Therapists in Alexandria, VA

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Photo of Finding Clarity, Clinical Social Work/Therapist in Alexandria, VA
Finding Clarity
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Alexandria, VA 22304
Your mental and emotional health is just as important as your physical health and well being. Just as you would see your primary doctor to maintain your physical health, counseling is here to help maintain your emotional health. I provide counseling to help individuals and their loved ones address various life issues including (but not limited to): Family and marital conflicts, Problems in school, Depression, family separation, Adoption issues, Feelings of anxiety or nervousness, child and adolescent behavioral issues and Addiction issues. Weekend sessions are available.
Your mental and emotional health is just as important as your physical health and well being. Just as you would see your primary doctor to maintain your physical health, counseling is here to help maintain your emotional health. I provide counseling to help individuals and their loved ones address various life issues including (but not limited to): Family and marital conflicts, Problems in school, Depression, family separation, Adoption issues, Feelings of anxiety or nervousness, child and adolescent behavioral issues and Addiction issues. Weekend sessions are available.
(571) 487-8254 View (571) 487-8254
Photo of Amanda Long, Clinical Social Work/Therapist in Alexandria, VA
Amanda Long
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Alexandria, VA 22304
Are you ready for something different or ready to make a change? I enjoy assisting people by identifying barriers that may be limiting them to make changes and using their personal strengths to reach their unique and individual goals whether that is learning how to cope with everyday stress, learning how to communicate with others better, managing anxiety or depression, or treating problems related to substance abuse and trauma.
Are you ready for something different or ready to make a change? I enjoy assisting people by identifying barriers that may be limiting them to make changes and using their personal strengths to reach their unique and individual goals whether that is learning how to cope with everyday stress, learning how to communicate with others better, managing anxiety or depression, or treating problems related to substance abuse and trauma.
(571) 410-3821 View (571) 410-3821
Photo of Aimee Chase, Licensed Professional Counselor in Alexandria, VA
Aimee Chase
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Alexandria, VA 22314  (Online Only)
I enjoy working with clients of all ages and genders who are coping with anxiety, ADHD, co-dependency, low self-esteem, addiction, depression, life transitions, grief, identity and existential issues. I also have extensive experience working with people who are struggling with ambivalence surrounding change, goal-setting, and motivation.
I enjoy working with clients of all ages and genders who are coping with anxiety, ADHD, co-dependency, low self-esteem, addiction, depression, life transitions, grief, identity and existential issues. I also have extensive experience working with people who are struggling with ambivalence surrounding change, goal-setting, and motivation.
(703) 997-2666 View (703) 997-2666
Photo of Lauren Schlenger, Licensed Professional Counselor in Alexandria, VA
Lauren Schlenger
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Alexandria, VA 22314
Not accepting new clients
As an art therapist, I integrate the visual art process with counseling techniques to help clients communicate feelings and achieve their goals. Art therapy can help clients can practice mindfulness, make connections between the art process and their lives, and find meaning in what they make. Together, we can explore how artwork fits with thoughts, feelings, and experiences. I collaborate with my clients to help them grow, and tailor my approach to support each individual. I develop trusting relationships and create a warm, non-judgmental environment to facilitate growth, increase self-awareness, and explore feelings.
As an art therapist, I integrate the visual art process with counseling techniques to help clients communicate feelings and achieve their goals. Art therapy can help clients can practice mindfulness, make connections between the art process and their lives, and find meaning in what they make. Together, we can explore how artwork fits with thoughts, feelings, and experiences. I collaborate with my clients to help them grow, and tailor my approach to support each individual. I develop trusting relationships and create a warm, non-judgmental environment to facilitate growth, increase self-awareness, and explore feelings.
(571) 620-6202 View (571) 620-6202
Photo of Tonia Gregory, Clinical Social Work/Therapist in Alexandria, VA
Tonia Gregory
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Alexandria, VA 22314
My belief in the therapeutic relationship as foundational for personal growth and change in individual psychotherapy motivates me to ensure a therapeutic environment that is both safe and validating. My style is collaborative and non-judgmental as I work in partnership with individuals to promote healing, foster strengths and move toward positive change.
My belief in the therapeutic relationship as foundational for personal growth and change in individual psychotherapy motivates me to ensure a therapeutic environment that is both safe and validating. My style is collaborative and non-judgmental as I work in partnership with individuals to promote healing, foster strengths and move toward positive change.
(703) 596-2793 View (703) 596-2793
Photo of Anchor Clinical Psychology (Anchor C.P.), Psychologist in Alexandria, VA
Anchor Clinical Psychology (Anchor C.P.)
Psychologist, PhD
Verified Verified
1 Endorsed
Alexandria, VA 22314
Waitlist for new clients
Are you currently facing challenges in navigating the complexities of life? Are you struggling with stress, anxiety, trauma, social and medical stressors, and a loss of joy in activities that used to bring you happiness? As a human being, you face challenges in life and may begin to feel stuck at times. In such circumstances, taking the proactive step of exploring therapy can serve as a transformative catalyst for positive change in your life. By seeking professional guidance, you can gain valuable insights, develop coping strategies, and cultivate a greater sense of self-awareness.
Are you currently facing challenges in navigating the complexities of life? Are you struggling with stress, anxiety, trauma, social and medical stressors, and a loss of joy in activities that used to bring you happiness? As a human being, you face challenges in life and may begin to feel stuck at times. In such circumstances, taking the proactive step of exploring therapy can serve as a transformative catalyst for positive change in your life. By seeking professional guidance, you can gain valuable insights, develop coping strategies, and cultivate a greater sense of self-awareness.
(703) 273-5029 View (703) 273-5029
Photo of Michael R Dudis, Psychologist in Alexandria, VA
Michael R Dudis
Psychologist, PhD
Verified Verified
Alexandria, VA 22315
Not accepting new clients
In private practice settings, I've assisted adolescents, adults, and older adults struggling with trauma, anxiety and relationship issues, attention problems, learning disorders, and depression. I also worked for 9 years at Naval Health Clinic Quantico helping service members struggling with PTSD and combat trauma, depression, substance use issues, relationship problems, and a variety of anxiety disorders. I find that most people are doing their best to cope with their unique challenges in life, but sometimes reach a point where what they are trying is no longer working and could benefit from some professional guidance.
In private practice settings, I've assisted adolescents, adults, and older adults struggling with trauma, anxiety and relationship issues, attention problems, learning disorders, and depression. I also worked for 9 years at Naval Health Clinic Quantico helping service members struggling with PTSD and combat trauma, depression, substance use issues, relationship problems, and a variety of anxiety disorders. I find that most people are doing their best to cope with their unique challenges in life, but sometimes reach a point where what they are trying is no longer working and could benefit from some professional guidance.
(703) 972-6758 View (703) 972-6758
Photo of Ylisha A Morgan, Clinical Social Work/Therapist in Alexandria, VA
Ylisha A Morgan
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22314  (Online Only)
Not accepting new clients
Hi, i'm Ylisha! Do you often feel down or anxious? Do you have trouble setting personal boundaries? Are there times when you feel stuck or overwhelmed? It is common for people to experience these feelings. However, if you feel that you are having a difficult time maintaining relationships or connecting to the things that you love, it may be time to reach out for help. There is no need to continue feeling lost.
Hi, i'm Ylisha! Do you often feel down or anxious? Do you have trouble setting personal boundaries? Are there times when you feel stuck or overwhelmed? It is common for people to experience these feelings. However, if you feel that you are having a difficult time maintaining relationships or connecting to the things that you love, it may be time to reach out for help. There is no need to continue feeling lost.
(804) 294-4744 View (804) 294-4744
Photo of Mary Alice Fields, Licensed Professional Counselor in Alexandria, VA
Mary Alice Fields
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22314  (Online Only)
Mary Alice Fields is a Licensed Professional Counselor (LPC) who has 30 years of experience counseling couples, families, and individuals. Mary Alice completed her Master of Education (MEd) at Lindsey Wilson College. Mary Alice believes most people do the best they can with the knowledge and experience they possess. At times in our lives, our knowledge and experience are not enough to solve problems and live our most productive life. At times like this, collaboration with a licensed professional counselor can help us discover ways to solve issues and achieve our full potential. Changing our perception of issues can be most helpful.
Mary Alice Fields is a Licensed Professional Counselor (LPC) who has 30 years of experience counseling couples, families, and individuals. Mary Alice completed her Master of Education (MEd) at Lindsey Wilson College. Mary Alice believes most people do the best they can with the knowledge and experience they possess. At times in our lives, our knowledge and experience are not enough to solve problems and live our most productive life. At times like this, collaboration with a licensed professional counselor can help us discover ways to solve issues and achieve our full potential. Changing our perception of issues can be most helpful.
(703) 596-8966 View (703) 596-8966
Photo of Eermene Piaro, Licensed Professional Counselor in Alexandria, VA
Eermene Piaro
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22304
Hello! I'm a licensed professional therapist with four years of experience specializing in outpatient counseling. My practice encompasses working with children, adolescents, and adults dealing with various challenges, including depression, anxiety, bipolar disorder, grief, trauma, autism spectrum disorder, LGBTQ+ issues, life stage transition difficulties, and other mental health disorders. Taking the initiative to pursue a more fulfilling and happier life requires courage, and I commend you for taking that first step towards change. I'm here to provide you with the support and empowerment you need on your journey.
Hello! I'm a licensed professional therapist with four years of experience specializing in outpatient counseling. My practice encompasses working with children, adolescents, and adults dealing with various challenges, including depression, anxiety, bipolar disorder, grief, trauma, autism spectrum disorder, LGBTQ+ issues, life stage transition difficulties, and other mental health disorders. Taking the initiative to pursue a more fulfilling and happier life requires courage, and I commend you for taking that first step towards change. I'm here to provide you with the support and empowerment you need on your journey.
(571) 554-6163 x1 View (571) 554-6163 x1
Photo of Jordan L. Costen-Sumpter, Supervisee in Clinical Social Work in Alexandria, VA
Jordan L. Costen-Sumpter
Supervisee in Clinical Social Work, MSW, QMHP-A
Verified Verified
2 Endorsed
Alexandria, VA 22304
Well, hello. I am glad you decided to meet. Let me pour you some tea or coffee and let’s discuss what is on your mind. Sometimes it can be pretty difficult to seek out help. Especially for those who either thought they didn’t need it or were convinced that their issues are manageable. That often occurs with members of the LGBTQ+ community. Regardless, you took the first step, as difficult as it may have been. As a next step I want to work with you and build trust. Once that has been established and you feel comfortable, we can address the items that cause you concern.
Well, hello. I am glad you decided to meet. Let me pour you some tea or coffee and let’s discuss what is on your mind. Sometimes it can be pretty difficult to seek out help. Especially for those who either thought they didn’t need it or were convinced that their issues are manageable. That often occurs with members of the LGBTQ+ community. Regardless, you took the first step, as difficult as it may have been. As a next step I want to work with you and build trust. Once that has been established and you feel comfortable, we can address the items that cause you concern.
(571) 901-1072 View (571) 901-1072
Photo of Mark A Boothe, Clinical Social Work/Therapist in Alexandria, VA
Mark A Boothe
Clinical Social Work/Therapist, LICSW, LCSW, SAP
Verified Verified
Alexandria, VA 22314
Our life journey is challenging with unanticipated twists, turns, bumps and detours. How we choose to navigate these challenges will profoundly impact our ability to live a healthier, happier, and emotionally stable life.
Our life journey is challenging with unanticipated twists, turns, bumps and detours. How we choose to navigate these challenges will profoundly impact our ability to live a healthier, happier, and emotionally stable life.
(202) 796-7470 View (202) 796-7470
Photo of Caise S Castle, Licensed Professional Counselor in Alexandria, VA
Caise S Castle
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Alexandria, VA 22314
Finding a therapist, someone you don't know but need to be honest and open with, can be difficult. I want to listen to and get to know the real you, free of judgment, so I can better help you.
Finding a therapist, someone you don't know but need to be honest and open with, can be difficult. I want to listen to and get to know the real you, free of judgment, so I can better help you.
(571) 458-1654 View (571) 458-1654
Photo of Courtney Beyer, Pre-Licensed Professional in Alexandria, VA
Courtney Beyer
Pre-Licensed Professional
Verified Verified
1 Endorsed
Alexandria, VA 22314
Are you ready to begin a journey of self growth? The journey of self growth begins with allowing ourselves to heal. No matter if your struggles come from your past or your present, I am here to help you heal from them and work towards the future you want. Life can be overwhelming, but you don’t need to face life's challenges alone. I believe that everyone deserves access to tools that allow them to live a happy and healthy life. Wherever you are in your journey of self growth, I’m happy to meet you there. Counseling is a safe space to process your emotions and work through challenges in your life.
Are you ready to begin a journey of self growth? The journey of self growth begins with allowing ourselves to heal. No matter if your struggles come from your past or your present, I am here to help you heal from them and work towards the future you want. Life can be overwhelming, but you don’t need to face life's challenges alone. I believe that everyone deserves access to tools that allow them to live a happy and healthy life. Wherever you are in your journey of self growth, I’m happy to meet you there. Counseling is a safe space to process your emotions and work through challenges in your life.
(571) 901-1551 View (571) 901-1551
Photo of Asha Gray, Licensed Professional Counselor in Alexandria, VA
Asha Gray
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Alexandria, VA 22314
Have you felt out of sync, unable to communicate clearly, frustrated and wanting to try something different but unhappy with what you've tried? I enjoy helping folks learn new ways of communicating, finding new perspectives to barriers and working through individual or relationship struggles to have their needs and wants met. If you are having difficulty making it through your everyday, dealing with the stresses of life, or managing anxiety, depression or ADHD; I can help. I will help you learn new coping skills using your own personal strengths to assist you with enhancing your quality of life while building self-compassion.
Have you felt out of sync, unable to communicate clearly, frustrated and wanting to try something different but unhappy with what you've tried? I enjoy helping folks learn new ways of communicating, finding new perspectives to barriers and working through individual or relationship struggles to have their needs and wants met. If you are having difficulty making it through your everyday, dealing with the stresses of life, or managing anxiety, depression or ADHD; I can help. I will help you learn new coping skills using your own personal strengths to assist you with enhancing your quality of life while building self-compassion.
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Photo of Old Town Psychology, Psychologist in Alexandria, VA
Old Town Psychology
Psychologist, PhD
Verified Verified
Alexandria, VA 22314
We specialize in depression, anxiety, relationship issues, stress, infertility, and life coaching. What can you expect out of therapy? 1) Reducing symptoms: We’ll work together so you feel better as soon as possible by reducing your symptoms, whether it be feeling anxious or sleep problems. 2) Figuring out the root of your challenges: We’ll explore what caused you to feel this way in the first place so you can anticipate and prevent these challenges in the future. 3) Building your confidence going forward: You will learn and practice new skills that will help you feel confident overcoming future challenges.
We specialize in depression, anxiety, relationship issues, stress, infertility, and life coaching. What can you expect out of therapy? 1) Reducing symptoms: We’ll work together so you feel better as soon as possible by reducing your symptoms, whether it be feeling anxious or sleep problems. 2) Figuring out the root of your challenges: We’ll explore what caused you to feel this way in the first place so you can anticipate and prevent these challenges in the future. 3) Building your confidence going forward: You will learn and practice new skills that will help you feel confident overcoming future challenges.
(571) 478-9499 View (571) 478-9499
Margaret T Robinson
Clinical Social Work/Therapist, LCSW, LCSW-C
Verified Verified
Alexandria, VA 22307  (Online Only)
Not accepting new clients
Thank you for visiting my site. I am licensed in Virginia and Maryland and offer a free 15 minute teletherapy session to help you decide if I am the therapist you are looking for. My clients often come to therapy because they are dealing with anxiety, depression, grief, loss and life transitions. During my hospice grad school practicum and the next five years working with a local hospice I helped patients and familes as they encourntered death, loss and bereavement. I honor each individual's worth and inherent dignity and believe that by working together we can face the challenges and difficulties that lay ahead.
Thank you for visiting my site. I am licensed in Virginia and Maryland and offer a free 15 minute teletherapy session to help you decide if I am the therapist you are looking for. My clients often come to therapy because they are dealing with anxiety, depression, grief, loss and life transitions. During my hospice grad school practicum and the next five years working with a local hospice I helped patients and familes as they encourntered death, loss and bereavement. I honor each individual's worth and inherent dignity and believe that by working together we can face the challenges and difficulties that lay ahead.
(571) 470-6783 View (571) 470-6783
Photo of Kathryn Ziemer, Psychologist in Alexandria, VA
Kathryn Ziemer
Psychologist, PhD
Verified Verified
Alexandria, VA 22314
I specialize in depression, anxiety, relationship issues, stress, infertility, and life coaching. What can you expect out of therapy? 1) Reducing symptoms: We’ll work together so you feel better as soon as possible by reducing your symptoms, whether it be feeling anxious or sleep problems. 2) Figuring out the root of your challenges: We’ll explore what caused you to feel this way in the first place so you can anticipate and prevent these challenges in the future. 3) Building your confidence going forward: You will learn and practice new skills that will help you feel confident overcoming future challenges.
I specialize in depression, anxiety, relationship issues, stress, infertility, and life coaching. What can you expect out of therapy? 1) Reducing symptoms: We’ll work together so you feel better as soon as possible by reducing your symptoms, whether it be feeling anxious or sleep problems. 2) Figuring out the root of your challenges: We’ll explore what caused you to feel this way in the first place so you can anticipate and prevent these challenges in the future. 3) Building your confidence going forward: You will learn and practice new skills that will help you feel confident overcoming future challenges.
(571) 478-9499 View (571) 478-9499
Photo of Akiko Ueda-Zecca, Pre-Licensed Professional in Alexandria, VA
Akiko Ueda-Zecca
Pre-Licensed Professional, LMSW
Verified Verified
Alexandria, VA 22314
Do you feel overwhelmed but do not know what to do? Are you looking for someone who will journey with you to make therapeutic changes in your life? I am a social worker with a background in conflict resolution and education. I strive to offer a client-centered and culturally sensitive environment where you make those changes happen. I also adopt trauma-informed practice where appropriate. It is my hope to empower you to explore different perspectives in life and gain the tools that help you make the changes you are looking for.
Do you feel overwhelmed but do not know what to do? Are you looking for someone who will journey with you to make therapeutic changes in your life? I am a social worker with a background in conflict resolution and education. I strive to offer a client-centered and culturally sensitive environment where you make those changes happen. I also adopt trauma-informed practice where appropriate. It is my hope to empower you to explore different perspectives in life and gain the tools that help you make the changes you are looking for.
(571) 568-7915 View (571) 568-7915
Photo of A Rhaea Hope, Clinical Social Work/Therapist in Alexandria, VA
A Rhaea Hope
Clinical Social Work/Therapist
Verified Verified
Alexandria, VA 22314  (Online Only)
A Rhaea Hope is a multidisciplinary group practice that offers individual therapy, couples counseling, and coaching. Our mission is to help individuals live authentically by unlearning unhealthy patterns and uncovering barriers preventing them from achieving happiness, stability, and success. Our specialties are as follows: anxiety, depression, codependency, coping skills, family conflict, infidelity, parenting, peer relationships, divorce, work burnout, self-esteem, stress, women’s issues, trauma, LGBTQ+, and topics related to gender identity. ​ We work with individuals, families, adolescents, and college students.
A Rhaea Hope is a multidisciplinary group practice that offers individual therapy, couples counseling, and coaching. Our mission is to help individuals live authentically by unlearning unhealthy patterns and uncovering barriers preventing them from achieving happiness, stability, and success. Our specialties are as follows: anxiety, depression, codependency, coping skills, family conflict, infidelity, parenting, peer relationships, divorce, work burnout, self-esteem, stress, women’s issues, trauma, LGBTQ+, and topics related to gender identity. ​ We work with individuals, families, adolescents, and college students.
(571) 570-3648 View (571) 570-3648

How does your Therapist compare?

Number of Therapists in Alexandria, VA

1,000+

Average cost per session

$160

Therapists in Alexandria, VA who prioritize treating:

95% Anxiety
91% Depression
80% Self Esteem
76% Stress
75% Relationship Issues
74% Coping Skills
70% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
67% Cigna and Evernorth
62% Aetna

How Therapists in Alexandria, VA see their clients

57% In Person and Online
43% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Alexandria?

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.