Therapists in Pittsburgh, PA

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Sarah T Cook
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
I provide a safe and gentle place for you to work out whatever is bothering you. We all need a little help along the way. Life can be difficult and it's important to have a safe and completely confidential person to talk to. I have 30 years of training and experience that bring excellent help "to the table" in a compassionate and supportive way. I am looking forward to meeting with you.
I provide a safe and gentle place for you to work out whatever is bothering you. We all need a little help along the way. Life can be difficult and it's important to have a safe and completely confidential person to talk to. I have 30 years of training and experience that bring excellent help "to the table" in a compassionate and supportive way. I am looking forward to meeting with you.
(412) 453-8787 View (412) 453-8787
Photo of Katie Shaw, Pre-Licensed Professional in Pittsburgh, PA
Katie Shaw
Pre-Licensed Professional, MA, NCC
Verified Verified
Pittsburgh, PA 15217
I help women experiencing the major transitions in life and can work with you to develop self-compassion and to find a better path forward. My specialties include reproductive mental health (pregnancy and postpartum support, infertility, reproductive grief and loss, early parenting support, and reproductive trauma), depression and anxiety, adjustment stress, and mood symptoms.
I help women experiencing the major transitions in life and can work with you to develop self-compassion and to find a better path forward. My specialties include reproductive mental health (pregnancy and postpartum support, infertility, reproductive grief and loss, early parenting support, and reproductive trauma), depression and anxiety, adjustment stress, and mood symptoms.
(412) 419-3321 View (412) 419-3321
Photo of Curtis A Miller, Clinical Social Work/Therapist in Pittsburgh, PA
Curtis A Miller
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Pittsburgh, PA 15206  (Online Only)
Not accepting new clients
The ideal Client for this therapeutic modality may range in age from 8- 40's. This Client may be experiencing concerns around mental health concerns. This Client can present with symptoms that range with in the DSMV. This Client may be experiencing grief and loss, trauma, depression, self image, drug and alcohol abuse, substance abuse, anxiety, and motivation.
The ideal Client for this therapeutic modality may range in age from 8- 40's. This Client may be experiencing concerns around mental health concerns. This Client can present with symptoms that range with in the DSMV. This Client may be experiencing grief and loss, trauma, depression, self image, drug and alcohol abuse, substance abuse, anxiety, and motivation.
(412) 725-2379 View (412) 725-2379
Photo of Hope Deals Counseling & Consulting, Clinical Social Work/Therapist in Pittsburgh, PA
Hope Deals Counseling & Consulting
Clinical Social Work/Therapist, MSW, LCSW, CCTP, CGCS
Verified Verified
Pittsburgh, PA 15235  (Online Only)
Hope Deals Counseling & Consulting is black woman-led, virtual mental health private practice that utilizes culturally informed psychotherapy and components of cognitive behavioral theory to assist individuals, couples and families to create a "Hope Deal" for a healthier and happier lifestyle with optimal mental wealth. With certifications in grief and trauma, it is understood that your process of self-actualization is unique and deserves a clinically safe space for you to explore and grow in reaching your goals.
Hope Deals Counseling & Consulting is black woman-led, virtual mental health private practice that utilizes culturally informed psychotherapy and components of cognitive behavioral theory to assist individuals, couples and families to create a "Hope Deal" for a healthier and happier lifestyle with optimal mental wealth. With certifications in grief and trauma, it is understood that your process of self-actualization is unique and deserves a clinically safe space for you to explore and grow in reaching your goals.
(412) 219-5978 View (412) 219-5978
Photo of Michael P Marshal, Psychologist in Pittsburgh, PA
Michael P Marshal
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15206
Not accepting new clients
I have been a psychologist for over 20 years. I place a strong emphasis in developing a good rapport and working alliance with clients. I use interventions that are strongly supported by scientific evidence, such as cognitive behavioral therapy. I work with teens and young adults to help treat depression and anxiety symptoms, and help patients develop coping skills to manage other stressors associated with difficult life transitions. I also have 20+ years of experience in working with individuals with diverse backgrounds, including racial and ethnic minority individuals, as well as members of the LGBTQIA+ communities.
I have been a psychologist for over 20 years. I place a strong emphasis in developing a good rapport and working alliance with clients. I use interventions that are strongly supported by scientific evidence, such as cognitive behavioral therapy. I work with teens and young adults to help treat depression and anxiety symptoms, and help patients develop coping skills to manage other stressors associated with difficult life transitions. I also have 20+ years of experience in working with individuals with diverse backgrounds, including racial and ethnic minority individuals, as well as members of the LGBTQIA+ communities.
(412) 218-3357 View (412) 218-3357
Photo of Jodi Lynn Buzzell, Licensed Professional Counselor in Pittsburgh, PA
Jodi Lynn Buzzell
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15239
Life has its challenges can be overwhelming and stressful. Individuals, families and couples can be effected by these issues . If you are feeling anxious, depressed or suffering from emotional or substance uses issues, experiencing family or relationship conflicts, let my 12 years of experience working with children, adults, families and couples, assist. My approach for families and couples, is exploring patterns in relationship dynamics, providing insight and improving communication . I have worked with adults and children to develop coping skills to manage emotional issues. Therapy is client centered, strength based and the goal is to empower and reach full potential.
Life has its challenges can be overwhelming and stressful. Individuals, families and couples can be effected by these issues . If you are feeling anxious, depressed or suffering from emotional or substance uses issues, experiencing family or relationship conflicts, let my 12 years of experience working with children, adults, families and couples, assist. My approach for families and couples, is exploring patterns in relationship dynamics, providing insight and improving communication . I have worked with adults and children to develop coping skills to manage emotional issues. Therapy is client centered, strength based and the goal is to empower and reach full potential.
(724) 216-6773 View (724) 216-6773
Photo of Erin Fox, Licensed Professional Counselor in Pittsburgh, PA
Erin Fox
Licensed Professional Counselor, MA , LPC
Verified Verified
Pittsburgh, PA 15203
Are you facing challenges like anxiety, depression, life transitions, or identity issues? Are you seeking a safe, nonjudgmental space, craving validation, understanding, and guidance? You may be open to self-exploration, aiming for personal growth, seeking insights, coping strategies, and resilience. My ideal client values seeking support and actively participates in therapy. Motivated to improve their lives and relationships, they seek empowerment and self-discovery in therapy.
Are you facing challenges like anxiety, depression, life transitions, or identity issues? Are you seeking a safe, nonjudgmental space, craving validation, understanding, and guidance? You may be open to self-exploration, aiming for personal growth, seeking insights, coping strategies, and resilience. My ideal client values seeking support and actively participates in therapy. Motivated to improve their lives and relationships, they seek empowerment and self-discovery in therapy.
(412) 547-5319 View (412) 547-5319
Photo of Sonya Dugal, Licensed Professional Counselor in Pittsburgh, PA
Sonya Dugal
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15206  (Online Only)
Not accepting new clients
Hello! I am a Board Certified Art Therapist, Licensed Professional Counselor and Board Certified Transgender Care Therapist working in the Pittsburgh area. I enjoy working with members of the LGBTQIA2+ community and specialize in providing gender affirming care to gender expansive, non-binary and trans individuals, as well as BIPOC individuals with diverse multicultural and racial backgrounds. I am guided by a feminist and person centered approach that prioritizes an exploration of our intersecting identities and value the healing power of exploratory and respectful conversation.
Hello! I am a Board Certified Art Therapist, Licensed Professional Counselor and Board Certified Transgender Care Therapist working in the Pittsburgh area. I enjoy working with members of the LGBTQIA2+ community and specialize in providing gender affirming care to gender expansive, non-binary and trans individuals, as well as BIPOC individuals with diverse multicultural and racial backgrounds. I am guided by a feminist and person centered approach that prioritizes an exploration of our intersecting identities and value the healing power of exploratory and respectful conversation.
(412) 440-8407 View (412) 440-8407
Photo of Kristen Dieter, Clinical Social Work/Therapist in Pittsburgh, PA
Kristen Dieter
Clinical Social Work/Therapist, LSW
Verified Verified
Pittsburgh, PA 15203
An ideal client would present with their struggle in transparency, with the desire to grow, and put in the work to achieve goals. That could be managing emotions, holding a job, rebuilding relationships, or perhaps implementing more self-care. A client who wants to heal, find peace, and promote balance and autonomy. I am very easygoing, and really like to showcase my ability to promote a safe trusting environment. It is okay to feel uncomfortable or overwhelmed in life; I hope to encourage and normalize the need to take care of ourselves.
An ideal client would present with their struggle in transparency, with the desire to grow, and put in the work to achieve goals. That could be managing emotions, holding a job, rebuilding relationships, or perhaps implementing more self-care. A client who wants to heal, find peace, and promote balance and autonomy. I am very easygoing, and really like to showcase my ability to promote a safe trusting environment. It is okay to feel uncomfortable or overwhelmed in life; I hope to encourage and normalize the need to take care of ourselves.
(412) 790-2978 View (412) 790-2978
Photo of Gregory Dinger, Licensed Professional Counselor in Pittsburgh, PA
Gregory Dinger
Licensed Professional Counselor, MMT, MT-BC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15232
Accepting new clients! You often feel like you are navigating a world that was not meant for you. You have spent years trying to find "your place" in the chaos but continue to struggle with where that is and how to even begin exploring that in a way that feels safe and supportive. Honestly, you have a hard time envisioning what it would even feel like to have found "your place". You often feel "other" and "on the outside", which makes social and romantic relationships difficult and only exacerbates the feelings and experiences you already struggle with on a daily basis. Anxiety, grief and loss, depression, neurodiversity, stress...
Accepting new clients! You often feel like you are navigating a world that was not meant for you. You have spent years trying to find "your place" in the chaos but continue to struggle with where that is and how to even begin exploring that in a way that feels safe and supportive. Honestly, you have a hard time envisioning what it would even feel like to have found "your place". You often feel "other" and "on the outside", which makes social and romantic relationships difficult and only exacerbates the feelings and experiences you already struggle with on a daily basis. Anxiety, grief and loss, depression, neurodiversity, stress...
(412) 528-6583 View (412) 528-6583
Photo of Matt Wilson, Clinical Social Work/Therapist in Pittsburgh, PA
Matt Wilson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Pittsburgh, PA 15217
Not accepting new clients
I help people who are confused by their emotions to develop a sense of control and safety in exploring their thoughts, memories and feelings. I work with people who have experienced sexual/physical/emotional abuse in childhood, or assault in adulthood, community violence, gender violence or incarceration; and who find it hard to control anger, sadness, mood swings, stress, to trust themselves, others or have close relationships. I believe that honest, compassionate discussion lets you approach what you might want to ignore, but won’t go away; or explore what might not have space to be said with friends or family.
I help people who are confused by their emotions to develop a sense of control and safety in exploring their thoughts, memories and feelings. I work with people who have experienced sexual/physical/emotional abuse in childhood, or assault in adulthood, community violence, gender violence or incarceration; and who find it hard to control anger, sadness, mood swings, stress, to trust themselves, others or have close relationships. I believe that honest, compassionate discussion lets you approach what you might want to ignore, but won’t go away; or explore what might not have space to be said with friends or family.
(878) 225-5486 View (878) 225-5486
Photo of Lauren L Hartz, Licensed Professional Counselor in Pittsburgh, PA
Lauren L Hartz
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15243
In my practice, Rooted & Rising Therapy we come from the belief that we begin at the roots and increase self awareness and get to know ourselves, and then we rise. I can support you in working through an identified challenge, or we can dig a little deeper and work towards creating a life that is based on your values.
In my practice, Rooted & Rising Therapy we come from the belief that we begin at the roots and increase self awareness and get to know ourselves, and then we rise. I can support you in working through an identified challenge, or we can dig a little deeper and work towards creating a life that is based on your values.
(412) 961-8768 View (412) 961-8768
Photo of Sharna Olfman, Psychologist in Pittsburgh, PA
Sharna Olfman
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15218  (Online Only)
I am a psychodynamic (insight oriented) therapist, with a focus on integrative health. I specialize in relationship issues, women's issues, parenting, work / life balance, depression, and anxiety.
I am a psychodynamic (insight oriented) therapist, with a focus on integrative health. I specialize in relationship issues, women's issues, parenting, work / life balance, depression, and anxiety.
(412) 404-0084 View (412) 404-0084
Photo of Kaitlyn E Myers-Brooks, Licensed Professional Counselor in Pittsburgh, PA
Kaitlyn E Myers-Brooks
Licensed Professional Counselor, MSEd, LPC, NCC
Verified Verified
2 Endorsed
Pittsburgh, PA 15222
Not accepting new clients
In serving clients who may be part of the Autistic, ADHD, LGBTQ+, and/or military communities, I've seen first hand that the diversity of human experience leads to ingenuity. I work to provide an accepting, supportive, and creative space for clients to communicate their story and discover their own path forward. Together, we can explore the narrative that defines the personal, professional, and social aspects of your life, navigating intersections between lived experiences and identities. I help you to see your patterns of success and both recognize and utilize the expertise you already hold within yourself.
In serving clients who may be part of the Autistic, ADHD, LGBTQ+, and/or military communities, I've seen first hand that the diversity of human experience leads to ingenuity. I work to provide an accepting, supportive, and creative space for clients to communicate their story and discover their own path forward. Together, we can explore the narrative that defines the personal, professional, and social aspects of your life, navigating intersections between lived experiences and identities. I help you to see your patterns of success and both recognize and utilize the expertise you already hold within yourself.
(878) 205-2148 View (878) 205-2148
Photo of Doty Lee Mauney, Licensed Professional Counselor in Pittsburgh, PA
Doty Lee Mauney
Licensed Professional Counselor, LPC, RPT
Verified Verified
Pittsburgh, PA 15201
I am a practicing Gestalt therapist as well as a Registered Play therapist who works with adults and children that have experienced trauma and/or abuse, and present with symptoms of PDSD, anxiety, depression. When working with children I work closely with the parents or caregivers for best results. As a Gestalt therapist my focus is present focused and on the whole person (thoughts, feelings, body/movement.) Together we create an environment where the individual finds a deeper awareness about themselves that can increase their choices about how they interact with others and live their life.
I am a practicing Gestalt therapist as well as a Registered Play therapist who works with adults and children that have experienced trauma and/or abuse, and present with symptoms of PDSD, anxiety, depression. When working with children I work closely with the parents or caregivers for best results. As a Gestalt therapist my focus is present focused and on the whole person (thoughts, feelings, body/movement.) Together we create an environment where the individual finds a deeper awareness about themselves that can increase their choices about how they interact with others and live their life.
(412) 203-4349 View (412) 203-4349
Photo of Chad Losinger, Licensed Professional Counselor in Pittsburgh, PA
Chad Losinger
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
1 Endorsed
Pittsburgh, PA 15239
It can be overwhelming to try and to deal with the stress of everyday life while carrying the weight of unresolved stress. In time, that stress can cause us our perspectives towards others and how we feel about our lives to change. This is typically when people seek treatment to work through that stuck feeling, to pursue more meaningful lives that aren't weighed down by stress or their experiences. I work to create a calm, accepting atmosphere so that clients can more easily speak their experiences into existence and let go of the stress that keeps them stuck.
It can be overwhelming to try and to deal with the stress of everyday life while carrying the weight of unresolved stress. In time, that stress can cause us our perspectives towards others and how we feel about our lives to change. This is typically when people seek treatment to work through that stuck feeling, to pursue more meaningful lives that aren't weighed down by stress or their experiences. I work to create a calm, accepting atmosphere so that clients can more easily speak their experiences into existence and let go of the stress that keeps them stuck.
(412) 547-8612 View (412) 547-8612
Photo of Molly Mitchell, Licensed Professional Counselor in Pittsburgh, PA
Molly Mitchell
Licensed Professional Counselor, MS, LPC, CAADC, SAP
Verified Verified
2 Endorsed
Pittsburgh, PA 15217  (Online Only)
Waitlist for new clients
Most people seek therapy when they are in a vulnerable state. In a warm and supportive atmosphere offering personal safety, I'll work with you in a highly personalized approach tailored to your specific needs. The goal is to support you in attaining personal growth that taps the best in you. I utilize both a Positive Psychology and Gestalt Therapy approach. Gestalt Therapy is an expressive, action-based approach to growth, which supports an individual's ability to notice self in the moment and understand one's meaning-making process. This is a collaborative process between therapist and client.
Most people seek therapy when they are in a vulnerable state. In a warm and supportive atmosphere offering personal safety, I'll work with you in a highly personalized approach tailored to your specific needs. The goal is to support you in attaining personal growth that taps the best in you. I utilize both a Positive Psychology and Gestalt Therapy approach. Gestalt Therapy is an expressive, action-based approach to growth, which supports an individual's ability to notice self in the moment and understand one's meaning-making process. This is a collaborative process between therapist and client.
(412) 888-0467 View (412) 888-0467
Photo of Judy Wein, Licensed Professional Counselor in Pittsburgh, PA
Judy Wein
Licensed Professional Counselor, MEd, EMDR
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Not accepting new clients
Coming into therapy is a difficult decision, but one that can bring incredible rewards. My task is to join with my clients as they increase their self-awareness, and to support them as we work to decrease/ eliminate traumatic responses they’ve experienced. Because therapy is a collaborative process, choosing someone you feel comfortable enough with is essential.
Coming into therapy is a difficult decision, but one that can bring incredible rewards. My task is to join with my clients as they increase their self-awareness, and to support them as we work to decrease/ eliminate traumatic responses they’ve experienced. Because therapy is a collaborative process, choosing someone you feel comfortable enough with is essential.
(412) 460-4069 View (412) 460-4069
Photo of Andrew J. Eppich LCSW, Clinical Social Work/Therapist in Pittsburgh, PA
Andrew J. Eppich LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15228
I am an LCSW that has been in the field of counseling and social work since 1995. I am of the belief that everyone deserves help and support with dignity and respect. I specialize in addictions, gambling addiction, dual diagnosis, GLBT issues, grief and bereavement issues as well as have over 15 years experience in hospice and helping patients and their families cope with end of life issues. In addition I have expertise in group counseling for early recovery, families in recovery and grief support.
I am an LCSW that has been in the field of counseling and social work since 1995. I am of the belief that everyone deserves help and support with dignity and respect. I specialize in addictions, gambling addiction, dual diagnosis, GLBT issues, grief and bereavement issues as well as have over 15 years experience in hospice and helping patients and their families cope with end of life issues. In addition I have expertise in group counseling for early recovery, families in recovery and grief support.
(412) 567-3552 View (412) 567-3552
Photo of Tina Adkins, Clinical Social Work/Therapist in Pittsburgh, PA
Tina Adkins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15237
Life is a journey and we are constantly learning about ourselves, others, and our surroundings. At times, we all need help and my goal is to support you when you are ready to seek help. I believe in meeting and starting where YOU are at in your journey. With over 9 years of experience in mental health and medical social work, my areas of expertise include: reproductive health, trauma, complex medical, grief, depression, and anxiety, amongst other areas. I am LGTBQIA+ affirming. I have worked with a variety of populations, and specializing in working with individuals 18 years and older.
Life is a journey and we are constantly learning about ourselves, others, and our surroundings. At times, we all need help and my goal is to support you when you are ready to seek help. I believe in meeting and starting where YOU are at in your journey. With over 9 years of experience in mental health and medical social work, my areas of expertise include: reproductive health, trauma, complex medical, grief, depression, and anxiety, amongst other areas. I am LGTBQIA+ affirming. I have worked with a variety of populations, and specializing in working with individuals 18 years and older.
(724) 302-5801 View (724) 302-5801

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.