Therapists in Durham, NC

Photo of Integrated Journey, Licensed Professional Counselor in Durham, NC
Integrated Journey
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
1 Endorsed
Durham, NC 27707  (Online Only)
No matter what life brings you, treatment can bring you "home." All walks of life and all experiences are unique, so your treatment will be tailored to fit for you. Direction, support, guidance and healing available now.
No matter what life brings you, treatment can bring you "home." All walks of life and all experiences are unique, so your treatment will be tailored to fit for you. Direction, support, guidance and healing available now.
(252) 429-0145 View (252) 429-0145
Photo of Blue Rose Counseling, PLLC, Clinical Social Work/Therapist in Durham, NC
Blue Rose Counseling, PLLC
Clinical Social Work/Therapist, LCSW, LCAS, CSI
Verified Verified
1 Endorsed
Durham, NC 27707  (Online Only)
My "best" successes came from people who finally gave up on what wasn't working for them anymore and came in with an open mind. This worked with issues of anxiety and depression, habits that people didn't want to continue doing, relationships that felt broken, and coping mechanisms that used to work but then began to create more problems. I thoroughly enjoy working with people who are ready to get their lives back on track.
My "best" successes came from people who finally gave up on what wasn't working for them anymore and came in with an open mind. This worked with issues of anxiety and depression, habits that people didn't want to continue doing, relationships that felt broken, and coping mechanisms that used to work but then began to create more problems. I thoroughly enjoy working with people who are ready to get their lives back on track.
(984) 459-7498 View (984) 459-7498
Photo of Semra Zamurad, Counselor in Durham, NC
Semra Zamurad
Counselor, LCMHCA
Verified Verified
Durham, NC 27713
I know firsthand how scary it can be trying to navigate tumultuous thoughts and feelings on your own, and then trying to trust someone else to help you make sense of them! My own experience in mental health is what inspired me to become a therapist that can offer clients assistance in times of distress as a partner that will walk alongside them to support them at their pace. I approach therapy from a holistic lens to explore and address all aspects of health that the client wants to bring into the session, including but not limited to the implications of physical health, spiritual health, social health, and intellectual health.
I know firsthand how scary it can be trying to navigate tumultuous thoughts and feelings on your own, and then trying to trust someone else to help you make sense of them! My own experience in mental health is what inspired me to become a therapist that can offer clients assistance in times of distress as a partner that will walk alongside them to support them at their pace. I approach therapy from a holistic lens to explore and address all aspects of health that the client wants to bring into the session, including but not limited to the implications of physical health, spiritual health, social health, and intellectual health.
(984) 689-1695 View (984) 689-1695
Photo of Dr. Parker T. Hurley, Clinical Social Work/Therapist in Durham, NC
Dr. Parker T. Hurley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Durham, NC 27707
Pronouns: he/him. I am a licensed clinical social worker (LCSW) based on Eno, Tutelo, Saponi, Occaneechi, Shakori, Cheraw, Tuscarora, and Lumbee ancestral land (Durham, NC) and have been providing therapy for the past 8-9 years. As an openly queer, Black, trans masculine, neurodivergent abolitionist, I understand how challenging it can be to receive care that is truly affirming and anti-oppressive. My clinical practice is informed by my experiences of both oppression and privilege; and I strive to provide care that is trauma-informed, anti-ableist, sex and kink positive, fat-positive, poly-friendly and liberation-centered.
Pronouns: he/him. I am a licensed clinical social worker (LCSW) based on Eno, Tutelo, Saponi, Occaneechi, Shakori, Cheraw, Tuscarora, and Lumbee ancestral land (Durham, NC) and have been providing therapy for the past 8-9 years. As an openly queer, Black, trans masculine, neurodivergent abolitionist, I understand how challenging it can be to receive care that is truly affirming and anti-oppressive. My clinical practice is informed by my experiences of both oppression and privilege; and I strive to provide care that is trauma-informed, anti-ableist, sex and kink positive, fat-positive, poly-friendly and liberation-centered.
(984) 409-9723 View (984) 409-9723
Photo of Christa Martin, Clinical Social Work/Therapist in Durham, NC
Christa Martin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Durham, NC 27713
People often seek therapy when they feel stuck in suffering and want to make changes in their lives. These changes can involve making difficult choices, moving in a new direction, and learning to cope with past or current painful experiences in order to exist and move through the world in a new way. I respect the vulnerability involved in seeking help and work to build the connection and safety needed to support clients in both desired growth and acceptance of present realities. I value being kind, authentic, playful, and thoughtfully honest as a person and as a therapist.
People often seek therapy when they feel stuck in suffering and want to make changes in their lives. These changes can involve making difficult choices, moving in a new direction, and learning to cope with past or current painful experiences in order to exist and move through the world in a new way. I respect the vulnerability involved in seeking help and work to build the connection and safety needed to support clients in both desired growth and acceptance of present realities. I value being kind, authentic, playful, and thoughtfully honest as a person and as a therapist.
(910) 593-0102 View (910) 593-0102
Photo of Cree and Associates PLLC, Clinical Social Work/Therapist in Durham, NC
Cree and Associates PLLC
Clinical Social Work/Therapist, MSW, LCSWA , LCAS, CSI
Verified Verified
1 Endorsed
Durham, NC 27713  (Online Only)
I believe that counseling can be transformative at all ages and stages in life. Our constantly changing world presents new challenges everyday. I would be honored to support you in your journey to find answers, meaning, and understanding in this confusing world.
I believe that counseling can be transformative at all ages and stages in life. Our constantly changing world presents new challenges everyday. I would be honored to support you in your journey to find answers, meaning, and understanding in this confusing world.
(919) 583-6048 View (919) 583-6048
Photo of Hannah N Daulton, Licensed Professional Counselor in Durham, NC
Hannah N Daulton
Licensed Professional Counselor, LCMHC, MA
Verified Verified
2 Endorsed
Durham, NC 27705
Are you ready to shift your life, but feel pulled back into the same dysfunctional cycles every time you try to make a change? I enjoy supporting individuals who want to pursue freedom from limbo, the "catch-22," and live a confident, self-directed, and value-aligned life. I work specifically with PTSD, anxiety, relationship and boundary issues, and adults with ADHD. I provide support that allows you to build your awareness and process concrete coping skills in order to gain resilience, strength, and power that extends past the counseling session.
Are you ready to shift your life, but feel pulled back into the same dysfunctional cycles every time you try to make a change? I enjoy supporting individuals who want to pursue freedom from limbo, the "catch-22," and live a confident, self-directed, and value-aligned life. I work specifically with PTSD, anxiety, relationship and boundary issues, and adults with ADHD. I provide support that allows you to build your awareness and process concrete coping skills in order to gain resilience, strength, and power that extends past the counseling session.
(919) 629-1656 View (919) 629-1656
Photo of Meagan Shirlen, LCSW Associate in Durham, NC
Meagan Shirlen
LCSW Associate , MSW, LCSWA
Verified Verified
Durham, NC 27707
Are you aged 13 to 30 and struggling with anxiety, grief, or self-doubt? Do you want to explore what's most important to you, your strengths, and what's keeping you stuck? I provide a safe, nonjudgmental space where we'll work together to help you envision a fulfilling life and create pathways to your goals. My approach is validating, holistic, and down-to-earth. All kinds of teens and young adults will find a caring environment here, whether you're on the autism spectrum, living with ADHD, part of the diverse LGBTQ+ community, or none of the above at all. Your unique experiences are valid; I'm here to listen and support you.
Are you aged 13 to 30 and struggling with anxiety, grief, or self-doubt? Do you want to explore what's most important to you, your strengths, and what's keeping you stuck? I provide a safe, nonjudgmental space where we'll work together to help you envision a fulfilling life and create pathways to your goals. My approach is validating, holistic, and down-to-earth. All kinds of teens and young adults will find a caring environment here, whether you're on the autism spectrum, living with ADHD, part of the diverse LGBTQ+ community, or none of the above at all. Your unique experiences are valid; I'm here to listen and support you.
(984) 400-4162 View (984) 400-4162
Photo of Justine Sperber, Clinical Social Work/Therapist in Durham, NC
Justine Sperber
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Durham, NC 27707  (Online Only)
Thank you for considering me to support you on your journey! I graduated with my MSW in 2013, and have been a practicing Dialectical Behavioral Therapy clinician since 2013. I have worked with a variety of populations and enjoy assisting people with finding ways to better tolerate distress, manage their emotions, strengthen and build quality relationships, and develop healthy coping skills to help you get through life's curveballs.
Thank you for considering me to support you on your journey! I graduated with my MSW in 2013, and have been a practicing Dialectical Behavioral Therapy clinician since 2013. I have worked with a variety of populations and enjoy assisting people with finding ways to better tolerate distress, manage their emotions, strengthen and build quality relationships, and develop healthy coping skills to help you get through life's curveballs.
(984) 265-8573 View (984) 265-8573
Photo of Barb Gau, Clinical Social Work/Therapist in Durham, NC
Barb Gau
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Durham, NC 27705  (Online Only)
As a therapist and life coach, my goal is to help you feel both empowered and at peace with yourself and your life and to guide you on a positive path to growth and well-being. Through our work together, I seek to help you uncover your true self, find your voice, & align your values & life choices. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. Simultaneously I will introduce you to tools and strategies that may help you better navigate the stress and anxiety of life and hopefully enable you to experience greater peace, joy, and well being. 
As a therapist and life coach, my goal is to help you feel both empowered and at peace with yourself and your life and to guide you on a positive path to growth and well-being. Through our work together, I seek to help you uncover your true self, find your voice, & align your values & life choices. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. Simultaneously I will introduce you to tools and strategies that may help you better navigate the stress and anxiety of life and hopefully enable you to experience greater peace, joy, and well being. 
(919) 883-9133 View (919) 883-9133
Photo of Annie Segrest, Clinical Social Work/Therapist in Durham, NC
Annie Segrest
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Durham, NC 27705
I offer individual, couples and family therapy, and have extensive experience working within the LGBTQIA+ community. I believe being seen, heard and affirmed are integral in the healing process and center clients accordingly. I work with grief, trauma, depression, anxiety, relationship challenges and changes, un-partnered parenting and coparenting, family crisis and early childhood issues. I draw from Trauma-Informed practices and Evidence-Based techniques including Emotionally Focused Therapy, Psychodynamic Therapy, Cognitive Behavioral Therapy, Family Systems Therapy and Parent-Child Interaction Therapy (PCIT).
I offer individual, couples and family therapy, and have extensive experience working within the LGBTQIA+ community. I believe being seen, heard and affirmed are integral in the healing process and center clients accordingly. I work with grief, trauma, depression, anxiety, relationship challenges and changes, un-partnered parenting and coparenting, family crisis and early childhood issues. I draw from Trauma-Informed practices and Evidence-Based techniques including Emotionally Focused Therapy, Psychodynamic Therapy, Cognitive Behavioral Therapy, Family Systems Therapy and Parent-Child Interaction Therapy (PCIT).
(919) 583-6051 View (919) 583-6051
Photo of Karen N Willis, Clinical Social Work/Therapist in Durham, NC
Karen N Willis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27705
Not accepting new clients
My approach draws on one's strengths to overcome obstacles to a more authentic and fulfilling life. I believe it is important to take time to fully understand an individual's unique life and concerns. The most common concerns clients come to discuss involve relationship difficulties and/or feelings of distress, worry, or sadness. Many of my clients are feeling intense stress due to changing life circumstances. Through therapy new perspectives and ways of coping and/or solving problems can be found.
My approach draws on one's strengths to overcome obstacles to a more authentic and fulfilling life. I believe it is important to take time to fully understand an individual's unique life and concerns. The most common concerns clients come to discuss involve relationship difficulties and/or feelings of distress, worry, or sadness. Many of my clients are feeling intense stress due to changing life circumstances. Through therapy new perspectives and ways of coping and/or solving problems can be found.
(919) 587-8016 View (919) 587-8016
Photo of Skye Wilson, Counselor in Durham, NC
Skye Wilson
Counselor, LCMHC
Verified Verified
1 Endorsed
Durham, NC 27707  (Online Only)
Not accepting new clients
Everyone can benefit from therapy. How often in your day to day do you have an hour where you’re fully seen, heard, and encouraged? That’s what therapy should provide. Too often therapy is misrepresented and clients stigmatized as weak or ill when, in fact, the strongest thing you can do is seek help. Let me help you through your darkest of times or your day to day concerns. There is no issue too big or too small to conquer.
Everyone can benefit from therapy. How often in your day to day do you have an hour where you’re fully seen, heard, and encouraged? That’s what therapy should provide. Too often therapy is misrepresented and clients stigmatized as weak or ill when, in fact, the strongest thing you can do is seek help. Let me help you through your darkest of times or your day to day concerns. There is no issue too big or too small to conquer.
(984) 207-0693 View (984) 207-0693
Photo of Arthur Payne, Drug & Alcohol Counselor in Durham, NC
Arthur Payne
Drug & Alcohol Counselor, LCAS, CCS
Verified Verified
Durham, NC 27704
I am an experienced therapist and have a lot of skills working with people that confront challenges in their lives. I have worked with both adolescents and adults as well as older adults and there is nothing better for me as a clinician to see people overcome their challenges and return to a higher quality of life, connected to their families and support networks. I have experience working with people from all walks of life and circumstances.
I am an experienced therapist and have a lot of skills working with people that confront challenges in their lives. I have worked with both adolescents and adults as well as older adults and there is nothing better for me as a clinician to see people overcome their challenges and return to a higher quality of life, connected to their families and support networks. I have experience working with people from all walks of life and circumstances.
(919) 823-3701 View (919) 823-3701
Karen Catoe PLLC
Clinical Social Work/Therapist, MPH, MSW, LCSW
Verified Verified
Durham, NC 27705
I value and enjoy working with clients of all ages. Primary areas of focus are: coping with life transitions, helping clients to have more satisfying relationships, working with parents to support attachment goals for healthy development of their child, and sitting with the grief that our inevitable losses bring. I specialize in working with clients with eating disorders, trauma and PTSD, and anxiety disorders. My approach is integrative, drawing from effective treatments (DBT, CBT, attachment-based) to meet your particular needs. I provide short-term and long-term services to individuals and families.
I value and enjoy working with clients of all ages. Primary areas of focus are: coping with life transitions, helping clients to have more satisfying relationships, working with parents to support attachment goals for healthy development of their child, and sitting with the grief that our inevitable losses bring. I specialize in working with clients with eating disorders, trauma and PTSD, and anxiety disorders. My approach is integrative, drawing from effective treatments (DBT, CBT, attachment-based) to meet your particular needs. I provide short-term and long-term services to individuals and families.
(919) 813-2852 View (919) 813-2852
Photo of Melania Xiomara Layton, Drug & Alcohol Counselor in Durham, NC
Melania Xiomara Layton
Drug & Alcohol Counselor, MCAP, ICADC, SAP
Verified Verified
Durham, NC 27713  (Online Only)
Everyone can use a little encouragement now and then. While life can be challenging and we can't change difficult situations of the past, I can help you to better understand and resolve challenges in your life, I am a good listener. I will help you in your struggles to manage and find your life balance with compassion and understanding. I am Bilingual Master Level Addiction Professional with over seventeen years in the behavioral healthcare field.
Everyone can use a little encouragement now and then. While life can be challenging and we can't change difficult situations of the past, I can help you to better understand and resolve challenges in your life, I am a good listener. I will help you in your struggles to manage and find your life balance with compassion and understanding. I am Bilingual Master Level Addiction Professional with over seventeen years in the behavioral healthcare field.
(984) 266-2427 View (984) 266-2427
Photo of Callie Justice, Clinical Social Work/Therapist in Durham, NC
Callie Justice
Clinical Social Work/Therapist, MSW, LCSW
Not Verified Not Verified
Durham, NC 27705  (Online Only)
Waitlist for new clients
In my practice I focus on helping people to free the present from the long term effects of problematic early life experiences. In psychotherapy, we work to create space for thoughts, feelings, and memories to emerge and to be understood. Understanding supports developing new skills which allow for new and more positive choices to be made based in the present, cleared of the distortions of the past. I offer a brief telephone consultation for potential clients.
In my practice I focus on helping people to free the present from the long term effects of problematic early life experiences. In psychotherapy, we work to create space for thoughts, feelings, and memories to emerge and to be understood. Understanding supports developing new skills which allow for new and more positive choices to be made based in the present, cleared of the distortions of the past. I offer a brief telephone consultation for potential clients.
(919) 648-4690 View (919) 648-4690
Photo of Therapeutic Family Solutions, PLLC, Clinical Social Work/Therapist in Durham, NC
Therapeutic Family Solutions, PLLC
Clinical Social Work/Therapist, PhD, MSW, LCSW, LCAS
Verified Verified
2 Endorsed
Durham, NC 27703
Therapeutic Family Solutions is a group practice serving individuals, families, and couples in Roxboro, Raleigh, Durham, and all surrounding areas in NC. All of our clinicians are licensed professionals, treating those who suffer with mental health disorders, which include adjustment disorders, mood disorders, anxiety related disorders, personality disorders, traumatic stress disorders, and substance use disorders. We use CBT and other evidence based practice modalities. Our modalities are culturally comprehensive and inclusive. We provide a free phone screening to determine if we should proceed with the initial clinical assessment.
Therapeutic Family Solutions is a group practice serving individuals, families, and couples in Roxboro, Raleigh, Durham, and all surrounding areas in NC. All of our clinicians are licensed professionals, treating those who suffer with mental health disorders, which include adjustment disorders, mood disorders, anxiety related disorders, personality disorders, traumatic stress disorders, and substance use disorders. We use CBT and other evidence based practice modalities. Our modalities are culturally comprehensive and inclusive. We provide a free phone screening to determine if we should proceed with the initial clinical assessment.
(984) 369-8322 View (984) 369-8322
Photo of Qua'shawn Pernell, Clinical Social Work/Therapist in Durham, NC
Qua'shawn Pernell
Clinical Social Work/Therapist, LCSWA, MSW, BSW
Verified Verified
Durham, NC 27701
Do you ever feel like things are okay, but not OK at the same time? Are there times when an unwanted feeling, thought, or behavior keeps you from being the person you wish to be? Do you believe you are suffering from a choice you made or somebody else made? I believe everybody deserves more than happiness, but to obtain a level of peace. Sometimes, life sucks. It’s scary. It’s frustrating. It’s lonely. It’s unfair… It’s filled with constant change. One thing that will remain the same is the sun and moon rising and setting. With each day passing, I believe there is an opportunity for growth and new discovery.
Do you ever feel like things are okay, but not OK at the same time? Are there times when an unwanted feeling, thought, or behavior keeps you from being the person you wish to be? Do you believe you are suffering from a choice you made or somebody else made? I believe everybody deserves more than happiness, but to obtain a level of peace. Sometimes, life sucks. It’s scary. It’s frustrating. It’s lonely. It’s unfair… It’s filled with constant change. One thing that will remain the same is the sun and moon rising and setting. With each day passing, I believe there is an opportunity for growth and new discovery.
(919) 336-0759 View (919) 336-0759
Photo of Esther Tepfer, Licensed Master Social Worker in Durham, NC
Esther Tepfer
Licensed Master Social Worker, LMSW
Verified Verified
Durham, NC 27713  (Online Only)
Esther is a licensed psychotherapist in North Carolina and New York. She has experience with mental health challenges such as anxiety, depression, trauma, ADHD, and personality disorders. Esther prioritizes building a relationship with her clients to create a safe space. She is there to help navigate her client's needs, including finding strategies to manage symptoms, understanding and processing emotions, and developing healthier coping mechanisms. Esther works with her clients as a team to reach goals such as improving mental health, increasing self-esteem, resilience, and leading a more fulfilling life.
Esther is a licensed psychotherapist in North Carolina and New York. She has experience with mental health challenges such as anxiety, depression, trauma, ADHD, and personality disorders. Esther prioritizes building a relationship with her clients to create a safe space. She is there to help navigate her client's needs, including finding strategies to manage symptoms, understanding and processing emotions, and developing healthier coping mechanisms. Esther works with her clients as a team to reach goals such as improving mental health, increasing self-esteem, resilience, and leading a more fulfilling life.
(585) 496-9926 View (585) 496-9926

How does your Therapist compare?

Number of Therapists in Durham, NC

1,000+

Average cost per session

$150

Therapists in Durham, NC who prioritize treating:

92% Anxiety
86% Depression
78% Relationship Issues
77% Self Esteem
70% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
71% Aetna
51% Cigna and Evernorth

How Therapists in Durham, NC see their clients

65% In Person and Online
35% Online Only

Gender breakdown

80% Female
17% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Durham?

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.