Therapists in 45331

Photo of Janine Marie Campbell, Licensed Professional Counselor, MA, LPC
Janine Marie Campbell
Licensed Professional Counselor, MA, LPC
Serves Area
Are you struggling with communication, trust, or intimacy in your relationship? Is your marriage or partnership facing a difficult time? I'm Janine, a compassionate therapist specializing in relationships and couples counseling. I’m passionate about helping individuals and couples reconnect, heal, and grow. In a safe, non-judgmental space, we’ll explore your thoughts and feelings to help you strengthen your bond and move forward with confidence. Let’s work together to create the fulfilling relationship you deserve.
Are you struggling with communication, trust, or intimacy in your relationship? Is your marriage or partnership facing a difficult time? I'm Janine, a compassionate therapist specializing in relationships and couples counseling. I’m passionate about helping individuals and couples reconnect, heal, and grow. In a safe, non-judgmental space, we’ll explore your thoughts and feelings to help you strengthen your bond and move forward with confidence. Let’s work together to create the fulfilling relationship you deserve.
(937) 707-6404 View (937) 707-6404
Photo of Nicole L. Keller, Counselor, MS, PCC-S, CHT
Nicole L. Keller
Counselor, MS, PCC-S, CHT
1 Endorsed
Serves Area
Starting therapy is a major life decision! It takes courage even though you may be scared or unsure of what to expect, you are ready to start the process of self-change. I believe in taking a holistic approach to working with each client on an individual level, focusing on their specific needs, wants and goals. I am a direct, honest and straight forward therapist. Accountability is key. I attempt to create a casual and relaxed atmosphere, that is safe, inviting, and makes you comfortable for you to share. I am trained in alternative therapies such as hypnotherapy and EMDR.
Starting therapy is a major life decision! It takes courage even though you may be scared or unsure of what to expect, you are ready to start the process of self-change. I believe in taking a holistic approach to working with each client on an individual level, focusing on their specific needs, wants and goals. I am a direct, honest and straight forward therapist. Accountability is key. I attempt to create a casual and relaxed atmosphere, that is safe, inviting, and makes you comfortable for you to share. I am trained in alternative therapies such as hypnotherapy and EMDR.
(419) 949-8710 View (419) 949-8710
Photo of Marirhetta Crosby, Licensed Professional Counselor, IMFT, LPCC, NCC, Supv
Marirhetta Crosby
Licensed Professional Counselor, IMFT, LPCC, NCC, Supv
2 Endorsed
Serves Area
I provide therapy for teens and adults experiencing emotional overwhelm, self-doubt, or challenges with communication and confidence. Many clients feel stuck in patterns of indecision, emotional reactivity, or uncertainty in relationships. My approach is collaborative and evidence-based, integrating CBT, DBT-informed skills, and attachment-focused therapy to support emotion regulation, clearer communication, and confidence-building. I strive to offer a warm, supportive space while also providing structure, clarity, and practical tools for meaningful change.
I provide therapy for teens and adults experiencing emotional overwhelm, self-doubt, or challenges with communication and confidence. Many clients feel stuck in patterns of indecision, emotional reactivity, or uncertainty in relationships. My approach is collaborative and evidence-based, integrating CBT, DBT-informed skills, and attachment-focused therapy to support emotion regulation, clearer communication, and confidence-building. I strive to offer a warm, supportive space while also providing structure, clarity, and practical tools for meaningful change.
(216) 677-4882 View (216) 677-4882
Photo of Jim Gish
Jim Gish
Verified Verified
1 Endorsed
Serves Area
I bring decades of experience as a school counselor and psychology professor to my work. I see my role as journeying with fellow travelers toward wholeness and love. Clients notice that I am empathetic and kind, and see that I offer support and guidance without judgement. I have experience working with a wide range of adults, but my practice focuses on depression & anxiety, life transitions, people over 50, and men’s issue. There are not a lot of places in our life where we encounter empathy and a space to feel safe and encouraged to figure out how we can heal and grow. I look forward to providing this space for you.
I bring decades of experience as a school counselor and psychology professor to my work. I see my role as journeying with fellow travelers toward wholeness and love. Clients notice that I am empathetic and kind, and see that I offer support and guidance without judgement. I have experience working with a wide range of adults, but my practice focuses on depression & anxiety, life transitions, people over 50, and men’s issue. There are not a lot of places in our life where we encounter empathy and a space to feel safe and encouraged to figure out how we can heal and grow. I look forward to providing this space for you.
(937) 646-1398 View (937) 646-1398
Photo of Amber Plessinger-Williams, Clinical Social Work/Therapist, LISW
Amber Plessinger-Williams
Clinical Social Work/Therapist, LISW
Online Only
I am a Licensed Independent Social Worker (LISW) based in Greenville, Ohio, and working with clients statewide in Ohio. I have worked with persons of all ages, focused on working with Depression, Anxiety, Bipolar Disorder and using therapies such as Cognitive Behavioral Therapy, Mindfulness, Motivational Interviewing, and Dialectical Behavioral Therapy. I am trained in EMDR and have certifications with Incredible Years and Chemical Dependency.
I am a Licensed Independent Social Worker (LISW) based in Greenville, Ohio, and working with clients statewide in Ohio. I have worked with persons of all ages, focused on working with Depression, Anxiety, Bipolar Disorder and using therapies such as Cognitive Behavioral Therapy, Mindfulness, Motivational Interviewing, and Dialectical Behavioral Therapy. I am trained in EMDR and have certifications with Incredible Years and Chemical Dependency.
(440) 530-9126 View (440) 530-9126
Photo of Michelle Marie Phillips, Counselor, MS, LMHC, NCC
Michelle Marie Phillips
Counselor, MS, LMHC, NCC
Greenville, OH 45331
Not accepting new clients
Do you wake up feeling unsatisfied and unsure of yourself, your life and even those around you? Do you feel like you’re disconnected and unplugged from the world around you? Have you experienced things that you don’t want to think about, let alone talk about? You can get free of the past and find meaning and purpose in your life’s journey. “I am not what happened to me, I am what I chose to become” this quote by Carl Jung exemplifies my philosophy working with clients. Let’s partner together to clear that fog and find the light of your life’s lighthouse.
Do you wake up feeling unsatisfied and unsure of yourself, your life and even those around you? Do you feel like you’re disconnected and unplugged from the world around you? Have you experienced things that you don’t want to think about, let alone talk about? You can get free of the past and find meaning and purpose in your life’s journey. “I am not what happened to me, I am what I chose to become” this quote by Carl Jung exemplifies my philosophy working with clients. Let’s partner together to clear that fog and find the light of your life’s lighthouse.
(765) 565-5311 View (765) 565-5311
Photo of Amy Kalk, Clinical Social Work/Therapist, LISW-S
Amy Kalk
Clinical Social Work/Therapist, LISW-S
Online Only
I've wanted to be a social worker since I was 8 years old when I thought there wasn't a better job than helping people. Decades later, I still believe that! I feel strongly that every person has the ability to be the best version of themselves and look forward to being able to help you achieve that. Everyone is unique, and I meet you where you are so that we can develop a relationship based on trust, respect, and support. As an impartial listener, I look forward to joining you on your journey to understanding yourself and what you want out of life. Taking the step to start this process is hard and I hope to make it easier for you.
I've wanted to be a social worker since I was 8 years old when I thought there wasn't a better job than helping people. Decades later, I still believe that! I feel strongly that every person has the ability to be the best version of themselves and look forward to being able to help you achieve that. Everyone is unique, and I meet you where you are so that we can develop a relationship based on trust, respect, and support. As an impartial listener, I look forward to joining you on your journey to understanding yourself and what you want out of life. Taking the step to start this process is hard and I hope to make it easier for you.
(440) 760-0177 View (440) 760-0177
Photo of Valerie Tommasone, Counselor, LPCC
Valerie Tommasone
Counselor, LPCC
Online Only
I primarily utilize cognitive behavioral therapy (CBT), while incorporating rational emotive behavioral therapy (REBT) and dialectical behavioral therapy (DBT) to teach you skills to reshape unhelpful thought patterns, regulate emotions, improve communication, and become more in control of your behaviors. For clients with post- traumatic stress disorder (PTSD) who want to specifically process trauma, I also practice trauma focused cognitive behavioral therapy (TFCBT) to help survivors of trauma process and work through past experiences.
I primarily utilize cognitive behavioral therapy (CBT), while incorporating rational emotive behavioral therapy (REBT) and dialectical behavioral therapy (DBT) to teach you skills to reshape unhelpful thought patterns, regulate emotions, improve communication, and become more in control of your behaviors. For clients with post- traumatic stress disorder (PTSD) who want to specifically process trauma, I also practice trauma focused cognitive behavioral therapy (TFCBT) to help survivors of trauma process and work through past experiences.
(440) 762-7181 View (440) 762-7181
Photo of Jennifer L. Moore, Licensed Professional Clinical Counselor, MA, LPCC-S
Jennifer L. Moore
Licensed Professional Clinical Counselor, MA, LPCC-S
Online Only
I am dedicated to fostering individual growth, empowering clients to identify and cultivate previously unrecognized strengths. I views challenges as opportunities for continued development rather than impediments, embracing each person's unique journey. My style is characterized by curiosity, goal-orientation, support and encouragement. Beyond my professional commitments, I am a lifelong learner with interests in all things out doors, spending time with family and friends, reading, working out, and baking.
I am dedicated to fostering individual growth, empowering clients to identify and cultivate previously unrecognized strengths. I views challenges as opportunities for continued development rather than impediments, embracing each person's unique journey. My style is characterized by curiosity, goal-orientation, support and encouragement. Beyond my professional commitments, I am a lifelong learner with interests in all things out doors, spending time with family and friends, reading, working out, and baking.
(419) 597-5183 View (419) 597-5183

More Therapists Nearby

Photo of Jeremy D Spence - Bridges of Hope Counseling, Counselor, LPCC, BC-TMH
Bridges of Hope Counseling
Counselor, LPCC, BC-TMH
1 Endorsed
Serves Area
Counseling is a big decision and I am glad you are searching for the right counseling. I value my clients stories and help to show empathy, compassion, and care while giving hope to all who come into my office. I can help by listening intently to what you are saying & matching knowledge with compassion. I specialize in helping clients who are interested in telemental health and can provide HIPAA secured videoconferencing to meet your needs. Appointments available as soon as you need/want them.
Counseling is a big decision and I am glad you are searching for the right counseling. I value my clients stories and help to show empathy, compassion, and care while giving hope to all who come into my office. I can help by listening intently to what you are saying & matching knowledge with compassion. I specialize in helping clients who are interested in telemental health and can provide HIPAA secured videoconferencing to meet your needs. Appointments available as soon as you need/want them.
(937) 315-6024 View (937) 315-6024
Photo of Cynthia Kenny, Licensed Professional Clinical Counselor, MA, LPCC-S
Cynthia Kenny
Licensed Professional Clinical Counselor, MA, LPCC-S
3 Endorsed
Serves Area
Thank you for showing up and visiting my profile. You have taken the first step on your new counseling journey! I work well with adults experiencing a variety of concerns, including anxiety, trauma, and women who have experienced relationship trauma or abuse. I offer a counseling environment filled with warmth, empathy, and compassion. And provide a safe space that encourages the development of trust for processing change and traumatic life, chronic emotional and physical pain, as well as experiences, such as loss, grief, or separation from a loved one.
Thank you for showing up and visiting my profile. You have taken the first step on your new counseling journey! I work well with adults experiencing a variety of concerns, including anxiety, trauma, and women who have experienced relationship trauma or abuse. I offer a counseling environment filled with warmth, empathy, and compassion. And provide a safe space that encourages the development of trust for processing change and traumatic life, chronic emotional and physical pain, as well as experiences, such as loss, grief, or separation from a loved one.
(567) 234-7859 View (567) 234-7859
Photo of Victoria Martin, Licensed Professional Clinical Counselor, PCC-S, LSW
Victoria Martin
Licensed Professional Clinical Counselor, PCC-S, LSW
Troy, OH 45373
Hello! People often choose counseling when issues such as relationship conflict, mood concerns and traumatic experiences begin negatively impacting the person and they are simply not where they want to be in life. I offer supportive counseling and consultation services to individuals using techniques that best meet their unique needs. I am a Certified EMDR Therapist and have used EMDR with first responders, veterans and other individuals who have lived through high stress situations. My hope is that my services can provide the assistance needed to help the individual return to living the healthy and productive life they desire!
Hello! People often choose counseling when issues such as relationship conflict, mood concerns and traumatic experiences begin negatively impacting the person and they are simply not where they want to be in life. I offer supportive counseling and consultation services to individuals using techniques that best meet their unique needs. I am a Certified EMDR Therapist and have used EMDR with first responders, veterans and other individuals who have lived through high stress situations. My hope is that my services can provide the assistance needed to help the individual return to living the healthy and productive life they desire!
(937) 588-6311 View (937) 588-6311
Photo of Rebecca Hunt, Clinical Social Work/Therapist, LISW
Rebecca Hunt
Clinical Social Work/Therapist, LISW
Tipp City, OH 45371
I go by Becky and have been working with children and families since 2004. I have provided many different kinds of case management and therapeutic services in my social work career. I believe that wellness includes many factors of a person's life-mental, physical, emotional, and spiritual health. Some of those things in your life might be in balance while other areas are not. You probably already have the ability to manage many situation or challenges with a combination of existing strengths and learned skills; we can add to those together.
I go by Becky and have been working with children and families since 2004. I have provided many different kinds of case management and therapeutic services in my social work career. I believe that wellness includes many factors of a person's life-mental, physical, emotional, and spiritual health. Some of those things in your life might be in balance while other areas are not. You probably already have the ability to manage many situation or challenges with a combination of existing strengths and learned skills; we can add to those together.
(937) 712-5184 View (937) 712-5184
Photo of Robert Nathan Adams, Counselor, MS, LPCC
Robert Nathan Adams
Counselor, MS, LPCC
Serves Area
Nate works with individuals ages 10 and up and enjoys supporting a diverse range of clients. He believes that working with people from different backgrounds and life experiences keeps him mindful of diversity and fosters a well-rounded, inclusive perspective in his practice. By creating a welcoming and adaptable therapeutic environment, he helps clients feel seen, heard, and empowered in their personal growth journey. Rooted in the principles of a growth mindset, Nate empowers clients to see setbacks as opportunities for learning and transformation. He helps individuals break free from limiting patterns and build resilience.
Nate works with individuals ages 10 and up and enjoys supporting a diverse range of clients. He believes that working with people from different backgrounds and life experiences keeps him mindful of diversity and fosters a well-rounded, inclusive perspective in his practice. By creating a welcoming and adaptable therapeutic environment, he helps clients feel seen, heard, and empowered in their personal growth journey. Rooted in the principles of a growth mindset, Nate empowers clients to see setbacks as opportunities for learning and transformation. He helps individuals break free from limiting patterns and build resilience.
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Photo of John Seebock, Clinical Social Work/Therapist, MSEd, MSW, LSW
John Seebock
Clinical Social Work/Therapist, MSEd, MSW, LSW
1 Endorsed
Vandalia, OH 45377
I have served the Dayton community as a Licensed Social Worker since 1998. I have clinical experience in multiple settings that include school-based therapy as well as integrated care in a clinic setting. I bring a wealth of educational expertise to my practice, having served as a high school principal in the local community. I have worked at the collegiate level as an Adjunct Professor in the Social Work Department of Central State University. I have experience as a mental health professional working with families, adults, adolescents, and children.
I have served the Dayton community as a Licensed Social Worker since 1998. I have clinical experience in multiple settings that include school-based therapy as well as integrated care in a clinic setting. I bring a wealth of educational expertise to my practice, having served as a high school principal in the local community. I have worked at the collegiate level as an Adjunct Professor in the Social Work Department of Central State University. I have experience as a mental health professional working with families, adults, adolescents, and children.
(937) 826-3271 View (937) 826-3271
Photo of Dr. Josh Shuman - Dayton Therapy and Assessment Practice, LLC, Psychologist, PsyD, ABPP
Dayton Therapy and Assessment Practice, LLC
Psychologist, PsyD, ABPP
Serves Area
I am Josh Shuman, PsyD, ABPP, a Board Certified clinical psychologist serving the Dayton area. What therapy with me is like: Solution-focused and encouraging. We'll go at the pace that you set. You won’t only hear “How does that make you feel?” in therapy with me. I will also help you learn the skills necessary to survive- even thrive- through your worst times. Collaboratively, we will do this together. How: We'll work together to identify your strengths, your mental and emotional “stuck points,” and where you can benefit from self-care and new ways of thinking and feeling that you may not have considered before.
I am Josh Shuman, PsyD, ABPP, a Board Certified clinical psychologist serving the Dayton area. What therapy with me is like: Solution-focused and encouraging. We'll go at the pace that you set. You won’t only hear “How does that make you feel?” in therapy with me. I will also help you learn the skills necessary to survive- even thrive- through your worst times. Collaboratively, we will do this together. How: We'll work together to identify your strengths, your mental and emotional “stuck points,” and where you can benefit from self-care and new ways of thinking and feeling that you may not have considered before.
(937) 230-7828 View (937) 230-7828
Photo of Tara Hagan, Counselor, MS, LPCC-S
Tara Hagan
Counselor, MS, LPCC-S
1 Endorsed
Troy, OH 45373
Hello! Life can present challenges where having a trusted therapist to provide clarity and support can make all the difference. I believe that everyone has the potential for growth and change, especially when guided with empathy and understanding. My goal is to offer a safe, compassionate, and nurturing space where you can explore the challenges you're facing and work toward lasting change.
Hello! Life can present challenges where having a trusted therapist to provide clarity and support can make all the difference. I believe that everyone has the potential for growth and change, especially when guided with empathy and understanding. My goal is to offer a safe, compassionate, and nurturing space where you can explore the challenges you're facing and work toward lasting change.
(937) 288-8834 View (937) 288-8834
Photo of Lori L Brookhart, Counselor, LSW, LICDC, LPCC-S
Lori L Brookhart
Counselor, LSW, LICDC, LPCC-S
Englewood, OH 45322
New Location! Accepting New Clients! Therapy isn't just talking, it's also about living the life you want. We work together to find solutions, reframe life situations and change personal views/beliefs for better insight. Everyone deserves to be happy, sometimes we just need assistance with how to get there.
New Location! Accepting New Clients! Therapy isn't just talking, it's also about living the life you want. We work together to find solutions, reframe life situations and change personal views/beliefs for better insight. Everyone deserves to be happy, sometimes we just need assistance with how to get there.
(937) 815-4904 View (937) 815-4904
Photo of Dr. Belinda M Preston-Cash - TEARS for Tay Recovery LLC. , Drug & Alcohol Counselor, Chaplin, MS/QMHS, LICDC, DOT/SAP, Psy D
TEARS for Tay Recovery LLC.
Drug & Alcohol Counselor, Chaplin, MS/QMHS, LICDC, DOT/SAP, Psy D
Englewood, OH 45322
As a therapist my first goal is setting the stage by introducing myself as a therapist, who is here to supply support and resources for clients seeking therapy and life coaching changes. My voice tone and smile, along with twenty-seven plus years of experience, is everything and an immensely powerful tool when engaging with my clients. I must assure the client is aware, I am present, implementing my counseling skills of validating and confirming clients' purpose for counseling, with a non-judgmental clinical counseling approach. Please empower yourself to the desired steps toward positive, healthy, mind, body, and soul counseling.
As a therapist my first goal is setting the stage by introducing myself as a therapist, who is here to supply support and resources for clients seeking therapy and life coaching changes. My voice tone and smile, along with twenty-seven plus years of experience, is everything and an immensely powerful tool when engaging with my clients. I must assure the client is aware, I am present, implementing my counseling skills of validating and confirming clients' purpose for counseling, with a non-judgmental clinical counseling approach. Please empower yourself to the desired steps toward positive, healthy, mind, body, and soul counseling.
(937) 863-9744 View (937) 863-9744
Photo of Sloane Green, Marriage & Family Therapist
Sloane Green
Marriage & Family Therapist
1 Endorsed
Troy, OH 45373
It is a great privilege to walk alongside clients through life’s challenges. My goal is to offer a safe place for my clients to heal and become more of who they’ve always truly been, without judgement or shame. I use a variety of tools and my approach is client-centered, authentic, and compassionate, informed by systems theories. I have advanced training in EMDR Therapy, Emotionally Focused Therapy, and Gottman Couples Therapy.
It is a great privilege to walk alongside clients through life’s challenges. My goal is to offer a safe place for my clients to heal and become more of who they’ve always truly been, without judgement or shame. I use a variety of tools and my approach is client-centered, authentic, and compassionate, informed by systems theories. I have advanced training in EMDR Therapy, Emotionally Focused Therapy, and Gottman Couples Therapy.
(937) 915-5304 View (937) 915-5304

See more therapy options for 45331

How does your Therapist compare?

Number of Therapists in 45331

< 10

Therapists in 45331 who prioritize treating:

89% Depression
89% Anxiety
89% Self Esteem
78% Coping Skills
67% Relationship Issues
67% Grief
67% Stress

Average years in practice

15 Years

Top 3 insurances accepted

86% Aetna
71% Cigna and Evernorth
71% UnitedHealthcare UHC | UBH

How Therapists in 45331 see their clients

56% In Person and Online
44% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 45331?

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.