Therapists in Bethesda, MD

Photo of Therapy with Empathy, LLC, Psychologist in Bethesda, MD
Therapy with Empathy, LLC
Psychologist, PhD
Verified Verified
Bethesda, MD 20814  (Online Only)
Do you ever wonder if it is possible to experience more enjoyment or peace of mind and heart? I work with clients to identify sources of worry, unhappiness or self-criticism. Together we identify one's strengths and build on those strengths in a positive, supportive way to create a life one would like to live and experience. I employ strategies from family systems, solution-focused, cognitive-behavioral, self-compassion, psychodynamic and mindfulness models in my practice. I work with individuals, couples, families and first and second generation immigrants in a collaborative and compassionate manner.
Do you ever wonder if it is possible to experience more enjoyment or peace of mind and heart? I work with clients to identify sources of worry, unhappiness or self-criticism. Together we identify one's strengths and build on those strengths in a positive, supportive way to create a life one would like to live and experience. I employ strategies from family systems, solution-focused, cognitive-behavioral, self-compassion, psychodynamic and mindfulness models in my practice. I work with individuals, couples, families and first and second generation immigrants in a collaborative and compassionate manner.
(301) 812-4725 View (301) 812-4725
Photo of Beletiah Mani, Clinical Social Work/Therapist in Bethesda, MD
Beletiah Mani
Clinical Social Work/Therapist, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
Hello, I am a Licensed Clinical Social Worker located in Maryland. I have worked with youth and young adults for the past 5 years as a social worker in several different capacities.
Hello, I am a Licensed Clinical Social Worker located in Maryland. I have worked with youth and young adults for the past 5 years as a social worker in several different capacities.
(240) 820-2754 View (240) 820-2754
Photo of Dereka Ross, Counselor in Bethesda, MD
Dereka Ross
Counselor, LCPC
Verified Verified
Bethesda, MD 20814  (Online Only)
This is a place where you can find safety. This is a place where you will be greeted with compassion and understanding. Most importantly, this is a place where you can be who you are without apology. It is through nonjudgement, understanding the past, feeling our experiences, and embarking on the journey of becoming our best selves is where meaning emerges.
This is a place where you can find safety. This is a place where you will be greeted with compassion and understanding. Most importantly, this is a place where you can be who you are without apology. It is through nonjudgement, understanding the past, feeling our experiences, and embarking on the journey of becoming our best selves is where meaning emerges.
(240) 868-6385 View (240) 868-6385
Photo of Gloria Kay Vanderhorst, Psychologist in Bethesda, MD
Gloria Kay Vanderhorst
Psychologist, PhD
Verified Verified
1 Endorsed
Bethesda, MD 20814
You need * A couples therapist to help repair your relationship * An individual therapist to help you with anxiety, depression or ADHD issues * An expert in parenting skills to help you following a divorce * A therapist that understands complex issues. Your success will be an outgrowth of the relationship with your therapist; therefore, I want you to understand how my 30+ years of experience have shaped my ability to facilitate change. Change is possible at any age. In my integrative approach, I examine the patterns that have shaped you and help you develop new ways of perceiving, feeling and functioning.
You need * A couples therapist to help repair your relationship * An individual therapist to help you with anxiety, depression or ADHD issues * An expert in parenting skills to help you following a divorce * A therapist that understands complex issues. Your success will be an outgrowth of the relationship with your therapist; therefore, I want you to understand how my 30+ years of experience have shaped my ability to facilitate change. Change is possible at any age. In my integrative approach, I examine the patterns that have shaped you and help you develop new ways of perceiving, feeling and functioning.
(301) 798-5192 View (301) 798-5192
Photo of Melissa Melendez, Clinical Social Work/Therapist in Bethesda, MD
Melissa Melendez
Clinical Social Work/Therapist, LMSW
Verified Verified
Bethesda, MD 20814
Hi! I specialize in trauma, anxiety, depressive disorders, grieving, self-esteem, social skills, and relationship issues. I provide individual and family therapy to children, adolescents, and young adults. I am passionate about working with clients from diverse backgrounds and strive to incorporate cultural competence in my therapeutic practice. I believe it’s crucial to provide psychotherapy and preventative services to clients from diverse backgrounds who may be unaware of potential warning signs and risk factors associated with mental health disorders.
Hi! I specialize in trauma, anxiety, depressive disorders, grieving, self-esteem, social skills, and relationship issues. I provide individual and family therapy to children, adolescents, and young adults. I am passionate about working with clients from diverse backgrounds and strive to incorporate cultural competence in my therapeutic practice. I believe it’s crucial to provide psychotherapy and preventative services to clients from diverse backgrounds who may be unaware of potential warning signs and risk factors associated with mental health disorders.
(301) 769-7528 View (301) 769-7528
Photo of Diane Scheininger, Clinical Social Work/Therapist in Bethesda, MD
Diane Scheininger
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW
Verified Verified
Bethesda, MD 20815
I am an experienced therapist who brings insight, warmth, and understanding to the therapy process. I utilize a range of strategies in working with individuals struggling with eating disorders, relationship issues, anxiety and life transitions. My style is interactive, and I focus on creating a trusting and supportive relationship that enables people to feel safe, respected, and hopeful.
I am an experienced therapist who brings insight, warmth, and understanding to the therapy process. I utilize a range of strategies in working with individuals struggling with eating disorders, relationship issues, anxiety and life transitions. My style is interactive, and I focus on creating a trusting and supportive relationship that enables people to feel safe, respected, and hopeful.
(301) 852-7355 View (301) 852-7355
Photo of Emilie Gomart (-Berg), Marriage & Family Therapist in Bethesda, MD
Emilie Gomart (-Berg)
Marriage & Family Therapist, LCMFT, MSc, CSHP
Verified Verified
1 Endorsed
Bethesda, MD 20816
Emilie is a Licensed Clinical Marriage and Family therapist (LCMFT) and an AASECT (American Association for Sex Therapy) certified Sex Therapist. Emilie’s expertise is in working with couples to improve their relationships and build more meaningful and more resilient bonds with each other. She has experience with couples with a broad range of relationship and sexual issues, including general communication, conflicts around parenting, sexual desire differences or the impact of an affair. She sees couples in person exclusively. Clients can choose between two modalities: either couple therapy or group therapy for adults.
Emilie is a Licensed Clinical Marriage and Family therapist (LCMFT) and an AASECT (American Association for Sex Therapy) certified Sex Therapist. Emilie’s expertise is in working with couples to improve their relationships and build more meaningful and more resilient bonds with each other. She has experience with couples with a broad range of relationship and sexual issues, including general communication, conflicts around parenting, sexual desire differences or the impact of an affair. She sees couples in person exclusively. Clients can choose between two modalities: either couple therapy or group therapy for adults.
(240) 292-8430 View (240) 292-8430
Photo of Alexia Dorian Luka, Clinical Social Work/Therapist in Bethesda, MD
Alexia Dorian Luka
Clinical Social Work/Therapist, LCSW-C, LICSW, CCDC
Verified Verified
Bethesda, MD 20814
As a Licensed Clinical Social Worker, practicing for over 25 years, I have extensive experience working with people struggling with anxiety, depression, self-esteem and other stressors. I have developed special expertise in addressing the turbulence of addiction, trauma recovery and healing. I am a therapist & addiction specialist helping individuals in MD and DC. I provide compassionate counseling with a solution focused and practical approach. Additionally, much of my work with clients includes developing coping strategies to deal with depression, anxiety, grief/loss, and separation and divorce.
As a Licensed Clinical Social Worker, practicing for over 25 years, I have extensive experience working with people struggling with anxiety, depression, self-esteem and other stressors. I have developed special expertise in addressing the turbulence of addiction, trauma recovery and healing. I am a therapist & addiction specialist helping individuals in MD and DC. I provide compassionate counseling with a solution focused and practical approach. Additionally, much of my work with clients includes developing coping strategies to deal with depression, anxiety, grief/loss, and separation and divorce.
(301) 250-1366 View (301) 250-1366
Photo of Dr. Thomas Luttrell, Marriage & Family Therapist in Bethesda, MD
Dr. Thomas Luttrell
Marriage & Family Therapist, PhD, LMFT, LCMFT
Verified Verified
Bethesda, MD 20814
Tired of the status quo? Stuck in a rut in your relationships, wellness, business, intimacy, or spirituality? I help align all parts of your life with your true authentic self. Together, we’ll secure genuine change through acceptance first. I'm Dr. Tom, and I'm licensed for independent practice as a Licensed Clinical Marriage and Family Therapist in California (LMFT 111604), the District of Columbia (LMFT200001211), and Maryland (LCMFT, LCM754), and am a professional coach across the U.S. I have provided therapy to individuals and families since 2007. I'm also happily married for over 15 years, and we have 2 young boys.
Tired of the status quo? Stuck in a rut in your relationships, wellness, business, intimacy, or spirituality? I help align all parts of your life with your true authentic self. Together, we’ll secure genuine change through acceptance first. I'm Dr. Tom, and I'm licensed for independent practice as a Licensed Clinical Marriage and Family Therapist in California (LMFT 111604), the District of Columbia (LMFT200001211), and Maryland (LCMFT, LCM754), and am a professional coach across the U.S. I have provided therapy to individuals and families since 2007. I'm also happily married for over 15 years, and we have 2 young boys.
(301) 945-7549 View (301) 945-7549
Photo of Amanda Mendizabal, Clinical Social Work/Therapist in Bethesda, MD
Amanda Mendizabal
Clinical Social Work/Therapist, MSS, LCSW-C, LICSW
Verified Verified
1 Endorsed
Bethesda, MD 20814
Welcome to my practice. Regardless of what your struggle is at this time, I believe that through our relationship we can work together to help you look at your current patterns and potential changes you can make that can help you lead a fuller life. I realize that this can be difficult and I am grateful that I am able to help you in your journey.
Welcome to my practice. Regardless of what your struggle is at this time, I believe that through our relationship we can work together to help you look at your current patterns and potential changes you can make that can help you lead a fuller life. I realize that this can be difficult and I am grateful that I am able to help you in your journey.
(202) 957-4465 View (202) 957-4465
Photo of Brian Polis, Licensed Clinical Professional Counselor in Bethesda, MD
Brian Polis
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
Bethesda, MD 20817  (Online Only)
Opening up around the vulnerable and intimate details of our lives can be very uncomfortable. There is so much pressure to be “happy”, “better”, or “perfect”, while receiving messaging that being anything else is unacceptable. We are very adaptive yet often struggle to effectively get our needs met, so may engage in avoidance behaviors and withhold or internalize our feelings to try to prevent things from getting worse. You want to feel more like your true self and get more satisfaction out of your relationships. You need an unconditionally supportive, non-judgmental, creative, and humorous therapist who accepts you however you are.
Opening up around the vulnerable and intimate details of our lives can be very uncomfortable. There is so much pressure to be “happy”, “better”, or “perfect”, while receiving messaging that being anything else is unacceptable. We are very adaptive yet often struggle to effectively get our needs met, so may engage in avoidance behaviors and withhold or internalize our feelings to try to prevent things from getting worse. You want to feel more like your true self and get more satisfaction out of your relationships. You need an unconditionally supportive, non-judgmental, creative, and humorous therapist who accepts you however you are.
(240) 730-2829 View (240) 730-2829
Photo of Dustin Richardson, Counselor in Bethesda, MD
Dustin Richardson
Counselor
Verified Verified
Bethesda, MD 20814  (Online Only)
I have had the privilege to work with a wide range of clients in terms of age, gender, race, social economic status, and acuity of symptoms. While everyone has something unique to bring to therapy I find the most fulfillment working with couples, those dealing with issues regarding their sexuality, first responders (police, firefighters, EMT’s), individuals recovering from trauma, and people dealing with concerns with technology such as video game or online addiction.
I have had the privilege to work with a wide range of clients in terms of age, gender, race, social economic status, and acuity of symptoms. While everyone has something unique to bring to therapy I find the most fulfillment working with couples, those dealing with issues regarding their sexuality, first responders (police, firefighters, EMT’s), individuals recovering from trauma, and people dealing with concerns with technology such as video game or online addiction.
(240) 332-5209 View (240) 332-5209
Photo of Susan Richman, Licensed Clinical Professional Counselor in Bethesda, MD
Susan Richman
Licensed Clinical Professional Counselor, LCPC, NCC, MBA
Verified Verified
1 Endorsed
Bethesda, MD 20814
As a counseling professional, I work with individuals and couples who are experiencing difficulties in their personal relationships. Most clients describe trouble communicating with their partner, effectively parenting their children, managing conflicts with extended family members and navigating the turbulence of separation and divorce. It is my goal to help clients identify what is causing distress in their relationships and learn new ways of managing their difficulties. Together we will come up with realistic strategies to empower you to handle all of your relationships and overcome obstacles that are interfering with your family life.
As a counseling professional, I work with individuals and couples who are experiencing difficulties in their personal relationships. Most clients describe trouble communicating with their partner, effectively parenting their children, managing conflicts with extended family members and navigating the turbulence of separation and divorce. It is my goal to help clients identify what is causing distress in their relationships and learn new ways of managing their difficulties. Together we will come up with realistic strategies to empower you to handle all of your relationships and overcome obstacles that are interfering with your family life.
(301) 804-2941 View (301) 804-2941
Photo of Zev Sheppard, Clinical Social Work/Therapist in Bethesda, MD
Zev Sheppard
Clinical Social Work/Therapist, LMSW
Verified Verified
Bethesda, MD 20816
My goal throughout our time together is to first create a space where the client feels comfortable and empowered to explore his/her emotions. In doing so, I help individuals identify the things that are most affecting their mental health and work collaboratively with clients to develop healthy habits that will positively affect one’s life. Sessions will include talk-therapy, reflection, and the development of healthy coping skills using a client-centered model. I hope to make each client feel as though their mental health is a priority and that they are worthy of clarity and happiness.
My goal throughout our time together is to first create a space where the client feels comfortable and empowered to explore his/her emotions. In doing so, I help individuals identify the things that are most affecting their mental health and work collaboratively with clients to develop healthy habits that will positively affect one’s life. Sessions will include talk-therapy, reflection, and the development of healthy coping skills using a client-centered model. I hope to make each client feel as though their mental health is a priority and that they are worthy of clarity and happiness.
(240) 549-6456 View (240) 549-6456
Photo of Brad Friedman, Clinical Social Work/Therapist in Bethesda, MD
Brad Friedman
Clinical Social Work/Therapist, LICSW, LMSW
Verified Verified
Bethesda, MD 20814
My approach to psychotherapy is to help you achieve emotional stability and personal growth. I understand that anxiety and depression can greatly impact your quality of life, and make it hard to engage in a fulfilling and meaningful daily experience. With the mental health services that I have to offer, you can learn to cope better with past, current, and even future problems, so that you may achieve a happy and healthy lifestyle. It is my deeply-held belief that utilizing a collaborative, adaptable, and individualized treatment approach is essential in identifying the underlying causes of challenges facing my clients.
My approach to psychotherapy is to help you achieve emotional stability and personal growth. I understand that anxiety and depression can greatly impact your quality of life, and make it hard to engage in a fulfilling and meaningful daily experience. With the mental health services that I have to offer, you can learn to cope better with past, current, and even future problems, so that you may achieve a happy and healthy lifestyle. It is my deeply-held belief that utilizing a collaborative, adaptable, and individualized treatment approach is essential in identifying the underlying causes of challenges facing my clients.
(240) 851-4187 View (240) 851-4187
Photo of Kathleen M McNulty, Clinical Social Work/Therapist in Bethesda, MD
Kathleen M McNulty
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Bethesda, MD 20814
Do you worry that you are not a good enough parent, partner or friend? Do you have trouble getting to sleep when you are overloaded with thoughts about mistakes you've made? Do you wake up most mornings feeling depressed or anxious? Are your moods swinging- you have a short fuse- or are you shutting down? If yes, you could be suffering from depression & anxiety. The cause could be chemical-due to a family history or it could be situational-due to a loss or traumatic event. Traumatic events include becoming a caregiver to a family member with mental illness.
Do you worry that you are not a good enough parent, partner or friend? Do you have trouble getting to sleep when you are overloaded with thoughts about mistakes you've made? Do you wake up most mornings feeling depressed or anxious? Are your moods swinging- you have a short fuse- or are you shutting down? If yes, you could be suffering from depression & anxiety. The cause could be chemical-due to a family history or it could be situational-due to a loss or traumatic event. Traumatic events include becoming a caregiver to a family member with mental illness.
(301) 825-8805 View (301) 825-8805
Photo of Tayla Fawumi, Licensed Clinical Professional Counselor in Bethesda, MD
Tayla Fawumi
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Bethesda, MD 20814  (Online Only)
My name is Tayla Fawumi, LCPC. I have been working in the mental health field for the last 6 years. I have experience working with all ages from children to geriatric age. I have experience working in school based, community based, career counseling field, residential treatment facilities for teens/adults as well as private practice settings.
My name is Tayla Fawumi, LCPC. I have been working in the mental health field for the last 6 years. I have experience working with all ages from children to geriatric age. I have experience working in school based, community based, career counseling field, residential treatment facilities for teens/adults as well as private practice settings.
(240) 616-6886 View (240) 616-6886
Photo of Nancy Julia, Licensed Clinical Professional Counselor in Bethesda, MD
Nancy Julia
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi! I am a Licensed Clinical Professional Counselor in Maryland, where I was initially licensed. I have also been licensed in 9 other states (AZ, CO, IA, ID, NE, NV, VA, UT, WI). I have been actively working as a mental health therapist for 15 years. I have been helping adults with anger issues, adults who want to gain coping skills and strategies, discussing different perspectives and insights toward self, relationships with others, and their situations. I also have been working with adults (including older adults) with existential crises, issues with motivation, low self-confidence, and communication challenges effectively.
Hi! I am a Licensed Clinical Professional Counselor in Maryland, where I was initially licensed. I have also been licensed in 9 other states (AZ, CO, IA, ID, NE, NV, VA, UT, WI). I have been actively working as a mental health therapist for 15 years. I have been helping adults with anger issues, adults who want to gain coping skills and strategies, discussing different perspectives and insights toward self, relationships with others, and their situations. I also have been working with adults (including older adults) with existential crises, issues with motivation, low self-confidence, and communication challenges effectively.
(240) 896-2044 View (240) 896-2044
Photo of Samantha Richardson, Clinical Social Work/Therapist in Bethesda, MD
Samantha Richardson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20817
In the therapy room I strive to offer a non-judgmental space. I believe the client-therapist relationship is vitally important for a successful and enjoyable therapy experience. When someone chooses to work with me, I aim for a welcoming, authentic, and supportive environment and strive to build a relationship based on trust and understanding. Each person has a unique story to tell. At times our life experiences and challenges cause us to struggle in making sense of that story which, in turn, may hinder us from living in a healthy way. Therapy provides an opportunity to explore and process these struggles and experiences.
In the therapy room I strive to offer a non-judgmental space. I believe the client-therapist relationship is vitally important for a successful and enjoyable therapy experience. When someone chooses to work with me, I aim for a welcoming, authentic, and supportive environment and strive to build a relationship based on trust and understanding. Each person has a unique story to tell. At times our life experiences and challenges cause us to struggle in making sense of that story which, in turn, may hinder us from living in a healthy way. Therapy provides an opportunity to explore and process these struggles and experiences.
(240) 225-0522 x32 View (240) 225-0522 x32
Photo of Megan Leone Perkins, Clinical Social Work/Therapist in Bethesda, MD
Megan Leone Perkins
Clinical Social Work/Therapist, PhD, MEd, LMSW
Verified Verified
Bethesda, MD 20814
Not accepting new clients
My clinical practice areas include adults (18 years and older) living with anxiety, depression, substance use issues and navigating life transitions (e.g., school, relationships, parenthood or caring for aging family members). Additional areas of expertise include working with clients as they understand and navigate new health diagnoses, providing a safe and affirming space to discuss issues related to sexuality and gender identity.
My clinical practice areas include adults (18 years and older) living with anxiety, depression, substance use issues and navigating life transitions (e.g., school, relationships, parenthood or caring for aging family members). Additional areas of expertise include working with clients as they understand and navigate new health diagnoses, providing a safe and affirming space to discuss issues related to sexuality and gender identity.
(240) 512-1384 View (240) 512-1384

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$180

Therapists in Bethesda, MD who prioritize treating:

94% Anxiety
90% Depression
78% Relationship Issues
73% Self Esteem
66% Coping Skills
64% Trauma and PTSD
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

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

How Therapists in Bethesda, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bethesda?

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.