Therapists in Washington, DC

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Photo of Morgan Carrillo, Clinical Social Work/Therapist in Washington, DC
Morgan Carrillo
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20011  (Online Only)
Whether you are conflicted about a relationship, are adjusting to a life change, or are working to heal from past pain or trauma, it can be a challenge to know where to begin. Together, we will work to explore your concerns and harness your strengths to identify solutions to your stressors. My goal is that you will leave therapy with a range of skills to use in the future. I believe that you are the expert of your own experience, and I am passionate about helping you to build upon your already existing strengths.
Whether you are conflicted about a relationship, are adjusting to a life change, or are working to heal from past pain or trauma, it can be a challenge to know where to begin. Together, we will work to explore your concerns and harness your strengths to identify solutions to your stressors. My goal is that you will leave therapy with a range of skills to use in the future. I believe that you are the expert of your own experience, and I am passionate about helping you to build upon your already existing strengths.
(202) 601-3569 View (202) 601-3569
Photo of Priscilla Dass-Brailsford, Psychologist in Washington, DC
Priscilla Dass-Brailsford
Psychologist, EdD, MPH
Verified Verified
Washington, DC 20007
I see a wide range of clients who strive toward an authentic self, seek to explore growth and achieve their full potential. I have expertise in helping clients who have issues with anxiety, depression, and trauma and practice clinical interventions that are strength-based and solution-focused. I believe that psychological and behavioral problems are expressions of pain and efforts to cope with unacceptable environmental demands and consider therapy an important step in restoring resilience and making healing possible.
I see a wide range of clients who strive toward an authentic self, seek to explore growth and achieve their full potential. I have expertise in helping clients who have issues with anxiety, depression, and trauma and practice clinical interventions that are strength-based and solution-focused. I believe that psychological and behavioral problems are expressions of pain and efforts to cope with unacceptable environmental demands and consider therapy an important step in restoring resilience and making healing possible.
(202) 509-9493 View (202) 509-9493
Photo of Mark Sullivan, Clinical Social Work/Therapist in Washington, DC
Mark Sullivan
Clinical Social Work/Therapist, LICSW, SEP
Verified Verified
Washington, DC 20015
Most of us are stuck in our heads, struggling with competing ideologies, worldviews, and internalized (usually critical) voices from our past. Using empathetic active listening and body-focused inquiry, I will work with you to create safe space within which to explore who you are and replace confusion with clarity---a body-based "felt sense" of what's true that becomes an increasingly reliable guide for authentic action.
Most of us are stuck in our heads, struggling with competing ideologies, worldviews, and internalized (usually critical) voices from our past. Using empathetic active listening and body-focused inquiry, I will work with you to create safe space within which to explore who you are and replace confusion with clarity---a body-based "felt sense" of what's true that becomes an increasingly reliable guide for authentic action.
(202) 800-1672 View (202) 800-1672
Photo of Amy Hall, Counselor in Washington, DC
Amy Hall
Counselor, MS, LGPC, NCC
Verified Verified
Washington, DC 20037
I believe that most people struggle at some points in their life. Many people find a way through that struggle, but it can take a while, and some people get stuck in the struggle. I can help you get to the root of what’s holding you back. One of my strengths is helping people dig through the clutter to find the real reasons they are stuck. Therapy is a place to process emotions and examine ways of thinking that hold us back from living a fuller and more fulfilling life. My priorities are to meet you where you are, figure out what’s going on together, and develop effective plans for change, to conquer challenges and nurture growth.
I believe that most people struggle at some points in their life. Many people find a way through that struggle, but it can take a while, and some people get stuck in the struggle. I can help you get to the root of what’s holding you back. One of my strengths is helping people dig through the clutter to find the real reasons they are stuck. Therapy is a place to process emotions and examine ways of thinking that hold us back from living a fuller and more fulfilling life. My priorities are to meet you where you are, figure out what’s going on together, and develop effective plans for change, to conquer challenges and nurture growth.
(202) 760-4829 x3 View (202) 760-4829 x3
Photo of Sahar Kabiri, Licensed Professional Counselor in Washington, DC
Sahar Kabiri
Licensed Professional Counselor, MS, LPC, NCC , CSAC, CAADC
Verified Verified
1 Endorsed
Washington, DC 20007  (Online Only)
I am a therapist because I am passionate about accompanying individuals on their self-understanding, exploration, and healing journey. The environment I provide is nonjudgmental, open, and safe. It focuses on an integration of mind, body, and spirit. I believe each individual is unique so I use a variety of approaches to assist my clients, depending on individual needs. I completed my internship and residency in Community Mental Health (IOP), Juvenile Detention Center, Methadone Clinic, Private Practice (PHP), and Residential/Acute. Currently, I provide services in DC and Virginia, but I only provide virtual sessions at this time.
I am a therapist because I am passionate about accompanying individuals on their self-understanding, exploration, and healing journey. The environment I provide is nonjudgmental, open, and safe. It focuses on an integration of mind, body, and spirit. I believe each individual is unique so I use a variety of approaches to assist my clients, depending on individual needs. I completed my internship and residency in Community Mental Health (IOP), Juvenile Detention Center, Methadone Clinic, Private Practice (PHP), and Residential/Acute. Currently, I provide services in DC and Virginia, but I only provide virtual sessions at this time.
(703) 828-8830 View (703) 828-8830
Photo of Kayena Pierre-Louis, Clinical Social Work/Therapist in Washington, DC
Kayena Pierre-Louis
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20019  (Online Only)
Feeling like life's a maze of stress and sadness? What if I told you there's a cozy corner where understanding heals and your inner light shines bright? Welcome to Compassionate Counseling, where I blend warmth and expertise to guide you. Whether you're a career-driven go-getter or a burnt-out mom, let's rediscover your joy together. Your journey to emotional well-being starts here! I'm not your average therapist—I'm your partner in this journey, ready to listen and support you every step of the way.
Feeling like life's a maze of stress and sadness? What if I told you there's a cozy corner where understanding heals and your inner light shines bright? Welcome to Compassionate Counseling, where I blend warmth and expertise to guide you. Whether you're a career-driven go-getter or a burnt-out mom, let's rediscover your joy together. Your journey to emotional well-being starts here! I'm not your average therapist—I'm your partner in this journey, ready to listen and support you every step of the way.
(888) 903-6247 View (888) 903-6247
Photo of Debby Rager, Clinical Social Work/Therapist in Washington, DC
Debby Rager
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Washington, DC 20002
I believe in the resiliency of people. Whether you face a relational issue, loss of a loved one, trauma, or ongoing mental health concern, I can work with you to create positive change and move you through a healing process by identifying your existing coping skills and building on your strengths and community. I have a collaborative approach-and expect that we will work together to create change. I like to work with adults as well as children and families as I believe that variety makes me a better therapist. When working with children, I work closely with the family.
I believe in the resiliency of people. Whether you face a relational issue, loss of a loved one, trauma, or ongoing mental health concern, I can work with you to create positive change and move you through a healing process by identifying your existing coping skills and building on your strengths and community. I have a collaborative approach-and expect that we will work together to create change. I like to work with adults as well as children and families as I believe that variety makes me a better therapist. When working with children, I work closely with the family.
(202) 684-2567 View (202) 684-2567
Photo of Sahaj Kaur Kohli in Washington, DC
Sahaj Kaur Kohli
MA, LGPC, NCC
Verified Verified
1 Endorsed
Washington, DC 20001  (Online Only)
Not accepting new clients
Currently only available for intercultural/interracial couples and adult family members. Stuck in the same patterns? Believe that no one can relate to your struggles? Feeling disconnected from a loved one due to cultural differences? I work with adults on a variety of struggles, including anxiety, depression, work-related issues, racial trauma, acculturation issues, bicultural identity development, & communication issues. I specialize in working with people who straddle more than one culture & feel overwhelmed by differing expectations, or struggle to bridge cultural or generational conflict in all relationships.
Currently only available for intercultural/interracial couples and adult family members. Stuck in the same patterns? Believe that no one can relate to your struggles? Feeling disconnected from a loved one due to cultural differences? I work with adults on a variety of struggles, including anxiety, depression, work-related issues, racial trauma, acculturation issues, bicultural identity development, & communication issues. I specialize in working with people who straddle more than one culture & feel overwhelmed by differing expectations, or struggle to bridge cultural or generational conflict in all relationships.
(877) 812-2753 View (877) 812-2753
Photo of Diane Jenkins, Licensed Clinical Professional Counselor in Washington, DC
Diane Jenkins
Licensed Clinical Professional Counselor, MS, NCC, LPC, LCPC
Verified Verified
Washington, DC 20006  (Online Only)
Life can be challenging! There are times that we all need an unbiased ear that will hear the concerns of your heart without judgment! If that is what you are looking for, you need to schedule an appointment with me. Let’s get it off your chest. Together we can tackle those hurdles and move towards a healthier you! My name is Diane Jenkins. I am a nationally certified (NCC), licensed professional counselor (LPC), who provides professional counseling services for individuals and couples experiencing anxiety, depression, self-harm, low self-esteem, anger, & relationship conflict.
Life can be challenging! There are times that we all need an unbiased ear that will hear the concerns of your heart without judgment! If that is what you are looking for, you need to schedule an appointment with me. Let’s get it off your chest. Together we can tackle those hurdles and move towards a healthier you! My name is Diane Jenkins. I am a nationally certified (NCC), licensed professional counselor (LPC), who provides professional counseling services for individuals and couples experiencing anxiety, depression, self-harm, low self-esteem, anger, & relationship conflict.
(202) 980-2415 View (202) 980-2415
Photo of Gloria Myers Beller, Clinical Social Work/Therapist in Washington, DC
Gloria Myers Beller
Clinical Social Work/Therapist, MA, MSW
Verified Verified
1 Endorsed
Washington, DC 20007
It is my privilege to guide individuals, couples and groups to find their own way. You may experience vitality and despair, triumph and struggle, fulfillment and longing. However, when the "self" becomes impoverished it is vulnerable, emotionally scarred and injured. Are you self aware and in search of a deeper sense of self and the ultimate meaning of life?
It is my privilege to guide individuals, couples and groups to find their own way. You may experience vitality and despair, triumph and struggle, fulfillment and longing. However, when the "self" becomes impoverished it is vulnerable, emotionally scarred and injured. Are you self aware and in search of a deeper sense of self and the ultimate meaning of life?
(202) 559-0311 View (202) 559-0311
Photo of Gail J Winston, Clinical Social Work/Therapist in Washington, DC
Gail J Winston
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20008
Not accepting new clients
My practice consists of those struggling with relationships, self defeating patterns and a wide range of transitional issues in life. I will collaborate with you to help reduce your symptoms, improve and expand your coping skills, increase your confidence and develop a greater capacity for self reflection. With over 42 years of experience, I bring wisdom, maturity, compassion and life experience which inform and deepen my work.
My practice consists of those struggling with relationships, self defeating patterns and a wide range of transitional issues in life. I will collaborate with you to help reduce your symptoms, improve and expand your coping skills, increase your confidence and develop a greater capacity for self reflection. With over 42 years of experience, I bring wisdom, maturity, compassion and life experience which inform and deepen my work.
(202) 759-4130 View (202) 759-4130
Photo of Meg Cusack, Clinical Social Work/Therapist in Washington, DC
Meg Cusack
Clinical Social Work/Therapist, JD, LICSW, LCSW
Verified Verified
Washington, DC 20006
My clients are often facing a full range of personal and professional challenges - I offer them a space for processing with dignity, strength and maturity. I bring to my clients objectivity, insight, candor, resourcefulness, commitment and compassion so that they work safely to relieve anxiety or stress, improve mood and physical health, re-examine career goals, enhance personal relationships, address and heal from trauma injuries, resolve serious impairment of work performance and emotional stability from addictive behaviors, strengthen personal interests and reengage in life.
My clients are often facing a full range of personal and professional challenges - I offer them a space for processing with dignity, strength and maturity. I bring to my clients objectivity, insight, candor, resourcefulness, commitment and compassion so that they work safely to relieve anxiety or stress, improve mood and physical health, re-examine career goals, enhance personal relationships, address and heal from trauma injuries, resolve serious impairment of work performance and emotional stability from addictive behaviors, strengthen personal interests and reengage in life.
(202) 751-3044 View (202) 751-3044
Photo of Osato Egonmwan, Clinical Social Work/Therapist in Washington, DC
Osato Egonmwan
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Washington, DC 20007  (Online Only)
Are you tired and know you are doing the best you can with balancing work, complex relationships, and parental expectations. Yet your parents don’t understand what it’s like to be an adult in 2023. They just don’t get it. You’ve tried to explain to them how you feel and what you’re going through and you always leave that conversation feeling defeated, ashamed, upset and guilty. At this point you’ve given up and have told yourself “get over it, it is what is it”. Yet, these interactions leave you feeling worse, and tired.
Are you tired and know you are doing the best you can with balancing work, complex relationships, and parental expectations. Yet your parents don’t understand what it’s like to be an adult in 2023. They just don’t get it. You’ve tried to explain to them how you feel and what you’re going through and you always leave that conversation feeling defeated, ashamed, upset and guilty. At this point you’ve given up and have told yourself “get over it, it is what is it”. Yet, these interactions leave you feeling worse, and tired.
(857) 371-3987 View (857) 371-3987
Photo of Ashley Hahn, Resident in Counseling in Washington, DC
Ashley Hahn
Resident in Counseling, MA, LGPC, NCC
Verified Verified
1 Endorsed
Washington, DC 20001
Some emotions can be too complex to process alone. Distress can develop from daily life, when navigating relationships, and possibly as a result from unacknowledged childhood experiences that resurface. I help foster awareness of your own needs through reflective exercises, mindfulness, skill acquisition, and combating cognitive distortions. I believe that we all hold the answers within ourselves to what causes us distress, but the challenge may be in discovering them. Counseling is a partnership and my role is to guide individuals towards reaching their mental health goals and strengthening their relationships.
Some emotions can be too complex to process alone. Distress can develop from daily life, when navigating relationships, and possibly as a result from unacknowledged childhood experiences that resurface. I help foster awareness of your own needs through reflective exercises, mindfulness, skill acquisition, and combating cognitive distortions. I believe that we all hold the answers within ourselves to what causes us distress, but the challenge may be in discovering them. Counseling is a partnership and my role is to guide individuals towards reaching their mental health goals and strengthening their relationships.
(571) 601-4614 View (571) 601-4614
Photo of Elsa Mendez, Clinical Social Work/Therapist in Washington, DC
Elsa Mendez
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Washington, DC 20005  (Online Only)
Hello, I'm Elsa Mendez, a bilingual Licensed Independent Clinical Social Worker (LICSW) based in DC. I hold a bachelor's degree in psychology from Towson University and a master's in Social Work from Catholic University. My professional journey has led me to collaborate with diverse populations across the DC and Maryland regions. These experiences have enriched my perspective and equipped me with valuable insights into the diverse challenges individuals face from all walks of life. My goal is to provide you with a safe, compassionate, and culturally sensitive space where your journey towards healing and growth can flourish.
Hello, I'm Elsa Mendez, a bilingual Licensed Independent Clinical Social Worker (LICSW) based in DC. I hold a bachelor's degree in psychology from Towson University and a master's in Social Work from Catholic University. My professional journey has led me to collaborate with diverse populations across the DC and Maryland regions. These experiences have enriched my perspective and equipped me with valuable insights into the diverse challenges individuals face from all walks of life. My goal is to provide you with a safe, compassionate, and culturally sensitive space where your journey towards healing and growth can flourish.
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Photo of Moksha Living, Clinical Social Work/Therapist in Washington, DC
Moksha Living
Clinical Social Work/Therapist, LICSW, LGPC, LGSW
Verified Verified
Washington, DC 20036
Moksha Living, LLC. is a Minority Woman & Black/POC owned Holistic Psychotherapy and Coaching practice in Washington D.C. Moksha ( मोक्ष) is a Sanskrit word that can be simply defined as: “Liberation from that which holds you back”. Moksha Living is a holistic approach to mental wellness that combines life coaching and psychotherapy with holistic services such as: mindfulness and yoga towards enhancing wellness and fulfillment in all areas of life functioning.
Moksha Living, LLC. is a Minority Woman & Black/POC owned Holistic Psychotherapy and Coaching practice in Washington D.C. Moksha ( मोक्ष) is a Sanskrit word that can be simply defined as: “Liberation from that which holds you back”. Moksha Living is a holistic approach to mental wellness that combines life coaching and psychotherapy with holistic services such as: mindfulness and yoga towards enhancing wellness and fulfillment in all areas of life functioning.
(202) 915-2773 View (202) 915-2773
Photo of Juwanza E McIntosh, Psychologist in Washington, DC
Juwanza E McIntosh
Psychologist, PsyD
Verified Verified
Washington, DC 20059  (Online Only)
Do you feel like you are doing the same thing over and over again but still don't see any results? Are you having trouble understanding who you are and can't figure out why your relationships keep failing? Or maybe you just need a space to talk it out. Whatever you're dealing with, it is time to prioritize you for once and I am here to help.
Do you feel like you are doing the same thing over and over again but still don't see any results? Are you having trouble understanding who you are and can't figure out why your relationships keep failing? Or maybe you just need a space to talk it out. Whatever you're dealing with, it is time to prioritize you for once and I am here to help.
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Photo of Anne-Marie Deutsch, Psychologist in Washington, DC
Anne-Marie Deutsch
Psychologist, PhD
Verified Verified
Washington, DC 20005  (Online Only)
After many years as a psychotherapist working with adults, I’ve learned the best therapy is whatever encourages my clients to be curious about themselves and motivated to change what they really want to change while embracing what doesn’t need to change at all. Whether you are looking to work on anxiety, stress, family or relationship issues, work problems, trauma, sleep disorders, depression, or chronic illness – psychotherapy is a process that can help, and I will be happy to join you on that journey.
After many years as a psychotherapist working with adults, I’ve learned the best therapy is whatever encourages my clients to be curious about themselves and motivated to change what they really want to change while embracing what doesn’t need to change at all. Whether you are looking to work on anxiety, stress, family or relationship issues, work problems, trauma, sleep disorders, depression, or chronic illness – psychotherapy is a process that can help, and I will be happy to join you on that journey.
(202) 972-2055 View (202) 972-2055
Photo of Sade Adeeyo, Counselor in Washington, DC
Sade Adeeyo
Counselor, LPC, LCPC
Verified Verified
1 Endorsed
Washington, DC 20002  (Online Only)
sade is a social justice worker and licensed mental health therapist in DC and MD. She has experience working with adolescents and adults of diverse racial, ethnic, class, gender and sexual identities. Her approach is collaborative and firmly rooted in the beliefs that each person has the potential for growth and that two things can be true at the same time: We are all the experts of our lived experiences and sometimes need loving guidance to create the relationships and lives we desire. With warmth, empathy, compassionate curiosity, and straightforward feedback, you can expect a safe container to explore your truth and experiences.
sade is a social justice worker and licensed mental health therapist in DC and MD. She has experience working with adolescents and adults of diverse racial, ethnic, class, gender and sexual identities. Her approach is collaborative and firmly rooted in the beliefs that each person has the potential for growth and that two things can be true at the same time: We are all the experts of our lived experiences and sometimes need loving guidance to create the relationships and lives we desire. With warmth, empathy, compassionate curiosity, and straightforward feedback, you can expect a safe container to explore your truth and experiences.
(202) 831-8380 View (202) 831-8380
Photo of Dr. Jennifer Fuisz, Psychological Associate in Washington, DC
Dr. Jennifer Fuisz
Psychological Associate, PsyD
Verified Verified
1 Endorsed
Washington, DC 20005
I specialize in working with adults struggling with anxiety, addiction, attachment issues, depression, grief and relational struggles. Additionally, I love working with emerging young adults as they separate from their family of origin and learn how to navigate life's transitions and develop an authentic sense of self.
I specialize in working with adults struggling with anxiety, addiction, attachment issues, depression, grief and relational struggles. Additionally, I love working with emerging young adults as they separate from their family of origin and learn how to navigate life's transitions and develop an authentic sense of self.
(202) 930-8708 x202525 View (202) 930-8708 x202525

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.