Therapists in Cincinnati, OH

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Photo of Joshua A Runtenelli, Drug & Alcohol Counselor in Cincinnati, OH
Joshua A Runtenelli
Drug & Alcohol Counselor, LISW-S, LICDC
Verified Verified
1 Endorsed
Cincinnati, OH 45230
Often times it is helpful to talk to a neutral party. Whether it is working on a serious issue, or just needing someone to bounce something off of, therapy can be very important. I am offering low out of pocket rates. Seeing adults for depression, anxiety, other mental health concerns, as well as substance abuse. I also have experience in couples'counseling. Confidential and accessible therapy as well as weekend appointments available. I have over 10 years experience working with adults, couples, and children. Call me today for an appointment.
Often times it is helpful to talk to a neutral party. Whether it is working on a serious issue, or just needing someone to bounce something off of, therapy can be very important. I am offering low out of pocket rates. Seeing adults for depression, anxiety, other mental health concerns, as well as substance abuse. I also have experience in couples'counseling. Confidential and accessible therapy as well as weekend appointments available. I have over 10 years experience working with adults, couples, and children. Call me today for an appointment.
(859) 904-5298 View (859) 904-5298
David Jennings
Counselor, LPCC, LICDC, CEAP
Verified Verified
Cincinnati, OH 45255
As a Premier Counseling and Coaching Services Provider, I am passionate about providing counseling services to clientele. Through our diverse journey in life there are stories related to managing daily living situations and events. Stress may occur around individuals, couples, families, addiction, health, work or school situations. These stressors can come in all directions which has a ripple effect on daily life functions and emotional well being. Confidential Counseling with a Professional Clinical Counselor can help reduce stress, anxiety, depression and enhance coping skills and strengthen relationships.
As a Premier Counseling and Coaching Services Provider, I am passionate about providing counseling services to clientele. Through our diverse journey in life there are stories related to managing daily living situations and events. Stress may occur around individuals, couples, families, addiction, health, work or school situations. These stressors can come in all directions which has a ripple effect on daily life functions and emotional well being. Confidential Counseling with a Professional Clinical Counselor can help reduce stress, anxiety, depression and enhance coping skills and strengthen relationships.
(513) 657-1710 View (513) 657-1710
Photo of Helen I Riley, Licensed Professional Counselor in Cincinnati, OH
Helen I Riley
Licensed Professional Counselor, MA, LPC
Verified Verified
Cincinnati, OH 45241
Be Our Fortunes As They May, Touched With Loss Or Sorrow; Saddest Eyes that Weep Today, May Be Glad Tomorrow - James Whitcomb Riley's words of pain also offer hope; they were engraved on a plaque in the hallway outside my room as I grew up. Grief, loss, anxiety, depression, work difficulties, relationship issues, & the 'all the things' may be here for the moment but don't have to be here for always. I'm eager to meet with you & consider together the steps to moving toward better, more joyful days. With skills, techniques, & evidence-based/proven theories of care, we have hope for the growth & healing that changes our future.
Be Our Fortunes As They May, Touched With Loss Or Sorrow; Saddest Eyes that Weep Today, May Be Glad Tomorrow - James Whitcomb Riley's words of pain also offer hope; they were engraved on a plaque in the hallway outside my room as I grew up. Grief, loss, anxiety, depression, work difficulties, relationship issues, & the 'all the things' may be here for the moment but don't have to be here for always. I'm eager to meet with you & consider together the steps to moving toward better, more joyful days. With skills, techniques, & evidence-based/proven theories of care, we have hope for the growth & healing that changes our future.
(513) 540-2810 View (513) 540-2810
Photo of Chelsea Chelew, Marriage & Family Therapist in Cincinnati, OH
Chelsea Chelew
Marriage & Family Therapist, MA, LMFT, IMFT
Verified Verified
Cincinnati, OH 45208
I want to reach people who are looking to deepen their relationships, recover from their past and become the person who they really want to be. So often we are going in circles with each other and ourselves, unable to break out of the stuckness we feel or the issues that never seem to go away. That is where I come in. If you acknowledge having a life-long inner critic, emotionally distant or dissatisfactory relationships, chronic health issues (mental and physical) and a lack of authentic connection, then I would love to support you in finding the root cause and creating lasting change.
I want to reach people who are looking to deepen their relationships, recover from their past and become the person who they really want to be. So often we are going in circles with each other and ourselves, unable to break out of the stuckness we feel or the issues that never seem to go away. That is where I come in. If you acknowledge having a life-long inner critic, emotionally distant or dissatisfactory relationships, chronic health issues (mental and physical) and a lack of authentic connection, then I would love to support you in finding the root cause and creating lasting change.
(513) 643-0138 View (513) 643-0138
Photo of Nicholas Hunter, EMDR, Licensed Professional Counselor in Cincinnati, OH
Nicholas Hunter, EMDR
Licensed Professional Counselor, MA, LPCC
Verified Verified
5 Endorsed
Cincinnati, OH 45239
Panic? Anxiety? Stress? Let's do this. I love to work with male clients, both adolescent and adult. I'm an apprentice of Jesus but I work with clients of all faith backgrounds. It would be my honor to help you navigate any issues you are dealing with. Whether you want EMDR, mindfulness, or something like CBT, I've got you covered. I can also speak into FOMO, minimalism, technology addiction, and a variety of other topics. I'm actively pursuing other trainings and education to try to be the best therapist I can be.
Panic? Anxiety? Stress? Let's do this. I love to work with male clients, both adolescent and adult. I'm an apprentice of Jesus but I work with clients of all faith backgrounds. It would be my honor to help you navigate any issues you are dealing with. Whether you want EMDR, mindfulness, or something like CBT, I've got you covered. I can also speak into FOMO, minimalism, technology addiction, and a variety of other topics. I'm actively pursuing other trainings and education to try to be the best therapist I can be.
(513) 434-6208 View (513) 434-6208
Photo of Kerrigan Skruck, Clinical Social Work/Therapist in Cincinnati, OH
Kerrigan Skruck
Clinical Social Work/Therapist, LISW
Verified Verified
Cincinnati, OH 45202  (Online Only)
As a dedicated Licensed Independent Social Worker (LISW) therapist, I specialize in working with teenagers and adults, fostering resilience and growth. I am also committed to supporting the LGBTQIA community, ensuring a safe and affirming space for their unique journeys. It’s okay to not be okay. End the stigma and talk about it. Do you feel alone and stuck inside your head? Anxiety, depression, stress, trauma, body image, etc? I’m here to help foster your confidence and remind you that you are not alone.
As a dedicated Licensed Independent Social Worker (LISW) therapist, I specialize in working with teenagers and adults, fostering resilience and growth. I am also committed to supporting the LGBTQIA community, ensuring a safe and affirming space for their unique journeys. It’s okay to not be okay. End the stigma and talk about it. Do you feel alone and stuck inside your head? Anxiety, depression, stress, trauma, body image, etc? I’m here to help foster your confidence and remind you that you are not alone.
(513) 953-4176 View (513) 953-4176
Photo of Erin Curry-Zeigler, Licensed Professional Counselor in Cincinnati, OH
Erin Curry-Zeigler
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Cincinnati, OH 45255
Welcome! As a Licensed Professional Counselor working with Waybridge Counseling, my goal is to provide individuals and couples with a safe, welcoming environment through individual and partner therapy. I work with clients who are struggling with mental health issues, grief, trauma, depression and anxiety. My treatment approaches include Cognitive Behavioral Therapy and Trauma-Focused Cognitive Behavioral Therapy.
Welcome! As a Licensed Professional Counselor working with Waybridge Counseling, my goal is to provide individuals and couples with a safe, welcoming environment through individual and partner therapy. I work with clients who are struggling with mental health issues, grief, trauma, depression and anxiety. My treatment approaches include Cognitive Behavioral Therapy and Trauma-Focused Cognitive Behavioral Therapy.
(513) 434-6152 View (513) 434-6152
Photo of Adam Hawk, Licensed Professional Counselor in Cincinnati, OH
Adam Hawk
Licensed Professional Counselor, LPC
Verified Verified
Cincinnati, OH 45208
My ideal client is open about their issues and needs and motivated to work through them. My client's goal will be to build a foundation of good mental health that they can carry with them for the rest of their lives and use to improve their own lives as well as their family and friends. My ideal client comes to therapy because they want to be there and value what they can learn from their therapist and themselves.
My ideal client is open about their issues and needs and motivated to work through them. My client's goal will be to build a foundation of good mental health that they can carry with them for the rest of their lives and use to improve their own lives as well as their family and friends. My ideal client comes to therapy because they want to be there and value what they can learn from their therapist and themselves.
(513) 951-6393 View (513) 951-6393
Photo of Carolina Ehlinger, Psychologist in Cincinnati, OH
Carolina Ehlinger
Psychologist, PhD
Verified Verified
Cincinnati, OH 45206  (Online Only)
Coping with Borderline Personality Disorder (BPD) or Post-Traumatic Stress Disorder (PTSD) can feel next to impossible. You might feel out of control in your own life. You react emotionally to situations and later regret your actions. Your world might have gotten smaller and smaller as you feel like you can’t connect with others, or feel less safe in your surroundings. You want to create a life with meaning that you enjoy living, but you don't know how.
Coping with Borderline Personality Disorder (BPD) or Post-Traumatic Stress Disorder (PTSD) can feel next to impossible. You might feel out of control in your own life. You react emotionally to situations and later regret your actions. Your world might have gotten smaller and smaller as you feel like you can’t connect with others, or feel less safe in your surroundings. You want to create a life with meaning that you enjoy living, but you don't know how.
(513) 796-5855 View (513) 796-5855
Photo of Psychotherapy by Stella, LLC, Clinical Social Work/Therapist in Cincinnati, OH
Psychotherapy by Stella, LLC
Clinical Social Work/Therapist, MSW, LCSW, CST
Verified Verified
Cincinnati, OH 45243  (Online Only)
Making the first call is sometimes the hardest part of the therapeutic process. I commend you for your strength and courage in seeking help. One of the most important steps of pursuing counseling is finding a passionate, knowledgeable, and trusting therapist that you feel comfortable with. One that will sit with you through your difficult moments and help you to recognize or remind you of your strength. If a mood disorder is taking control of your life, I can help you to learn how to manage it. ​If you are experiencing challenges with your significant other(s) I can help you to improve the connection, understanding, and intimacy.
Making the first call is sometimes the hardest part of the therapeutic process. I commend you for your strength and courage in seeking help. One of the most important steps of pursuing counseling is finding a passionate, knowledgeable, and trusting therapist that you feel comfortable with. One that will sit with you through your difficult moments and help you to recognize or remind you of your strength. If a mood disorder is taking control of your life, I can help you to learn how to manage it. ​If you are experiencing challenges with your significant other(s) I can help you to improve the connection, understanding, and intimacy.
(513) 854-1443 View (513) 854-1443
Photo of Stephanie Coffey, Clinical Social Work/Therapist in Cincinnati, OH
Stephanie Coffey
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Cincinnati, OH 45241  (Online Only)
Often people see therapy as a one-sided conversation with little opportunity to experience each other as real people. I can promise you that I am as real as it gets. I want to help you achieve whatever solutions you are looking for in a trusting and supportive environment. Starting therapy can be intimidating. It's my goal to make the process as comfortable as possible.
Often people see therapy as a one-sided conversation with little opportunity to experience each other as real people. I can promise you that I am as real as it gets. I want to help you achieve whatever solutions you are looking for in a trusting and supportive environment. Starting therapy can be intimidating. It's my goal to make the process as comfortable as possible.
(513) 848-4302 View (513) 848-4302
Photo of Paige Ballengee, Licensed Professional Clinical Counselor in Cincinnati, OH
Paige Ballengee
Licensed Professional Clinical Counselor, Owner, LPCC-S, LICDC
Verified Verified
Cincinnati, OH 45208
People possess an astonishing and incredible natural capacity to heal themselves both mentally and physically. But, many are not able to find their path through life's complex and sometimes painful questions. Therapy can be the catalyst for healing by peeling back the layers to find your innate, intuitive wisdom about yourself. My role as your therapist is to be your champion- to accept you and unconditionally support you, no matter what you are facing or experiencing.
People possess an astonishing and incredible natural capacity to heal themselves both mentally and physically. But, many are not able to find their path through life's complex and sometimes painful questions. Therapy can be the catalyst for healing by peeling back the layers to find your innate, intuitive wisdom about yourself. My role as your therapist is to be your champion- to accept you and unconditionally support you, no matter what you are facing or experiencing.
(513) 409-9505 View (513) 409-9505
Photo of Jessica Campbell, Counselor in Cincinnati, OH
Jessica Campbell
Counselor, LPCC
Verified Verified
Cincinnati, OH 45208  (Online Only)
Calm your body & mind, connect with your heart, discover who you are outside of your childhood programming & trauma. This leads to more peace, confidence, better relationships & often better health. Healing is a journey and ideally we dip into the past just long enough to learn from it and let it go. Living in the present becomes much easier when trapped emotions from the past aren’t always right there waiting to be activated. I offer an open, no-judgement, holistic space for you to bring your truest self, all preferences and spiritualities welcome.
Calm your body & mind, connect with your heart, discover who you are outside of your childhood programming & trauma. This leads to more peace, confidence, better relationships & often better health. Healing is a journey and ideally we dip into the past just long enough to learn from it and let it go. Living in the present becomes much easier when trapped emotions from the past aren’t always right there waiting to be activated. I offer an open, no-judgement, holistic space for you to bring your truest self, all preferences and spiritualities welcome.
(513) 993-4368 View (513) 993-4368
Photo of Robin Doolittle, Clinical Social Work/Therapist in Cincinnati, OH
Robin Doolittle
Clinical Social Work/Therapist, LPCC, LICDC
Verified Verified
Cincinnati, OH 45236
Robin is a Licensed Independent Clinical Counselor and Licensed Independent Drug and Alcohol Counselor. She has experience working with children, adolescents and adults. Has worked in community, inpatient, and rehabilitation facilities. She has a degree in counseling from Wright State University. She believes that we can find full and meaningful lives while dignifying the emotional and physical pains we encounter. She practices Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT).
Robin is a Licensed Independent Clinical Counselor and Licensed Independent Drug and Alcohol Counselor. She has experience working with children, adolescents and adults. Has worked in community, inpatient, and rehabilitation facilities. She has a degree in counseling from Wright State University. She believes that we can find full and meaningful lives while dignifying the emotional and physical pains we encounter. She practices Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT).
(844) 233-3895 View (844) 233-3895
Photo of Debjani Sinha, Psychologist in Cincinnati, OH
Debjani Sinha
Psychologist, PhD
Verified Verified
1 Endorsed
Cincinnati, OH 45242
My psychotherapy practice offers a safe, welcoming environment to actively work on your health and well-being. We will collaboratively establish our goals in therapy, and pace our sessions to match your needs. I offer both psychotherapy and psychoeducational assessment services. Psychotherapy sessions focus on growth-oriented issues even when addressing adjustment and mental health concerns. Assessment services are geared toward answering specific referral questions, usually to do with academic aptitude and school/college accommodations.
My psychotherapy practice offers a safe, welcoming environment to actively work on your health and well-being. We will collaboratively establish our goals in therapy, and pace our sessions to match your needs. I offer both psychotherapy and psychoeducational assessment services. Psychotherapy sessions focus on growth-oriented issues even when addressing adjustment and mental health concerns. Assessment services are geared toward answering specific referral questions, usually to do with academic aptitude and school/college accommodations.
(513) 729-6062 View (513) 729-6062
Photo of Eva Sandmann, Licensed Professional Counselor in Cincinnati, OH
Eva Sandmann
Licensed Professional Counselor, LPC
Verified Verified
Cincinnati, OH 45207
Eva Sandmann is a Licensed Professional Counselor in Ohio who has been practicing since 2018. She has a Master's of Science is in Mental Health Counseling from the University of Indianapolis. Eva offers counseling services for children, adolescents, young adults, and adults. She uses an eclectic approach to therapy. Eva utilizes theories based in cognitive behavioral theory, dialectical, behavioral therapy, play therapy, centra therapy, mindfulness, therapy, family systems therapy, and person-centered therapy.
Eva Sandmann is a Licensed Professional Counselor in Ohio who has been practicing since 2018. She has a Master's of Science is in Mental Health Counseling from the University of Indianapolis. Eva offers counseling services for children, adolescents, young adults, and adults. She uses an eclectic approach to therapy. Eva utilizes theories based in cognitive behavioral theory, dialectical, behavioral therapy, play therapy, centra therapy, mindfulness, therapy, family systems therapy, and person-centered therapy.
(513) 951-3603 View (513) 951-3603
Photo of Megan G. Murray, Psychologist in Cincinnati, OH
Megan G. Murray
Psychologist, PhD
Verified Verified
Cincinnati, OH 45208
I am a Licensed Clinical Psychologist practicing for approximately 20 years. I work exclusively with adults and have extensive experience in assessment and treatment of Post Traumatic Stress Disorder, Depression and Anxiety Disorders. I have a variety of research experiences investigating symptoms associated with trauma, mood disorders, personality and how stressful life events can impact psychological symptoms and quality of life. I have worked in both inpatient and outpatient settings and have taught, trained and supervised graduate students in Psychology.
I am a Licensed Clinical Psychologist practicing for approximately 20 years. I work exclusively with adults and have extensive experience in assessment and treatment of Post Traumatic Stress Disorder, Depression and Anxiety Disorders. I have a variety of research experiences investigating symptoms associated with trauma, mood disorders, personality and how stressful life events can impact psychological symptoms and quality of life. I have worked in both inpatient and outpatient settings and have taught, trained and supervised graduate students in Psychology.
(513) 808-4528 View (513) 808-4528
Photo of Victoria Becker, Psychologist in Cincinnati, OH
Victoria Becker
Psychologist, PsyD
Verified Verified
Cincinnati, OH 45230
Dr. Becker received her doctoral degree in clinical psychology from Miami University and holds a bachelor degree in psychology from The Ohio State University. She has over 20 years of experience as a therapist including work with adolescents and adults providing individual and couples counseling. She works with ages 18 years old to 65+. Some of her specialty treatment areas include depression, anxiety, relationship issues, stress management strategy, grief counseling, reproductive concerns, post-partum depression, and other women's issues.
Dr. Becker received her doctoral degree in clinical psychology from Miami University and holds a bachelor degree in psychology from The Ohio State University. She has over 20 years of experience as a therapist including work with adolescents and adults providing individual and couples counseling. She works with ages 18 years old to 65+. Some of her specialty treatment areas include depression, anxiety, relationship issues, stress management strategy, grief counseling, reproductive concerns, post-partum depression, and other women's issues.
(513) 654-3138 View (513) 654-3138
Photo of Jenifer Saaraswath, Licensed Professional Counselor in Cincinnati, OH
Jenifer Saaraswath
Licensed Professional Counselor, MS, LPC, DARTT
Verified Verified
2 Endorsed
Cincinnati, OH 45223
I imagine you are here because you are feeling lost, alone, and unsure of what to do next. You might be wondering whether you'll ever feel happy again, and utterly frustrated for feeling so low for so long. You are not alone.
I imagine you are here because you are feeling lost, alone, and unsure of what to do next. You might be wondering whether you'll ever feel happy again, and utterly frustrated for feeling so low for so long. You are not alone.
(513) 450-4837 View (513) 450-4837
Photo of Anne Roma, Clinical Social Work/Therapist in Cincinnati, OH
Anne Roma
Clinical Social Work/Therapist, PhD, LISW-S
Verified Verified
1 Endorsed
Cincinnati, OH 45223
Wanna feel better but not sure how? Have a hard time even understanding why you are so agitated? Checked out? Our work together can help you identify a clearer path towards the life you want. I use talk-based therapy as well as EMDR, Ketamine-Assisted Therapy, and somatic interventions to help you feel clearer, lighter, and ultimately more connected to yourself and loved ones. We'll "unpack", brainstorm and create a list of tools for you use use in work and home to manage stress and find more connection with others.
Wanna feel better but not sure how? Have a hard time even understanding why you are so agitated? Checked out? Our work together can help you identify a clearer path towards the life you want. I use talk-based therapy as well as EMDR, Ketamine-Assisted Therapy, and somatic interventions to help you feel clearer, lighter, and ultimately more connected to yourself and loved ones. We'll "unpack", brainstorm and create a list of tools for you use use in work and home to manage stress and find more connection with others.
(513) 654-6604 View (513) 654-6604

How does your Therapist compare?

Number of Therapists in Cincinnati, OH

1,000+

Average cost per session

$125

Therapists in Cincinnati, OH who prioritize treating:

91% Anxiety
87% Depression
72% Self Esteem
71% Trauma and PTSD
69% Relationship Issues
66% Coping Skills
62% Stress

Average years in practice

10 Years

Top 3 insurances accepted

77% UnitedHealthcare UHC | UBH
74% Aetna
63% Optum

How Therapists in Cincinnati, OH see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cincinnati?

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.