Photo of Restorative Mind Counseling, Pllc - Kristy Walker, Licensed Professional Counselor in 24201, VA
Restorative Mind Counseling, Pllc - Kristy Walker
Licensed Professional Counselor, LPC, NCC
Verified Verified
Bristol, VA 24201
Today's adults and kids are more connected and busier than ever, yet also feel stuck, unfulfilled, and sometimes lonely. A busy life doesn’t always mean we feel seen and heard. Sometimes life gets messy, and we put on a happy face and tell ourselves, “I will deal with that later.” Pain and loss are realities, but there aren’t lessons in school on how to handle these truths, and our lives can turn gray. The isolation of the pandemic has magnified the importance of human connection. There's something powerful about having a witness to your life story. I would be honored to help you, or your family member find their sunlight.
Today's adults and kids are more connected and busier than ever, yet also feel stuck, unfulfilled, and sometimes lonely. A busy life doesn’t always mean we feel seen and heard. Sometimes life gets messy, and we put on a happy face and tell ourselves, “I will deal with that later.” Pain and loss are realities, but there aren’t lessons in school on how to handle these truths, and our lives can turn gray. The isolation of the pandemic has magnified the importance of human connection. There's something powerful about having a witness to your life story. I would be honored to help you, or your family member find their sunlight.
(276) 409-9083 View (276) 409-9083
Hayley Proffitt (Dominion Psychology And Wellness Center)
LPC Intern, MEd
Verified Verified
1 Endorsed
Bristol, VA 24201  (Online Only)
Hello, my name is Hayley, I am a licensed Resident in Counseling with nearly six years of experience in the field. I am very passionate about helping others! When working with clients my goal is to remain non-judgmental, honest, reliable, and compassionate. I strive to meet my client’s right where they are and ensure that I am a safe and trusting outlet for their counseling journey. Throughout my experience in the mental health field, I have worked with children, adolescents, adults, and families. I take a holistic approach when working with my clients to provide them with the best support and experience.
Hello, my name is Hayley, I am a licensed Resident in Counseling with nearly six years of experience in the field. I am very passionate about helping others! When working with clients my goal is to remain non-judgmental, honest, reliable, and compassionate. I strive to meet my client’s right where they are and ensure that I am a safe and trusting outlet for their counseling journey. Throughout my experience in the mental health field, I have worked with children, adolescents, adults, and families. I take a holistic approach when working with my clients to provide them with the best support and experience.
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Photo of Allie Barker, Clinical Social Work/Therapist in 24201, VA
Allie Barker
Clinical Social Work/Therapist, LCSW
Verified Verified
15 Endorsed
Bristol, VA 24201  (Online Only)
Here is another awkward therapist profile for you! Have you found yourself struggling with feeling overwhelmed way more than you would like to admit? Has your anxiety washed over you with no rhyme or reason, only to leave you feeling exhausted and confused? Transitioning back to "normal life" and having adult responsibilities is hard enough, but when you add anxiety to the mix-things tend to get interesting (and probably not in the way you would like).
Here is another awkward therapist profile for you! Have you found yourself struggling with feeling overwhelmed way more than you would like to admit? Has your anxiety washed over you with no rhyme or reason, only to leave you feeling exhausted and confused? Transitioning back to "normal life" and having adult responsibilities is hard enough, but when you add anxiety to the mix-things tend to get interesting (and probably not in the way you would like).
(540) 351-9712 View (540) 351-9712
Photo of Sabrina Guinn, Licensed Professional Counselor in 24201, VA
Sabrina Guinn
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Bristol, VA 24201
Now accepting new telehealth clients! We all struggle with finding just the right balance in our lives. Maybe anxiety, depression, and outside stressors are keeping you from feeling present in your life. Maybe significant events from your past are intruding in your thoughts and hijacking your present experience. Perhaps your marriage is suffering and the two of you are having difficulty in finding compromise and balance. If you want to work on developing a real, dynamic, and balanced life, I can help you to find a path forward to achieving the reality that you want.
Now accepting new telehealth clients! We all struggle with finding just the right balance in our lives. Maybe anxiety, depression, and outside stressors are keeping you from feeling present in your life. Maybe significant events from your past are intruding in your thoughts and hijacking your present experience. Perhaps your marriage is suffering and the two of you are having difficulty in finding compromise and balance. If you want to work on developing a real, dynamic, and balanced life, I can help you to find a path forward to achieving the reality that you want.
(276) 208-8386 View (276) 208-8386
Photo of John Singh Paul, Pre-Licensed Professional in 24201, VA
John Singh Paul
Pre-Licensed Professional
Verified Verified
1 Endorsed
Bristol, VA 24201
Available on Saturdays and evenings on Monday and Tuesday. The prompt for this personal statement asks me to imagine my ideal client. A more important question is, what is your ideal therapist? Is it someone who's been through life? Someone who understands? Someone with diverse cultural experience? I won't claim to be all things to all people, but I promise, in my office you will be heard, you will be understood, and you will be accepted just as you are. I will focus on you and your goals. Our time together will be meaningful and valuable to you.
Available on Saturdays and evenings on Monday and Tuesday. The prompt for this personal statement asks me to imagine my ideal client. A more important question is, what is your ideal therapist? Is it someone who's been through life? Someone who understands? Someone with diverse cultural experience? I won't claim to be all things to all people, but I promise, in my office you will be heard, you will be understood, and you will be accepted just as you are. I will focus on you and your goals. Our time together will be meaningful and valuable to you.
(276) 222-6983 View (276) 222-6983
Photo of Keith Alan Medeiros, Licensed Professional Counselor in 24201, VA
Keith Alan Medeiros
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Bristol, VA 24201
I believe we all should be able to live as full a life as possible, rich with positive experiences and relationships. Unfortunately, sometimes things get in the way of that goal. When this happens, we may need help getting back on track. That help can come from many forms, and this is where I may be of assistance. As a counselor for eight years working with children, adolescents, adults and families, I have developed an eclectic style utilizing evidence-based treatments including Cognitive-Behavioral Therapy, Rational Emotive Behavior Therapy, Structural Family Therapy and Solution Focused Brief Therapy.
I believe we all should be able to live as full a life as possible, rich with positive experiences and relationships. Unfortunately, sometimes things get in the way of that goal. When this happens, we may need help getting back on track. That help can come from many forms, and this is where I may be of assistance. As a counselor for eight years working with children, adolescents, adults and families, I have developed an eclectic style utilizing evidence-based treatments including Cognitive-Behavioral Therapy, Rational Emotive Behavior Therapy, Structural Family Therapy and Solution Focused Brief Therapy.
(276) 254-8743 View (276) 254-8743
Photo of Cindy Griffith, Licensed Professional Counselor in 24201, VA
Cindy Griffith
Licensed Professional Counselor, LPC, LMFT, CSAT, Author, Speaker
Verified Verified
3 Endorsed
Bristol, VA 24201
Cindy believes humans are physical, mental, emotional, sexual and spiritual beings thus the goal of therapy is to obtain health in all areas of one's being. I believe a client takes the first step to healing as soon as the counseling appointment is made. It's a privilege to observe transformation in a client on the road to hope and healing by focusing on the strengths from within the client. It is exciting to watch a couple go from the brink of divorce to a marriage better than ever.
Cindy believes humans are physical, mental, emotional, sexual and spiritual beings thus the goal of therapy is to obtain health in all areas of one's being. I believe a client takes the first step to healing as soon as the counseling appointment is made. It's a privilege to observe transformation in a client on the road to hope and healing by focusing on the strengths from within the client. It is exciting to watch a couple go from the brink of divorce to a marriage better than ever.
(276) 300-4422 View (276) 300-4422
Photo of Finneys Incorporated, Psychologist in 24201, VA
Finneys Incorporated
Psychologist, PsyD
Verified Verified
Bristol, VA 24201
Not accepting new clients
I like helping people who are going through a rough patch and need a little extra help to get through. This can be kids, adults, and whole families. While the people who need my help are not feeling so great when they first come in, I am so happy to help them through the tough times and see them come out on the other side feeling like themselves again, and perhaps even stronger.
I like helping people who are going through a rough patch and need a little extra help to get through. This can be kids, adults, and whole families. While the people who need my help are not feeling so great when they first come in, I am so happy to help them through the tough times and see them come out on the other side feeling like themselves again, and perhaps even stronger.
(276) 663-4716 View (276) 663-4716
Photo of Katie Halsey, Licensed Professional Counselor in 24201, VA
Katie Halsey
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Bristol, VA 24201
Katie Halsey holds a license as a LPC in the state of VA and TN. She received her M.Ed. in Human Development & Counseling from Lindsey Wilson College in 2014. Since 2015, Katie has worked with youth in a residential trauma setting with a wide variety of diagnosis. Katie enjoys working with clients of all ages and has a special interest for military, law enforcement, and first responder members. Katie has experience with working with clients in both the individual and family setting.
Katie Halsey holds a license as a LPC in the state of VA and TN. She received her M.Ed. in Human Development & Counseling from Lindsey Wilson College in 2014. Since 2015, Katie has worked with youth in a residential trauma setting with a wide variety of diagnosis. Katie enjoys working with clients of all ages and has a special interest for military, law enforcement, and first responder members. Katie has experience with working with clients in both the individual and family setting.
(276) 945-7386 View (276) 945-7386
Photo of Family Refuge Center of Southwest Virginia , Licensed Professional Counselor in 24201, VA
Family Refuge Center of Southwest Virginia
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Bristol, VA 24201
Welcome to the Family Refuge Center of Southwest Virginia, where families find support, resources, and healing. We specialize in providing short-term family services aimed at addressing immediate concerns and fostering positive change within family dynamics. Our team of experienced counselors is dedicated to guiding families through challenges, offering practical strategies, and empowering them to navigate life's complexities together.
Welcome to the Family Refuge Center of Southwest Virginia, where families find support, resources, and healing. We specialize in providing short-term family services aimed at addressing immediate concerns and fostering positive change within family dynamics. Our team of experienced counselors is dedicated to guiding families through challenges, offering practical strategies, and empowering them to navigate life's complexities together.
(276) 566-0862 View (276) 566-0862
Photo of Emma Brewster in 24201, VA
Emma Brewster
MA
Verified Verified
Bristol, VA 24201
Through counseling, I want to help individuals become happier and healthier. Counseling is a place for individuals to heal and grow in their emotions. Creating a non-judgmental environment and a calm space is essential for therapeutic growth. Therapy can be hard work, but I am there to walk with you through this journey!
Through counseling, I want to help individuals become happier and healthier. Counseling is a place for individuals to heal and grow in their emotions. Creating a non-judgmental environment and a calm space is essential for therapeutic growth. Therapy can be hard work, but I am there to walk with you through this journey!
(423) 592-5578 View (423) 592-5578
Photo of Rae Dawn Linkous, Licensed Professional Counselor in 24201, VA
Rae Dawn Linkous
Licensed Professional Counselor, NCC, LPC
Verified Verified
1 Endorsed
Bristol, VA 24201
Not accepting new clients
Rae Linkous holds a license as a LPC in the state of VA and TN. She received her M.Ed. in Human Development & Counseling from Lindsey Wilson College and Has been working in the mental health field for over 7 years. Most of my experience has been serving youth in residential treatment with severe behavioral and mental health issues, such as ODD, ADHD, DMD, BPD, self-harm, suicidal ideations, complex and severe trauma, abuse, LGBTQ+ community, grief/loss, change in life status, foster care/adoption issues, family therapy, and many other issues.
Rae Linkous holds a license as a LPC in the state of VA and TN. She received her M.Ed. in Human Development & Counseling from Lindsey Wilson College and Has been working in the mental health field for over 7 years. Most of my experience has been serving youth in residential treatment with severe behavioral and mental health issues, such as ODD, ADHD, DMD, BPD, self-harm, suicidal ideations, complex and severe trauma, abuse, LGBTQ+ community, grief/loss, change in life status, foster care/adoption issues, family therapy, and many other issues.
(276) 730-9643 View (276) 730-9643
Photo of Ashton Merriman, Pre-Licensed Professional in 24201, VA
Ashton Merriman
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Bristol, VA 24201
I became a therapist to be a place of peace. I want to create an environment where the client is the priority, a space where they feel safe to do the work they feel ready and able to do. I became a therapist to offer a place of hospitality, empathy, and encouragement. I believe that healing and growth are possible and worth the effort in counseling. Therapy offers a space where you are valued, heard, and respected.
I became a therapist to be a place of peace. I want to create an environment where the client is the priority, a space where they feel safe to do the work they feel ready and able to do. I became a therapist to offer a place of hospitality, empathy, and encouragement. I believe that healing and growth are possible and worth the effort in counseling. Therapy offers a space where you are valued, heard, and respected.
(276) 329-1808 View (276) 329-1808
Photo of Catherine (Catie) Cotter, Clinical Social Work/Therapist in 24201, VA
Catherine (Catie) Cotter
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Bristol, VA 24201
Catie Cotter holds a license in clinical social work in the state of Virginia. She received her Master of Social Work from Radford University, and Bachelor of Social Work from King University. Catie enjoys working with children, adolescents, and adults. Catie has experience working with clients experiencing depression, anxiety, ADHD, trauma, and grief, as well as substance abuse issues (both individually and in group setting). Catie has a special interest in working with trauma related issues and often utilizes EMDR (eye movement desensitization and reprocessing) to assist with this. Catie uses an integrative therapeutic approach
Catie Cotter holds a license in clinical social work in the state of Virginia. She received her Master of Social Work from Radford University, and Bachelor of Social Work from King University. Catie enjoys working with children, adolescents, and adults. Catie has experience working with clients experiencing depression, anxiety, ADHD, trauma, and grief, as well as substance abuse issues (both individually and in group setting). Catie has a special interest in working with trauma related issues and often utilizes EMDR (eye movement desensitization and reprocessing) to assist with this. Catie uses an integrative therapeutic approach
(855) 296-4378 View (855) 296-4378
Photo of Hilary Musgrove, Licensed Professional Counselor in 24201, VA
Hilary Musgrove
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Bristol, VA 24201
Not accepting new clients
Life can be a lot. Between work, school, finances, pandemics, financial crisis... I could go on, and on. Some of us are also dealing with debilitating anxiety, depression, and health issues. Many people are seeing the effects in their relationships, their work, and their spiritual life. Now more than ever, it's important to have a sounding board. The old ways of navigating through life might need to be adjusted. You want things to be different, but you're not sure how. You're ready to change, you just need some guidance to find your way.
Life can be a lot. Between work, school, finances, pandemics, financial crisis... I could go on, and on. Some of us are also dealing with debilitating anxiety, depression, and health issues. Many people are seeing the effects in their relationships, their work, and their spiritual life. Now more than ever, it's important to have a sounding board. The old ways of navigating through life might need to be adjusted. You want things to be different, but you're not sure how. You're ready to change, you just need some guidance to find your way.
(276) 859-5693 View (276) 859-5693
Photo of Jodie Marie Henderson, Pre-Licensed Professional in 24201, VA
Jodie Marie Henderson
Pre-Licensed Professional, LPCMHSP, (TEMP)
Verified Verified
2 Endorsed
Bristol, VA 24201
I welcome all individuals on the path of exploration and healing, including children, teens, and adults. I have a passion for helping others and provide a trusting, non-judgmental, and safe space for others to tell their stories, slay their demons, and achieve their goals. We will work together at your pace on what is important to you. We will collaborate to address immediate symptoms and concerns as well as the underlying causes of the challenges you face, regardless of how insurmountable they may feel now.
I welcome all individuals on the path of exploration and healing, including children, teens, and adults. I have a passion for helping others and provide a trusting, non-judgmental, and safe space for others to tell their stories, slay their demons, and achieve their goals. We will work together at your pace on what is important to you. We will collaborate to address immediate symptoms and concerns as well as the underlying causes of the challenges you face, regardless of how insurmountable they may feel now.
(423) 818-9791 View (423) 818-9791
Photo of Rebecca Compton, Clinical Social Work/Therapist in 24201, VA
Rebecca Compton
Clinical Social Work/Therapist, LMSW, CSAC, MAC
Verified Verified
Bristol, VA 24201
Not accepting new clients
Welcome! I'm Rebecca, a dedicated, passionate social worker with over a decade of experience helping individuals overcome life's challenges. My focus areas are addiction, trauma, and mood disorders. I'm here to offer a helping hand and a listening ear as we take on a journey of self-reflection and healing. Together, we'll explore and identify your unique strengths and work towards creating long-lasting positive changes in your life. Everyone deserves a meaningful life and has the potential for growth and resilience. I'm dedicated to helping you tap into that potential. Let's take the first step towards a brighter future today.
Welcome! I'm Rebecca, a dedicated, passionate social worker with over a decade of experience helping individuals overcome life's challenges. My focus areas are addiction, trauma, and mood disorders. I'm here to offer a helping hand and a listening ear as we take on a journey of self-reflection and healing. Together, we'll explore and identify your unique strengths and work towards creating long-lasting positive changes in your life. Everyone deserves a meaningful life and has the potential for growth and resilience. I'm dedicated to helping you tap into that potential. Let's take the first step towards a brighter future today.
(276) 533-1273 View (276) 533-1273
Photo of Saborah Lee Holmes, Licensed Professional Counselor in 24201, VA
Saborah Lee Holmes
Licensed Professional Counselor, LPC, CSAC
Verified Verified
Bristol, VA 24201
I want to work with any person who has the ability to admit that things are not what they could be, and the courage that it takes to hope for and work towards true change in life. Issues that can be addressed include depression, anxiety, trauma, relationship and family issues. One of the main goals of treatment will be helping the person truly identify what their own goals and expectations for their treatment and more broadly for their life are and to devise steps to making their vision a reality.
I want to work with any person who has the ability to admit that things are not what they could be, and the courage that it takes to hope for and work towards true change in life. Issues that can be addressed include depression, anxiety, trauma, relationship and family issues. One of the main goals of treatment will be helping the person truly identify what their own goals and expectations for their treatment and more broadly for their life are and to devise steps to making their vision a reality.
(276) 579-1672 View (276) 579-1672
Photo of Willow & Arbor, PLLC in 24201, VA
Willow & Arbor, PLLC
Verified Verified
Bristol, VA 24201
Willow & Arbor, PLLC is a group therapy practice serving the Tri-Cities, TN area in person and via telehealth. Our providers recognize that there are no 'one-size fits all' treatment options. We are focused on meeting you where you are and co-creating change with you. We focus on creating a context of privacy, empathy, and insight where our clients are fully seen and heard. We treat children, teens, and adults and provide individual, family, and couples sessions.
Willow & Arbor, PLLC is a group therapy practice serving the Tri-Cities, TN area in person and via telehealth. Our providers recognize that there are no 'one-size fits all' treatment options. We are focused on meeting you where you are and co-creating change with you. We focus on creating a context of privacy, empathy, and insight where our clients are fully seen and heard. We treat children, teens, and adults and provide individual, family, and couples sessions.
(423) 607-8988 View (423) 607-8988
Photo of Pathways to Wellness Counseling , Clinical Social Work/Therapist in 24201, VA
Pathways to Wellness Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Bristol, VA 24201
NOW ACCEPTING NEW CLIENTS!!! Do you feel like you have tried everything and it still isn't working? Are you tired of existing in life and not fully living life? Do you feel stuck, depressed, or anxious? I provide a safe, non-judgmental atmosphere so you can feel free to express your needs and work together on a plan that best fits your needs. I have worked in emergency crisis services, crisis management services, and trauma for years and this has brought with it the experience to be able to quickly meet and address your immediate needs and then work toward addressing the long-term needs.
NOW ACCEPTING NEW CLIENTS!!! Do you feel like you have tried everything and it still isn't working? Are you tired of existing in life and not fully living life? Do you feel stuck, depressed, or anxious? I provide a safe, non-judgmental atmosphere so you can feel free to express your needs and work together on a plan that best fits your needs. I have worked in emergency crisis services, crisis management services, and trauma for years and this has brought with it the experience to be able to quickly meet and address your immediate needs and then work toward addressing the long-term needs.
(276) 597-4092 View (276) 597-4092

Nearby Searches for 24201

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How does your Therapist compare?

Number of Therapists in 24201

20+

Average cost per session

$100

Therapists in 24201 who prioritize treating:

93% Anxiety
89% Depression
82% Self Esteem
79% Relationship Issues
75% Trauma and PTSD
71% Coping Skills
64% Stress

Average years in practice

7 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
80% Anthem | Elevance
75% Aetna

How Therapists in 24201 see their clients

86% In Person and Online
14% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 24201?

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.