Therapists in Raleigh, NC

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Photo of Sarinia Bishop, Clinical Social Work/Therapist in Raleigh, NC
Sarinia Bishop
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
1 Endorsed
Raleigh, NC 27615
I believe that the therapeutic relationship is a safe haven for you to explore, discover and heal the authentic you! After a long day of being what the world needs you to be, HERE together is where we unmask and uncover who you truly are -- HERE is where happiness lives. I have a passion for the therapeutic process by deconstructing learned behavior and patterns while bringing blind-spots into awareness so that motivated clients can make conscious changes and show up in the world, life and relationships joyfully engaged as your true self.
I believe that the therapeutic relationship is a safe haven for you to explore, discover and heal the authentic you! After a long day of being what the world needs you to be, HERE together is where we unmask and uncover who you truly are -- HERE is where happiness lives. I have a passion for the therapeutic process by deconstructing learned behavior and patterns while bringing blind-spots into awareness so that motivated clients can make conscious changes and show up in the world, life and relationships joyfully engaged as your true self.
(984) 400-5745 View (984) 400-5745
Photo of Finley Losch, Counselor in Raleigh, NC
Finley Losch
Counselor, MA, LCMHC, LPC, NCC
Verified Verified
2 Endorsed
Raleigh, NC 27609  (Online Only)
Waitlist for new clients
There are times when we all need someone safe, objective, and curious to sit with us through the messy parts of life that make us human. Through my training and experience as a queer sex therapist, I have a deep appreciation for the complexity of stress, life changes, internal stories and illness. Our time together would be spent identifying your strengths, challenging some unhelpful thoughts and behaviors, and honoring that you are the expert of your life. Together, we’ll hopefully laugh a ton and learn about your path and story in a safe nonjudgmental space.
There are times when we all need someone safe, objective, and curious to sit with us through the messy parts of life that make us human. Through my training and experience as a queer sex therapist, I have a deep appreciation for the complexity of stress, life changes, internal stories and illness. Our time together would be spent identifying your strengths, challenging some unhelpful thoughts and behaviors, and honoring that you are the expert of your life. Together, we’ll hopefully laugh a ton and learn about your path and story in a safe nonjudgmental space.
(919) 298-8767 View (919) 298-8767
Photo of Jarrett Isler, Pre-Licensed Professional in Raleigh, NC
Jarrett Isler
Pre-Licensed Professional
Verified Verified
Raleigh, NC 27601
Jarrett Isler is a Licensed Clinical Social Worker Associate (LCSWA) who has over 15 years of experience working in the mental health field. Jarett has experience working with all kinds of clients.
Jarrett Isler is a Licensed Clinical Social Worker Associate (LCSWA) who has over 15 years of experience working in the mental health field. Jarett has experience working with all kinds of clients.
(919) 590-5319 View (919) 590-5319
Photo of Don Wiggins, Counselor in Raleigh, NC
Don Wiggins
Counselor, MACC, LCMHCA
Verified Verified
1 Endorsed
Raleigh, NC 27615
Don’s passion to come along side others in the capacity of a professional counselor is an outgrowth of his life transformations occurring from his own counseling through his ilife experiences. Don is a “life veteran” who recovered from a divorce, raising two sons on his own as well as other personal life struggles requiring him to acknowledge first hand how the counseling process brings about effectual positive movement away from difficult circumstances. Don received his counseling degree from Gordon-Conwell Theological Seminary, where he had the opportunity to incorporate Christian spirituality into his mental health practices.
Don’s passion to come along side others in the capacity of a professional counselor is an outgrowth of his life transformations occurring from his own counseling through his ilife experiences. Don is a “life veteran” who recovered from a divorce, raising two sons on his own as well as other personal life struggles requiring him to acknowledge first hand how the counseling process brings about effectual positive movement away from difficult circumstances. Don received his counseling degree from Gordon-Conwell Theological Seminary, where he had the opportunity to incorporate Christian spirituality into his mental health practices.
(919) 367-1996 View (919) 367-1996
Photo of Parr Therapeutic Solutions, Clinical Social Work/Therapist in Raleigh, NC
Parr Therapeutic Solutions
Clinical Social Work/Therapist, LCSWA, LCASA
Verified Verified
1 Endorsed
Raleigh, NC 27615  (Online Only)
I enjoy assisting clients who are struggling with life transitions, low self-esteem, or developing healthy relationships. As a result they may be experiencing anxiety, depression, or substance use issues. They are motivated and wanting to improve their mood and live a healthier and more fulfilling life. They are tired of feeling stuck and engaging in unhealthy and unhelpful habits.
I enjoy assisting clients who are struggling with life transitions, low self-esteem, or developing healthy relationships. As a result they may be experiencing anxiety, depression, or substance use issues. They are motivated and wanting to improve their mood and live a healthier and more fulfilling life. They are tired of feeling stuck and engaging in unhealthy and unhelpful habits.
(919) 276-8628 View (919) 276-8628
Photo of Matthew Van, Psychologist in Raleigh, NC
Matthew Van
Psychologist, PsyD
Verified Verified
Raleigh, NC 27603  (Online Only)
I often work with patients to examine longstanding difficulties, both with others and within their own selves. Such patterns often leave people feeling misunderstood, empty, lost, unheard, unseen, taken advantage of, stuck, angry, or resentful. Feeling this way can leave you feeling disconnected from and distrusting of others; even those who you love and want to feel close to. Many times, these pieces can be extremely difficult and even can feel impossible to share. And that's okay. We will work together to address what feels important to you and at your pace.
I often work with patients to examine longstanding difficulties, both with others and within their own selves. Such patterns often leave people feeling misunderstood, empty, lost, unheard, unseen, taken advantage of, stuck, angry, or resentful. Feeling this way can leave you feeling disconnected from and distrusting of others; even those who you love and want to feel close to. Many times, these pieces can be extremely difficult and even can feel impossible to share. And that's okay. We will work together to address what feels important to you and at your pace.
(919) 584-9361 View (919) 584-9361
Photo of Breeana Kennedy, Licensed Professional Counselor in Raleigh, NC
Breeana Kennedy
Licensed Professional Counselor, MEd, LCMHC, NCC
Verified Verified
Raleigh, NC 27615  (Online Only)
I work with individual adolescents, and adults, specializing in stress, anxiety, and depression. I also enjoy helping teens and young adults with issues revolving around school and/or future planning. My goal is to help people help themselves through providing strategies and offering feedback during sessions.
I work with individual adolescents, and adults, specializing in stress, anxiety, and depression. I also enjoy helping teens and young adults with issues revolving around school and/or future planning. My goal is to help people help themselves through providing strategies and offering feedback during sessions.
(919) 705-0837 View (919) 705-0837
Photo of Katie Zucco, Clinical Social Work/Therapist in Raleigh, NC
Katie Zucco
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
Waitlist for new clients
I am a licensed clinical social worker serving adolescents and adults in North Carolina. I value the knowledge and insight each client has and use that as a guide in our work together. So many of my clients have heard how they are wrong or don’t fit the prescribed narrative. I work from an anti-oppressive lens to support clients navigating obstacles on a personal level and understanding them from a systemic level. I also work through an experiential and creative lens to access the many possible channels available for therapeutic healing.
I am a licensed clinical social worker serving adolescents and adults in North Carolina. I value the knowledge and insight each client has and use that as a guide in our work together. So many of my clients have heard how they are wrong or don’t fit the prescribed narrative. I work from an anti-oppressive lens to support clients navigating obstacles on a personal level and understanding them from a systemic level. I also work through an experiential and creative lens to access the many possible channels available for therapeutic healing.
(919) 694-4958 View (919) 694-4958
Photo of Kara B. King, Clinical Social Work/Therapist in Raleigh, NC
Kara B. King
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27608
Thank you for visiting my page. I am a Licensed Clinical Social Worker who has been in practice for over 15 years. My aim is to guide and support clients in gaining powerful insights, growing in self-awareness, cultivating a deeper connection to themselves and others, and ultimately, moving toward lasting change. My therapeutic approach is psychodynamically oriented and strengths-based. I believe that our past deeply informs our present. As such, examining and unpacking the foundational experiences and relationships in our lives often aids in unlocking the consciousness needed to live more authentically and fully.
Thank you for visiting my page. I am a Licensed Clinical Social Worker who has been in practice for over 15 years. My aim is to guide and support clients in gaining powerful insights, growing in self-awareness, cultivating a deeper connection to themselves and others, and ultimately, moving toward lasting change. My therapeutic approach is psychodynamically oriented and strengths-based. I believe that our past deeply informs our present. As such, examining and unpacking the foundational experiences and relationships in our lives often aids in unlocking the consciousness needed to live more authentically and fully.
(984) 789-4985 View (984) 789-4985
Photo of Barbra Rogoff, LCSW, Clinical Social Work/Therapist in Raleigh, NC
Barbra Rogoff, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27615  (Online Only)
There are many reasons you might be searching for some extra support - anxiety, depression, life transitions, maintaining boundaries, past or present trauma, navigating relationships, self esteem, stress, ... While acknowledging this can be frightening and overwhelming, it can also be freeing at the same time. I understand this and work to build a relationship with each client that promotes trust, awareness, and understanding. If you're ready to get started, I'm here, and I'd love to help.
There are many reasons you might be searching for some extra support - anxiety, depression, life transitions, maintaining boundaries, past or present trauma, navigating relationships, self esteem, stress, ... While acknowledging this can be frightening and overwhelming, it can also be freeing at the same time. I understand this and work to build a relationship with each client that promotes trust, awareness, and understanding. If you're ready to get started, I'm here, and I'd love to help.
(919) 351-8865 View (919) 351-8865
Photo of Whitney Cain, Licensed Clinical Mental Health Counselor in Raleigh, NC
Whitney Cain
Licensed Clinical Mental Health Counselor, PhD, LCMHC
Verified Verified
Raleigh, NC 27603
I specialize in helping adults negotiate turning points and transitions. These turning points are the critical experiences making our lives' narratives uniquely ours. Transitions may come in the form of divorce, grief, job loss, health concerns, or parenting status changes. Alternatively, transitions may be signals it is time for a change. My work focuses on making meaning of these transitions and the stressors that often accompany them. Some of my specific areas of practice include work and career issues, relationship concerns, and stress and stress management.
I specialize in helping adults negotiate turning points and transitions. These turning points are the critical experiences making our lives' narratives uniquely ours. Transitions may come in the form of divorce, grief, job loss, health concerns, or parenting status changes. Alternatively, transitions may be signals it is time for a change. My work focuses on making meaning of these transitions and the stressors that often accompany them. Some of my specific areas of practice include work and career issues, relationship concerns, and stress and stress management.
(919) 925-2980 View (919) 925-2980
Photo of Milayo A Price, Licensed Professional Counselor in Raleigh, NC
Milayo A Price
Licensed Professional Counselor, MA, LCMHCS
Verified Verified
Raleigh, NC 27604  (Online Only)
Hello, my name is Milayo Price I am in the Raleigh area and I am currently accepting new clients. I believe that therapy should be a safe place to explore feelings, emotions and behavior patterns . I take a holistic approach to therapy. My favorite part of therapy is empowering clients and witnessing clients in their resilience as a result of utilizing tools they have learned in therapy.
Hello, my name is Milayo Price I am in the Raleigh area and I am currently accepting new clients. I believe that therapy should be a safe place to explore feelings, emotions and behavior patterns . I take a holistic approach to therapy. My favorite part of therapy is empowering clients and witnessing clients in their resilience as a result of utilizing tools they have learned in therapy.
(919) 343-9785 View (919) 343-9785
Photo of Chris Fine, Licensed Clinical Mental Health Counselor in Raleigh, NC
Chris Fine
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27615
I am a Christian Therapist. I believe each encounter possesses a unique and sacred exchange between individuals. It is a privileged opportunity to encounter the other person, realizing his or her dignity and appreciating the grand life narrative which has been created thus far. I hope to assist you in highlighting your own personal gifts and contributions, creating together a new experience that will offer you an increased capacity to give and receive love, along with a new sense of ones own meaning and place in their community.
I am a Christian Therapist. I believe each encounter possesses a unique and sacred exchange between individuals. It is a privileged opportunity to encounter the other person, realizing his or her dignity and appreciating the grand life narrative which has been created thus far. I hope to assist you in highlighting your own personal gifts and contributions, creating together a new experience that will offer you an increased capacity to give and receive love, along with a new sense of ones own meaning and place in their community.
(919) 759-6144 View (919) 759-6144
Photo of Head & Heart: Neurodiverse Counseling & Consulting, Marriage & Family Therapist in Raleigh, NC
Head & Heart: Neurodiverse Counseling & Consulting
Marriage & Family Therapist, MS, LMFT
Verified Verified
Raleigh, NC 27609
Are you seeking a supportive space to foster growth within neurodiversity? At Head & Heart, we understand the unique challenges and potential that come with Autism. Whether you are an individual, a parent seeking a structured environment for your child, or a neurodivergent couple striving to foster connection, my approach is tailored to your specific needs. Our holistic approach creates change through personalized strategies and evidence-based interventions. Together, we will explore effective ways to enhance communication, manage challenges, and celebrate the strengths that make you and your loved ones beautifully neurodiverse.
Are you seeking a supportive space to foster growth within neurodiversity? At Head & Heart, we understand the unique challenges and potential that come with Autism. Whether you are an individual, a parent seeking a structured environment for your child, or a neurodivergent couple striving to foster connection, my approach is tailored to your specific needs. Our holistic approach creates change through personalized strategies and evidence-based interventions. Together, we will explore effective ways to enhance communication, manage challenges, and celebrate the strengths that make you and your loved ones beautifully neurodiverse.
(919) 646-3468 View (919) 646-3468
Photo of Renee Smusz, Clinical Social Work/Therapist in Raleigh, NC
Renee Smusz
Clinical Social Work/Therapist, LCSW, CIMHP
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
Are you in tune with your true self and living your best life? If you feel like your inner purpose or clarity is lacking then let me reassure you: you're not alone! There are patterns of dissonance in everyone, it's part of the human condition. These patterns are passed down through generations and affect each of us in our experience of wellness. It’s the childhood programming or traumas and painful experiences that create wounds carried throughout a lifetime. Being confused about your true nature or downright believing the lies you tell yourself can feel like a prison of your own making.
Are you in tune with your true self and living your best life? If you feel like your inner purpose or clarity is lacking then let me reassure you: you're not alone! There are patterns of dissonance in everyone, it's part of the human condition. These patterns are passed down through generations and affect each of us in our experience of wellness. It’s the childhood programming or traumas and painful experiences that create wounds carried throughout a lifetime. Being confused about your true nature or downright believing the lies you tell yourself can feel like a prison of your own making.
(919) 648-1330 View (919) 648-1330
Photo of Shantell Carraway, Marriage & Family Therapist in Raleigh, NC
Shantell Carraway
Marriage & Family Therapist, MA, LMFT
Verified Verified
9 Endorsed
Raleigh, NC 27613  (Online Only)
Finding yourself stuck having the same fights over and over again, not feeling heard or understood? Are you confused and tired of wondering how you even got there to begin with? Are you wondering if your relationship could ever get back to a good place? Perhaps a lot of life happened over the past couple of years, and now you feel in a place to best address it?
Finding yourself stuck having the same fights over and over again, not feeling heard or understood? Are you confused and tired of wondering how you even got there to begin with? Are you wondering if your relationship could ever get back to a good place? Perhaps a lot of life happened over the past couple of years, and now you feel in a place to best address it?
(919) 759-5706 View (919) 759-5706
Photo of Ashley Emmons, Licensed Clinical Mental Health Counselor in Raleigh, NC
Ashley Emmons
Licensed Clinical Mental Health Counselor, LCMHC, RYT200
Verified Verified
Raleigh, NC 27601
Not accepting new clients
I specialize in helping adults heal from perfectionism, anxiety, eating disorders, body image distress, and OCD. Imagine feeling balanced, empowered, and good enough. Right now, you might look like you have it all together on the outside. Inside, you may feel out-of-control. Maybe you feel limited by your need to be perfect, fear that something bad will happen, your food rules, or distress when you look in the mirror. My clients are people who value self-growth & self-knowledge. What they want most is self-love. They are smart, capable, high-achievers, but usually think they make too many mistakes to be called a perfectionist.
I specialize in helping adults heal from perfectionism, anxiety, eating disorders, body image distress, and OCD. Imagine feeling balanced, empowered, and good enough. Right now, you might look like you have it all together on the outside. Inside, you may feel out-of-control. Maybe you feel limited by your need to be perfect, fear that something bad will happen, your food rules, or distress when you look in the mirror. My clients are people who value self-growth & self-knowledge. What they want most is self-love. They are smart, capable, high-achievers, but usually think they make too many mistakes to be called a perfectionist.
(984) 213-4405 View (984) 213-4405
Photo of Julie Beth Michaelsen, Licensed Clinical Mental Health Counselor in Raleigh, NC
Julie Beth Michaelsen
Licensed Clinical Mental Health Counselor, LMHC, LCAS
Verified Verified
2 Endorsed
Raleigh, NC 27609
I believe that everyone has unlocked potential inside of them. Substance addiction, anxiety, trauma, anger, codependency and fear keep us from achieving our goals and being the best version of ourselves. I strive to help clients see all the amazing qualities they hold within themselves and overcome those obstacles that prevent them from reaching their full potential in all areas of their lives. I am EMDR certified, utilize CBT, ACT, DBT, and Reality therapy.
I believe that everyone has unlocked potential inside of them. Substance addiction, anxiety, trauma, anger, codependency and fear keep us from achieving our goals and being the best version of ourselves. I strive to help clients see all the amazing qualities they hold within themselves and overcome those obstacles that prevent them from reaching their full potential in all areas of their lives. I am EMDR certified, utilize CBT, ACT, DBT, and Reality therapy.
(984) 205-7294 View (984) 205-7294
Photo of Maret Ellington, Clinical Social Work/Therapist in Raleigh, NC
Maret Ellington
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 Endorsed
Raleigh, NC 27609
Hello! My name is Maret & I am an outpatient therapist with Three Oaks Behavioral Health & Wellness. Congratulations on taking an important step towards your own self-care and personal growth; you're already achieving so much by finding a therapist that feels like a good fit. I enjoy working with clients on life transitions, emotion regulation, interpersonal relationships, self-esteem & empowerment, identity exploration, healing trauma, and managing anxiety. I also have a background in the school system working with students and school staff, so I am familiar with some of the unique realities faced in schools.
Hello! My name is Maret & I am an outpatient therapist with Three Oaks Behavioral Health & Wellness. Congratulations on taking an important step towards your own self-care and personal growth; you're already achieving so much by finding a therapist that feels like a good fit. I enjoy working with clients on life transitions, emotion regulation, interpersonal relationships, self-esteem & empowerment, identity exploration, healing trauma, and managing anxiety. I also have a background in the school system working with students and school staff, so I am familiar with some of the unique realities faced in schools.
(919) 752-5055 View (919) 752-5055
Photo of Erin Beverly Foerster, Clinical Social Work/Therapist in Raleigh, NC
Erin Beverly Foerster
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27615
Not accepting new clients
Hello! My name is Erin Beverly Foerster and I am a licensed clinical social worker. I specialize in treating adjustment disorders, depression, anxiety, PTSD and trauma. Some of the people with whom I have worked are looking to make a specific change and are looking for support, others are struggling with challenging symptoms and are looking for relief, others are having difficulties managing emotions or maintaining relationships. I find the variety interesting and enjoy the challenge of helping people consider making a change, explore a new path, combat debilitating symptoms.
Hello! My name is Erin Beverly Foerster and I am a licensed clinical social worker. I specialize in treating adjustment disorders, depression, anxiety, PTSD and trauma. Some of the people with whom I have worked are looking to make a specific change and are looking for support, others are struggling with challenging symptoms and are looking for relief, others are having difficulties managing emotions or maintaining relationships. I find the variety interesting and enjoy the challenge of helping people consider making a change, explore a new path, combat debilitating symptoms.
(919) 887-8499 View (919) 887-8499

How does your Therapist compare?

Number of Therapists in Raleigh, NC

2,000+

Average cost per session

$140

Therapists in Raleigh, NC who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
74% Coping Skills
73% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
73% Aetna
56% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

59% In Person and Online
41% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Raleigh?

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.