Photo of Rachael Sanowski, Licensed Professional Counselor, LPC
Rachael Sanowski
Licensed Professional Counselor, LPC
Online Only
My name is Rachael Sanowski, and I am a Licensed Professional Counselor (LPC) from the Metro Detroit area, currently working with clients throughout Michigan via telehealth. I have experience working in an urban integrative healthcare setting, walking with clients through times of anxiety, depression, grief, relational conflict and existential crises. I also have experience working with children and adolescents with autism and ADHD diagnoses, supporting their growth in empathy, problem-solving, emotional regulation and socialization.
My name is Rachael Sanowski, and I am a Licensed Professional Counselor (LPC) from the Metro Detroit area, currently working with clients throughout Michigan via telehealth. I have experience working in an urban integrative healthcare setting, walking with clients through times of anxiety, depression, grief, relational conflict and existential crises. I also have experience working with children and adolescents with autism and ADHD diagnoses, supporting their growth in empathy, problem-solving, emotional regulation and socialization.
(586) 301-7883 View (586) 301-7883
Photo of Suzana Apostolovski, Clinical Social Work/Therapist, LCSW
Suzana Apostolovski
Clinical Social Work/Therapist, LCSW
Online Only
My communication style I utilize a person-centered approach and have unconditional positive regard for all my clients. I want to hear your story, but I may stop you at times in order to challenge specific beliefs or to understand your current thought process. I want to know you and know how we can get you to feel better and to identify your emotions so that you can better communicate.
My communication style I utilize a person-centered approach and have unconditional positive regard for all my clients. I want to hear your story, but I may stop you at times in order to challenge specific beliefs or to understand your current thought process. I want to know you and know how we can get you to feel better and to identify your emotions so that you can better communicate.
(248) 831-1427 View (248) 831-1427
Photo of Lisa Kent, Master Social Worker, LCSW
Lisa Kent
Master Social Worker, LCSW
1 Endorsed
Birmingham, MI 48009
You’re carrying more than feels manageable at times, and the weight is unrelenting. Whether you’re juggling endless responsibilities, feeling the toll of an ongoing struggle within yourself, or burdened by pain that won’t let go, something inside feels stuck. On the surface, you hold it together—keeping up appearances and pushing through—but beneath, there’s a deep ache. You long for relief, clarity, and peace. You want to feel like yourself again (or maybe for the first time), but you’re unsure where to turn. That’s where I come in: to help you feel seen, heard, and supported as you navigate your path to greater well-being.
You’re carrying more than feels manageable at times, and the weight is unrelenting. Whether you’re juggling endless responsibilities, feeling the toll of an ongoing struggle within yourself, or burdened by pain that won’t let go, something inside feels stuck. On the surface, you hold it together—keeping up appearances and pushing through—but beneath, there’s a deep ache. You long for relief, clarity, and peace. You want to feel like yourself again (or maybe for the first time), but you’re unsure where to turn. That’s where I come in: to help you feel seen, heard, and supported as you navigate your path to greater well-being.
(248) 709-5510 View (248) 709-5510
Photo of Natashia Hurley, Clinical Social Work/Therapist, LMSW-C
Natashia Hurley
Clinical Social Work/Therapist, LMSW-C
Online Only
Hello, I’m Natashia! My name is Natashia Hurley and I’m a licensed clinical social worker in the state of Michigan. I have experience working with children, adolescents and adults of all ages. Some of my specialties include anxiety, depression and self esteem using treatments such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to help with managing symptoms. The approach that I take in providing therapy is customized to meet my client’s needs. I typically like to use Cognitive Behavioral Therapy in my approach to help with challenging counterproductive thinking habits and improve my client’s outlook on life.
Hello, I’m Natashia! My name is Natashia Hurley and I’m a licensed clinical social worker in the state of Michigan. I have experience working with children, adolescents and adults of all ages. Some of my specialties include anxiety, depression and self esteem using treatments such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to help with managing symptoms. The approach that I take in providing therapy is customized to meet my client’s needs. I typically like to use Cognitive Behavioral Therapy in my approach to help with challenging counterproductive thinking habits and improve my client’s outlook on life.
(586) 301-5574 View (586) 301-5574
Photo of Sydney Walsh, Psychologist, PhD, LP, CEDS
Sydney Walsh
Psychologist, PhD, LP, CEDS
1 Endorsed
Birmingham, MI 48009
I provide a warm, accepting and nonjudgmental approach, emphasizing the use of evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and Mindfulness Based Cognitive Therapy (MBCT). In addition, I have received training and experience with Radically Open Dialectical Behavioral Therapy (RO-DBT) and Acceptance and Commitment Therapy (ACT). I focus on applying mindfulness and related behavioral skills to help clients learn to tolerate distress, manage emotions, and increase their overall coping ability and quality of life.
I provide a warm, accepting and nonjudgmental approach, emphasizing the use of evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and Mindfulness Based Cognitive Therapy (MBCT). In addition, I have received training and experience with Radically Open Dialectical Behavioral Therapy (RO-DBT) and Acceptance and Commitment Therapy (ACT). I focus on applying mindfulness and related behavioral skills to help clients learn to tolerate distress, manage emotions, and increase their overall coping ability and quality of life.
(248) 558-2242 View (248) 558-2242
Photo of Rochelle Anixt Gold, Clinical Social Work/Therapist, LMSW, ACSW, MA
Rochelle Anixt Gold
Clinical Social Work/Therapist, LMSW, ACSW, MA
Birmingham, MI 48009
Shall we talk about the issues you face? You may not be sure how to deal with them on your own. We could talk them through and consider the best solutions that would ease your mind by removing worrisome thoughts. Learning how to resolve some of these issues with people you relate to all the time will increase their understanding of you.
Shall we talk about the issues you face? You may not be sure how to deal with them on your own. We could talk them through and consider the best solutions that would ease your mind by removing worrisome thoughts. Learning how to resolve some of these issues with people you relate to all the time will increase their understanding of you.
(248) 327-3501 View (248) 327-3501
Photo of Dr. Ashley N. Craft, Limited Licensed Psychologist, PsyD, LLP
Dr. Ashley N. Craft
Limited Licensed Psychologist, PsyD, LLP
Online Only
Are you carrying the weight of multiple identities—being Black or African American, queer, a woman, first-gen, non-binary, “the strong one”— and still feeling anxious, depressed, or emotionally exhausted? You’re not imagining it. Navigating trauma, identity, and self-worth in a world that doesn’t fully see you is heavy. I am a Relational-Cultural Psychologist offering trauma-informed, culturally affirming virtual therapy across Metro Detroit and Michigan. I specialize in helping adults, particularly BIPOC, struggling with anxiety, depression, life transitions, generational trauma, relationship issues, and low self-esteem.
Are you carrying the weight of multiple identities—being Black or African American, queer, a woman, first-gen, non-binary, “the strong one”— and still feeling anxious, depressed, or emotionally exhausted? You’re not imagining it. Navigating trauma, identity, and self-worth in a world that doesn’t fully see you is heavy. I am a Relational-Cultural Psychologist offering trauma-informed, culturally affirming virtual therapy across Metro Detroit and Michigan. I specialize in helping adults, particularly BIPOC, struggling with anxiety, depression, life transitions, generational trauma, relationship issues, and low self-esteem.
(248) 617-0696 View (248) 617-0696
Photo of Haily Montgomery, Pre-Licensed Professional, MA, LLPC
Haily Montgomery
Pre-Licensed Professional, MA, LLPC
5 Endorsed
Birmingham, MI 48009
Do you feel like no matter how much you achieve, it’s never enough? You may be a high-performer with perfectionistic tendencies, constantly pushing yourself to meet impossible standards, while battling self-doubt and burnout. On the outside, it may seem you have it all together however, inside you feel: disconnected, overwhelmed or stuck in a cycle of self-criticism. You might struggle with: anxiety, depression, trauma, body image concerns, ADHD, PTSD, relationship concerns or self esteem. Perhaps balancing life’s demands have left you feeling exhausted. Deep down, you long for: peace, connection and to offer yourself compassion.
Do you feel like no matter how much you achieve, it’s never enough? You may be a high-performer with perfectionistic tendencies, constantly pushing yourself to meet impossible standards, while battling self-doubt and burnout. On the outside, it may seem you have it all together however, inside you feel: disconnected, overwhelmed or stuck in a cycle of self-criticism. You might struggle with: anxiety, depression, trauma, body image concerns, ADHD, PTSD, relationship concerns or self esteem. Perhaps balancing life’s demands have left you feeling exhausted. Deep down, you long for: peace, connection and to offer yourself compassion.
(248) 206-3628 View (248) 206-3628
Photo of Anna Sofen, Psychologist, PsyD
Anna Sofen
Psychologist, PsyD
Online Only
Psychotherapy can help people work through hardships, relieve distress, and improve their quality of life. Together we will address your concerns and problems while also working toward increased self-awareness and developing your natural areas of strength.
Psychotherapy can help people work through hardships, relieve distress, and improve their quality of life. Together we will address your concerns and problems while also working toward increased self-awareness and developing your natural areas of strength.
(248) 671-4488 View (248) 671-4488
Photo of Stephen O'Neill - Stephen O'Neill, LCSW , Clinical Social Work/Therapist, LMSW, LCSW
Stephen O'Neill, LCSW
Clinical Social Work/Therapist, LMSW, LCSW
Online Only
Life is messy. Sometimes more, sometimes less, but it's messy. It just is. Finding peace and stability isn't about thinking everything is going to calm down and fall into place. It won't. And even if it does, come back tomorrow. What do you have? A mess.
Life is messy. Sometimes more, sometimes less, but it's messy. It just is. Finding peace and stability isn't about thinking everything is going to calm down and fall into place. It won't. And even if it does, come back tomorrow. What do you have? A mess.
(248) 910-4636 View (248) 910-4636
Photo of Tina Varlesi - Tina Pregnancy Postpartum Motherhood Speciality, Clinical Social Work/Therapist, LMSW, SSW
Tina Pregnancy Postpartum Motherhood Speciality
Clinical Social Work/Therapist, LMSW, SSW
Online Only
Have you ever stayed in the car listening to music, not wanting to go inside after your husband or sitter was with the kids all day?Or experienced "mom burnout" of shame and guilt?Postpartum depression & anxiety is hard to manage without help.Or perhaps, during pregnancy, you've felt different treatment at work and returned home emotional, only for your partner not to understand what you're experiencing? Maybe you had an amazing pregnancy, but once the baby arrived, you felt lost, sad & unsure of how to prioritize yourself? You may have a partner but leaves you to deal with all of the responsibilities? I was YOU. I was "Burned Out".
Have you ever stayed in the car listening to music, not wanting to go inside after your husband or sitter was with the kids all day?Or experienced "mom burnout" of shame and guilt?Postpartum depression & anxiety is hard to manage without help.Or perhaps, during pregnancy, you've felt different treatment at work and returned home emotional, only for your partner not to understand what you're experiencing? Maybe you had an amazing pregnancy, but once the baby arrived, you felt lost, sad & unsure of how to prioritize yourself? You may have a partner but leaves you to deal with all of the responsibilities? I was YOU. I was "Burned Out".
(313) 251-5871 View (313) 251-5871
Photo of Eric M Pihlgren - Aspen Behavioral Health, PC, Psychologist, PhD, LP
Aspen Behavioral Health, PC
Psychologist, PhD, LP
Birmingham, MI 48009
What do patients say about Eric Pihlgren, PhD, owner of Aspen Behavioral Health, PC? Here are some comments from online reviews: "Very dedicated and thorough. Effectively teaches the methods of DBT"..."He made me feel comfortable and knew so much about the issues I needed help with...best Psychologist in Oakland County!!!"..."He's really good at what he does." Dr. Pihlgren is a fully-licensed Clinical Psychologist specializing in the treatment of adolescents and adults with moderate to severe psychological disorders. Through his extensive educational, training and work experience, Dr. Pihlgren is uniquely qualified to provide psychotherapy to treat a broad range of problems.
What do patients say about Eric Pihlgren, PhD, owner of Aspen Behavioral Health, PC? Here are some comments from online reviews: "Very dedicated and thorough. Effectively teaches the methods of DBT"..."He made me feel comfortable and knew so much about the issues I needed help with...best Psychologist in Oakland County!!!"..."He's really good at what he does." Dr. Pihlgren is a fully-licensed Clinical Psychologist specializing in the treatment of adolescents and adults with moderate to severe psychological disorders. Through his extensive educational, training and work experience, Dr. Pihlgren is uniquely qualified to provide psychotherapy to treat a broad range of problems.
(248) 565-3198 View (248) 565-3198
Photo of Trudy Adler, Licensed Professional Counselor, LMSW, MPA
Trudy Adler
Licensed Professional Counselor, LMSW, MPA
1 Endorsed
Online Only
If you struggle with a number of tough decisions to make, are a caregiver, grieving, or have an overall lack of energy - I just might be the right therapist for you! I utilize a strengths-based approach, which typically uses tools that are readily available to you. I believe in treating everyone with respect, sensitivity, and compassion, while still challenging you to reach your goals. What also sets me apart is my own personal and professional experience with loss, grief, trauma, health challenges and depression paired with my understanding that those experiences are different for everyone. Licensed-DE, FL, ID, MI, OH, SC, VT.
If you struggle with a number of tough decisions to make, are a caregiver, grieving, or have an overall lack of energy - I just might be the right therapist for you! I utilize a strengths-based approach, which typically uses tools that are readily available to you. I believe in treating everyone with respect, sensitivity, and compassion, while still challenging you to reach your goals. What also sets me apart is my own personal and professional experience with loss, grief, trauma, health challenges and depression paired with my understanding that those experiences are different for everyone. Licensed-DE, FL, ID, MI, OH, SC, VT.
(248) 940-3305 View (248) 940-3305
Photo of Gracie Gilbert, Clinical Social Work/Therapist, MSW, LLMSW
Gracie Gilbert
Clinical Social Work/Therapist, MSW, LLMSW
Birmingham, MI 48009
I am a Limited Licensed Social Worker dedicated to improving mental health outcomes for children, adolescents, teens, and young adults. My educational background includes a Master of Clinical Social Work from Simmons University and a Bachelor of Social Work from New York University's Silver School of Social Work.
I am a Limited Licensed Social Worker dedicated to improving mental health outcomes for children, adolescents, teens, and young adults. My educational background includes a Master of Clinical Social Work from Simmons University and a Bachelor of Social Work from New York University's Silver School of Social Work.
(586) 331-6876 View (586) 331-6876
Photo of Daniel Rosenblum, Counselor, MA, LPC
Daniel Rosenblum
Counselor, MA, LPC
6 Endorsed
Online Only
“The only constant in life is change.” Are you adjusting to a: new job, relationship, parenthood, loss of a loved one, or overall change in your way of life? Do you feel overwhelmed by the many changes causing you to feel stagnant? You notice others seemingly accepting change fluidly throughout their lives and are somewhat in awe of the process. You are tired of replaying the same scenario in your head, while your sadness and anxiety escalate. I am here to help you understand your full potential, while mindfully understanding your patterns and triggers, and building new routines.
“The only constant in life is change.” Are you adjusting to a: new job, relationship, parenthood, loss of a loved one, or overall change in your way of life? Do you feel overwhelmed by the many changes causing you to feel stagnant? You notice others seemingly accepting change fluidly throughout their lives and are somewhat in awe of the process. You are tired of replaying the same scenario in your head, while your sadness and anxiety escalate. I am here to help you understand your full potential, while mindfully understanding your patterns and triggers, and building new routines.
(248) 368-0954 View (248) 368-0954
Photo of Deb Sheldon, Licensed Professional Counselor, MA, LPC, NCC
Deb Sheldon
Licensed Professional Counselor, MA, LPC, NCC
Birmingham, MI 48009
You do not have to be alone with troubling thoughts or feelings that keep you from being your best. I am experienced, easy to talk with, and willing to help you find solutions and regain your personal resilience. In a non-judgmental, safe space we can work together to unpack the experiences that are getting in the way of your feeling grounded and secure. Focusing on your strengths, we will reflect on the past and present, while keeping an eye to your future self.
You do not have to be alone with troubling thoughts or feelings that keep you from being your best. I am experienced, easy to talk with, and willing to help you find solutions and regain your personal resilience. In a non-judgmental, safe space we can work together to unpack the experiences that are getting in the way of your feeling grounded and secure. Focusing on your strengths, we will reflect on the past and present, while keeping an eye to your future self.
(947) 282-9453 View (947) 282-9453
Photo of Kristina Belzer, Limited Licensed Psychologist, MA, LLP
Kristina Belzer
Limited Licensed Psychologist, MA, LLP
Online Only
Are you looking to become the best version of yourself? I believe through psychotherapy you can become a highly functioning, self- actualized and happy individualized. Together, we will work towards helping you be the person you wish to be and project to the world. My goal is to help you heal from your past, grow, and move forward with your life.
Are you looking to become the best version of yourself? I believe through psychotherapy you can become a highly functioning, self- actualized and happy individualized. Together, we will work towards helping you be the person you wish to be and project to the world. My goal is to help you heal from your past, grow, and move forward with your life.
(947) 333-8291 View (947) 333-8291
Photo of Joe R Morales, Licensed Professional Counselor, MA, LPC
Joe R Morales
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
Are you struggling and don't know where to turn? I have over 25 years of experience working with children, teens, adults and couples from a diverse cultural and socio-economic background. My areas of specialties are: ADHD, anxiety, children, depression, divorce and family relationships. You'll find that my approach is rooted in empathy, compassion, and respect for each individual’s unique journey. Embracing therapy is a way to gain insight, resilience, and develop a deeper understanding of yourself. We will work towards positive transformation and empowerment. I am licensed in CO, ID, MI, FL, SC, TX, VT. Yo tambien hablo españo
Are you struggling and don't know where to turn? I have over 25 years of experience working with children, teens, adults and couples from a diverse cultural and socio-economic background. My areas of specialties are: ADHD, anxiety, children, depression, divorce and family relationships. You'll find that my approach is rooted in empathy, compassion, and respect for each individual’s unique journey. Embracing therapy is a way to gain insight, resilience, and develop a deeper understanding of yourself. We will work towards positive transformation and empowerment. I am licensed in CO, ID, MI, FL, SC, TX, VT. Yo tambien hablo españo
(313) 930-8553 View (313) 930-8553
Photo of Katy Piontsak, Clinical Social Work/Therapist, LMSW
Katy Piontsak
Clinical Social Work/Therapist, LMSW
1 Endorsed
Birmingham, MI 48009
Have you been feeling anxious, stressed, agitated or overwhelmed? Have your relationships been suffering? Has it been hard to stay engaged in life? Are you unsure of how you got to this point, where you no longer feel like yourself, and want desperately to feel better, but just don't know how? Reaching out is the first step. My name is Katy Piontsak, I’m a clinical social work therapist providing individual & couples counseling in Birmingham, and I’m looking forward to working with you.
Have you been feeling anxious, stressed, agitated or overwhelmed? Have your relationships been suffering? Has it been hard to stay engaged in life? Are you unsure of how you got to this point, where you no longer feel like yourself, and want desperately to feel better, but just don't know how? Reaching out is the first step. My name is Katy Piontsak, I’m a clinical social work therapist providing individual & couples counseling in Birmingham, and I’m looking forward to working with you.
(248) 621-7866 View (248) 621-7866
Photo of Fernande Ayoub - Positive Kids , Limited Licensed Psychologist, LLP
Positive Kids
Limited Licensed Psychologist, LLP
1 Endorsed
Birmingham, MI 48009
At Positive Kids, we believe every child has the potential to master their mind, emotions, and behaviors. As child psychologists and leaders in child therapy, we specialize in supporting children with ADHD, anxiety, depression, anger, and other intense emotions. Our innovative approach goes beyond addressing immediate challenges. We equip children with essential tools for long-term success, combining our deep understanding of ADHD with expertise in Social Emotional Learning (SEL) to foster a supportive environment where children can effectively navigate their emotions and behaviors.
At Positive Kids, we believe every child has the potential to master their mind, emotions, and behaviors. As child psychologists and leaders in child therapy, we specialize in supporting children with ADHD, anxiety, depression, anger, and other intense emotions. Our innovative approach goes beyond addressing immediate challenges. We equip children with essential tools for long-term success, combining our deep understanding of ADHD with expertise in Social Emotional Learning (SEL) to foster a supportive environment where children can effectively navigate their emotions and behaviors.
(313) 351-4421 View (313) 351-4421
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See more therapy options for 48009

How does your Therapist compare?

Number of Therapists in 48009

400+

Average cost per session

$150

Therapists in 48009 who prioritize treating:

92% Anxiety
88% Depression
77% Relationship Issues
75% Self Esteem
68% Coping Skills
67% Grief
64% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
67% Aetna
53% Blue Care Network

How Therapists in 48009 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 48009?

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.