Photo of Ellie Gutzke - Central Oregon Counseling, MSW, LCSW, Clinical Social Work/Therapist
Central Oregon Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hendersonville, NC 28792  (Online Only)
Not accepting new clients
Welcome! Therapy is a process of self-discovery. My goal for each session is to create a warm, approachable, and safe environment in which clients feel heard, understood, and empowered exploring and addressing issues in therapy, while cultivating self-awareness and healthy coping skills. In my practice, I work to build a caring, authentic, and collaborative client-therapist relationship as I believe fostering and nurturing the therapeutic alliance is the catalyst and essential for achieving and experiencing positive, lasting change in your relationships and life.
Welcome! Therapy is a process of self-discovery. My goal for each session is to create a warm, approachable, and safe environment in which clients feel heard, understood, and empowered exploring and addressing issues in therapy, while cultivating self-awareness and healthy coping skills. In my practice, I work to build a caring, authentic, and collaborative client-therapist relationship as I believe fostering and nurturing the therapeutic alliance is the catalyst and essential for achieving and experiencing positive, lasting change in your relationships and life.
(541) 320-7402 View (541) 320-7402
Photo of Ryan T Bell, LCMHC
Ryan T Bell
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
1 Endorsed
I believe in the power of connection. To self, to others, to the world around us. The stories we tell ourselves and the experiences we have do a great job of interfering with those connections. I work to support people by defining the values, relationships, and expectations that drive us. I enjoy working with young adults, adolescents and their families to explore the beliefs, fears, and anxieties that derail us from making those connections that give our lives purpose. I also love getting outside while we do it. Virtual sessions in the back yard or a walk and talk at the park? Frisbee gulf? Putt Putt? Paddleboard?
I believe in the power of connection. To self, to others, to the world around us. The stories we tell ourselves and the experiences we have do a great job of interfering with those connections. I work to support people by defining the values, relationships, and expectations that drive us. I enjoy working with young adults, adolescents and their families to explore the beliefs, fears, and anxieties that derail us from making those connections that give our lives purpose. I also love getting outside while we do it. Virtual sessions in the back yard or a walk and talk at the park? Frisbee gulf? Putt Putt? Paddleboard?
(828) 293-4948 View (828) 293-4948
Photo of Ellen M Pallme, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Ellen M Pallme
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Are you considering making changes in your life? Do you wonder "how did I get here when all I was doing was trying to feel better?" Whether trauma, mental health, or addiction has created challenges in your life, if you are wanting to learn skills and gain an understanding of your situation, and even a willingness to be a little uncomfortable, I would like to share with you ways to achieve your goals. My goal is to create a safe environment where clients feel accepted as they are.
Are you considering making changes in your life? Do you wonder "how did I get here when all I was doing was trying to feel better?" Whether trauma, mental health, or addiction has created challenges in your life, if you are wanting to learn skills and gain an understanding of your situation, and even a willingness to be a little uncomfortable, I would like to share with you ways to achieve your goals. My goal is to create a safe environment where clients feel accepted as they are.
(828) 547-4436 View (828) 547-4436
Photo of Geoffrey B. Brookshire, LCSW, Clinical Social Work/Therapist
Geoffrey B. Brookshire
Clinical Social Work/Therapist, LCSW
Verified Verified
Active Counseling for Kids and Teens, ages 8–18. Geoffrey specializes in working with youth who exhibit symptoms consistent with high functioning Autism, ADHD, Anxiety, and Depression. He provides dynamic brain-based movement strategies as well as creative music and art interventions to boost confidence and enhance social-emotional skills. Geoffrey’s use of movement and creative activities enables his clients to explore parts of their brain that cannot be easily accessed. During active counseling, the brain generates powerful neurological signals that help young people process complex emotional and sensory information.
Active Counseling for Kids and Teens, ages 8–18. Geoffrey specializes in working with youth who exhibit symptoms consistent with high functioning Autism, ADHD, Anxiety, and Depression. He provides dynamic brain-based movement strategies as well as creative music and art interventions to boost confidence and enhance social-emotional skills. Geoffrey’s use of movement and creative activities enables his clients to explore parts of their brain that cannot be easily accessed. During active counseling, the brain generates powerful neurological signals that help young people process complex emotional and sensory information.
(828) 475-8513 x551 View (828) 475-8513 x551
Photo of Vanessa S Crisp, LCSW, Clinical Social Work/Therapist
Vanessa S Crisp
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
I am a Certified IFS Level 3 Therapist. Counseling is a courageous step toward healing and emotional growth, and I am honored to walk alongside those willing to start this therapeutic process. I am committed to providing professional and relationally based counseling that allows clients to grow, heal, and live from a place of restoration. My IFS trainings and trauma informed approaches are the backbone of my practice and I welcome you to step toward healing. May peace and kindness meet you on your journey to find the right therapist!
I am a Certified IFS Level 3 Therapist. Counseling is a courageous step toward healing and emotional growth, and I am honored to walk alongside those willing to start this therapeutic process. I am committed to providing professional and relationally based counseling that allows clients to grow, heal, and live from a place of restoration. My IFS trainings and trauma informed approaches are the backbone of my practice and I welcome you to step toward healing. May peace and kindness meet you on your journey to find the right therapist!
(828) 522-4090 View (828) 522-4090
Photo of Susan Vos-Dupree - Treehouse Therapy LLC, LCSW, Clinical Social Work/Therapist
Treehouse Therapy LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Life is 10% what happens to you, and 90% how you react to it... We will work together in a supportive, nonjudgmental environment to increase understanding of which life choices have been healthy and adaptive, and which ones can be learned from and improved. There are no mistakes, as long as one learns from them.
Life is 10% what happens to you, and 90% how you react to it... We will work together in a supportive, nonjudgmental environment to increase understanding of which life choices have been healthy and adaptive, and which ones can be learned from and improved. There are no mistakes, as long as one learns from them.
(828) 415-5055 View (828) 415-5055
Photo of Dustin L Nisley, MSW, LCSW, CSAM, Clinical Social Work/Therapist
Dustin L Nisley
Clinical Social Work/Therapist, MSW, LCSW, CSAM
Verified Verified
Not accepting new clients
Has life ever kicked you down and as you were trying to recover from the setback, it felt as though no matter what you did or do, you just can't seem to get back up again? Thoughts and feelings of 'being stuck' ever cross your mind? As we go through life, it can be easy to look for things to blame our struggles on, and as we continue to build these expectations, it's as if we were never in control in the first place! Shifting thoughts, feelings, and perspectives about certain events that happen to us can be an extraordinary challenge; a process that can sometimes take many weeks, months, or even years. And that's okay!
Has life ever kicked you down and as you were trying to recover from the setback, it felt as though no matter what you did or do, you just can't seem to get back up again? Thoughts and feelings of 'being stuck' ever cross your mind? As we go through life, it can be easy to look for things to blame our struggles on, and as we continue to build these expectations, it's as if we were never in control in the first place! Shifting thoughts, feelings, and perspectives about certain events that happen to us can be an extraordinary challenge; a process that can sometimes take many weeks, months, or even years. And that's okay!
(828) 532-3973 View (828) 532-3973
Photo of Deborah Whitley Van Wieren, LCMHC , LCAS
Deborah Whitley Van Wieren
Licensed Clinical Mental Health Counselor, LCMHC , LCAS
Verified Verified
Waitlist for new clients
Life can present challenges, some we live with every day, and others seem to come out of nowhere. Maybe life doesn't follow along a path we've spent years creating and working toward. The business of living can begin to feel like a grind, and simple tasks may create exhaustion, fear, and uncertainty. Unresolved and painful childhood memories seem to revisit out of nowhere, and even though you've worked and wished, or prayed about the pain, the pain lingers. We often resign ourselves to perceiving life as a chore instead of a joyful experience, which can lead to a lack of fulfillment and even chronic illness.
Life can present challenges, some we live with every day, and others seem to come out of nowhere. Maybe life doesn't follow along a path we've spent years creating and working toward. The business of living can begin to feel like a grind, and simple tasks may create exhaustion, fear, and uncertainty. Unresolved and painful childhood memories seem to revisit out of nowhere, and even though you've worked and wished, or prayed about the pain, the pain lingers. We often resign ourselves to perceiving life as a chore instead of a joyful experience, which can lead to a lack of fulfillment and even chronic illness.
(828) 373-1168 View (828) 373-1168
Photo of Michelle Geiser, NBCC, LCMHC, LCAS, CSI, Counselor
Michelle Geiser
Counselor, NBCC, LCMHC, LCAS, CSI
Verified Verified
Each person's therapeutic journey is unique. The biggest step is the willingness and desire to seek help, especially when things are difficult. Openness and engagement are the pillars of a strong therapeutic relationship. My clinical practice focuses on the needs of the client. Allowing your needs to guide the treatment process. Determining which pathways work best for your needs.
Each person's therapeutic journey is unique. The biggest step is the willingness and desire to seek help, especially when things are difficult. Openness and engagement are the pillars of a strong therapeutic relationship. My clinical practice focuses on the needs of the client. Allowing your needs to guide the treatment process. Determining which pathways work best for your needs.
(828) 330-9255 View (828) 330-9255
Photo of Barbara Jean Sorensen, MS, LCMHCA, CHT, CHTP, Counselor
Barbara Jean Sorensen
Counselor, MS, LCMHCA, CHT, CHTP
Verified Verified
Greetings and welcome to Mountain Home Counseling! I offer a genuine team approach with you, doing work I am called to from the heart and soul. My specialties are in general mental health counseling, clinical hypnosis and Transpersonal hypnotherapy. Clinical and therapeutic hypnosis along with counseling addresses many forms of mental/emotional/physical issues including undesirable habits, phobias, physical ailments, anxiety, depression, self-doubt, and all manner of fear that hinders our ability to fully love and accept ourselves.
Greetings and welcome to Mountain Home Counseling! I offer a genuine team approach with you, doing work I am called to from the heart and soul. My specialties are in general mental health counseling, clinical hypnosis and Transpersonal hypnotherapy. Clinical and therapeutic hypnosis along with counseling addresses many forms of mental/emotional/physical issues including undesirable habits, phobias, physical ailments, anxiety, depression, self-doubt, and all manner of fear that hinders our ability to fully love and accept ourselves.
(828) 332-5620 View (828) 332-5620
Photo of Kristin Elliott, MA, LCMHC-A, NCC, Counselor
Kristin Elliott
Counselor, MA, LCMHC-A, NCC
Verified Verified
Counseling offers a unique opportunity to look inside ourselves and to look around us. Through counseling we can further consider what it would mean to have greater personal understanding, to heal from past or current wounds, and/or to transform into the person we feel we have yet to become. The counseling relationship offers a space of non-judgment where we get to explore any part of what it means to be a human living in this complex, painful, and beautiful world.
Counseling offers a unique opportunity to look inside ourselves and to look around us. Through counseling we can further consider what it would mean to have greater personal understanding, to heal from past or current wounds, and/or to transform into the person we feel we have yet to become. The counseling relationship offers a space of non-judgment where we get to explore any part of what it means to be a human living in this complex, painful, and beautiful world.
(828) 520-2525 View (828) 520-2525
Photo of Stephanie Smith, LCSW, Clinical Social Work/Therapist
Stephanie Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Hendersonville, NC 28792  (Online Only)
I provide therapy for people feeling stuck and overwhelmed with symptoms of anxiety, depression, trauma, and eating disorders. I will guide and support you while we process traumas and shift into healing, understanding, and empowerment.
I provide therapy for people feeling stuck and overwhelmed with symptoms of anxiety, depression, trauma, and eating disorders. I will guide and support you while we process traumas and shift into healing, understanding, and empowerment.
(828) 662-3383 View (828) 662-3383
Photo of Tammy Maxey, LCMHC, LCAS, CEDS, Licensed Professional Counselor
Tammy Maxey
Licensed Professional Counselor, LCMHC, LCAS, CEDS
Verified Verified
3 Endorsed
Waitlist for new clients
When we are not feeling at our best due to stress, anxiety, depression, family conflict, addiction etc., it effects every other aspect of our lives. It takes strength and courage to recognize that something needs to change. I like to work with my clients in a collaborative and supportive style that provides a blend of coaching, interactive interventions and by instilling hope about their future. Where you are today does not mean that you have to be there tomorrow
When we are not feeling at our best due to stress, anxiety, depression, family conflict, addiction etc., it effects every other aspect of our lives. It takes strength and courage to recognize that something needs to change. I like to work with my clients in a collaborative and supportive style that provides a blend of coaching, interactive interventions and by instilling hope about their future. Where you are today does not mean that you have to be there tomorrow
(828) 475-8634 View (828) 475-8634
Photo of Jeannine Van Sandt, MA, LCMHCA, Counselor
Jeannine Van Sandt
Counselor, MA, LCMHCA
Verified Verified
4 Endorsed
Welcome! What a gift you are giving yourself by seeking out support during this time in your journey! It would be my pleasure to explore whether we share an alignment and safety in doing the hard work of unpacking your concerns and questions. This is a brave step you are taking just by searching. What I have learned is that most of us have an idea about who we are and how our childhood or our lived experiences have shaped us. We also are built with an internal healer. Therapy can be a powerful tool as a kind of emotional sonogram, revealing what can use some attention.
Welcome! What a gift you are giving yourself by seeking out support during this time in your journey! It would be my pleasure to explore whether we share an alignment and safety in doing the hard work of unpacking your concerns and questions. This is a brave step you are taking just by searching. What I have learned is that most of us have an idea about who we are and how our childhood or our lived experiences have shaped us. We also are built with an internal healer. Therapy can be a powerful tool as a kind of emotional sonogram, revealing what can use some attention.
(828) 630-7379 View (828) 630-7379
Photo of Bree Normandin, LCMHC, LCAS, MTS, NCC, CCS-I
Bree Normandin
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, MTS, NCC, CCS-I
Verified Verified
2 Endorsed
Hendersonville, NC 28792  (Online Only)
Welcome to my therapeutic space. I am honored to guide you on your journey toward healing and growth. With over a decade of experience in Western North Carolina, I specialize in treating addiction, anxiety, depression, ADHD, Autism Spectrum Disorder, and Borderline Personality Disorder. My approach is tailored to help you overcome these challenges and achieve personal growth.
Welcome to my therapeutic space. I am honored to guide you on your journey toward healing and growth. With over a decade of experience in Western North Carolina, I specialize in treating addiction, anxiety, depression, ADHD, Autism Spectrum Disorder, and Borderline Personality Disorder. My approach is tailored to help you overcome these challenges and achieve personal growth.
(828) 266-0411 View (828) 266-0411
Photo of Michelle Harrelson Wisda, MSW, LCSW, LCASA, Clinical Social Work/Therapist
Michelle Harrelson Wisda
Clinical Social Work/Therapist, MSW, LCSW, LCASA
Verified Verified
I believe in our resiliency and seeking out a life worthy of living for each of us. Most of us have experienced some kind of trauma throughout our developmental life span. Finding a life of meaning and purpose with loving connections brings about unity and wholehearted living. Learning valuable skills allows us to be able to live our best lives.
I believe in our resiliency and seeking out a life worthy of living for each of us. Most of us have experienced some kind of trauma throughout our developmental life span. Finding a life of meaning and purpose with loving connections brings about unity and wholehearted living. Learning valuable skills allows us to be able to live our best lives.
(828) 481-8379 View (828) 481-8379
Photo of Matt Snyder, MS, MA, LCMHCS, PsyD, Licensed Professional Counselor
Matt Snyder
Licensed Professional Counselor, MS, MA, LCMHCS, PsyD
Verified Verified
2 Endorsed
Hendersonville, NC 28792  (Online Only)
Waitlist for new clients
People often think psychotherapy is only for crises. However research shows that therapy is one of the best investments you can make for life satisfaction and growth. In addition to therapy are other modalities that support healing and growth. Some of these holistic wellness tools include exercise, mindfulness, tai chi and yoga. I have a rich background in the application of mindfulness to promote healing and growth, and have experience integrating tools such as Mindfulness Based Stress Reduction, Acceptance and Commitment Therapy, DBT, CBT, Hypnosis and EMDR. I also find authenticity and humor essential for healing and use both liberally.
People often think psychotherapy is only for crises. However research shows that therapy is one of the best investments you can make for life satisfaction and growth. In addition to therapy are other modalities that support healing and growth. Some of these holistic wellness tools include exercise, mindfulness, tai chi and yoga. I have a rich background in the application of mindfulness to promote healing and growth, and have experience integrating tools such as Mindfulness Based Stress Reduction, Acceptance and Commitment Therapy, DBT, CBT, Hypnosis and EMDR. I also find authenticity and humor essential for healing and use both liberally.
(828) 332-5927 View (828) 332-5927
Photo of Sara R Whitley - Complete Peace, PLLC, LCSW, Clinical Social Work/Therapist
Complete Peace, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Life. It’s about how well we navigate the world around us; our family, friends, partner, career, health, financial obligations, etc. Our happiness is dependent on our capacity to keep “it” together. When one of these is confronted with a challenge, life begins to feel unbalanced. It’s that easy to lose our grasp on happiness. When this happens, life becomes more about survival and getting through the day than it does about savoring the moments and counting our blessings. This is where I can help. Together we will focus on life’s challenges and together we will find the opportunities to reclaim and maintain your Complete Peace.
Life. It’s about how well we navigate the world around us; our family, friends, partner, career, health, financial obligations, etc. Our happiness is dependent on our capacity to keep “it” together. When one of these is confronted with a challenge, life begins to feel unbalanced. It’s that easy to lose our grasp on happiness. When this happens, life becomes more about survival and getting through the day than it does about savoring the moments and counting our blessings. This is where I can help. Together we will focus on life’s challenges and together we will find the opportunities to reclaim and maintain your Complete Peace.
(828) 520-0169 View (828) 520-0169
Photo of Matthew Snyder - Full Circle Community Wellness, MS, MA, PsyD, LCMHCS, Licensed Professional Counselor
Full Circle Community Wellness
Licensed Professional Counselor, MS, MA, PsyD, LCMHCS
Verified Verified
1 Endorsed
Full Circle Counseling and Wellness provides access to high quality, experienced counselors and integrative wellness practitioners who operate in a holistic, community oriented environment. Our counselors have experience with a wide range of emotional and psychological health challenges and seek to make effective treatment strategies affordable and sustainable. We employ the power of relationship for therapeutic benefit and to help foster belonging and connection by surrounding you with resources and support. Whether making art together, weeding gardens, or playing a board game, we hope to provide community oriented opportunities for everyone.
Full Circle Counseling and Wellness provides access to high quality, experienced counselors and integrative wellness practitioners who operate in a holistic, community oriented environment. Our counselors have experience with a wide range of emotional and psychological health challenges and seek to make effective treatment strategies affordable and sustainable. We employ the power of relationship for therapeutic benefit and to help foster belonging and connection by surrounding you with resources and support. Whether making art together, weeding gardens, or playing a board game, we hope to provide community oriented opportunities for everyone.
(828) 483-4232 View (828) 483-4232
Photo of Tia Crooms - Systemic Supervision Training Center, PLLC , LMFT, Marriage & Family Therapist
Systemic Supervision Training Center, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
Hendersonville, NC 28792  (Online Only)
Systemic Supervision Training Center, PLLC (SSTC) offers the following services: 1. Low cost, quality mental health care for individuals, couples, and families, 2. Virtual internship placement site for NC and SC clinicians-in-training, 3. Supervision, mentoring, and consulting services for clinicians and supervisor candidates. Cash pay client session fees range from $35-$150/hour, depending on clinician's credentials. Clinical supervision member rates starting at $50/month. Visit www.systemicsuptc.com for details!
Systemic Supervision Training Center, PLLC (SSTC) offers the following services: 1. Low cost, quality mental health care for individuals, couples, and families, 2. Virtual internship placement site for NC and SC clinicians-in-training, 3. Supervision, mentoring, and consulting services for clinicians and supervisor candidates. Cash pay client session fees range from $35-$150/hour, depending on clinician's credentials. Clinical supervision member rates starting at $50/month. Visit www.systemicsuptc.com for details!
(828) 392-5726 View (828) 392-5726
1

See more therapy options for 28792

How does your Therapist compare?

Number of Therapists in 28792

90+

Average cost per session

$132

Therapists in 28792 who prioritize treating:

92% Anxiety
78% Depression
77% Self Esteem
76% Relationship Issues
69% Trauma and PTSD
67% Grief
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
73% Aetna
51% UnitedHealthcare UHC | UBH

How Therapists in 28792 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 28792?

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.