Photo of Gwen Mbuvi, Marriage & Family Therapist, LMFT
Gwen Mbuvi
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I love working with individuals, couples and families who are motivated for change, as I believe that I have been called into the helping profession. I utilize an eclectic approach in treatment, which means that I meet you where you are and together, we determine the best way to treat you.
I love working with individuals, couples and families who are motivated for change, as I believe that I have been called into the helping profession. I utilize an eclectic approach in treatment, which means that I meet you where you are and together, we determine the best way to treat you.
(757) 231-3249 View (757) 231-3249
Photo of Terrance Levine, Licensed Professional Counselor
Terrance Levine
Licensed Professional Counselor
Verified Verified
Online Only
Mr. Terrance Levine is an Expert People Developer (EPD), SC Police Officer Veteran, and President and Chief Executive Officer of Zarle Therapeutic Services, PLLC. He is a licensed clinical practitioner in the state of NC as a Licensed Clinical Mental Health Counselor (LCMHC) and the state of VA as a Licensed Professional Counselor (LPC). Mr. Levine has extensive clinical experience working with various diverse cultures in private practice for over 20 years. He is a graduate of the University of South Carolina and Webster University.
Mr. Terrance Levine is an Expert People Developer (EPD), SC Police Officer Veteran, and President and Chief Executive Officer of Zarle Therapeutic Services, PLLC. He is a licensed clinical practitioner in the state of NC as a Licensed Clinical Mental Health Counselor (LCMHC) and the state of VA as a Licensed Professional Counselor (LPC). Mr. Levine has extensive clinical experience working with various diverse cultures in private practice for over 20 years. He is a graduate of the University of South Carolina and Webster University.
(434) 542-8012 View (434) 542-8012
Photo of Roxana Ivette Amundsen, Resident in Counseling, MA, BHI
Roxana Ivette Amundsen
Resident in Counseling, MA, BHI
Verified Verified
Yorktown, VA 23693
In life, we ​​all encounter challenges and sometimes experiences can leave us feeling depressed, anxious, traumatized, and stressed for a number of reasons. I hope that within the therapeutic relationship, you feel safe, validated, and empowered to explore and face those challenges; healing, and growing by building on your strengths to accomplish your goals. I offer in-person or telehealth counseling in English or Spanish.
In life, we ​​all encounter challenges and sometimes experiences can leave us feeling depressed, anxious, traumatized, and stressed for a number of reasons. I hope that within the therapeutic relationship, you feel safe, validated, and empowered to explore and face those challenges; healing, and growing by building on your strengths to accomplish your goals. I offer in-person or telehealth counseling in English or Spanish.
(757) 797-9774 View (757) 797-9774
Photo of David B Shaw, Psychologist, PhD
David B Shaw
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
NOW OFFERING VIDEO VISITS!! Are you anxious, scared to go out shopping? Do you find yourself doing things over and over again just to calm yourself down? Have you had difficulty recovering from a trauma? How about that ringing in your ears that won't seem to go away? These are just a few of the problems I treat. I specialize in anxiety disorders, and have helped hundreds to reduce and eliminate panic attacks. I have also helped many phobia suffers and was filmed for a segment of Animal Planet about animal phobias.
NOW OFFERING VIDEO VISITS!! Are you anxious, scared to go out shopping? Do you find yourself doing things over and over again just to calm yourself down? Have you had difficulty recovering from a trauma? How about that ringing in your ears that won't seem to go away? These are just a few of the problems I treat. I specialize in anxiety disorders, and have helped hundreds to reduce and eliminate panic attacks. I have also helped many phobia suffers and was filmed for a segment of Animal Planet about animal phobias.
(757) 788-9141 View (757) 788-9141
Photo of Ashlee Frias, Clinical Social Work/Therapist, LCSW
Ashlee Frias
Clinical Social Work/Therapist, LCSW
Verified Verified
Yorktown, VA 23693
I have experience working with clients ages 6-60+ and helping them with anxiety, depression, trauma, adjusting to foster care placement, anger management, stress management, behavioral challenges, bullying, and domestic violence. I use a variety of treatment modalities including Cognitive Behavioral Therapy (CBT), Trauma Focused-Cognitive Behavioral Therapy (TF-CBT), Solution Focused Therapy, and Person-Centered Therapy to best support each of my clients’ individual issues and needs, and I am a LGBTQIA+ affirming clinician. I have been trained in CBT, TF-CBT, anger management, and Eye Movement Integration (EMI).
I have experience working with clients ages 6-60+ and helping them with anxiety, depression, trauma, adjusting to foster care placement, anger management, stress management, behavioral challenges, bullying, and domestic violence. I use a variety of treatment modalities including Cognitive Behavioral Therapy (CBT), Trauma Focused-Cognitive Behavioral Therapy (TF-CBT), Solution Focused Therapy, and Person-Centered Therapy to best support each of my clients’ individual issues and needs, and I am a LGBTQIA+ affirming clinician. I have been trained in CBT, TF-CBT, anger management, and Eye Movement Integration (EMI).
(757) 863-3104 View (757) 863-3104
Photo of Erik Norman - Pema - Free Spirit Counseling and Collaborative, Licensed Professional Counselor, LPC, MA
Pema - Free Spirit Counseling and Collaborative
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
Online Only
Free for Virginia Medicaid Clients. Immediate Openings. Online Only: Mon. – Fri. (mornings & afternoons); contact Pema to get scheduled. Pema works online with individuals, aged 12 and up. He supports clients seeking assistance with areas such as: life transitions, young adult life, military life, college life, LGBTQIA+ support, relationship issues, self-esteem, motivation building, stress management, grief/loss, anxiety disorders, anger, depression, obsessive compulsive disorder, substance abuse, trauma, and co-occurring disorders. I work well with individuals, families and people looking to find love.
Free for Virginia Medicaid Clients. Immediate Openings. Online Only: Mon. – Fri. (mornings & afternoons); contact Pema to get scheduled. Pema works online with individuals, aged 12 and up. He supports clients seeking assistance with areas such as: life transitions, young adult life, military life, college life, LGBTQIA+ support, relationship issues, self-esteem, motivation building, stress management, grief/loss, anxiety disorders, anger, depression, obsessive compulsive disorder, substance abuse, trauma, and co-occurring disorders. I work well with individuals, families and people looking to find love.
(757) 755-8059 View (757) 755-8059
Photo of Michael-and-Myra Holmes - LifeM8Z Life Coach/Marriage & Relationship Mentors, BA, MS, CPLC
LifeM8Z Life Coach/Marriage & Relationship Mentors
BA, MS, CPLC
Verified Verified
Online Only
We have accumulated over 50 years experience in Crisis Intervention Centers, Marriage Enrichment, and Marriage Ministries. Michael served 27 years in the U.S. Air Force before retiring as a Colonel. As a supportive Air Force Wife, Myra held diverse roles as a Child Caregiver, Pre-School Teacher, Mortgage Loan Processor, and Executive Administrative Assistant. Our 27 year military career uniquely qualifies us to help couples address the demands, challenges, and stresses military marriages and families endure. We've overcome many of the same challenges as you. Allow us to guide you in overcoming your issues, challenges, and conflicts.
We have accumulated over 50 years experience in Crisis Intervention Centers, Marriage Enrichment, and Marriage Ministries. Michael served 27 years in the U.S. Air Force before retiring as a Colonel. As a supportive Air Force Wife, Myra held diverse roles as a Child Caregiver, Pre-School Teacher, Mortgage Loan Processor, and Executive Administrative Assistant. Our 27 year military career uniquely qualifies us to help couples address the demands, challenges, and stresses military marriages and families endure. We've overcome many of the same challenges as you. Allow us to guide you in overcoming your issues, challenges, and conflicts.
(757) 663-5327 View (757) 663-5327
Photo of LaDrena Martin, Clinical Social Work/Therapist, MSW
LaDrena Martin
Clinical Social Work/Therapist, MSW
Verified Verified
1 Endorsed
Yorktown, VA 23693
My goal to is to meet clients where they are and facilitate healing one step at a time. I use a person-centered approach to therapy to help create a comfortable atmosphere. I have experience working with children, teens, families, and young adults and am currently accepting clients ages 6 and up. I have a special interest anxiety, ADHD, depression, grief, and mood disorders.
My goal to is to meet clients where they are and facilitate healing one step at a time. I use a person-centered approach to therapy to help create a comfortable atmosphere. I have experience working with children, teens, families, and young adults and am currently accepting clients ages 6 and up. I have a special interest anxiety, ADHD, depression, grief, and mood disorders.
(757) 992-9291 View (757) 992-9291
Photo of Christie Hennigan - Ellie Mental Health - Yorktown: Kiln Creek, VA, Licensed Professional Counselor, LPC, LSATP, CSAC, NCC
Ellie Mental Health - Yorktown: Kiln Creek, VA
Licensed Professional Counselor, LPC, LSATP, CSAC, NCC
Verified Verified
Yorktown, VA 23693
Clinician Availability! Call us and we can schedule you today! We are here to help ANYONE suffering from any form of Mental Health disorder! Our mission is to compassionately transform the culture of mental health by providing creative solutions for the needs of our communities. We do that with Humor, Compassion and Authenticity! We believe that struggling with mental health is 100% normal. Some days are great, and some days make you wish you could dig yourself into a hole and hide from it all! Everyone has those days (even your therapist). Let us support you through all of your days!
Clinician Availability! Call us and we can schedule you today! We are here to help ANYONE suffering from any form of Mental Health disorder! Our mission is to compassionately transform the culture of mental health by providing creative solutions for the needs of our communities. We do that with Humor, Compassion and Authenticity! We believe that struggling with mental health is 100% normal. Some days are great, and some days make you wish you could dig yourself into a hole and hide from it all! Everyone has those days (even your therapist). Let us support you through all of your days!
(757) 231-3835 View (757) 231-3835
Photo of Michael P Morgan, Licensed Professional Counselor, MSEd, LPC
Michael P Morgan
Licensed Professional Counselor, MSEd, LPC
Verified Verified
1 Endorsed
Online Only
I offer compassionate care to those experiencing emotional or psychological distress. I have a wide-ranging and diverse background that provides a unique perspective from which to address a variety of client needs.
I offer compassionate care to those experiencing emotional or psychological distress. I have a wide-ranging and diverse background that provides a unique perspective from which to address a variety of client needs.
(757) 785-9878 View (757) 785-9878
Photo of Dr. Julia L Lancaster, Licensed Professional Counselor, PhD, LPC, ACS, BC-TMH
Dr. Julia L Lancaster
Licensed Professional Counselor, PhD, LPC, ACS, BC-TMH
Verified Verified
2 Endorsed
Online Only
Sessions are designed to empower and educate by offering a supportive, nonjudgmental space to discuss concerns, interests, and opportunities. Our therapeutic relationship may also offer space for processing past or present traumas and loss. Working from a cognitive behavioral and solution-focused approach we may explore thinking patterns and behaviors while also considering what is working in your life.
Sessions are designed to empower and educate by offering a supportive, nonjudgmental space to discuss concerns, interests, and opportunities. Our therapeutic relationship may also offer space for processing past or present traumas and loss. Working from a cognitive behavioral and solution-focused approach we may explore thinking patterns and behaviors while also considering what is working in your life.
(757) 598-1602 View (757) 598-1602
Photo of James R. Jackson, Pastoral Counselor, PhD, MA, QMHP-A, QMHP-C
James R. Jackson
Pastoral Counselor, PhD, MA, QMHP-A, QMHP-C
Verified Verified
Yorktown, VA 23693
Clients come to me in trying times for help dealing with issues like depression, grief, anger and marriage issues. I don't see myself as the "expert" who is going to provide all the "answers" but I do promise to walk with my clients as they address the issues we identify together that they want to in therapy. I am comfortable working one on one, or with couples and families from age 6 to adults. I'm also a Pastor and a Chaplain so I have been theologically trained and can explore spiritual issues and crises as a pastoral counselor.
Clients come to me in trying times for help dealing with issues like depression, grief, anger and marriage issues. I don't see myself as the "expert" who is going to provide all the "answers" but I do promise to walk with my clients as they address the issues we identify together that they want to in therapy. I am comfortable working one on one, or with couples and families from age 6 to adults. I'm also a Pastor and a Chaplain so I have been theologically trained and can explore spiritual issues and crises as a pastoral counselor.
(757) 210-5952 View (757) 210-5952
Photo of Lauri R Stoltzfus, Counselor, MA, LPC
Lauri R Stoltzfus
Counselor, MA, LPC
Verified Verified
2 Endorsed
Online Only
Hi, welcome in. Is the weight of current events getting you down? Do you feel suck in patterns you can't change? The most important part of counseling is the relationship between counselor and client. I foster that relationship by creating a collaborative, warm, and comfortable environment where you can focus on what you need to. Utilizing an open-minded approach, I address the whole person by using modalities of treatment that fit individual client needs. I see my role as your counselor is to give you the space to navigate through life's stressors, reprocess distressing experiences, and increase self-awareness.
Hi, welcome in. Is the weight of current events getting you down? Do you feel suck in patterns you can't change? The most important part of counseling is the relationship between counselor and client. I foster that relationship by creating a collaborative, warm, and comfortable environment where you can focus on what you need to. Utilizing an open-minded approach, I address the whole person by using modalities of treatment that fit individual client needs. I see my role as your counselor is to give you the space to navigate through life's stressors, reprocess distressing experiences, and increase self-awareness.
(757) 600-0372 View (757) 600-0372
Photo of Mariela Romero, Pre-Licensed Professional, MSEd
Mariela Romero
Pre-Licensed Professional, MSEd
Verified Verified
Yorktown, VA 23693
Seeking support is a courageous step, and I’m here to help you navigate life’s challenges with warmth and understanding. I specialize in stress, anxiety, life transitions, and identity-related concerns, creating a safe space where you feel seen and supported. As a bilingual (English/Spanish) therapist, I take a relational and culturally responsive approach, helping clients build self-trust, confidence, and self-compassion. Using evidence-based techniques, mindfulness, and movement, I foster insight, resilience, and growth. Let’s work together to create meaningful change.
Seeking support is a courageous step, and I’m here to help you navigate life’s challenges with warmth and understanding. I specialize in stress, anxiety, life transitions, and identity-related concerns, creating a safe space where you feel seen and supported. As a bilingual (English/Spanish) therapist, I take a relational and culturally responsive approach, helping clients build self-trust, confidence, and self-compassion. Using evidence-based techniques, mindfulness, and movement, I foster insight, resilience, and growth. Let’s work together to create meaningful change.
(757) 665-2619 View (757) 665-2619
Photo of Kimberly Gary, Licensed Professional Counselor
Kimberly Gary
Licensed Professional Counselor
Verified Verified
Online Only
Life is a journey that takes us through various peaks and valleys. Our strength, patience, and resilience can be tested during these difficult times and cause us to feel that no one understands. These valleys can greatly affect our mental health and our ability to operate as our best version of ourselves. It is during these times that we can benefit from a therapeutic relationship with an empathic professional. I am a licensed professional counselor (LPC) with over 15 years experience in the field
Life is a journey that takes us through various peaks and valleys. Our strength, patience, and resilience can be tested during these difficult times and cause us to feel that no one understands. These valleys can greatly affect our mental health and our ability to operate as our best version of ourselves. It is during these times that we can benefit from a therapeutic relationship with an empathic professional. I am a licensed professional counselor (LPC) with over 15 years experience in the field
(571) 586-9968 View (571) 586-9968
Photo of Tierra Parris, Clinical Social Work/Therapist, LCSW-C
Tierra Parris
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
Hi! I’m Tierra Parris, LCSW-C, a licensed social worker passionate about empowering individuals and families . My ideal client is an adult navigating ADHD, anxiety, or past trauma while balancing career, relationships, and self-care. They struggle with boundaries, people-pleasing, emotional regulation, and self-trust, often feeling stuck in cycles of burnout and self-doubt. They seek clarity, confidence, and consistency whether in managing their emotions, improving communication, or creating healthier habits. Their goal is to break generational patterns, embrace self-compassion, and build a fulfilling, stable life.
Hi! I’m Tierra Parris, LCSW-C, a licensed social worker passionate about empowering individuals and families . My ideal client is an adult navigating ADHD, anxiety, or past trauma while balancing career, relationships, and self-care. They struggle with boundaries, people-pleasing, emotional regulation, and self-trust, often feeling stuck in cycles of burnout and self-doubt. They seek clarity, confidence, and consistency whether in managing their emotions, improving communication, or creating healthier habits. Their goal is to break generational patterns, embrace self-compassion, and build a fulfilling, stable life.
(804) 494-7411 View (804) 494-7411
Photo of Alexander Dean, Resident in Counseling, MSEd
Alexander Dean
Resident in Counseling, MSEd
Verified Verified
Yorktown, VA 23693
With experience spanning depression, anxiety, suicidal ideation, relationships, PTSD, chronic pain, substance use, and weight management, Alex has developed a well-rounded approach to mental health care.
With experience spanning depression, anxiety, suicidal ideation, relationships, PTSD, chronic pain, substance use, and weight management, Alex has developed a well-rounded approach to mental health care.
(757) 960-8763 View (757) 960-8763
Photo of Dr. Jill Nardin, Licensed Professional Counselor, PhD, CCMHC, ACS
Dr. Jill Nardin
Licensed Professional Counselor, PhD, CCMHC, ACS
Verified Verified
5 Endorsed
Yorktown, VA 23693
Waitlist for new clients
If you are seeking to work through issues that are hindering your life balance, counseling is a great tool. I consider it an honor and a privilege to be part of this growth process in one's life. Everyone is an individual, so I don't use a "cookie cutter" approach with my clients. I learn who you are through building a relationship with you and then I determine the best approach to help you. My clients regularly tell me how much they appreciate how I listen and work through their challenges with them, and they tell their friends about me. The best compliment I receive is getting their referrals.
If you are seeking to work through issues that are hindering your life balance, counseling is a great tool. I consider it an honor and a privilege to be part of this growth process in one's life. Everyone is an individual, so I don't use a "cookie cutter" approach with my clients. I learn who you are through building a relationship with you and then I determine the best approach to help you. My clients regularly tell me how much they appreciate how I listen and work through their challenges with them, and they tell their friends about me. The best compliment I receive is getting their referrals.
(757) 351-4929 View (757) 351-4929
Photo of Holly Wingate, Licensed Professional Counselor
Holly Wingate
Licensed Professional Counselor
Verified Verified
Online Only
Hi, my name is Holly Anne Wingate and I am a Licensed Professional Counselor in Georgia, Florida, and Virginia who has over 20 years of experience providing assessment and therapy to adults, adolescents, and couples seeking help with anxiety/depression, trauma-related problems, alcohol, and drug addiction, relationship problems, personality disorders, and LGBTQ related issues. I'll be a strong and concerned ally for you and will give all of my attention to the complexity of your situation and, along with you (you really are the expert when it comes to who you are), will develop a plan to tackle the situation and remedy the issues be
Hi, my name is Holly Anne Wingate and I am a Licensed Professional Counselor in Georgia, Florida, and Virginia who has over 20 years of experience providing assessment and therapy to adults, adolescents, and couples seeking help with anxiety/depression, trauma-related problems, alcohol, and drug addiction, relationship problems, personality disorders, and LGBTQ related issues. I'll be a strong and concerned ally for you and will give all of my attention to the complexity of your situation and, along with you (you really are the expert when it comes to who you are), will develop a plan to tackle the situation and remedy the issues be
(757) 586-4201 View (757) 586-4201
Photo of Christine Anerella, Psychologist
Christine Anerella
Psychologist
Verified Verified
Online Only
Dr. Anerella completed research and clinical training at NYSPI, Weill Cornell Hospital, the William Alanson White Institute, Dr. Vivian Mougios' private practice, and Green Chimneys Children’s Services. She's published peer-reviewed articles and presented on topics of substance use and attachment. Her dissertation, "Humor Use During Conflict in Close Relationships," won the Student Dissertation Award from the Society for Personality Assessment. Dr. Anerella treats patients across the lifespan for individual therapy. She also enjoys working with parents and families with infants, toddlers, teenagers and young adults.
Dr. Anerella completed research and clinical training at NYSPI, Weill Cornell Hospital, the William Alanson White Institute, Dr. Vivian Mougios' private practice, and Green Chimneys Children’s Services. She's published peer-reviewed articles and presented on topics of substance use and attachment. Her dissertation, "Humor Use During Conflict in Close Relationships," won the Student Dissertation Award from the Society for Personality Assessment. Dr. Anerella treats patients across the lifespan for individual therapy. She also enjoys working with parents and families with infants, toddlers, teenagers and young adults.
(757) 781-2915 View (757) 781-2915
1

How does your Therapist compare?

Number of Therapists in 23693

50+

Average cost per session

$120

Therapists in 23693 who prioritize treating:

88% Anxiety
86% Depression
67% Trauma and PTSD
67% Stress
57% Relationship Issues
57% Family Conflict
55% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

88% Aetna
81% Anthem
79% UnitedHealthcare UHC | UBH

How Therapists in 23693 see their clients

51% In Person and Online
49% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 23693?

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.