Therapists in Washington, DC

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Photo of Nina Van Sant, Clinical Social Work/Therapist in Washington, DC
Nina Van Sant
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
9 Endorsed
Washington, DC 20016
Currently accepting patients for psychoanalysis. It's normal to struggle at various times in life. Maybe a recent loss or an ongoing feeling strains your capacities or relationships. Talking with a trained professional helps. My type of working with people goes beyond symptom relief. I listen closely to build understanding. This understanding can inform new ways in which you see yourself.
Currently accepting patients for psychoanalysis. It's normal to struggle at various times in life. Maybe a recent loss or an ongoing feeling strains your capacities or relationships. Talking with a trained professional helps. My type of working with people goes beyond symptom relief. I listen closely to build understanding. This understanding can inform new ways in which you see yourself.
(202) 257-9094 View (202) 257-9094
Photo of John W Cornelius, Clinical Social Work/Therapist in Washington, DC
John W Cornelius
Clinical Social Work/Therapist, MS, MSW, LCSW-C, LICSW
Verified Verified
Washington, DC 20036
I help individuals work on life issues tied to anxiety and depression, relationship difficulties, stress symptoms tied to childhood trauma, and families struggling with behavioral challenges. I teach communication skills that help with difficult relationships. These skills include helping my clients improve their power, voice, and contact with significant others. I employ many approaches in psychotherapy, including psychodynamic, gestalt, somatic experiencing (SE), accelerated experiential dynamic (AEDP), cognitive behavioral (CBT) and emotionally focused couples therapy (EFT).
I help individuals work on life issues tied to anxiety and depression, relationship difficulties, stress symptoms tied to childhood trauma, and families struggling with behavioral challenges. I teach communication skills that help with difficult relationships. These skills include helping my clients improve their power, voice, and contact with significant others. I employ many approaches in psychotherapy, including psychodynamic, gestalt, somatic experiencing (SE), accelerated experiential dynamic (AEDP), cognitive behavioral (CBT) and emotionally focused couples therapy (EFT).
(202) 600-9053 View (202) 600-9053
Photo of David Brylawski, Clinical Social Work/Therapist in Washington, DC
David Brylawski
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20016
Living a balanced life in a complicated world can seem elusive; I will work with you to help avoid the traps that contribute to conflicts and to feeling stuck. No two people are the same. We will collaborate to identify what is helpful and what gets in the way, aiming for a better understanding of yourself and your relationships. Ultimately, we do this with the goal of helping you move through the world with an increased sense of peace and purpose.
Living a balanced life in a complicated world can seem elusive; I will work with you to help avoid the traps that contribute to conflicts and to feeling stuck. No two people are the same. We will collaborate to identify what is helpful and what gets in the way, aiming for a better understanding of yourself and your relationships. Ultimately, we do this with the goal of helping you move through the world with an increased sense of peace and purpose.
(202) 804-8694 View (202) 804-8694
Photo of Rose R Shelton, Licensed Professional Counselor in Washington, DC
Rose R Shelton
Licensed Professional Counselor, PhD, NCC, LPC, LCPC, CAADC
Verified Verified
Washington, DC 20024  (Online Only)
Whether you want to talk, are looking for support through difficult times, or looking to make real change in your life, we can work together to achieve dreams, meet goals and rise above the ashes. Using my background as a mental health therapist, a certified addictions counselor, and specializations in spirituality, grief, multiculturalism, and hypnosis, I am sure we can find a way to work together toward your goal of well-being.
Whether you want to talk, are looking for support through difficult times, or looking to make real change in your life, we can work together to achieve dreams, meet goals and rise above the ashes. Using my background as a mental health therapist, a certified addictions counselor, and specializations in spirituality, grief, multiculturalism, and hypnosis, I am sure we can find a way to work together toward your goal of well-being.
(202) 919-8281 View (202) 919-8281
Photo of Evyan Roberts, Clinical Social Work/Therapist in Washington, DC
Evyan Roberts
Clinical Social Work/Therapist, LMSW, LGSW
Verified Verified
1 Endorsed
Washington, DC 20017
The people I work with want to change the way they feel and relate to themselves, their life circumstances, and their relationships. We might be a good fit if you are experiencing sadness, anxiety, low motivation or self-esteem, intergenerational trauma, and/or feelings of grief and loss. I particularly enjoy working with people who want to increase self-worth, self-esteem, and self-empowerment, women of color, indigenous populations, and LGBTQIA+, survivors of trauma, domestic violence, sexual assault, and harassment, and people living with medical conditions, grief, and loss.
The people I work with want to change the way they feel and relate to themselves, their life circumstances, and their relationships. We might be a good fit if you are experiencing sadness, anxiety, low motivation or self-esteem, intergenerational trauma, and/or feelings of grief and loss. I particularly enjoy working with people who want to increase self-worth, self-esteem, and self-empowerment, women of color, indigenous populations, and LGBTQIA+, survivors of trauma, domestic violence, sexual assault, and harassment, and people living with medical conditions, grief, and loss.
(866) 779-3230 View (866) 779-3230
Photo of Elizabeth Piren, Licensed Professional Counselor in Washington, DC
Elizabeth Piren
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Washington, DC 20036
My aim is for you to find more peace in your life, build self trust, inner peace and a better connection with others. You'll be able to create new beliefs and move toward higher levels of growth, awareness, joy and improved relationships.  I help individuals move through sadness, anxiety, trauma, and grief. As a holistic psychotherapist, I believe we all have an innate ability to heal and transform. One of my specialties is helping individuals heal from past traumatic events.
My aim is for you to find more peace in your life, build self trust, inner peace and a better connection with others. You'll be able to create new beliefs and move toward higher levels of growth, awareness, joy and improved relationships.  I help individuals move through sadness, anxiety, trauma, and grief. As a holistic psychotherapist, I believe we all have an innate ability to heal and transform. One of my specialties is helping individuals heal from past traumatic events.
(202) 999-3572 View (202) 999-3572
Photo of Dr. Delishia Pittman, Psychologist in Washington, DC
Dr. Delishia Pittman
Psychologist, PhD, MPH, ABPP, LPC, NCC
Verified Verified
Washington, DC 20008  (Online Only)
I'm Dr. Delishia Pittman, Founder & Clinical Director of The Wellness Collective. I applaud you for taking this brave step toward finding support to work through the issues that concern you most. It is my personal belief that humans have an innate capacity to heal and orientation toward growth. I subscribe to an integrative multicultural orientation and rely heavily on the language and interventions of relational cultural, feminist and psychodynamic theories. I work to establish a sense of felt security and empowerment with the goal of managing presenting concerns and fostering growth and wellbeing.
I'm Dr. Delishia Pittman, Founder & Clinical Director of The Wellness Collective. I applaud you for taking this brave step toward finding support to work through the issues that concern you most. It is my personal belief that humans have an innate capacity to heal and orientation toward growth. I subscribe to an integrative multicultural orientation and rely heavily on the language and interventions of relational cultural, feminist and psychodynamic theories. I work to establish a sense of felt security and empowerment with the goal of managing presenting concerns and fostering growth and wellbeing.
(202) 930-9820 View (202) 930-9820
Photo of Achieving Joy, Clinical Social Work/Therapist in Washington, DC
Achieving Joy
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Washington, DC 20017
Achieving Joy's counseling boutique is created to improve the emotional, mental, and spiritual wellness of the LGBTQ community. Our counselor's are diverse, licensed and are active participants within the community. We provide a safe space for individuals and couples to explore monogamous and non-monogamous relationships, complete pre-marital counseling, and create action steps to reach your life goals. We also provide group counseling, workshops, and annual conferences. Our purpose is to help you create a plan of action to achieve your joy.
Achieving Joy's counseling boutique is created to improve the emotional, mental, and spiritual wellness of the LGBTQ community. Our counselor's are diverse, licensed and are active participants within the community. We provide a safe space for individuals and couples to explore monogamous and non-monogamous relationships, complete pre-marital counseling, and create action steps to reach your life goals. We also provide group counseling, workshops, and annual conferences. Our purpose is to help you create a plan of action to achieve your joy.
(301) 691-3874 View (301) 691-3874
Photo of Erika DuBois, Licensed Professional Counselor in Washington, DC
Erika DuBois
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Washington, DC 20006  (Online Only)
I'm here to help! I offer virtual therapy sessions to clients in DC and Maryland. I love to help clients navigate their healing journey and believe that the therapeutic relationship is a mirror to reflect back the human spirit. I am a licensed therapist with extensive experience helping clients with anxiety, depression, and life transitions. I provide gender identity support and LGBT+ counseling. I am also a certified Intuitive Eating counselor helping clients navigate everyday issues as well as helping heal their relationship with food.
I'm here to help! I offer virtual therapy sessions to clients in DC and Maryland. I love to help clients navigate their healing journey and believe that the therapeutic relationship is a mirror to reflect back the human spirit. I am a licensed therapist with extensive experience helping clients with anxiety, depression, and life transitions. I provide gender identity support and LGBT+ counseling. I am also a certified Intuitive Eating counselor helping clients navigate everyday issues as well as helping heal their relationship with food.
(202) 798-7075 View (202) 798-7075
Photo of Alyssa Louise McCall, Clinical Social Work/Therapist in Washington, DC
Alyssa Louise McCall
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20002
Being our best selves is attainable when we allow ourselves to be on a path of peace, fulfillment, and self-awareness. I hold a passion for helping clients do just that. I work with clients through a holistic & individualistic approach to support them in moving closer to their personal & professional goals. I am here to help you on your journey to finding yourself, being in tune with your needs, and overcoming any trauma that may be hindering this. I specialize in supporting clients overcome anxiety, depression, low self-esteem, workplace & relationship challenges, low career self-efficacy, discrimination, and so much more.
Being our best selves is attainable when we allow ourselves to be on a path of peace, fulfillment, and self-awareness. I hold a passion for helping clients do just that. I work with clients through a holistic & individualistic approach to support them in moving closer to their personal & professional goals. I am here to help you on your journey to finding yourself, being in tune with your needs, and overcoming any trauma that may be hindering this. I specialize in supporting clients overcome anxiety, depression, low self-esteem, workplace & relationship challenges, low career self-efficacy, discrimination, and so much more.
(202) 914-1107 x701 View (202) 914-1107 x701
Photo of The Healing Palace in Washington, DC
The Healing Palace
Verified Verified
Washington, DC 20006  (Online Only)
Congratulations on beginning your journey of Healing! The Healing Palace is here to support you on your journey. We help our clients navigate life by providing realistic, healthy coping tools that can be applied in various settings in life.
Congratulations on beginning your journey of Healing! The Healing Palace is here to support you on your journey. We help our clients navigate life by providing realistic, healthy coping tools that can be applied in various settings in life.
(844) 293-4208 x800 View (844) 293-4208 x800
Photo of Ian Walker Crowe, Counselor in Washington, DC
Ian Walker Crowe
Counselor, MA, NCC, LGPC
Verified Verified
Washington, DC 20002
I strive to empower clients in session to make sense of personal circumstances and experiences. Through greater exploration and self-understanding, clients can strengthen their sense of self and break down barriers. I use a client-centered and strengths-based integrative approach to improve self-esteem and autonomy. With a holistic, multicultural lens I help clients grow and seek clarity as they work through times of stress, anxiety, change, or stagnation. I believe self-compassion is one of the most important tenets of growth, and one of the most compassionate things one can do is seek and accept support.
I strive to empower clients in session to make sense of personal circumstances and experiences. Through greater exploration and self-understanding, clients can strengthen their sense of self and break down barriers. I use a client-centered and strengths-based integrative approach to improve self-esteem and autonomy. With a holistic, multicultural lens I help clients grow and seek clarity as they work through times of stress, anxiety, change, or stagnation. I believe self-compassion is one of the most important tenets of growth, and one of the most compassionate things one can do is seek and accept support.
(202) 519-0309 View (202) 519-0309
Photo of Mind's Eye Psychological Services, LLC, Counselor in Washington, DC
Mind's Eye Psychological Services, LLC
Counselor, LCPC, LPC, CAC-AD
Verified Verified
Washington, DC 20013  (Online Only)
Are you living your best life? Or are you experiencing the stress/anxiety, anger, lack of motivation, sadness, grief/loss, or low self-esteem/confidence that affects us all at some point? You are not alone. Now is the time for living up to your full potential. It takes courage to seek help but no one can truly live their best life without support. I am passionate about helping you to empower yourself and create "true" happiness in your life! I believe that we have the inherent capacity to heal ourselves. Let me show you how. Contact me today.
Are you living your best life? Or are you experiencing the stress/anxiety, anger, lack of motivation, sadness, grief/loss, or low self-esteem/confidence that affects us all at some point? You are not alone. Now is the time for living up to your full potential. It takes courage to seek help but no one can truly live their best life without support. I am passionate about helping you to empower yourself and create "true" happiness in your life! I believe that we have the inherent capacity to heal ourselves. Let me show you how. Contact me today.
(202) 759-7992 View (202) 759-7992
Photo of Karen Curtis, Counselor in Washington, DC
Karen Curtis
Counselor, LMHC, LPC
Verified Verified
Washington, DC 20005  (Online Only)
My passion is helping families adjust to significant life changes. Whether you are entering into marriage, welcoming a child into your family, or realizing that it is time to refocus on your marriage, my goal is to help you strengthen and grow your family bond. Building self-awareness is vital to any relationship between two adults or parent and child. Creating your own family dynamic and parenting perspective is a unique process for each family. It is healthy to seek support.
My passion is helping families adjust to significant life changes. Whether you are entering into marriage, welcoming a child into your family, or realizing that it is time to refocus on your marriage, my goal is to help you strengthen and grow your family bond. Building self-awareness is vital to any relationship between two adults or parent and child. Creating your own family dynamic and parenting perspective is a unique process for each family. It is healthy to seek support.
(202) 978-7084 View (202) 978-7084
Photo of Silver Lake Psychology--Washington DC location, Psychologist in Washington, DC
Silver Lake Psychology--Washington DC location
Psychologist, PsyD
Verified Verified
Washington, DC 20009
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(202) 952-4298 View (202) 952-4298
Photo of Jasmine Williams, Clinical Social Work/Therapist in Washington, DC
Jasmine Williams
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Washington, DC 20500  (Online Only)
Not accepting new clients
We strive to create a comfortable and supportive environment in which you can engage in a healing self-discovery. We provide individual, couples, and family therapy from a modern approach. Let us help you connect with a psychotherapist that can meet your needs and is available to see you from the comfort of your home. At this time, we only accept insurance in Maryland and Washington, DC . We offer private pay and sliding scale fee services in Virginia and New York.
We strive to create a comfortable and supportive environment in which you can engage in a healing self-discovery. We provide individual, couples, and family therapy from a modern approach. Let us help you connect with a psychotherapist that can meet your needs and is available to see you from the comfort of your home. At this time, we only accept insurance in Maryland and Washington, DC . We offer private pay and sliding scale fee services in Virginia and New York.
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Photo of Terry C Chang, Clinical Social Work/Therapist in Washington, DC
Terry C Chang
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20008
Hello! You're here because you have run out of good options to deal with the pain and stress. Feeling overwhelmed, anxious, and little motivation, you want to get unstuck! Perhaps it seems like everyone else is in another gear - welcome to DC! Together we will help you deepen awareness of your relationships, career, past, and/or your current crisis. I will work empathically with you so we can both learn how things became difficult and begin to craft a path forward. In session, I emphasize emotion, subjective experience, and authenticity. Please visit my website for more information.
Hello! You're here because you have run out of good options to deal with the pain and stress. Feeling overwhelmed, anxious, and little motivation, you want to get unstuck! Perhaps it seems like everyone else is in another gear - welcome to DC! Together we will help you deepen awareness of your relationships, career, past, and/or your current crisis. I will work empathically with you so we can both learn how things became difficult and begin to craft a path forward. In session, I emphasize emotion, subjective experience, and authenticity. Please visit my website for more information.
(202) 350-3780 View (202) 350-3780
Photo of Laura J. George, Clinical Social Work/Therapist in Washington, DC
Laura J. George
Clinical Social Work/Therapist, DSW, LICSW
Verified Verified
1 Endorsed
Washington, DC 20037
I believe therapy is a collaborative relationship that can lead to finding new and positive ways of relating to people and situations in your life. In therapy, we look at the distinctive ways in which you relate to me and others, whether or not you are aware of them, and then we analyze them so you can consciously begin to do something different. I want to make psychotherapy affordable, so I accept clients on a sliding scale basis, from $100 to $150. I would be happy to hear from you.
I believe therapy is a collaborative relationship that can lead to finding new and positive ways of relating to people and situations in your life. In therapy, we look at the distinctive ways in which you relate to me and others, whether or not you are aware of them, and then we analyze them so you can consciously begin to do something different. I want to make psychotherapy affordable, so I accept clients on a sliding scale basis, from $100 to $150. I would be happy to hear from you.
(202) 656-9918 View (202) 656-9918
Photo of Reuben Steele, Clinical Social Work/Therapist in Washington, DC
Reuben Steele
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20003  (Online Only)
I believe that people can transform their thoughts, feelings, lives and relationships when provided with the right support. Newfound strength, resilience and growth often emerge from places where deep hurt and pain once existed. My therapeutic style incorporates compassion, kindness, hope, humor and spirituality. I strive to create a welcoming and safe environment which may reduce fear and make sharing easier. Seeking help is a sign of strength and courage that I acknowledge and celebrate. Therapy involves honesty, self-discovery, empowerment and accountability. It can help shift your perspective and supply relief and freedom.
I believe that people can transform their thoughts, feelings, lives and relationships when provided with the right support. Newfound strength, resilience and growth often emerge from places where deep hurt and pain once existed. My therapeutic style incorporates compassion, kindness, hope, humor and spirituality. I strive to create a welcoming and safe environment which may reduce fear and make sharing easier. Seeking help is a sign of strength and courage that I acknowledge and celebrate. Therapy involves honesty, self-discovery, empowerment and accountability. It can help shift your perspective and supply relief and freedom.
(202) 517-9890 View (202) 517-9890
Photo of Raha Janka, MSW, Clinical Social Work/Therapist in Washington, DC
Raha Janka, MSW
Clinical Social Work/Therapist, MSW, MPH, LGSW
Verified Verified
Washington, DC 20009
I believe therapy is a powerful tool to help you cultivate the life you want. My intention is to create a safe space where you can access inner resources and increase awareness of your authentic self. As a first-generation immigrant, I bring a multicultural lens to our work together, honoring your multifaceted identities and cultural strengths. Infused with humor and compassion, we will work together to identify and build a personal development toolkit for effective communication in relationships, boundary setting, navigating identity struggles, learned behaviors, intergenerational trauma, and explore agency within your life.
I believe therapy is a powerful tool to help you cultivate the life you want. My intention is to create a safe space where you can access inner resources and increase awareness of your authentic self. As a first-generation immigrant, I bring a multicultural lens to our work together, honoring your multifaceted identities and cultural strengths. Infused with humor and compassion, we will work together to identify and build a personal development toolkit for effective communication in relationships, boundary setting, navigating identity struggles, learned behaviors, intergenerational trauma, and explore agency within your life.
(202) 499-6055 View (202) 499-6055

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in Washington?

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.