Photo of Alexis Mitchell, LMSW-C, Clinical Social Work/Therapist
Alexis Mitchell
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Detroit, MI 48226  (Online Only)
Alexis Mitchell is a Licensed Clinical Social worker practicing in Detroit, Michigan who has a wealth of experience working with adults seeking assistance with improving self-esteem, setting boundaries, managing stress, anxiety, depression, coping with life transitions, and improving relationships. Alexis utilizes various modalities for treatment including cognitive behavioral interventions, solution focused, emotionally focused, and logo therapeutic approaches depending on the need of the client.
Alexis Mitchell is a Licensed Clinical Social worker practicing in Detroit, Michigan who has a wealth of experience working with adults seeking assistance with improving self-esteem, setting boundaries, managing stress, anxiety, depression, coping with life transitions, and improving relationships. Alexis utilizes various modalities for treatment including cognitive behavioral interventions, solution focused, emotionally focused, and logo therapeutic approaches depending on the need of the client.
(313) 474-5423 View (313) 474-5423
Photo of Persia Coleman, PMHNP
Persia Coleman
PMHNP
Verified Verified
Detroit, MI 48226  (Online Only)
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP), which entails responsibilities similar to those of a psychiatrist. In my practice, I conduct comprehensive evaluations, accurately diagnose a variety of mental health conditions, and prescribe appropriate medications. I want to ensure that this is what you are looking for, as I have been receiving numerous therapy requests, and I am not a therapist.
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP), which entails responsibilities similar to those of a psychiatrist. In my practice, I conduct comprehensive evaluations, accurately diagnose a variety of mental health conditions, and prescribe appropriate medications. I want to ensure that this is what you are looking for, as I have been receiving numerous therapy requests, and I am not a therapist.
(313) 513-5751 View (313) 513-5751
Photo of Calder Kaufman - Kaufman Psychological Services, PLLC, PsyD, Psychologist
Kaufman Psychological Services, PLLC
Psychologist, PsyD
Verified Verified
Detroit, MI 48226
Choose the therapist, not the therapy. Quality mental health care is a real, human exchange; an opportunity to explore, strengthen, and change aspects of who you are. When psychotherapy is effective, the therapist and patient are creating openings, not closures. This is what heals.
Choose the therapist, not the therapy. Quality mental health care is a real, human exchange; an opportunity to explore, strengthen, and change aspects of who you are. When psychotherapy is effective, the therapist and patient are creating openings, not closures. This is what heals.
(313) 444-7084 View (313) 444-7084
Photo of Erinn Vittum, LLMSW, Clinical Social Work/Therapist
Erinn Vittum
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Detroit, MI 48226  (Online Only)
Do you feel disconnected from yourself and/or others? Would you like to navigate your thoughts, emotions, burdens - your internal & external world(s) - with more ease, understanding or expansion? Do you identify with being neurodivergent, highly sensitive, burned out, a people-pleaser, perfectionist, excessively anxious, chronic-fatigue, masking, deep thinker, (blocked) creative, old soul, late bloomer, or feel “broken”? Want a space to process your human experience & co-create a path forward, from the comfort of your home? I offer online therapy to women (cis, non-binary, trans, LGBTQ+) in Michigan.
Do you feel disconnected from yourself and/or others? Would you like to navigate your thoughts, emotions, burdens - your internal & external world(s) - with more ease, understanding or expansion? Do you identify with being neurodivergent, highly sensitive, burned out, a people-pleaser, perfectionist, excessively anxious, chronic-fatigue, masking, deep thinker, (blocked) creative, old soul, late bloomer, or feel “broken”? Want a space to process your human experience & co-create a path forward, from the comfort of your home? I offer online therapy to women (cis, non-binary, trans, LGBTQ+) in Michigan.
(586) 244-8226 View (586) 244-8226
Photo of Susan E. Bolton, MS, MA, TLLP, Limited Licensed Psychologist
Susan E. Bolton
Limited Licensed Psychologist, MS, MA, TLLP
Verified Verified
Detroit, MI 48226
Life can be unpredictable and overwhelming at times for all of us. My goal is to help support you through these moments. Therapy can seem scary but by providing a trusting, validating, safe and collaborative relationship, I can help support you through these challenges. Everyone comes with their own unique story and my approach is very client centered to find the best approach for you. Together, we can work to stop negative cycles and manage those challenges!
Life can be unpredictable and overwhelming at times for all of us. My goal is to help support you through these moments. Therapy can seem scary but by providing a trusting, validating, safe and collaborative relationship, I can help support you through these challenges. Everyone comes with their own unique story and my approach is very client centered to find the best approach for you. Together, we can work to stop negative cycles and manage those challenges!
(313) 634-0975 View (313) 634-0975
Photo of Ana Cristina Uribe, LCSW, Clinical Social Work/Therapist
Ana Cristina Uribe
Clinical Social Work/Therapist, LCSW
Verified Verified
Detroit, MI 48226  (Online Only)
Se Habla Español. Are you experiencing the stress with every day life? Are you feeling overwhelmed and like you just can't do everything you need to do? Having gone through both of those experiences, I know what it's like to feel like the world is caving in. Sometimes it's difficult to think clearly when our plate is not just full, but overly full and ready to overflow. I specialize in Cognitive Behavioral Therapy and through our work together,
Se Habla Español. Are you experiencing the stress with every day life? Are you feeling overwhelmed and like you just can't do everything you need to do? Having gone through both of those experiences, I know what it's like to feel like the world is caving in. Sometimes it's difficult to think clearly when our plate is not just full, but overly full and ready to overflow. I specialize in Cognitive Behavioral Therapy and through our work together,
(248) 206-3045 View (248) 206-3045
Photo of Tasha Williams - Innovative Therapeutic Solutions, LLC, LMSW, CAADC, SAP, CSSW, LLPC, Clinical Social Work/Therapist
Innovative Therapeutic Solutions, LLC
Clinical Social Work/Therapist, LMSW, CAADC, SAP, CSSW, LLPC
Verified Verified
Detroit, MI 48226  (Online Only)
ITS provides mental, health and social services to those in need. ITS offers a collaboration of services for everyone, from the elderly to people with disabilities.These services includes Clinical Services, In-Home and Social Services which include Case Management services that can assist with improving your quality of life. ITS is credentialed and certified in thousands of insurance companies. All clinicians are CAQH (Counsel for Affordable Quality Healthcare) attested. We can help you with trauma, domestic violence, grief and loss, anger, depression, Substance Use Disorders, Personality Disorders, Neurodevelopmental Disorders.
ITS provides mental, health and social services to those in need. ITS offers a collaboration of services for everyone, from the elderly to people with disabilities.These services includes Clinical Services, In-Home and Social Services which include Case Management services that can assist with improving your quality of life. ITS is credentialed and certified in thousands of insurance companies. All clinicians are CAQH (Counsel for Affordable Quality Healthcare) attested. We can help you with trauma, domestic violence, grief and loss, anger, depression, Substance Use Disorders, Personality Disorders, Neurodevelopmental Disorders.
(313) 462-2979 x48226 View (313) 462-2979 x48226
Photo of Nikkia D Matthews, LMSW, Clinical Social Work/Therapist
Nikkia D Matthews
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Detroit, MI 48226
Currently Accepting New Clients for Virtual Appointments Only. The world around us can often feel like a challenging place to be. Despite it all, you are currently finding a way to thrive - which is a remarkable strength to have! If you're comfortable with the idea that change is necessary and feel motivated to put action steps into practice, let's get started on your journey. We can work together to process your thoughts, emotions and experiences. Therapy helps you become a lifelong learner, so ask questions, challenge your perspective and get ready to dig deep.
Currently Accepting New Clients for Virtual Appointments Only. The world around us can often feel like a challenging place to be. Despite it all, you are currently finding a way to thrive - which is a remarkable strength to have! If you're comfortable with the idea that change is necessary and feel motivated to put action steps into practice, let's get started on your journey. We can work together to process your thoughts, emotions and experiences. Therapy helps you become a lifelong learner, so ask questions, challenge your perspective and get ready to dig deep.
(947) 282-9798 View (947) 282-9798
Photo of Sandra K Johnson, PhD, Psychologist
Sandra K Johnson
Psychologist, PhD
Verified Verified
Detroit, MI 48226  (Online Only)
The key to growth is love. All that is helping, caring, sharing, restoring, forgiving is love. A psychotherapist is a conduit to change. I believe that everyone has the ability and desire to improve her or his life; to maximize the gift that is life. I seek to facilitate such development through compassionate, dynamic participation in the transformation process.
The key to growth is love. All that is helping, caring, sharing, restoring, forgiving is love. A psychotherapist is a conduit to change. I believe that everyone has the ability and desire to improve her or his life; to maximize the gift that is life. I seek to facilitate such development through compassionate, dynamic participation in the transformation process.
(313) 879-0546 View (313) 879-0546
Photo of Lori A Mello, MA,  LPC, Counselor
Lori A Mello
Counselor, MA, LPC
Verified Verified
1 Endorsed
Detroit, MI 48226
Ever since you experienced that profound loss, your life has been turned upside down. In some ways, the initial shock and disorientation were easier to handle than this. You were devastated, but that was expected, so the whirlwind of emotions was justifiable. But the dust has begun to settle, and it’s time to start thinking about how you’ll get on with the rest of your life. “What do I do now?” “Who am I?” “Will things ever feel right again?” You used to feel confident and full of purpose, but now insecurity and uncertainty plague you night and day. You can’t imagine yourself ever getting past this profound grief. It feels hopeless.
Ever since you experienced that profound loss, your life has been turned upside down. In some ways, the initial shock and disorientation were easier to handle than this. You were devastated, but that was expected, so the whirlwind of emotions was justifiable. But the dust has begun to settle, and it’s time to start thinking about how you’ll get on with the rest of your life. “What do I do now?” “Who am I?” “Will things ever feel right again?” You used to feel confident and full of purpose, but now insecurity and uncertainty plague you night and day. You can’t imagine yourself ever getting past this profound grief. It feels hopeless.
(313) 251-8985 View (313) 251-8985
Photo of Rachel Routin, MS, TLLP, Limited Licensed Psychologist
Rachel Routin
Limited Licensed Psychologist, MS, TLLP
Verified Verified
Detroit, MI 48226
I believe that therapy is an ongoing conversation spread out over a period of time where I, as your therapist, get to know you and try to understand what is creating difficulty in your life. My job is to help create a nonjudgmental and comforting relationship where we can begin to understand you - together. I genuinely care about those I work with, and I believe this curious and compassionate approach is ultimately what makes therapy worthwhile. By understanding you and your challenges, we can help you take steps to truly improve your life.
I believe that therapy is an ongoing conversation spread out over a period of time where I, as your therapist, get to know you and try to understand what is creating difficulty in your life. My job is to help create a nonjudgmental and comforting relationship where we can begin to understand you - together. I genuinely care about those I work with, and I believe this curious and compassionate approach is ultimately what makes therapy worthwhile. By understanding you and your challenges, we can help you take steps to truly improve your life.
(248) 955-2976 View (248) 955-2976
Photo of Staci Kent, LCSW, Clinical Social Work/Therapist
Staci Kent
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Detroit, MI 48226  (Online Only)
Anxiety, depression, imposter syndrome, and other various mental health concerns can feel so defeating. A common saying is "the first step to healing is talking about it", and I find this to be so true. Finding support in another person to share this concerns with, like myself, can open up so many doors for you to begin your journey of healing. As a person also struggling with anxiety and imposter syndrome, I know that asking for help is the biggest barrier. But once you finally do, the tension you hold will release and you can become your best self!
Anxiety, depression, imposter syndrome, and other various mental health concerns can feel so defeating. A common saying is "the first step to healing is talking about it", and I find this to be so true. Finding support in another person to share this concerns with, like myself, can open up so many doors for you to begin your journey of healing. As a person also struggling with anxiety and imposter syndrome, I know that asking for help is the biggest barrier. But once you finally do, the tension you hold will release and you can become your best self!
(248) 560-6613 View (248) 560-6613
Photo of Melissa Gray, LPC, Licensed Professional Counselor
Melissa Gray
Licensed Professional Counselor, LPC
Verified Verified
Detroit, MI 48226  (Online Only)
Melissa Gray is an experienced licensed therapist with competence in a variety of settings and with various mental health concerns including, bipolar disorder, anxiety, Autism, depression, anger management, ADHD, and traumatic experience, just to name a few. She enjoys working with and is very knowledgeable in all age groups, from young children to adults. Melissa's goal as a therapist is to work alongside you, assisting you in finding meaningful solutions to the obstacles life may throw your way.
Melissa Gray is an experienced licensed therapist with competence in a variety of settings and with various mental health concerns including, bipolar disorder, anxiety, Autism, depression, anger management, ADHD, and traumatic experience, just to name a few. She enjoys working with and is very knowledgeable in all age groups, from young children to adults. Melissa's goal as a therapist is to work alongside you, assisting you in finding meaningful solutions to the obstacles life may throw your way.
(313) 251-5805 View (313) 251-5805
Photo of Ebony Morales, LCSW, LMSW, Clinical Social Work/Therapist
Ebony Morales
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Detroit, MI 48226
Ebony Morales is a dedicated Clinical Social Worker possessing a Master's degree in Social Work. Holding the esteemed title of Master Social Worker (LMSW) in Michigan, Ebony specializes in providing support to individuals struggling with chronic insomnia. Her therapeutic approach is characterized by unwavering empathy and non-judgment, establishing a secure and supportive environment conducive to open expression of thoughts and feelings. Collaboratively, Ebony works with individuals to formulate effective strategies for enhancing mental well-being, with a particular emphasis on Cognitive Behavioral Therapy for Insomnia (CBT-I).
Ebony Morales is a dedicated Clinical Social Worker possessing a Master's degree in Social Work. Holding the esteemed title of Master Social Worker (LMSW) in Michigan, Ebony specializes in providing support to individuals struggling with chronic insomnia. Her therapeutic approach is characterized by unwavering empathy and non-judgment, establishing a secure and supportive environment conducive to open expression of thoughts and feelings. Collaboratively, Ebony works with individuals to formulate effective strategies for enhancing mental well-being, with a particular emphasis on Cognitive Behavioral Therapy for Insomnia (CBT-I).
(734) 584-0133 View (734) 584-0133
Photo of Megan Dunne, LMSW, Clinical Social Work/Therapist
Megan Dunne
Clinical Social Work/Therapist, LMSW
Verified Verified
Detroit, MI 48226  (Online Only)
We all need a little help sometimes. Therapy is a great tool to have to overcome life’s tough times. Are you new to therapy? Or someone who has seen a therapist before? Regardless of your previous experiences with therapy, I offer everyone a safe, private and professional experience. Together we will address your concerns and then plan and execute change. As far back as I can remember, I have always been concerned with other people’s happiness. As a child I knew that one day I would have a career in a “helping profession”. My approach to therapy is a holistic one.
We all need a little help sometimes. Therapy is a great tool to have to overcome life’s tough times. Are you new to therapy? Or someone who has seen a therapist before? Regardless of your previous experiences with therapy, I offer everyone a safe, private and professional experience. Together we will address your concerns and then plan and execute change. As far back as I can remember, I have always been concerned with other people’s happiness. As a child I knew that one day I would have a career in a “helping profession”. My approach to therapy is a holistic one.
(313) 251-4872 View (313) 251-4872
Photo of Sally Harrett, LCSW, Clinical Social Work/Therapist
Sally Harrett
Clinical Social Work/Therapist, LCSW
Not Verified Not Verified
Detroit, MI 48226  (Online Only)
I am a clinical social worker with over 20 years experience treating individuals, couples, and families. I am licensed in both Michigan and Florida. It is of utmost importance to me to approach each client with compassion and understanding unique to their individual circumstance. Providing effective counseling is a cornerstone of my philosophy. I received my undergraduate degree in Sociology from SMU in Dallas (with a Minor in Women’s Studies), and my Masters degree in Social Work from Michigan State University. I have work experience in trauma and community organizing.
I am a clinical social worker with over 20 years experience treating individuals, couples, and families. I am licensed in both Michigan and Florida. It is of utmost importance to me to approach each client with compassion and understanding unique to their individual circumstance. Providing effective counseling is a cornerstone of my philosophy. I received my undergraduate degree in Sociology from SMU in Dallas (with a Minor in Women’s Studies), and my Masters degree in Social Work from Michigan State University. I have work experience in trauma and community organizing.
(313) 513-6185 View (313) 513-6185
Photo of Deirdre Conroy, PhD,  , PCC, Psychologist
Deirdre Conroy
Psychologist, PhD, , PCC
Verified Verified
Detroit, MI 48226
Do you dread going to bed because it's just another night to struggle? Have you been plagued with insomnia for years? I am a board certified behavioral sleep medicine specialist and certified integrative nutrition health coach with over 20 years of experience treating insomnia. I focus on busy professionals using an integrative approach to improve sleep, mood, and health. We'll work together so you can finally learn to sleep well and reach your goals. I work virtually so I can meet you where ever you are!
Do you dread going to bed because it's just another night to struggle? Have you been plagued with insomnia for years? I am a board certified behavioral sleep medicine specialist and certified integrative nutrition health coach with over 20 years of experience treating insomnia. I focus on busy professionals using an integrative approach to improve sleep, mood, and health. We'll work together so you can finally learn to sleep well and reach your goals. I work virtually so I can meet you where ever you are!
View
Photo of Marcy West, LMSW, CCM, Clinical Social Work/Therapist
Marcy West
Clinical Social Work/Therapist, LMSW, CCM
Verified Verified
Detroit, MI 48226  (Online Only)
Marcy West is a Licensed Clinical Social Worker (LCSW) with 30 years of experience in the mental health, substance abuse, and medical social work professions. Marcy has vast experience treating a variety of age groups and concerns. She provides treatment to those encountering issues with depression/anxiety, relationships, mood disorders, substance abuse, mental stress, grief, and anger, which impact overall functioning. She also enjoys teaching stress reduction methods such as meditation techniques and progressive muscle relaxation.
Marcy West is a Licensed Clinical Social Worker (LCSW) with 30 years of experience in the mental health, substance abuse, and medical social work professions. Marcy has vast experience treating a variety of age groups and concerns. She provides treatment to those encountering issues with depression/anxiety, relationships, mood disorders, substance abuse, mental stress, grief, and anger, which impact overall functioning. She also enjoys teaching stress reduction methods such as meditation techniques and progressive muscle relaxation.
(313) 251-5282 View (313) 251-5282
Photo of Caitlin Fleming, MA, LPC, Licensed Professional Counselor
Caitlin Fleming
Licensed Professional Counselor, MA, LPC
Verified Verified
Detroit, MI 48226  (Online Only)
Are you looking for more out of therapy than just venting space? I provide a confidential, supportive and non-judgmental environment for my clients to work towards identifying life-long patterns that contribute to distress and learning new ways of being that foster wellness.
Are you looking for more out of therapy than just venting space? I provide a confidential, supportive and non-judgmental environment for my clients to work towards identifying life-long patterns that contribute to distress and learning new ways of being that foster wellness.
(313) 942-4161 View (313) 942-4161
Photo of Kelli Warren - Essential Wellness Complete LLC, LMSW-C, LICSW, Clinical Social Work/Therapist
Essential Wellness Complete LLC
Clinical Social Work/Therapist, LMSW-C, LICSW
Verified Verified
Detroit, MI 48226  (Online Only)
Do you feel like you are just surviving and not thriving? Are you ready to get to know yourself better, overcome challenges and start TRULY enjoying life? Are you ready to increase self-esteem, confront body image issues, depression, anxiety, relationship issues, career & life changes? If you said yes, consider creating the life you want with us, where we will identify goals together & support you in your evolvement to living a FULL life...that is Healed, Elevated & Renewed! Life can take you through challenges but with a new perspective, new mindset & new skills you will have the understanding to make necessary & valuable changes.
Do you feel like you are just surviving and not thriving? Are you ready to get to know yourself better, overcome challenges and start TRULY enjoying life? Are you ready to increase self-esteem, confront body image issues, depression, anxiety, relationship issues, career & life changes? If you said yes, consider creating the life you want with us, where we will identify goals together & support you in your evolvement to living a FULL life...that is Healed, Elevated & Renewed! Life can take you through challenges but with a new perspective, new mindset & new skills you will have the understanding to make necessary & valuable changes.
(734) 999-3396 View (734) 999-3396
1

How does your Therapist compare?

Number of Therapists in 48226

90+

Average cost per session

$150

Therapists in 48226 who prioritize treating:

86% Anxiety
81% Depression
70% Self Esteem
70% Stress
66% Relationship Issues
65% Coping Skills
60% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
54% Aetna
51% Blue Care Network

How Therapists in 48226 see their clients

57% Online Only
43% In Person and Online

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 48226?

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.