Photo of Tiffany Millner, Licensed Clinical Professional Counselor in 21146, MD
Tiffany Millner
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Severna Park, MD 21146  (Online Only)
Taking the first step to improving your mental health is commendable. As your therapist, I am here to support you through life changes, everyday stressors, and past experiences. I believe each person is the author of their own life story. I aim to create a safe, nonjudgmental space that allows you to share your life story and foster meaningful change. Together, we can open a new chapter of healing.
Taking the first step to improving your mental health is commendable. As your therapist, I am here to support you through life changes, everyday stressors, and past experiences. I believe each person is the author of their own life story. I aim to create a safe, nonjudgmental space that allows you to share your life story and foster meaningful change. Together, we can open a new chapter of healing.
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Photo of NorthStar Counseling & Wellness, Clinical Social Work/Therapist in 21146, MD
NorthStar Counseling & Wellness
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Severna Park, MD 21146
Life can be complex and challenging, while often making sense of experiences and searching for answers can be difficult. Finding the right path is not as easy when dealing with complicated situations in life. You’re looking for the right answers, searching to find your way, trying to help someone or feel stuck. You are not alone. Recognizing your strengths through additional support can help you achieve balance and wellness.
Life can be complex and challenging, while often making sense of experiences and searching for answers can be difficult. Finding the right path is not as easy when dealing with complicated situations in life. You’re looking for the right answers, searching to find your way, trying to help someone or feel stuck. You are not alone. Recognizing your strengths through additional support can help you achieve balance and wellness.
(410) 777-9113 View (410) 777-9113
Photo of Aruna Gogineni, Clinical Social Work/Therapist in 21146, MD
Aruna Gogineni
Clinical Social Work/Therapist, PhD, LCSWC, LICSW
Verified Verified
Severna Park, MD 21146
"Are you feeling depressed, anxious or overwhelmed?" "Are you feeling unhappy in your relationship or concerned about your kids"? "Is your alcohol or drug use causing problems at home, work, school or in other areas? If so I can be of help. I can teach you the appropriate skills to feel good about yourself, to have more satisfying relationships and to reach your true potential.
"Are you feeling depressed, anxious or overwhelmed?" "Are you feeling unhappy in your relationship or concerned about your kids"? "Is your alcohol or drug use causing problems at home, work, school or in other areas? If so I can be of help. I can teach you the appropriate skills to feel good about yourself, to have more satisfying relationships and to reach your true potential.
(410) 695-6718 View (410) 695-6718
Photo of Hannah O'Connell, Counselor in 21146, MD
Hannah O'Connell
Counselor, LCPC
Verified Verified
1 Endorsed
Severna Park, MD 21146
Waitlist for new clients
The healing process of therapy requires vulnerability and the uncovering of intense and difficult emotions. I strive to provide a safe and non-judgmental space for individuals who are looking to begin or continue their personal journeys of healing. Are you feeling stuck due to difficult or traumatic past experiences? Do you have trouble understanding or feeling in control of your emotions? Or maybe you are looking to build a better understanding of why you are the way you are! During the therapeutic process, my goal is to help my clients bridge the gap between where they are and where they want to be.
The healing process of therapy requires vulnerability and the uncovering of intense and difficult emotions. I strive to provide a safe and non-judgmental space for individuals who are looking to begin or continue their personal journeys of healing. Are you feeling stuck due to difficult or traumatic past experiences? Do you have trouble understanding or feeling in control of your emotions? Or maybe you are looking to build a better understanding of why you are the way you are! During the therapeutic process, my goal is to help my clients bridge the gap between where they are and where they want to be.
(410) 914-1502 View (410) 914-1502
Photo of Kory (Chase) Andreas, Clinical Social Work/Therapist in 21146, MD
Kory (Chase) Andreas
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Severna Park, MD 21146  (Online Only)
As a clinical Social Worker for over 18 years, I come from a long line of “colorful,” Neurodivergent brains. I have been drawn to the passionate, the quirky, and the uniquely wired since I can remember. Connection is at the heart of my work with all clients. I believe that the magic behind therapy does not stem from any particular therapeutic modality, but instead from feeling understood and hopeful. I have an extensive background and a passion for working with Autistic clients. I am an AANE Certified Neurodiverse Couples Therapist. Therapy should be a safe place for clients to unmask and work towards positive change.
As a clinical Social Worker for over 18 years, I come from a long line of “colorful,” Neurodivergent brains. I have been drawn to the passionate, the quirky, and the uniquely wired since I can remember. Connection is at the heart of my work with all clients. I believe that the magic behind therapy does not stem from any particular therapeutic modality, but instead from feeling understood and hopeful. I have an extensive background and a passion for working with Autistic clients. I am an AANE Certified Neurodiverse Couples Therapist. Therapy should be a safe place for clients to unmask and work towards positive change.
(240) 540-5300 View (240) 540-5300
Photo of Carroll Counseling Centers (Severna Park & Towson), Licensed Clinical Professional Counselor in 21146, MD
Carroll Counseling Centers (Severna Park & Towson)
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Severna Park, MD 21146
Life today is difficult with all the demands placed on us by our family, work and our own need to achieve. Add to this the emotional stress of family conflict, divorce, defiant children, an illness or death in the family, and you begin to understand why more and more people are seeking the help of mental health professionals.
Life today is difficult with all the demands placed on us by our family, work and our own need to achieve. Add to this the emotional stress of family conflict, divorce, defiant children, an illness or death in the family, and you begin to understand why more and more people are seeking the help of mental health professionals.
(443) 979-8636 View (443) 979-8636
Photo of Dr. Sara E Ratliff, Clinical Social Work/Therapist in 21146, MD
Dr. Sara E Ratliff
Clinical Social Work/Therapist, DBH, LCSW, LCSW-C
Verified Verified
Severna Park, MD 21146  (Online Only)
Life is completely unpredictable, fast moving, unstoppable and often complicated. Do you feel lost, hurt, lonely, confused, depressed, and/or anxious? Do you suffer from pain that has no medical explanation? Do you worry endlessly about your physical health or medical diagnosis? If so, I will be able to help. I offer a non-judgmental space where your feelings/questions can be expressed, explored with kindness, compassion, & acceptance.
Life is completely unpredictable, fast moving, unstoppable and often complicated. Do you feel lost, hurt, lonely, confused, depressed, and/or anxious? Do you suffer from pain that has no medical explanation? Do you worry endlessly about your physical health or medical diagnosis? If so, I will be able to help. I offer a non-judgmental space where your feelings/questions can be expressed, explored with kindness, compassion, & acceptance.
(410) 457-3769 View (410) 457-3769
Photo of Jenifer Jenshoej, Clinical Social Work/Therapist in 21146, MD
Jenifer Jenshoej
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Severna Park, MD 21146
I believe a warm and accepting environment to process your experiences and a collaborative therapeutic relationship are essential for effective therapy. I strive to combine these elements with therapeutic tools and techniques to help you address challenges in your life.
I believe a warm and accepting environment to process your experiences and a collaborative therapeutic relationship are essential for effective therapy. I strive to combine these elements with therapeutic tools and techniques to help you address challenges in your life.
(667) 372-4597 View (667) 372-4597
Photo of Wendy Caldwell, Counselor in 21146, MD
Wendy Caldwell
Counselor, LCPC, LPC, NCC
Verified Verified
3 Endorsed
Severna Park, MD 21146
I am a licensed, board-certified, clinical counselor, certified in Expressive Arts through the Person- Centered Expressive Arts Institute. Using an integrative approach, I combine traditional talk therapy with mindfulness, creative expression, CBT, and DBT skills to support you in your treatment. I use EMDR protocol to teach trauma-informed strategies to self-regulate and address trauma. I will meet you where you are through empathy, compassion, and congruence to help generate insight that can lead to increased healthy coping and desired change. I consider it an honor to be part of my client's journeys.
I am a licensed, board-certified, clinical counselor, certified in Expressive Arts through the Person- Centered Expressive Arts Institute. Using an integrative approach, I combine traditional talk therapy with mindfulness, creative expression, CBT, and DBT skills to support you in your treatment. I use EMDR protocol to teach trauma-informed strategies to self-regulate and address trauma. I will meet you where you are through empathy, compassion, and congruence to help generate insight that can lead to increased healthy coping and desired change. I consider it an honor to be part of my client's journeys.
(410) 449-1668 View (410) 449-1668
Photo of Erin Castleberry, Counselor in 21146, MD
Erin Castleberry
Counselor, MS, LCPC, NCC
Verified Verified
1 Endorsed
Severna Park, MD 21146
I work with adolescents, adults, and seniors experiencing depression, anxiety, and issues related to parenting, trauma, technology/social media use, peer conflict, intimate partner violence/conflict, and major life transitions (eg. first-time parenting, leaving for college, returning to work, divorce, empty nest). I created and taught a graduate-level course at Johns Hopkins on social media's effect on mental health. My clinical training focused on survivors and offenders of sexual and domestic violence. I was awarded a fellowship for my work with teen moms on parenting, life skills, and college readiness.
I work with adolescents, adults, and seniors experiencing depression, anxiety, and issues related to parenting, trauma, technology/social media use, peer conflict, intimate partner violence/conflict, and major life transitions (eg. first-time parenting, leaving for college, returning to work, divorce, empty nest). I created and taught a graduate-level course at Johns Hopkins on social media's effect on mental health. My clinical training focused on survivors and offenders of sexual and domestic violence. I was awarded a fellowship for my work with teen moms on parenting, life skills, and college readiness.
(410) 684-3806 View (410) 684-3806
Photo of Alice Dorsey O'Donnell, Clinical Social Work/Therapist in 21146, MD
Alice Dorsey O'Donnell
Clinical Social Work/Therapist, LCSWC
Verified Verified
Severna Park, MD 21146
We all need help sometimes. You don't have to go it alone. I specialize in helping families and children with social and emotional issues, parenting and family dynamics. I offer individual and family sessions for all ages. Using traditional psychotherapy, expressive arts therapy, and play therapy, I take a holistic approach recognizing that many complex factors affect our health, behavior, and relationships.
We all need help sometimes. You don't have to go it alone. I specialize in helping families and children with social and emotional issues, parenting and family dynamics. I offer individual and family sessions for all ages. Using traditional psychotherapy, expressive arts therapy, and play therapy, I take a holistic approach recognizing that many complex factors affect our health, behavior, and relationships.
(410) 983-3477 View (410) 983-3477
Photo of Timothy Perry, Counselor in 21146, MD
Timothy Perry
Counselor, LGPC
Verified Verified
Severna Park, MD 21146
I do my best to make my therapy space as welcoming, warm, and inviting as possible. I believe we all have our own unique story nobody else can truly understand, but I do my best to get to know you and your story to help you understand what is going on, where it comes from, and how to overcome the barriers and challenges so you can be the best version of yourself possible. I work with my clients at their pace to accommodate their needs and comfortability, but I do not plan on seeing any of my clients for life. What you are able to learn with me will ideally be usable in the long run to help with any future challenges or barriers.
I do my best to make my therapy space as welcoming, warm, and inviting as possible. I believe we all have our own unique story nobody else can truly understand, but I do my best to get to know you and your story to help you understand what is going on, where it comes from, and how to overcome the barriers and challenges so you can be the best version of yourself possible. I work with my clients at their pace to accommodate their needs and comfortability, but I do not plan on seeing any of my clients for life. What you are able to learn with me will ideally be usable in the long run to help with any future challenges or barriers.
(667) 291-8894 View (667) 291-8894
Photo of Traci Brautigan, Clinical Social Work/Therapist in 21146, MD
Traci Brautigan
Clinical Social Work/Therapist, LCSWC, LCADC
Verified Verified
Severna Park, MD 21146
I consider it to be such a privilege to be able to work with clients at the most difficult times in their lives, and to travel the journey with them through recovery, healing, change and self-awareness. I aim to help each client with their own work toward strength, toward purpose, and toward restoration.
I consider it to be such a privilege to be able to work with clients at the most difficult times in their lives, and to travel the journey with them through recovery, healing, change and self-awareness. I aim to help each client with their own work toward strength, toward purpose, and toward restoration.
(443) 227-4213 View (443) 227-4213
Photo of Chris Hall, Counselor in 21146, MD
Chris Hall
Counselor, LCPC
Verified Verified
Severna Park, MD 21146
Waitlist for new clients
Life can be really hard, and sometimes we could use some help, someone who will listen without judging or telling us how we should feel or what we should do. We may or may not know what exactly we are dealing with, we just know that we want to feel better. Anxiety, depression and other mental health issues are very common, so if you are experiencing any of these you are not alone. It can be very difficult to reach out for help, so if you’re reading this you’ve already taken that first big step. I’m ready to join and support you as you start your path to feeling better.
Life can be really hard, and sometimes we could use some help, someone who will listen without judging or telling us how we should feel or what we should do. We may or may not know what exactly we are dealing with, we just know that we want to feel better. Anxiety, depression and other mental health issues are very common, so if you are experiencing any of these you are not alone. It can be very difficult to reach out for help, so if you’re reading this you’ve already taken that first big step. I’m ready to join and support you as you start your path to feeling better.
(443) 906-4153 View (443) 906-4153
Photo of Meagan Whitfield, Licensed Professional Counselor in 21146, MD
Meagan Whitfield
Licensed Professional Counselor, LCPC
Verified Verified
1 Endorsed
Severna Park, MD 21146
You have always mattered. Do the joys of life offer reinforcement of your wonderful purpose, while the trials of life may have left you in doubt.? Through therapy, you can learn to embrace your strengths and heal unspoken wounds. A part of who we are is a result of our previous experiences. My experiences impress the necessity of meeting people wherever he/she/they/it may stand. Inclusion and diversity informs my clinical perspective not the reverse. Together we’ll begin to implement culturally appropriate interventions to help you achieve wellness!
You have always mattered. Do the joys of life offer reinforcement of your wonderful purpose, while the trials of life may have left you in doubt.? Through therapy, you can learn to embrace your strengths and heal unspoken wounds. A part of who we are is a result of our previous experiences. My experiences impress the necessity of meeting people wherever he/she/they/it may stand. Inclusion and diversity informs my clinical perspective not the reverse. Together we’ll begin to implement culturally appropriate interventions to help you achieve wellness!
(410) 261-4167 View (410) 261-4167
Photo of Bradford Counseling Services, LLC, Licensed Clinical Professional Counselor in 21146, MD
Bradford Counseling Services, LLC
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
4 Endorsed
Severna Park, MD 21146
At Bradford Counseling Services, LLC we provide counseling to adults, adolescents, families, couples and children (age 5 and up). We service many individuals all over Anne Arundel, Howard, and Montgomery Counties. Our clinicians see clients with LGBTQ + issues, Trauma, all issues related to children, Couples, Family Conflict, Co-parent, Anxiety, Stress, Life transitions. We are here to help you get through the difficult times that bring you in to therapy. We strive to provide our clients with new insight and feasible tools to take with them and utilize on a daily basis. Tell us how we can help you?
At Bradford Counseling Services, LLC we provide counseling to adults, adolescents, families, couples and children (age 5 and up). We service many individuals all over Anne Arundel, Howard, and Montgomery Counties. Our clinicians see clients with LGBTQ + issues, Trauma, all issues related to children, Couples, Family Conflict, Co-parent, Anxiety, Stress, Life transitions. We are here to help you get through the difficult times that bring you in to therapy. We strive to provide our clients with new insight and feasible tools to take with them and utilize on a daily basis. Tell us how we can help you?
(443) 965-9201 View (443) 965-9201
Photo of The Counseling Center Group, Annapolis , Clinical Social Work/Therapist in 21146, MD
The Counseling Center Group, Annapolis
Clinical Social Work/Therapist, LCSW-C, MT-BC
Verified Verified
Severna Park, MD 21146
The Counseling Center Group is dedicated to helping you live a life you love. We are committed to providing relatively short-term treatments designed to achieve positive, long-lasting results. Our team of therapists use structured, evidence-based methods to help you reach realistic goals in the most efficient manner. We recognize that you need sensible strategies to achieve your desired outcomes, not years of open-ended therapy that simply validates your concerns. Each member of our team operates with that core value in mind and can work with you one-on-one or in group therapy in an environment that embraces diversity, equity and inclusion. We take pride in helping individuals, couples, and families make life-enhancing changes and transitions. At the Counseling Center Group, we can help you discover your authentic self; understand the emotions, thoughts and actions that keep you stuck in place; and master the tools you need to live a fulfilling life.
The Counseling Center Group is dedicated to helping you live a life you love. We are committed to providing relatively short-term treatments designed to achieve positive, long-lasting results. Our team of therapists use structured, evidence-based methods to help you reach realistic goals in the most efficient manner. We recognize that you need sensible strategies to achieve your desired outcomes, not years of open-ended therapy that simply validates your concerns. Each member of our team operates with that core value in mind and can work with you one-on-one or in group therapy in an environment that embraces diversity, equity and inclusion. We take pride in helping individuals, couples, and families make life-enhancing changes and transitions. At the Counseling Center Group, we can help you discover your authentic self; understand the emotions, thoughts and actions that keep you stuck in place; and master the tools you need to live a fulfilling life.
(667) 220-0157 View (667) 220-0157
Photo of Sharmila Clee, Clinical Social Work/Therapist in 21146, MD
Sharmila Clee
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Severna Park, MD 21146
I believe exploring our pasts allow us to find the answers we need today to better understand our current behaviors and thoughts. Using strategies of empowerment and strengths-based perspective, I would help you grow a lens of self-compassion and self-love to work through the ups and downs of life. Helping clients create a safe home within themselves that is nurturing, forgiving, and protected is the primary goal of my work. My work with all populations and identities is rooted in inclusivity, compassion, and a radical lens of self-acceptance.
I believe exploring our pasts allow us to find the answers we need today to better understand our current behaviors and thoughts. Using strategies of empowerment and strengths-based perspective, I would help you grow a lens of self-compassion and self-love to work through the ups and downs of life. Helping clients create a safe home within themselves that is nurturing, forgiving, and protected is the primary goal of my work. My work with all populations and identities is rooted in inclusivity, compassion, and a radical lens of self-acceptance.
(410) 656-6774 View (410) 656-6774
Photo of Jillian N Salerno, Clinical Social Work/Therapist in 21146, MD
Jillian N Salerno
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Severna Park, MD 21146
Language & words matter. We define ourselves & our worldview with our words. How do we talk to ourselves? What does our inner critic sound like? Is that voice in your mind coming from you, or someone else? Is that voice supporting your goals, or keeping you stuck? The voice in our head and the words it speaks to us are habitual; it can cause a negative cycle if not explored. Therapy is an opportunity to engage in a healing relationship with that voice in your head. I am here to support you, guide you through that journey, and help break that negative cycle.
Language & words matter. We define ourselves & our worldview with our words. How do we talk to ourselves? What does our inner critic sound like? Is that voice in your mind coming from you, or someone else? Is that voice supporting your goals, or keeping you stuck? The voice in our head and the words it speaks to us are habitual; it can cause a negative cycle if not explored. Therapy is an opportunity to engage in a healing relationship with that voice in your head. I am here to support you, guide you through that journey, and help break that negative cycle.
View
Photo of Caitlin McGuire, Clinical Social Work/Therapist in 21146, MD
Caitlin McGuire
Clinical Social Work/Therapist, LCSWC
Verified Verified
2 Endorsed
Severna Park, MD 21146
Congratulations on taking this step in your journey of wellness. I look forward to having the pleasure of walking alongside you in this journey of empowerment! My background has been in in home services, specifically in foster care and adoptions. I have had the opportunity to work in diverse populations, including Baltimore City and Anne Arundel County treating depression, anxiety, bipolar, mood disorders, ADHD, and PTSD. **Caitlin is a board certified clinical supervisor.
Congratulations on taking this step in your journey of wellness. I look forward to having the pleasure of walking alongside you in this journey of empowerment! My background has been in in home services, specifically in foster care and adoptions. I have had the opportunity to work in diverse populations, including Baltimore City and Anne Arundel County treating depression, anxiety, bipolar, mood disorders, ADHD, and PTSD. **Caitlin is a board certified clinical supervisor.
(410) 567-0610 View (410) 567-0610

How does your Therapist compare?

Number of Therapists in 21146

200+

Average cost per session

$150

Therapists in 21146 who prioritize treating:

93% Depression
93% Anxiety
76% Self Esteem
75% Relationship Issues
73% Coping Skills
72% Trauma and PTSD
70% Stress

Average years in practice

13 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
76% CareFirst
63% Cigna and Evernorth

How Therapists in 21146 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 21146?

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.