Therapists in Silver Spring, MD
Andrea Chandler
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Silver Spring, MD 20906 (Online Only)
Not accepting new clients
Challenges occur in everyday life; however, when those challenges seem insurmountable, counseling can be a wonderful way to assist you in moving forward. I believe there is a power lying within individuals that promotes their ability to draw on their own knowledge and personal strengths to rise above those tough life challenges.
Challenges occur in everyday life; however, when those challenges seem insurmountable, counseling can be a wonderful way to assist you in moving forward. I believe there is a power lying within individuals that promotes their ability to draw on their own knowledge and personal strengths to rise above those tough life challenges.
Kayi Hui-Spears
Psychologist, PhD
Verified Verified
1 Endorsed
Silver Spring, MD 20904
Not accepting new clients
As a person-centered, relational, and insight-oriented therapist, I am committed to empowering and affirming my clients in their pursuit of self-growth and meaning in life. My ideal clients are those who desire for emotional healing, positive self-esteem, mental clarity, healthy relationships, and building authenticity and balance in life. Using our relationship as a vehicle for change, I strive to help my clients to reflect on their past, to gain insights into their relational patterns and coping strategies, and to engage in intentional efforts in changing their lives in congruent with who they are and what they value.
As a person-centered, relational, and insight-oriented therapist, I am committed to empowering and affirming my clients in their pursuit of self-growth and meaning in life. My ideal clients are those who desire for emotional healing, positive self-esteem, mental clarity, healthy relationships, and building authenticity and balance in life. Using our relationship as a vehicle for change, I strive to help my clients to reflect on their past, to gain insights into their relational patterns and coping strategies, and to engage in intentional efforts in changing their lives in congruent with who they are and what they value.
Moses M Kushaba
Clinical Social Work/Therapist, PsyD, LCSW-C, CEAP, SAP
Verified Verified
Silver Spring, MD 20901 (Online Only)
Waitlist for new clients
I have been in practice for over 15 years treating people with depression, anxiety, adjustment disorders, in these communities; HIV infected or affected, immigrants, at-risk adolescents, incarcerated adult males, parents with parenting challenges, couples who want to succeed in life and have resistance to their own success. As a Substance Abuse Professional, I perform Alcohol use assessments. I am a Certified Employee Assistance Professional who assists those who are having challenges at their workplaces.
I have been in practice for over 15 years treating people with depression, anxiety, adjustment disorders, in these communities; HIV infected or affected, immigrants, at-risk adolescents, incarcerated adult males, parents with parenting challenges, couples who want to succeed in life and have resistance to their own success. As a Substance Abuse Professional, I perform Alcohol use assessments. I am a Certified Employee Assistance Professional who assists those who are having challenges at their workplaces.
Wright Fuller Doss
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
1 Endorsed
Silver Spring, MD 20910 (Online Only)
In 23 years of clinical experience, I have helped clients learn how to manage anxiety and depression due to work stress, a cancer diagnosis, and other significant life changes. I specialize in working with medical professionals as well as other career professionals who have found themselves burned out because of their experiences during the pandemic. I have successfully found ways to help people find ways to rekindle the passion for the work they do.
In 23 years of clinical experience, I have helped clients learn how to manage anxiety and depression due to work stress, a cancer diagnosis, and other significant life changes. I specialize in working with medical professionals as well as other career professionals who have found themselves burned out because of their experiences during the pandemic. I have successfully found ways to help people find ways to rekindle the passion for the work they do.
Karin M Senft
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Silver Spring, MD 20910 (Online Only)
Life events and transitions can hit you hard. You don’t have to keep putting yourself last, feeling guilty for not meeting expectations, or let the fear of failure or change keep you stuck. Are you starting/ending a relationship, beginning/graduating from school, having a child, making a job/career change, grieving, managing chronic illness, or experiencing any other change/interpersonal stress? You can build resiliency and believe you are worthy of the life you want by learning simple coping skills to practice your values, self-compassion, and gain new perspective. You are already taking a brave step forward by seeking help.
Life events and transitions can hit you hard. You don’t have to keep putting yourself last, feeling guilty for not meeting expectations, or let the fear of failure or change keep you stuck. Are you starting/ending a relationship, beginning/graduating from school, having a child, making a job/career change, grieving, managing chronic illness, or experiencing any other change/interpersonal stress? You can build resiliency and believe you are worthy of the life you want by learning simple coping skills to practice your values, self-compassion, and gain new perspective. You are already taking a brave step forward by seeking help.
Jena Cottreau
Licensed Clinical Professional Counselor, LCPC, NCC, MA, JD
Verified Verified
Silver Spring, MD 20901 (Online Only)
Are you experiencing anxiety, depression, or relationship issues? Perhaps you are facing problems involving your partner, your family, or your employment, and you are struggling to cope? Or maybe you wish to explore and develop your sense of self and enhance your overall well-being? You are not alone, and I am here to help. My approach to wellness is a holistic one, which includes a compassionate exploration of all facets of life, including relationships, intimacy, spirituality, work, and play. I strive to help my clients find meaning, with a purposeful awareness of the impact of culture and the uniqueness of each individual.
Are you experiencing anxiety, depression, or relationship issues? Perhaps you are facing problems involving your partner, your family, or your employment, and you are struggling to cope? Or maybe you wish to explore and develop your sense of self and enhance your overall well-being? You are not alone, and I am here to help. My approach to wellness is a holistic one, which includes a compassionate exploration of all facets of life, including relationships, intimacy, spirituality, work, and play. I strive to help my clients find meaning, with a purposeful awareness of the impact of culture and the uniqueness of each individual.
Kathryn Rickard
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
Not accepting new clients
I work with adults of any age, and have specialized training/experience with families and with children/adolescents, including play therapy for pre-school and young children. My clients find relief from painful symptoms (e.g., depression, anxiety); address troublesome behavioral problems (e.g., anger management; school/work performance); improve family/ interpersonal relationships; and access greater creative and spiritual potential to fulfill life goals. I work with many clients who have been exposed to trauma, violence, abuse, or loss, and with adoptive and foster children/families. My clients often address issues of ethnic, cultural or sexual identity, and challenging life transitions.
I work with adults of any age, and have specialized training/experience with families and with children/adolescents, including play therapy for pre-school and young children. My clients find relief from painful symptoms (e.g., depression, anxiety); address troublesome behavioral problems (e.g., anger management; school/work performance); improve family/ interpersonal relationships; and access greater creative and spiritual potential to fulfill life goals. I work with many clients who have been exposed to trauma, violence, abuse, or loss, and with adoptive and foster children/families. My clients often address issues of ethnic, cultural or sexual identity, and challenging life transitions.
Misty Wilson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20910 (Online Only)
Waitlist for new clients
Life is really hard sometimes. I can imagine that you are here because you are ready to get rid of the barriers standing in the way of you being your best self. Maybe you have found yourself in a funk that feels hard to get out of or have lost motivation to do things you once enjoyed. It may be that you feel you can't get out of your head or overwhelmed by everything going on in your life or in the world. Maybe you feel isolated or misunderstood. Perhaps you feel scattered or are having trouble focusing on what's important. I am glad you are here, and I believe I can help.
Life is really hard sometimes. I can imagine that you are here because you are ready to get rid of the barriers standing in the way of you being your best self. Maybe you have found yourself in a funk that feels hard to get out of or have lost motivation to do things you once enjoyed. It may be that you feel you can't get out of your head or overwhelmed by everything going on in your life or in the world. Maybe you feel isolated or misunderstood. Perhaps you feel scattered or are having trouble focusing on what's important. I am glad you are here, and I believe I can help.
Dr. Jingshuai Du
Marriage & Family Therapist
Verified Verified
Silver Spring, MD 20910 (Online Only)
Do you feel overwhelmed and drained with anxious thoughts, depression, confusion about your identity, loss and grief? Or perhaps you feel stuck, and hopeless in your intimate and family relationships? Many times, we feel we are stuck, and we feel as though there were no other options left for us. I am here to tell you there is always a choice and hope. And I am here to meet you where you are and work alongside you collaboratively to shed new light on the challenges you face and discover new and effective solutions.
Do you feel overwhelmed and drained with anxious thoughts, depression, confusion about your identity, loss and grief? Or perhaps you feel stuck, and hopeless in your intimate and family relationships? Many times, we feel we are stuck, and we feel as though there were no other options left for us. I am here to tell you there is always a choice and hope. And I am here to meet you where you are and work alongside you collaboratively to shed new light on the challenges you face and discover new and effective solutions.
Daniel Moore
Counselor, MS, LCPC
Verified Verified
Silver Spring, MD 20901 (Online Only)
If you are new to therapy, reaching out for help is an act of courage and a demonstration of your inner strength and hope for a better tomorrow. If you are experienced with therapy, you have developed your lists of likes and dislikes based on your experiences in therapy. I know that therapy works from my own life's journey, and I have confidence therapy will work for you. Now the task is finding the right fit. I want to meet with you for a "no cost," 15 minute chat to see if I am a good fit for the situations in your life that are motivating you to seek help.
If you are new to therapy, reaching out for help is an act of courage and a demonstration of your inner strength and hope for a better tomorrow. If you are experienced with therapy, you have developed your lists of likes and dislikes based on your experiences in therapy. I know that therapy works from my own life's journey, and I have confidence therapy will work for you. Now the task is finding the right fit. I want to meet with you for a "no cost," 15 minute chat to see if I am a good fit for the situations in your life that are motivating you to seek help.
Chana Lockerman
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Welcome! I am a therapist with many years of experience helping parents navigate the early days of parenthood. Whether it's postpartum mood issues, transitioning to parenthood, or pressures of every day life, we'll find tools that make sense for you! I help with all things family building: fertility decision-making, infertility, pregnancy, pregnancy loss, termination of pregnancy, and postpartum. I also love working with women trying to find balance, whether it's personal or professional pressures (or both!). I am passionate about helping women optimize their coping and getting the most out of hectic lives. I am here to support you!
Welcome! I am a therapist with many years of experience helping parents navigate the early days of parenthood. Whether it's postpartum mood issues, transitioning to parenthood, or pressures of every day life, we'll find tools that make sense for you! I help with all things family building: fertility decision-making, infertility, pregnancy, pregnancy loss, termination of pregnancy, and postpartum. I also love working with women trying to find balance, whether it's personal or professional pressures (or both!). I am passionate about helping women optimize their coping and getting the most out of hectic lives. I am here to support you!
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Psychologist, PsyD, RPCV
Verified Verified
Silver Spring, MD 20906 (Online Only)
Not accepting new clients
Life is a journey. At any moment, we can face struggles in our relationships, work, health and wellbeing; or witness these struggles in loved ones. During such times, we may feel unequipped, lost, and alone. I work with adults struggling with issues of adjustment, anxiety, depression, grief, health, identity, relationships, trauma, and work/life balance. Additionally, I help diverse clients navigate issues related to intersectionality, culture-shock, and re-entry.
Life is a journey. At any moment, we can face struggles in our relationships, work, health and wellbeing; or witness these struggles in loved ones. During such times, we may feel unequipped, lost, and alone. I work with adults struggling with issues of adjustment, anxiety, depression, grief, health, identity, relationships, trauma, and work/life balance. Additionally, I help diverse clients navigate issues related to intersectionality, culture-shock, and re-entry.
Petrina E Yemane
Licensed Clinical Professional Counselor, LPC
Verified Verified
Silver Spring, MD 20910
As a Licensed Professional Counselor, I strive to use a positive psychology to bring insights and empowerment to my clients. Over the past 20 years, I have used Cognitive Behavioral techniques, a Person Centered approach and a warm style of coaching, to support individuals who struggle with mental and emotional difficulties. As a seasoned therapist and trained in EMDR for Trauma, I work with those who have Depression, Anxiety, PTSD, Stress & Anger Management issues and a host of other life struggles. The focus in therapy is to move towards a more stable, healthy and progressive way of living.
As a Licensed Professional Counselor, I strive to use a positive psychology to bring insights and empowerment to my clients. Over the past 20 years, I have used Cognitive Behavioral techniques, a Person Centered approach and a warm style of coaching, to support individuals who struggle with mental and emotional difficulties. As a seasoned therapist and trained in EMDR for Trauma, I work with those who have Depression, Anxiety, PTSD, Stress & Anger Management issues and a host of other life struggles. The focus in therapy is to move towards a more stable, healthy and progressive way of living.
Elizabeth Perwin
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910
I connect deeply and empathically with my clients, and challenge them towards greater self-awareness that leads to happiness and peace of mind internally and within relationships. Individuals and couples inevitably reach periods of frustration and conflict that signal the need for change. Whether these problems are grounded in past loss or current misfortune, outside intervention can offer immediate relief. I specialize in treating mood disorders, couples in gridlock, and adult children with a legacy of trauma, neglect or codependency. Working with adults and couples, I approach difficulties compassionately and non-pathologically. Psychotherapy helps restore emotional balance and well-being.
I connect deeply and empathically with my clients, and challenge them towards greater self-awareness that leads to happiness and peace of mind internally and within relationships. Individuals and couples inevitably reach periods of frustration and conflict that signal the need for change. Whether these problems are grounded in past loss or current misfortune, outside intervention can offer immediate relief. I specialize in treating mood disorders, couples in gridlock, and adult children with a legacy of trauma, neglect or codependency. Working with adults and couples, I approach difficulties compassionately and non-pathologically. Psychotherapy helps restore emotional balance and well-being.
Esther Ungar
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Silver Spring, MD 20902
Are there aspects of your life that you are unhappy with? Are you feeling anxious, struggling to follow your dreams or having difficulties in your relationships with others? Are you struggling with the impact of past traumatic experiences? Are you dealing with chronic pain? If so, therapy can be helpful to you! My approach centers on fostering connection and healing. I prioritize a trauma-informed perspective, shifting the question from 'what's wrong with you?' to 'what happened to you?'. This approach is particularly empowering for trauma survivors, who may have received multiple diagnoses in the past.
Are there aspects of your life that you are unhappy with? Are you feeling anxious, struggling to follow your dreams or having difficulties in your relationships with others? Are you struggling with the impact of past traumatic experiences? Are you dealing with chronic pain? If so, therapy can be helpful to you! My approach centers on fostering connection and healing. I prioritize a trauma-informed perspective, shifting the question from 'what's wrong with you?' to 'what happened to you?'. This approach is particularly empowering for trauma survivors, who may have received multiple diagnoses in the past.
Rachel Ravin
Psychologist, PhD
Verified Verified
Silver Spring, MD 20902
I am a clinical psychologist who specializes in helping children, adolescents, and their families. I have extensive experience working with preschoolers, school-aged children, and adolescents with social, emotional, behavioral, and educational challenges. My areas of expertise include depression, anxiety, social difficulties, learning disorders, divorce, and loss. Kids are sometimes sad when they sit by themselves at lunch. Others may be frustrated when they are not picked for games. Children may not have the social language skills, impulse control, social judgment, and/or abilities to develop and maintain friendships. I help children and adolescents develop these skills in individual and group therapy.
I am a clinical psychologist who specializes in helping children, adolescents, and their families. I have extensive experience working with preschoolers, school-aged children, and adolescents with social, emotional, behavioral, and educational challenges. My areas of expertise include depression, anxiety, social difficulties, learning disorders, divorce, and loss. Kids are sometimes sad when they sit by themselves at lunch. Others may be frustrated when they are not picked for games. Children may not have the social language skills, impulse control, social judgment, and/or abilities to develop and maintain friendships. I help children and adolescents develop these skills in individual and group therapy.
Stephanie Gurka
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Silver Spring, MD 20902 (Online Only)
My passion is helping others to live their best and most productive lives. I strive to empower my clients to be their most authentic selves by learning to manage life stressors and to overcome past experiences. I work from an eclectic theoretical approach, using modalities such as CBT, DBT, and Mindfulness, to support clients to learn effective coping strategies and to build self-esteem. My role is to partner with clients to support positive growth and self-actualization. I work with individuals of all ages and their families to develop skills to successfully navigate life’s challenges.
My passion is helping others to live their best and most productive lives. I strive to empower my clients to be their most authentic selves by learning to manage life stressors and to overcome past experiences. I work from an eclectic theoretical approach, using modalities such as CBT, DBT, and Mindfulness, to support clients to learn effective coping strategies and to build self-esteem. My role is to partner with clients to support positive growth and self-actualization. I work with individuals of all ages and their families to develop skills to successfully navigate life’s challenges.
Paulette Moore
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Silver Spring, MD 20910 (Online Only)
Are you feeling depressed and anxious? Are you finding your life is in turmoil because you have to make a change? Maybe you are changing careers or jobs, you’re recently divorced, your home is now an empty nest, or you are retiring. These are only a few of life’s transitions that can bring on depression and anxiety. Cognitive Behavioral Therapy, the therapy I use most often, states that A (Antecedent action or event) + B (our belief about that antecedent action or event) Consequences, (depression or happiness).
Are you feeling depressed and anxious? Are you finding your life is in turmoil because you have to make a change? Maybe you are changing careers or jobs, you’re recently divorced, your home is now an empty nest, or you are retiring. These are only a few of life’s transitions that can bring on depression and anxiety. Cognitive Behavioral Therapy, the therapy I use most often, states that A (Antecedent action or event) + B (our belief about that antecedent action or event) Consequences, (depression or happiness).
Holley and Associates, Inc.
Clinical Social Work/Therapist, LICSW, LCSW-C, LCSW VA, LCSW IL
Verified Verified
Silver Spring, MD 20905 (Online Only)
"Let today be your best day ever” At Holley and Associates Inc., we provide mental health treatment for individuals and families. All treatment is done in the context of family...even a family of one. We will help you be the best YOU you can be. If you want to make a change, we want to help you. Call us"
"Let today be your best day ever” At Holley and Associates Inc., we provide mental health treatment for individuals and families. All treatment is done in the context of family...even a family of one. We will help you be the best YOU you can be. If you want to make a change, we want to help you. Call us"
Jaime Fryburg
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
I am a licensed clinical psychologist with The Kingsbury Wellness & Learning Group, a team of dedicated professionals working collaboratively to provide exceptional therapeutic services to children, teens, and adults. I help adults experiencing relationship challenges gain a better understanding of how their history is impacting them, so that they can break unwanted patterns and engage in more meaningful, fulfilling relationships. I also help adolescents experiencing stress at school and at home learn ways to cope with their emotions and build more self-confidence.
I am a licensed clinical psychologist with The Kingsbury Wellness & Learning Group, a team of dedicated professionals working collaboratively to provide exceptional therapeutic services to children, teens, and adults. I help adults experiencing relationship challenges gain a better understanding of how their history is impacting them, so that they can break unwanted patterns and engage in more meaningful, fulfilling relationships. I also help adolescents experiencing stress at school and at home learn ways to cope with their emotions and build more self-confidence.
See more therapy options for Silver Spring
Nearby Searches for Silver Spring
- Adelphi
- Aspen Hill
- Bethesda
- Calverton
- Chevy Chase
- Colesville
- College Park
- Garrett Park
- Kensington
- North Bethesda
- Takoma Park
- Wheaton
How does your Therapist compare?
Number of Therapists in Silver Spring, MD
900+
Average cost per session
$160
Therapists in Silver Spring, MD who prioritize treating:
93% | Anxiety |
88% | Depression |
78% | Relationship Issues |
75% | Self Esteem |
69% | Coping Skills |
67% | Trauma and PTSD |
65% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
74% | CareFirst |
72% | BlueCross and BlueShield |
64% | Cigna and Evernorth |
How Therapists in Silver Spring, MD see their clients
54% | In Person and Online | |
46% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Silver Spring?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.