Photo of Carole M. Barksdale, Licensed Clinical Professional Counselor in 20901, MD
Carole M. Barksdale
Licensed Clinical Professional Counselor, PhD, LCPC
Verified Verified
Silver Spring, MD 20901  (Online Only)
Often we find ourselves overwhelmed by the stress of life. We are challenged by the need to manage anger or cope with depression. Confusion about identifying personal and professional goals may lead to feelings of anxiety and inadequacy. Through therapy one can explore the possible impact of early life relationships, and experiences upon current day struggles. Therapy affords one the chance to recognize what is important and brings us to the self-awareness of the resources we have within to manage feelings and change interfering behaviors.
Often we find ourselves overwhelmed by the stress of life. We are challenged by the need to manage anger or cope with depression. Confusion about identifying personal and professional goals may lead to feelings of anxiety and inadequacy. Through therapy one can explore the possible impact of early life relationships, and experiences upon current day struggles. Therapy affords one the chance to recognize what is important and brings us to the self-awareness of the resources we have within to manage feelings and change interfering behaviors.
(301) 321-8346 View (301) 321-8346
Photo of Grace Olivieri, Clinical Social Work/Therapist in 20901, MD
Grace Olivieri
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20901  (Online Only)
Morning Availability Only - I believe people possess intrinsic strength and inner wisdom, leading them to identify solutions for their lives. However, trauma, stress, and other problems sometimes get in the way of coping with the day-to-day of life's demands. As challenges arise, so does the need for support. As a therapist, I aim to help individuals and couples improve their relationship with themselves and each other. I enjoy helping clients through dilemmas such as anxiety, depression, trauma, grief, sexual identity, and relational ruptures.
Morning Availability Only - I believe people possess intrinsic strength and inner wisdom, leading them to identify solutions for their lives. However, trauma, stress, and other problems sometimes get in the way of coping with the day-to-day of life's demands. As challenges arise, so does the need for support. As a therapist, I aim to help individuals and couples improve their relationship with themselves and each other. I enjoy helping clients through dilemmas such as anxiety, depression, trauma, grief, sexual identity, and relational ruptures.
(240) 570-8905 View (240) 570-8905
Photo of Keith Hinderlie Smith, Psychologist in 20901, MD
Keith Hinderlie Smith
Psychologist, PhD, PSYPACT
Verified Verified
Silver Spring, MD 20901
Accepting NEW Clients Online and In-Person. I am an experienced psychologist specializing in working with youth and adults on a range of concerns. With a deep passion for helping others, I have dedicated my career to providing a safe and compassionate space for individuals from diverse backgrounds. Throughout my years of practice, I have had the privilege of working with clients from all walks of life. My goal has always been to create a supportive environment where my clients can explore their thoughts, emotions, and relationships. I have worked extensively with African American youth and adults.
Accepting NEW Clients Online and In-Person. I am an experienced psychologist specializing in working with youth and adults on a range of concerns. With a deep passion for helping others, I have dedicated my career to providing a safe and compassionate space for individuals from diverse backgrounds. Throughout my years of practice, I have had the privilege of working with clients from all walks of life. My goal has always been to create a supportive environment where my clients can explore their thoughts, emotions, and relationships. I have worked extensively with African American youth and adults.
(240) 202-2320 View (240) 202-2320
Photo of Rowan Blackmon in 20901, MD
Rowan Blackmon
LPC, LCPC, RCT-C
Verified Verified
Silver Spring, MD 20901  (Online Only)
Waitlist for new clients
Because no two patients are alike, therapy should be tailored to each patient, rather than trying to treat everyone with the same theoretical approach. I believe that a therapist’s job is to guide the patient as they learn to change the behaviors and thinking styles that may have once been helpful, but are now getting in their way. Most importantly, I believe it is a therapist's job to teach their patients the skills necessary to eventually function independent of their therapist, allowing them to eventually leave therapy instead of being stuck with having weekly sessions for the rest of their lives!
Because no two patients are alike, therapy should be tailored to each patient, rather than trying to treat everyone with the same theoretical approach. I believe that a therapist’s job is to guide the patient as they learn to change the behaviors and thinking styles that may have once been helpful, but are now getting in their way. Most importantly, I believe it is a therapist's job to teach their patients the skills necessary to eventually function independent of their therapist, allowing them to eventually leave therapy instead of being stuck with having weekly sessions for the rest of their lives!
(240) 213-4609 View (240) 213-4609
Photo of Four Corners Counseling & Well-Being, Clinical Social Work/Therapist in 20901, MD
Four Corners Counseling & Well-Being
Clinical Social Work/Therapist, LCSW-C
Verified Verified
6 Endorsed
Silver Spring, MD 20901
Are you looking for a therapist who understands you? With me, you will find a safe space to be yourself and explore whatever is getting in the way of the life you want. I will help you gain the insights and tools to move beyond your struggles into an authentic, self-led, thriving life. If spirituality is important to you, I will help you include spirituality and new mindfulness practices into your healing and growth. I specialize in therapy for thinking women, couples on the brink, and those seeking life balance. Together, let's move beyond problems to possibilities.
Are you looking for a therapist who understands you? With me, you will find a safe space to be yourself and explore whatever is getting in the way of the life you want. I will help you gain the insights and tools to move beyond your struggles into an authentic, self-led, thriving life. If spirituality is important to you, I will help you include spirituality and new mindfulness practices into your healing and growth. I specialize in therapy for thinking women, couples on the brink, and those seeking life balance. Together, let's move beyond problems to possibilities.
(301) 842-6564 View (301) 842-6564
Photo of Jeremy Mohler, Counselor in 20901, MD
Jeremy Mohler
Counselor, LGPC
Verified Verified
2 Endorsed
Silver Spring, MD 20901
Struggling to balance work with family commitments? Want to learn how to communicate in a more healthy way? Not hitting your goals? Experiencing relationship issues? I can help. Many years ago, a painful breakup led me to go to therapy, where I learned how to calm my anxiety and be more authentic with others. I learned so much from therapy that I eventually decided to become a therapist myself. I will bring my experience as a licensed counselor to helping you find relief, get unstuck, and achieve your goals.
Struggling to balance work with family commitments? Want to learn how to communicate in a more healthy way? Not hitting your goals? Experiencing relationship issues? I can help. Many years ago, a painful breakup led me to go to therapy, where I learned how to calm my anxiety and be more authentic with others. I learned so much from therapy that I eventually decided to become a therapist myself. I will bring my experience as a licensed counselor to helping you find relief, get unstuck, and achieve your goals.
(410) 881-8492 View (410) 881-8492
Photo of Richard Kim Davenport, Counselor in 20901, MD
Richard Kim Davenport
Counselor, LCPC, MS
Verified Verified
Silver Spring, MD 20901  (Online Only)
Not accepting new clients
Down to earth, caring and optimistic, interactive, offering more than just a listening ear. Personal life experience and professional training combine to help me offer real-world treatment and support for depression, ADHD (and Bipolar), relationships, parenting (and fathering), loss and grief (including suicide), and life transitions. I love this work and connecting with young and old, and many of us in the middle. Note: Appointments are made online. I'll forward login info after we've connected and decide to more forward.
Down to earth, caring and optimistic, interactive, offering more than just a listening ear. Personal life experience and professional training combine to help me offer real-world treatment and support for depression, ADHD (and Bipolar), relationships, parenting (and fathering), loss and grief (including suicide), and life transitions. I love this work and connecting with young and old, and many of us in the middle. Note: Appointments are made online. I'll forward login info after we've connected and decide to more forward.
(301) 960-3898 View (301) 960-3898
Photo of Ricky M Jackson, Clinical Social Work/Therapist in 20901, MD
Ricky M Jackson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20901  (Online Only)
Life is full of challenges and we can sometimes feel overwhelmed by the problems we face. Reaching out for help during those times is a sign of inner strength and resilience. Working collaboratively with a therapist can help us gain the insight and perspective that we need to face and overcome our challenges and reach our goals. Whether you're experiencing depression, anxiety, the effects of trauma, or dealing with the grief and pain that come with loss, my aim in therapy is to help you acquire the skills you need to successfully work through your challenges.
Life is full of challenges and we can sometimes feel overwhelmed by the problems we face. Reaching out for help during those times is a sign of inner strength and resilience. Working collaboratively with a therapist can help us gain the insight and perspective that we need to face and overcome our challenges and reach our goals. Whether you're experiencing depression, anxiety, the effects of trauma, or dealing with the grief and pain that come with loss, my aim in therapy is to help you acquire the skills you need to successfully work through your challenges.
(301) 453-4402 View (301) 453-4402
Photo of Sophia Carlton, Clinical Social Work/Therapist in 20901, MD
Sophia Carlton
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
1 Endorsed
Silver Spring, MD 20901  (Online Only)
If you have come across this page, you may be searching for someone who can help you or a loved one through a difficult time. I work with individuals struggling with anxiety, depression, difficult life transitions and traumatic experiences. Whether it be related to work, school, family life or romantic relationships, I'd love to help you navigate life challenges and begin your journey to wellness and fulfilment.
If you have come across this page, you may be searching for someone who can help you or a loved one through a difficult time. I work with individuals struggling with anxiety, depression, difficult life transitions and traumatic experiences. Whether it be related to work, school, family life or romantic relationships, I'd love to help you navigate life challenges and begin your journey to wellness and fulfilment.
(202) 519-4410 View (202) 519-4410
Photo of Good Health Practices, Counselor in 20901, MD
Good Health Practices
Counselor, LCPC
Verified Verified
2 Endorsed
Silver Spring, MD 20901  (Online Only)
Waitlist for new clients
Hello! Thank you for clicking on our profile. Are you transitioning through life and need help getting to your next step? Do you need help challenging negative thoughts and would benefit from learning practical tools to persevere? Do you need help creating a plan to navigating through past hurt and trauma in order to grow and reach your full growth potential?
Hello! Thank you for clicking on our profile. Are you transitioning through life and need help getting to your next step? Do you need help challenging negative thoughts and would benefit from learning practical tools to persevere? Do you need help creating a plan to navigating through past hurt and trauma in order to grow and reach your full growth potential?
(240) 617-3602 View (240) 617-3602
Photo of Stillness Counselling Services LLC, Clinical Social Work/Therapist in 20901, MD
Stillness Counselling Services LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20901  (Online Only)
Hana is a Clinical Licensed Social Worker (LCSW-C) and earned her Master's degree of Social Work from Salisbury University in 2015. She has extensive therapeutic experience working with children, adolescents, families and adults in a variety of settings including, public schools, pediatric offices, community sites and homes in the Maryland area.
Hana is a Clinical Licensed Social Worker (LCSW-C) and earned her Master's degree of Social Work from Salisbury University in 2015. She has extensive therapeutic experience working with children, adolescents, families and adults in a variety of settings including, public schools, pediatric offices, community sites and homes in the Maryland area.
(301) 701-5069 View (301) 701-5069
Photo of Bridges 2 LIFE, LLC in 20901, MD
Bridges 2 LIFE, LLC
ACC, BCMHC
Verified Verified
Silver Spring, MD 20901  (Online Only)
Hello! After working 31 years as a highly respected business leader with a successful career history of leading business and personal transformation, I decided to pursue my passion for helping men and women realize their full potential and began to exercise my gifts of coaching, mentoring, and training by launching Bridges 2 Life, LLC, a faith-based life coaching organization.
Hello! After working 31 years as a highly respected business leader with a successful career history of leading business and personal transformation, I decided to pursue my passion for helping men and women realize their full potential and began to exercise my gifts of coaching, mentoring, and training by launching Bridges 2 Life, LLC, a faith-based life coaching organization.
(301) 720-1576 View (301) 720-1576
Photo of Rachel Phillips-Anderson, Clinical Social Work/Therapist in 20901, MD
Rachel Phillips-Anderson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Silver Spring, MD 20901
Is anxiety or OCD getting in the way of the life you want to lead? I use evidenced-based Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP) - the "gold standard" of anxiety treatment - to help people overcome panic, worry, phobias, and OCD. In therapy with me, you will learn how anxiety hijacks your brain and body and how you can stop it from getting the upper hand. Learn more at rpaTherapy.com.
Is anxiety or OCD getting in the way of the life you want to lead? I use evidenced-based Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP) - the "gold standard" of anxiety treatment - to help people overcome panic, worry, phobias, and OCD. In therapy with me, you will learn how anxiety hijacks your brain and body and how you can stop it from getting the upper hand. Learn more at rpaTherapy.com.
(301) 273-1382 View (301) 273-1382
Photo of Anne-Marie James-Henry, Marriage & Family Therapist in 20901, MD
Anne-Marie James-Henry
Marriage & Family Therapist, LGMFT
Verified Verified
4 Endorsed
Silver Spring, MD 20901  (Online Only)
I have over 20 years of experience providing behavioral and life skills coaching, crisis counseling, and pastoral counseling. I experienced and navigated grief, loss, and trauma. I assist individuals and couples in successfully navigating life transition issues in relationships and careers. I'm also passionate about helping clients improve their sexual health and intimacy in relationships. As a military spouse and a therapist of Caribbean descent, I am uniquely skilled in understanding and working with clients from various cultural backgrounds, and using various clinical models to help you implement skills for improving your life.
I have over 20 years of experience providing behavioral and life skills coaching, crisis counseling, and pastoral counseling. I experienced and navigated grief, loss, and trauma. I assist individuals and couples in successfully navigating life transition issues in relationships and careers. I'm also passionate about helping clients improve their sexual health and intimacy in relationships. As a military spouse and a therapist of Caribbean descent, I am uniquely skilled in understanding and working with clients from various cultural backgrounds, and using various clinical models to help you implement skills for improving your life.
(410) 994-5975 View (410) 994-5975
Photo of Thomas Tsakounis, Counselor in 20901, MD
Thomas Tsakounis
Counselor, MS, LCPC, NCC, BC-TMH, RH(AHG)
Verified Verified
3 Endorsed
Silver Spring, MD 20901  (Online Only)
Relationships and intimacy require work and attention – as an experienced counselor, I’d like to help you with that work, building a road to a more fulfilled life. If you are interested in learning more about developing stronger emotional connections with yourself and/or your partner(s); exploring ethical non-monogamy and kink; stimulating love and desire; building communication skills around sex and intimacy; and/or exploring sexual confidence, eroticism, and self-esteem these are areas of focus for me and I would like to invite you to meet with me for a free, thirty-minute consultation. Contact me to schedule your appointment.
Relationships and intimacy require work and attention – as an experienced counselor, I’d like to help you with that work, building a road to a more fulfilled life. If you are interested in learning more about developing stronger emotional connections with yourself and/or your partner(s); exploring ethical non-monogamy and kink; stimulating love and desire; building communication skills around sex and intimacy; and/or exploring sexual confidence, eroticism, and self-esteem these are areas of focus for me and I would like to invite you to meet with me for a free, thirty-minute consultation. Contact me to schedule your appointment.
(301) 744-8737 View (301) 744-8737
Photo of Jena Cottreau, Licensed Clinical Professional Counselor in 20901, MD
Jena Cottreau
Licensed Clinical Professional Counselor, LCPC, NCC, MA, JD
Verified Verified
Silver Spring, MD 20901  (Online Only)
Are you experiencing anxiety, depression, or relationship issues? Perhaps you are facing problems involving your partner, your family, or your employment, and you are struggling to cope? Or maybe you wish to explore and develop your sense of self and enhance your overall well-being? You are not alone, and I am here to help. My approach to wellness is a holistic one, which includes a compassionate exploration of all facets of life, including relationships, intimacy, spirituality, work, and play. I strive to help my clients find meaning, with a purposeful awareness of the impact of culture and the uniqueness of each individual.
Are you experiencing anxiety, depression, or relationship issues? Perhaps you are facing problems involving your partner, your family, or your employment, and you are struggling to cope? Or maybe you wish to explore and develop your sense of self and enhance your overall well-being? You are not alone, and I am here to help. My approach to wellness is a holistic one, which includes a compassionate exploration of all facets of life, including relationships, intimacy, spirituality, work, and play. I strive to help my clients find meaning, with a purposeful awareness of the impact of culture and the uniqueness of each individual.
(240) 839-6392 View (240) 839-6392
Photo of Kate Amoss, Licensed Clinical Professional Counselor in 20901, MD
Kate Amoss
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Silver Spring, MD 20901
Is life just too hard? Have you tried everything that you know how to do and nothing helps to make things better? I have been trained to evaluate your situation and to empower you to change your life in ways that you hadn't thought possible. I have a master’s degree in counseling depth psychology, am certified in EMDR, and am a leader in a form of creative exploration called Interplay. My specialties are treating trauma, depression, anxiety, spiritual crises, and coaching to evoke creativity. I primarily work with individuals and groups.
Is life just too hard? Have you tried everything that you know how to do and nothing helps to make things better? I have been trained to evaluate your situation and to empower you to change your life in ways that you hadn't thought possible. I have a master’s degree in counseling depth psychology, am certified in EMDR, and am a leader in a form of creative exploration called Interplay. My specialties are treating trauma, depression, anxiety, spiritual crises, and coaching to evoke creativity. I primarily work with individuals and groups.
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Photo of Maryland Consulting and Psychotherapy Services, Counselor in 20901, MD
Maryland Consulting and Psychotherapy Services
Counselor, MA, LCPC
Verified Verified
Silver Spring, MD 20901
Seeking help is not an easy decision. Although, this first step might lead you to a positive resolution of those daily problems that are causing you stress, anxiety, and depression. Having someone who can listen to you without judging and helping you reach better functioning and goals is worthy. Do not delay seeking help; you will be relieved that you did. We also provide consultation on many issues such as College/school learning disability petitions, legal problems, and employment conflicts among other life issues. We also do life coaching.
Seeking help is not an easy decision. Although, this first step might lead you to a positive resolution of those daily problems that are causing you stress, anxiety, and depression. Having someone who can listen to you without judging and helping you reach better functioning and goals is worthy. Do not delay seeking help; you will be relieved that you did. We also provide consultation on many issues such as College/school learning disability petitions, legal problems, and employment conflicts among other life issues. We also do life coaching.
(301) 323-5367 View (301) 323-5367
Photo of Moses M Kushaba, Clinical Social Work/Therapist in 20901, MD
Moses M Kushaba
Clinical Social Work/Therapist, PsyD, LCSW-C, CEAP, SAP
Verified Verified
Silver Spring, MD 20901  (Online Only)
Waitlist for new clients
I have been in practice for over 15 years treating people with depression, anxiety, adjustment disorders, in these communities; HIV infected or affected, immigrants, at-risk adolescents, incarcerated adult males, parents with parenting challenges, couples who want to succeed in life and have resistance to their own success. As a Substance Abuse Professional, I perform Alcohol use assessments. I am a Certified Employee Assistance Professional who assists those who are having challenges at their workplaces.
I have been in practice for over 15 years treating people with depression, anxiety, adjustment disorders, in these communities; HIV infected or affected, immigrants, at-risk adolescents, incarcerated adult males, parents with parenting challenges, couples who want to succeed in life and have resistance to their own success. As a Substance Abuse Professional, I perform Alcohol use assessments. I am a Certified Employee Assistance Professional who assists those who are having challenges at their workplaces.
(301) 709-7048 View (301) 709-7048
Photo of Katy Gingles, Pre-Licensed Professional in 20901, MD
Katy Gingles
Pre-Licensed Professional
Verified Verified
1 Endorsed
Silver Spring, MD 20901
My name is Katy Gingles. I am a counselor in training at Northwestern University. Sadness, worry, confusion, irritability, and anger are part of life. When these emotions feel like they are all-consuming, they can prevent us from finding meaning and contentment in our daily lives. I believe healing can happen in a supportive and nonjudgmental space.
My name is Katy Gingles. I am a counselor in training at Northwestern University. Sadness, worry, confusion, irritability, and anger are part of life. When these emotions feel like they are all-consuming, they can prevent us from finding meaning and contentment in our daily lives. I believe healing can happen in a supportive and nonjudgmental space.
(240) 734-2581 View (240) 734-2581

How does your Therapist compare?

Number of Therapists in 20901

200+

Average cost per session

$160

Therapists in 20901 who prioritize treating:

94% Anxiety
89% Depression
76% Relationship Issues
75% Self Esteem
67% Trauma and PTSD
67% Coping Skills
65% Grief

Average years in practice

15 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
76% CareFirst
57% Cigna and Evernorth

How Therapists in 20901 see their clients

53% In Person and Online
47% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 20901?

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.