’s a bit about me and my practice and why we may be a good fit for you. Clients and their families come to my practice to gain a sense of what patterns are keeping them stuck. Together we face what has been avoided in order to achieve greater satisfaction and fulfillment in our lives. Counselors are human too! I use humor to normalize symptoms of stress and provide a warm comfortable environment to let go and take new supported risks.
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Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19810
It is a difficult decision to begin therapy especially for adolescents and young adults. I feel that developing a relationship is essential because no one shares their personal thoughts with someone they don’t trust. I believe in short term, solution based therapy with specific goals and direction. Therapy is not magic and succeeds when the therapist and client are working for the same goal. I am a social worker who has worked with adolescents and their families for many years, primarily in the high school setting. I also enjoy working with adults who are motivated to make changes in their lives.
It is a difficult decision to begin therapy especially for adolescents and young adults. I feel that developing a relationship is essential because no one shares their personal thoughts with someone they don’t trust. I believe in short term, solution based therapy with specific goals and direction. Therapy is not magic and succeeds when the therapist and client are working for the same goal. I am a social worker who has worked with adolescents and their families for many years, primarily in the high school setting. I also enjoy working with adults who are motivated to make changes in their lives.
Brigida Rodriguez Counseling ServicesCorporation
Licensed Professional Counselor, LPCMH, MEd, School, Counsel
Verified Verified
1 Endorsed
Wilmington, DE 19808
As a solution-focused therapist, I aim to help you uncover your true potential and lead a life worth celebrating. While we can't change difficult situations of the past, we can work together to understand better and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may hold you back from experiencing a more fulfilling and meaningful life.
I look forward to working with you to achieve your goals. Please call or email me for an individual, couples, or family therapy consultation today.
As a solution-focused therapist, I aim to help you uncover your true potential and lead a life worth celebrating. While we can't change difficult situations of the past, we can work together to understand better and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may hold you back from experiencing a more fulfilling and meaningful life.
I look forward to working with you to achieve your goals. Please call or email me for an individual, couples, or family therapy consultation today.
Ella Stanley Therapeutic Services, Inc
Counselor, LPCMH, CCTS-I, EMDR
Verified Verified
2 Endorsed
Wilmington, DE 19801 (Online Only)
The hardest thing to do is ask for help when it is needed most. Ella Stanley Therapeutic Services, Inc. (ESTS), established in October 2018, is a private practice that is passionate about affecting change in their clients who seek assistance in their time of need. Clients working with ESTS, Inc. will receive a warm welcome and personalized care with enough challenge to ensure that client goals are met. We are here, waiting to hold space for to think, feel, speak, and experience what's necessary for you to achieve your self-defined wholeness.
The hardest thing to do is ask for help when it is needed most. Ella Stanley Therapeutic Services, Inc. (ESTS), established in October 2018, is a private practice that is passionate about affecting change in their clients who seek assistance in their time of need. Clients working with ESTS, Inc. will receive a warm welcome and personalized care with enough challenge to ensure that client goals are met. We are here, waiting to hold space for to think, feel, speak, and experience what's necessary for you to achieve your self-defined wholeness.
Kacia Terry
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19801 (Online Only)
Have you recently felt disconnected from yourself, overwhelmed by everyday life, or struggled with the complexities of recent changes? Embarking on the journey of seeking therapy may present challenges as you navigate a spectrum of emotions, thoughts, and experiences that require careful exploration and resolution. Despite the overwhelming nature of these challenges, I want to assure you that I am here to help.
Have you recently felt disconnected from yourself, overwhelmed by everyday life, or struggled with the complexities of recent changes? Embarking on the journey of seeking therapy may present challenges as you navigate a spectrum of emotions, thoughts, and experiences that require careful exploration and resolution. Despite the overwhelming nature of these challenges, I want to assure you that I am here to help.
Andres Waters
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19805
As a licensed clinical social worker, therapist, advocate, and mentor, I have a passion for working with adults, children, teens, and families. My particular passion is for social justice, to which I am committed to work with families in underserved populations, along with families that are in need of support. My Undergraduate and Master's experience at Delaware State University has afforded me the opportunity to work in various clinical and mental health settings as a School Social Worker, Outpatient Therapist, Admissions Counselor in a psychiatric facility, and Mobile Crisis Therapist for ten years.
As a licensed clinical social worker, therapist, advocate, and mentor, I have a passion for working with adults, children, teens, and families. My particular passion is for social justice, to which I am committed to work with families in underserved populations, along with families that are in need of support. My Undergraduate and Master's experience at Delaware State University has afforded me the opportunity to work in various clinical and mental health settings as a School Social Worker, Outpatient Therapist, Admissions Counselor in a psychiatric facility, and Mobile Crisis Therapist for ten years.
Gail D Tolpin
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19810
Not accepting new clients
I love helping individuals or couples make positive changes that they are seeking. When relationships, losses, traumatic events, wonderful events, habits, and/or jobs, are becoming overwhelming, it is ideal to seek professional help. I enjoy my work and continuously seek to find the most effective ways to enable my clients to reach their goals. These are including, but not limited to, Cognitive Behavioral Therapy, Hypnotherapy, EMDR, and Emotional Freedom Technique (EFT) For those suffering with OCD, Depression, PTSD, Bi-Polar Disorder, ADHD, Anxiety, Phobias, Chronic Pain, Relationship (family) issues and more, I encourage you to call without any hesitation.
I love helping individuals or couples make positive changes that they are seeking. When relationships, losses, traumatic events, wonderful events, habits, and/or jobs, are becoming overwhelming, it is ideal to seek professional help. I enjoy my work and continuously seek to find the most effective ways to enable my clients to reach their goals. These are including, but not limited to, Cognitive Behavioral Therapy, Hypnotherapy, EMDR, and Emotional Freedom Technique (EFT) For those suffering with OCD, Depression, PTSD, Bi-Polar Disorder, ADHD, Anxiety, Phobias, Chronic Pain, Relationship (family) issues and more, I encourage you to call without any hesitation.
Debra Meliodon
Clinical Social Work/Therapist, LPCMH
Verified Verified
Wilmington, DE 19810
Debbie completed her Bachelor's Degree in Behavioral Science and Master's Degree in Community Counseling from Wilmington University and has been working in the counseling field since 2003. She works with late teens and adults ranging in age from 18-65+. She has a broad range of clinical experience working in the following areas: Depression and Bipolar Disorder, Anxiety Disorders, Self Harm Behavior, Outpatient Substance Abuse and Relapse Prevention Programs as well as Crisis Intervention, Grief and Complicated Grief Reactions, Anger and Stress Management, Trauma and Abuse, Self-Image and Self-Esteem Issues.
Debbie completed her Bachelor's Degree in Behavioral Science and Master's Degree in Community Counseling from Wilmington University and has been working in the counseling field since 2003. She works with late teens and adults ranging in age from 18-65+. She has a broad range of clinical experience working in the following areas: Depression and Bipolar Disorder, Anxiety Disorders, Self Harm Behavior, Outpatient Substance Abuse and Relapse Prevention Programs as well as Crisis Intervention, Grief and Complicated Grief Reactions, Anger and Stress Management, Trauma and Abuse, Self-Image and Self-Esteem Issues.
Mind Body & Sol Counseling and Consultation
MA
Verified Verified
1 Endorsed
Wilmington, DE 19801 (Online Only)
Individuals come to counseling for help with multiple areas of concerns ranging from dealing with depression, trauma, anxiety and suicidal ideation. This means that counselors as myself have to be readily available to help clients overcome the challenges they are facing due to these kinds of issues. My mantra is simple, provide real help by being transparent, open, honest and a great listener! I am a strong believer in Christ Jesus, and I offer Christian counseling to those in need of this type of counseling services.
Individuals come to counseling for help with multiple areas of concerns ranging from dealing with depression, trauma, anxiety and suicidal ideation. This means that counselors as myself have to be readily available to help clients overcome the challenges they are facing due to these kinds of issues. My mantra is simple, provide real help by being transparent, open, honest and a great listener! I am a strong believer in Christ Jesus, and I offer Christian counseling to those in need of this type of counseling services.
Lauren A Rhoades
Counselor, LPCMH, CCDP-D
Verified Verified
Wilmington, DE 19804 (Online Only)
Are you going through the motions? Living in the past? Having trouble creating a sense of self worth? Taking the first step to improving self care and taking control of your life worth living can be scary. At Rhoades to Wellbeing, LLC, our clinical team provides a therapeutic safe space to help you understand and learn effective ways to cope with life stressors, work through mental health issues, heal unresolved trauma, and recover from substance use. Through a trauma informed lens, I strive to provide creative and client centered therapeutic services to individuals, couples, adolescents, and families struggling in these areas.
Are you going through the motions? Living in the past? Having trouble creating a sense of self worth? Taking the first step to improving self care and taking control of your life worth living can be scary. At Rhoades to Wellbeing, LLC, our clinical team provides a therapeutic safe space to help you understand and learn effective ways to cope with life stressors, work through mental health issues, heal unresolved trauma, and recover from substance use. Through a trauma informed lens, I strive to provide creative and client centered therapeutic services to individuals, couples, adolescents, and families struggling in these areas.
See more therapy options for Wilmington
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How does your Therapist compare?
Number of Therapists in Wilmington, DE
500+
Average cost per session
$140
Therapists in Wilmington, DE who prioritize treating:
92% | Anxiety |
87% | Depression |
72% | Self Esteem |
70% | Relationship Issues |
68% | Coping Skills |
65% | Trauma and PTSD |
62% | Grief |
Average years in practice
13 Years
Top 3 insurances accepted
75% | Aetna |
75% | BlueCross and BlueShield |
70% | Highmark |
How Therapists in Wilmington, DE see their clients
66% | In Person and Online | |
34% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Wilmington?
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
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.
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.
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.