Therapists in Baltimore, MD

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Photo of Jessica L Miller, Counselor in Baltimore, MD
Jessica L Miller
Counselor, LCPC
Verified Verified
7 Endorsed
Baltimore, MD 21212
Welcome! I strongly believe in the power of the therapeutic relationship and feel grateful to be able to understand the experiences and raw emotions that clients bring into session. I play an active, non-judgmental role, working collaboratively to find ways to cope with and/or change maladaptive symptoms and life stressors. I meet clients where they are in order to cultivate growth and change.
Welcome! I strongly believe in the power of the therapeutic relationship and feel grateful to be able to understand the experiences and raw emotions that clients bring into session. I play an active, non-judgmental role, working collaboratively to find ways to cope with and/or change maladaptive symptoms and life stressors. I meet clients where they are in order to cultivate growth and change.
(443) 432-2048 View (443) 432-2048
Photo of Cheryl Harris Sharman, Pastoral Counselor in Baltimore, MD
Cheryl Harris Sharman
Pastoral Counselor, MA, CSD, TITC-CT
Verified Verified
Baltimore, MD 21218
I love listening. It’s been deepened by many decades and degrees. But, before that, I was a trauma survivor. So I listen to you and your clients the way I wanted someone to listen to me. Both. And. Beyond the decades and degrees, which define my listening in different ways, I shelter people; under the beautiful, broad umbrella of Trauma-Informed Care (TIC). I listen - as a container - to create space for clients to see and find meaning; however they define that. I listen with a biopsychosocialspiritual approach. I listen to private clients, organizational clients, and clients experiencing (& transitioning out of) homelessness.
I love listening. It’s been deepened by many decades and degrees. But, before that, I was a trauma survivor. So I listen to you and your clients the way I wanted someone to listen to me. Both. And. Beyond the decades and degrees, which define my listening in different ways, I shelter people; under the beautiful, broad umbrella of Trauma-Informed Care (TIC). I listen - as a container - to create space for clients to see and find meaning; however they define that. I listen with a biopsychosocialspiritual approach. I listen to private clients, organizational clients, and clients experiencing (& transitioning out of) homelessness.
(301) 396-7864 View (301) 396-7864
Photo of Danielle Gleber, Clinical Social Work/Therapist in Baltimore, MD
Danielle Gleber
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21211
Stress, loneliness, problems with bullying or social media usage, problems in relationships, identity questions ...Life can be too much sometimes! When it feels overwhelming, call in others to be on your team. If you're okay with some dry humor and real talk, we'll probably be a good fit to work together. Whether you're 11 or 111, I have some tricks up my sleeve to help you. There's no shame in admitting when things have gotten beyond what you can handle on your own. It happens to all of us at some point! And you don't have to stay there. There's relief and peace waiting for you.
Stress, loneliness, problems with bullying or social media usage, problems in relationships, identity questions ...Life can be too much sometimes! When it feels overwhelming, call in others to be on your team. If you're okay with some dry humor and real talk, we'll probably be a good fit to work together. Whether you're 11 or 111, I have some tricks up my sleeve to help you. There's no shame in admitting when things have gotten beyond what you can handle on your own. It happens to all of us at some point! And you don't have to stay there. There's relief and peace waiting for you.
(410) 220-4086 View (410) 220-4086
Photo of Kimberly Bernstein, Clinical Social Work/Therapist in Baltimore, MD
Kimberly Bernstein
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Baltimore, MD 21212  (Online Only)
Now Accepting New Clients! Licensed as an LCSW-C in Maryland, Texas, Virginia, Colorado, Nevada, South Carolina, Vermont and Florida. Decades of practice have me well-poised to support you in releasing the struggles of an eating disorder, finding healing in parenting, embracing an ADHD or Autism spectrum diagnosis, and grieving having lived years without proper diagnosis. I can compassionately and powerfully hold space for you to redefine your relationship to substance use, depression and anxiety.
Now Accepting New Clients! Licensed as an LCSW-C in Maryland, Texas, Virginia, Colorado, Nevada, South Carolina, Vermont and Florida. Decades of practice have me well-poised to support you in releasing the struggles of an eating disorder, finding healing in parenting, embracing an ADHD or Autism spectrum diagnosis, and grieving having lived years without proper diagnosis. I can compassionately and powerfully hold space for you to redefine your relationship to substance use, depression and anxiety.
(410) 883-7816 View (410) 883-7816
Photo of Luna Hammond, Counselor in Baltimore, MD
Luna Hammond
Counselor, MEd, MS
Verified Verified
4 Endorsed
Baltimore, MD 21210  (Online Only)
Why do most people come to a therapist in the first place? Because they want a better life. It's a brave thing to do- to realize that you want more for yourself and to take the step to begin making that wish a reality. Sometimes people come to me with a specific problem, and sometimes just because they're tired of feeling disappointed with life. Whatever the reason, we begin the process by sitting down together and looking at what is bothering you.
Why do most people come to a therapist in the first place? Because they want a better life. It's a brave thing to do- to realize that you want more for yourself and to take the step to begin making that wish a reality. Sometimes people come to me with a specific problem, and sometimes just because they're tired of feeling disappointed with life. Whatever the reason, we begin the process by sitting down together and looking at what is bothering you.
(443) 406-4775 View (443) 406-4775
Photo of Colleen Quinn, Psychologist in Baltimore, MD
Colleen Quinn
Psychologist, PhD
Verified Verified
Baltimore, MD 21209
When it comes to developing effective means to obtain our desired outcomes, we have all created conditioned patterns early in life that were designed by our very young psyches as our best bet to never feel certain painful experiences again. These patterns were likely adaptive when we were children but they come at a cost for us as adults, leading us to live smaller than our heart’s truest desires. My ideal client is ready to travel into his/her own heart, to learn how to listen and honor the wisdom inherent therein creating their best, most fulfilling life.
When it comes to developing effective means to obtain our desired outcomes, we have all created conditioned patterns early in life that were designed by our very young psyches as our best bet to never feel certain painful experiences again. These patterns were likely adaptive when we were children but they come at a cost for us as adults, leading us to live smaller than our heart’s truest desires. My ideal client is ready to travel into his/her own heart, to learn how to listen and honor the wisdom inherent therein creating their best, most fulfilling life.
(410) 775-5510 View (410) 775-5510
Photo of Rebecca J Burrett, Clinical Social Work/Therapist in Baltimore, MD
Rebecca J Burrett
Clinical Social Work/Therapist, LCSW-C, RYT-500
Verified Verified
2 Endorsed
Baltimore, MD 21211  (Online Only)
Not accepting new clients
I have been in the field of social work since 2007, and my approach focuses on healing obstacles to attaining peace and satisfaction in your life. My style of practice is relational, and my aim is to offer expert support as you navigate challenges at your own pace. I specialize in working with individuals and couples who feel disconnected, specifically those who have experienced trauma and contend with its impact on their sense of wellbeing. I often have success working with people who have had unsatisfying therapy experiences, and my clients include therapists, abuse survivors, teachers, and first responders.
I have been in the field of social work since 2007, and my approach focuses on healing obstacles to attaining peace and satisfaction in your life. My style of practice is relational, and my aim is to offer expert support as you navigate challenges at your own pace. I specialize in working with individuals and couples who feel disconnected, specifically those who have experienced trauma and contend with its impact on their sense of wellbeing. I often have success working with people who have had unsatisfying therapy experiences, and my clients include therapists, abuse survivors, teachers, and first responders.
(443) 616-2955 View (443) 616-2955
Photo of Caroline Erickson, Clinical Social Work/Therapist in Baltimore, MD
Caroline Erickson
Clinical Social Work/Therapist, LMSW
Verified Verified
Baltimore, MD 21214  (Online Only)
Are you struggling with anxiety? Would you like to set more boundaries in your life? Are you a member of the LGBTQIA+ community looking for a Queer-identified, affirming therapist? Is your relationship causing you stress? These are areas I thrive in supporting. Research shows that the success of therapy often depends on the “fit” between the client and therapist. With a background as a sexuality educator and communication facilitator, I’m experienced in creating a safe space for individuals and people in relationships to bring their concerns, build skills, and feel more comfortable having difficult conversations.
Are you struggling with anxiety? Would you like to set more boundaries in your life? Are you a member of the LGBTQIA+ community looking for a Queer-identified, affirming therapist? Is your relationship causing you stress? These are areas I thrive in supporting. Research shows that the success of therapy often depends on the “fit” between the client and therapist. With a background as a sexuality educator and communication facilitator, I’m experienced in creating a safe space for individuals and people in relationships to bring their concerns, build skills, and feel more comfortable having difficult conversations.
(410) 705-2756 View (410) 705-2756
Photo of Sharon Calvano, Clinical Social Work/Therapist in Baltimore, MD
Sharon Calvano
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21210
Not accepting new clients
At some point we are all ready to make a change. Therapy is great way to begin looking at your patterns, past behaviors, and current situation in order to make that change. Whether you are experiencing relationship stress, anxiety, depression, grief, or life changes, I can help you reduce your symptoms and feel more in control.
At some point we are all ready to make a change. Therapy is great way to begin looking at your patterns, past behaviors, and current situation in order to make that change. Whether you are experiencing relationship stress, anxiety, depression, grief, or life changes, I can help you reduce your symptoms and feel more in control.
(443) 295-6172 View (443) 295-6172
Photo of Tanika Walker in Baltimore, MD
Tanika Walker
LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21206
Hello & welcome to the first day of the new journey of your life. I am happy that you have taken the time to invest in yourself. Life can be full of many obstacles, challenges and decisions.Sometimes it is difficult to navigate past previous trauma or we just need time to sit back, breathe, think, evaluate and determine what your next step should be. Therapy is a helpful tool that can assist you with finding cooping skills, anger management skills and to heal from past traumas, abuse and neglect. My role is to help guide & navigate you through what has brought you to therapy & provide some skills to make life become more manageable
Hello & welcome to the first day of the new journey of your life. I am happy that you have taken the time to invest in yourself. Life can be full of many obstacles, challenges and decisions.Sometimes it is difficult to navigate past previous trauma or we just need time to sit back, breathe, think, evaluate and determine what your next step should be. Therapy is a helpful tool that can assist you with finding cooping skills, anger management skills and to heal from past traumas, abuse and neglect. My role is to help guide & navigate you through what has brought you to therapy & provide some skills to make life become more manageable
(410) 376-8279 View (410) 376-8279
Photo of Devin Fung, Pre-Licensed Professional in Baltimore, MD
Devin Fung
Pre-Licensed Professional
Verified Verified
1 Endorsed
Baltimore, MD 21230
Not accepting new clients
Hi there! I offer in-person and online therapy for adults struggling with anxiety, depression, trauma, and the stress that comes from everyday life. In my work, I take a nonjudgmental, affirming approach to treatment. I believe that everyone has the capacity to not only heal but thrive! I operate through the lens of intersectional feminism in all aspects of my life. If you are seeking a welcoming therapist who values your personal identities and respects the way they impact your life, you're in the right spot!
Hi there! I offer in-person and online therapy for adults struggling with anxiety, depression, trauma, and the stress that comes from everyday life. In my work, I take a nonjudgmental, affirming approach to treatment. I believe that everyone has the capacity to not only heal but thrive! I operate through the lens of intersectional feminism in all aspects of my life. If you are seeking a welcoming therapist who values your personal identities and respects the way they impact your life, you're in the right spot!
(410) 267-4316 View (410) 267-4316
Photo of Phil Goldberg, Clinical Social Work/Therapist in Baltimore, MD
Phil Goldberg
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Baltimore, MD 21211
Are you seeking a warm, non-judgmental space to process life’s challenges? I work with a variety of challenges you may be facing, including depression, anxiety, life transitions, financial stress, identity formation, and self-esteem. As a member of the LGBTQ+ community, I am also passionate about providing a space for the LGBTQ+ community to receive affirming, informed, and personalized support. I also work with parents and caregivers of LGBTQ+ children.
Are you seeking a warm, non-judgmental space to process life’s challenges? I work with a variety of challenges you may be facing, including depression, anxiety, life transitions, financial stress, identity formation, and self-esteem. As a member of the LGBTQ+ community, I am also passionate about providing a space for the LGBTQ+ community to receive affirming, informed, and personalized support. I also work with parents and caregivers of LGBTQ+ children.
(410) 587-0204 View (410) 587-0204
Photo of Mayer Solomon, Clinical Social Work/Therapist in Baltimore, MD
Mayer Solomon
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21209
Do you have a hard time expressing your feelings, knowing what you are feeling, or saying no? Does this impact your everyday and intimate relationships? I'd like to help work through this. My gentle, thoughtful, and practical nature, creates an environment for learning to better know and express your feelings, and what you want/need from others. My work at one of the most prestigious therapy settings in the country, has given me the opportunity to see almost every situation and diagnosis.
Do you have a hard time expressing your feelings, knowing what you are feeling, or saying no? Does this impact your everyday and intimate relationships? I'd like to help work through this. My gentle, thoughtful, and practical nature, creates an environment for learning to better know and express your feelings, and what you want/need from others. My work at one of the most prestigious therapy settings in the country, has given me the opportunity to see almost every situation and diagnosis.
(410) 417-7576 View (410) 417-7576
Photo of Courageous, LLC, Counselor in Baltimore, MD
Courageous, LLC
Counselor, LCPC
Verified Verified
Baltimore, MD 21206  (Online Only)
Feeling unheard, confused, and alone? These emotions are overwhelming. I am here to support you in processing and identifying triggers, as well as developing effective ways to cope with them.
Feeling unheard, confused, and alone? These emotions are overwhelming. I am here to support you in processing and identifying triggers, as well as developing effective ways to cope with them.
(410) 709-7163 View (410) 709-7163
Photo of Emily Gordon, Clinical Social Work/Therapist in Baltimore, MD
Emily Gordon
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21212  (Online Only)
We all struggle, and it’s normal to want to avoid difficult feelings. However, learning to be with and understand, even our most dreaded emotions, is a necessary step towards healing and growth. This isn’t something you have to do alone and having someone outside of your personal circle to support, validate, and understand your experience can be invaluable. I am experienced in working with individuals struggling with various mental health concerns but am less interested in the label and most concerned with understanding your experience in order to pinpoint root causes of what is causing discomfort.
We all struggle, and it’s normal to want to avoid difficult feelings. However, learning to be with and understand, even our most dreaded emotions, is a necessary step towards healing and growth. This isn’t something you have to do alone and having someone outside of your personal circle to support, validate, and understand your experience can be invaluable. I am experienced in working with individuals struggling with various mental health concerns but am less interested in the label and most concerned with understanding your experience in order to pinpoint root causes of what is causing discomfort.
(410) 862-3789 View (410) 862-3789
Photo of Dr. Anna Gyarmathy in Baltimore, MD
Dr. Anna Gyarmathy
PhD, MPH, MSc
Verified Verified
Baltimore, MD 21212
Clients that work best with me include people who are overweight or obese and want to lose weight or are before or after bariatric surgery, families where a loved one has anorexia who needs to realize and understand that they have a problem and need help on the road of recovery, people who are neurodiverse in need of executive functioning coaching or navigating the neurotypical world (including twice exceptional / 2E), couples who have relationship difficulties and need help solving relationship problems and getting through a tough phase of their lives.
Clients that work best with me include people who are overweight or obese and want to lose weight or are before or after bariatric surgery, families where a loved one has anorexia who needs to realize and understand that they have a problem and need help on the road of recovery, people who are neurodiverse in need of executive functioning coaching or navigating the neurotypical world (including twice exceptional / 2E), couples who have relationship difficulties and need help solving relationship problems and getting through a tough phase of their lives.
(443) 494-2247 View (443) 494-2247
Photo of Inspire Counseling Services, Llc, Licensed Clinical Professional Counselor in Baltimore, MD
Inspire Counseling Services, Llc
Licensed Clinical Professional Counselor, LCPC-S
Verified Verified
Baltimore, MD 21229  (Online Only)
Inspiring you, to inspire yourself, so you may inspire others—that is the motto of Inspire Counseling Services, Llc where the focus is to regain, enhance and develop the inspiration that you need to have a fulfilling life; whether that means helping you combat depression, anxiety, stress, self-esteem issues or trauma, I am here for you.
Inspiring you, to inspire yourself, so you may inspire others—that is the motto of Inspire Counseling Services, Llc where the focus is to regain, enhance and develop the inspiration that you need to have a fulfilling life; whether that means helping you combat depression, anxiety, stress, self-esteem issues or trauma, I am here for you.
(443) 764-8793 View (443) 764-8793
Photo of Lindsay Summers, Clinical Social Work/Therapist in Baltimore, MD
Lindsay Summers
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21211  (Online Only)
Waitlist for new clients
I am a licensed therapist practicing in Maryland, DC, and South Carolina. I approach my practice through a lens of anti-oppression, feminist, and queer theory. Recognizing the healing potential of the therapeutic relationship, I emphasize client-centered therapy that values and honors all aspects of my clients' identities. I continuously strive to address my power and privilege, serving as an ally to BIPOC, disabled individuals, sex workers, those living in poverty, fat/larger bodied individuals, immigrants, houseless individuals, the aging population, individuals under the age of 18, and those who are or have been incarcerated.
I am a licensed therapist practicing in Maryland, DC, and South Carolina. I approach my practice through a lens of anti-oppression, feminist, and queer theory. Recognizing the healing potential of the therapeutic relationship, I emphasize client-centered therapy that values and honors all aspects of my clients' identities. I continuously strive to address my power and privilege, serving as an ally to BIPOC, disabled individuals, sex workers, those living in poverty, fat/larger bodied individuals, immigrants, houseless individuals, the aging population, individuals under the age of 18, and those who are or have been incarcerated.
(301) 820-7762 View (301) 820-7762
Photo of Tiffany Mcleary, Clinical Social Work/Therapist in Baltimore, MD
Tiffany Mcleary
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Baltimore, MD 21210  (Online Only)
Life can be so stressful! Against the backdrop of significant, continued uncertainty and instability, we are all trying to figure out who we are and how we want to be in the world. If you or a loved one is trying to feel more joyful, motivated, organized, peaceful, or connected, then therapy can help. It takes a lot of courage to open yourself up to exploration and growth, and now you finally have the time and space to pour into yourself. You are here because you want to experience hope and empowerment as you make positive changes in your life - that is the beauty of therapy. Let's get started!
Life can be so stressful! Against the backdrop of significant, continued uncertainty and instability, we are all trying to figure out who we are and how we want to be in the world. If you or a loved one is trying to feel more joyful, motivated, organized, peaceful, or connected, then therapy can help. It takes a lot of courage to open yourself up to exploration and growth, and now you finally have the time and space to pour into yourself. You are here because you want to experience hope and empowerment as you make positive changes in your life - that is the beauty of therapy. Let's get started!
(410) 755-5319 View (410) 755-5319
Photo of Gianna Rico, Clinical Social Work/Therapist in Baltimore, MD
Gianna Rico
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21210
As a queer therapist, I understand how important it is to have a safe and affirming space to explore your deepest self. Within my clinical focus, my specialties include depression, anxiety, relationships, gender expression, identity, and body image. Additionally, I feel passionate about working with LGBTQIA+ individuals who are on the path to parenthood. This includes those who may be carrying a child, thinking about conceiving, as well as non-birthing partners. Taking that step can feel daunting in a world that is still entrenched in binary norms, and I am here to honor and hold your space.
As a queer therapist, I understand how important it is to have a safe and affirming space to explore your deepest self. Within my clinical focus, my specialties include depression, anxiety, relationships, gender expression, identity, and body image. Additionally, I feel passionate about working with LGBTQIA+ individuals who are on the path to parenthood. This includes those who may be carrying a child, thinking about conceiving, as well as non-birthing partners. Taking that step can feel daunting in a world that is still entrenched in binary norms, and I am here to honor and hold your space.
(443) 232-0040 View (443) 232-0040

How does your Therapist compare?

Number of Therapists in Baltimore, MD

1,000+

Average cost per session

$150

Therapists in Baltimore, MD who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
73% Relationship Issues
69% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

70% BlueCross and BlueShield
68% Cigna and Evernorth
68% CareFirst

How Therapists in Baltimore, MD see their clients

51% Online Only
49% In Person and Online

Gender breakdown

78% Female
20% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Baltimore?

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.