Therapists in 48315

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Photo of Victoria Evangelista, Licensed Professional Counselor in 48315, MI
Victoria Evangelista
Licensed Professional Counselor, MA, LPC, NCC, CCTS-I, SYMBIS
Verified
1 Endorsed
Victoria Evangelista is a Licensed Professional Counselor (LPC), in the State of Michigan. She received her Master of Arts in Counseling from Spring Arbor University, and graduated from a CACREP accredited program. Victoria is a Nationally Board-Certified Counselor (NBCC) and has completed 100 CEU hours. .
Victoria Evangelista is a Licensed Professional Counselor (LPC), in the State of Michigan. She received her Master of Arts in Counseling from Spring Arbor University, and graduated from a CACREP accredited program. Victoria is a Nationally Board-Certified Counselor (NBCC) and has completed 100 CEU hours. .
(586) 244-8052 View (586) 244-8052
Photo of Sara Dionne (Saxman), Clinical Social Work/Therapist in 48315, MI
Sara Dionne (Saxman)
Clinical Social Work/Therapist, LMSW
Verified
Not accepting new clients
You may be struggling to survive and find satisfaction in your everyday life; feeling overwhelmed, stuck in a negative cycle, punishing yourself using negative self-talk, and experiencing beliefs that you do not deserve anything different. Each person has a unique story and experience. It is a privilege to hear your story and to work together to cultivate a life worth living. I am passionate about working with adults to reduce the negative impact of mental health, and achieve a more rewarding and meaningful life experience. I specialize in treatment of symptoms and impacts related to ADHD, anxiety and depressive disorders.
You may be struggling to survive and find satisfaction in your everyday life; feeling overwhelmed, stuck in a negative cycle, punishing yourself using negative self-talk, and experiencing beliefs that you do not deserve anything different. Each person has a unique story and experience. It is a privilege to hear your story and to work together to cultivate a life worth living. I am passionate about working with adults to reduce the negative impact of mental health, and achieve a more rewarding and meaningful life experience. I specialize in treatment of symptoms and impacts related to ADHD, anxiety and depressive disorders.
(586) 334-6001 View (586) 334-6001
Photo of Alexandria Jerichow, Limited Licensed Psychologist in 48315, MI
Alexandria Jerichow
Limited Licensed Psychologist, MA, LLP
Verified
Hi! I'm Alix. I am so glad you found my page. Opening up can be a difficult struggle, but I am confident that I provide a safe place where one can be their authentic self. I have an innate ability to listen and make people feel heard. If you’re seeking out therapy, you’re already insightful and someone who may enjoy seeing a therapist. I have worked with adults through challenging life issues and hardships. I'm extremely familiar with various presenting concerns, including but not limited to; major depression, generalized anxiety and panic, ADHD, PTSD, borderline personality disorder, bipolar disorder, and traumatic brain injury.
Hi! I'm Alix. I am so glad you found my page. Opening up can be a difficult struggle, but I am confident that I provide a safe place where one can be their authentic self. I have an innate ability to listen and make people feel heard. If you’re seeking out therapy, you’re already insightful and someone who may enjoy seeing a therapist. I have worked with adults through challenging life issues and hardships. I'm extremely familiar with various presenting concerns, including but not limited to; major depression, generalized anxiety and panic, ADHD, PTSD, borderline personality disorder, bipolar disorder, and traumatic brain injury.
(810) 202-9853 View (810) 202-9853
Photo of Jamie Jakubus, Licensed Professional Counselor in 48315, MI
Jamie Jakubus
Licensed Professional Counselor, MA, LPC
Verified
Hello! I'm Jamie Jakubus MA LPC, and I'm a licensed professional counselor with a wide variety of skills to help with your psychiatric needs. I complete sessions after hours and weekends as well. I started off treating severely mentally ill individuals and have diversified myself since. Be it a simple mood disorder, or more complex issues, I have the skill-set to help you identify what your pertinent goals are, while helping you meet those goals in a caring, empathic, way. My patients tell me how easy I am to talk to and how quickly I understand them. I'm sure your experience will be the same!
Hello! I'm Jamie Jakubus MA LPC, and I'm a licensed professional counselor with a wide variety of skills to help with your psychiatric needs. I complete sessions after hours and weekends as well. I started off treating severely mentally ill individuals and have diversified myself since. Be it a simple mood disorder, or more complex issues, I have the skill-set to help you identify what your pertinent goals are, while helping you meet those goals in a caring, empathic, way. My patients tell me how easy I am to talk to and how quickly I understand them. I'm sure your experience will be the same!
(586) 701-7341 View (586) 701-7341
Photo of Great Lakes Psychology Group, Marriage & Family Therapist in 48315, MI
Great Lakes Psychology Group
Marriage & Family Therapist, MS, LMFT
Verified
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
(248) 595-7946 View (248) 595-7946
Photo of Christina Byrd, Counselor in 48315, MI
Christina Byrd
Counselor, MA, LLPC
Verified
I believe the foundation of effective therapy is rooted in compassionate listening, honest and open communication, and respect for one another. Together, we can work towards healing and self-determination. I work with adults and adolescents of all ages to overcome challenges related to relationship & family conflict, stress, career struggles, depression, anxiety, and trauma. I offer day and evening sessions. My clinical interests include concerns related to career problems, LGBTQIA2S+ identity, intergenerational trauma, and relationships. I use a relational, non-judgmental approach and value your strengths and resilience.
I believe the foundation of effective therapy is rooted in compassionate listening, honest and open communication, and respect for one another. Together, we can work towards healing and self-determination. I work with adults and adolescents of all ages to overcome challenges related to relationship & family conflict, stress, career struggles, depression, anxiety, and trauma. I offer day and evening sessions. My clinical interests include concerns related to career problems, LGBTQIA2S+ identity, intergenerational trauma, and relationships. I use a relational, non-judgmental approach and value your strengths and resilience.
(586) 930-6190 View (586) 930-6190
Photo of Trish Anne Pich, Counselor in 48315, MI
Trish Anne Pich
Counselor, PhD, LPC
Verified
I believe clients are their own expert, and that with my guidance they can explore and challenge their own deeply imbedded inner core beliefs, and re-engineer them. Learning and speaking the client's language is tantamount to helping someone move forward towards a positive change. Clients begin to understand themselves better, and this allows the transition. I also believe that fear is one of the most debilitating emotions that we can have. It stops us dead in our tracks. We need to attack the fear, but first understand its roots. I like to be known as my client's "life coach!"
I believe clients are their own expert, and that with my guidance they can explore and challenge their own deeply imbedded inner core beliefs, and re-engineer them. Learning and speaking the client's language is tantamount to helping someone move forward towards a positive change. Clients begin to understand themselves better, and this allows the transition. I also believe that fear is one of the most debilitating emotions that we can have. It stops us dead in our tracks. We need to attack the fear, but first understand its roots. I like to be known as my client's "life coach!"
(586) 697-2985 View (586) 697-2985
Photo of Joseph Bommarito, Licensed Professional Counselor in 48315, MI
Joseph Bommarito
Licensed Professional Counselor, MA, LPC
Verified
I specialize with working with adults who struggle with depression, anxiety, anger issues, poor self esteem, and many other issues. I can help clients to meet their full potential and learn to cope with life's obstacles and stressful situations. Through the course of therapy we will build a positive relationship where we will explore your dreams and desires and will talk about how you will achieve these things. I also focus on depressive and anxiety symptoms, among other issues, and how to cope with life's stressors.
I specialize with working with adults who struggle with depression, anxiety, anger issues, poor self esteem, and many other issues. I can help clients to meet their full potential and learn to cope with life's obstacles and stressful situations. Through the course of therapy we will build a positive relationship where we will explore your dreams and desires and will talk about how you will achieve these things. I also focus on depressive and anxiety symptoms, among other issues, and how to cope with life's stressors.
(586) 436-3632 View (586) 436-3632
Photo of Nicol Grishkevich, Licensed Professional Counselor in 48315, MI
Nicol Grishkevich
Licensed Professional Counselor, MA, LPC, NCC
Verified
Therapy It's Personal, is private pay. I accept insurance through Great Lakes Psycology group. I specialize in working with people who are overwhelmed by an obstacle preventing them from becoming their best self. This may be personal anxiety, identity, or depression. This may also be relationships, communication, or everyday stress. It is my belief that we are all on a unique journey, and each person needs individualized therapy that is tailored to help them. I do this by providing a safe space to share your personal story, while also providing acceptance, and understanding. I believe in providing a welcoming environment for all.
Therapy It's Personal, is private pay. I accept insurance through Great Lakes Psycology group. I specialize in working with people who are overwhelmed by an obstacle preventing them from becoming their best self. This may be personal anxiety, identity, or depression. This may also be relationships, communication, or everyday stress. It is my belief that we are all on a unique journey, and each person needs individualized therapy that is tailored to help them. I do this by providing a safe space to share your personal story, while also providing acceptance, and understanding. I believe in providing a welcoming environment for all.
(607) 300-5501 View (607) 300-5501
Photo of Gail A. Mills, Limited Licensed Psychologist in 48315, MI
Gail A. Mills
Limited Licensed Psychologist, MA, LLP
Verified
I earned my Masters degree from Wayne State University's Marriage and Family Therapy Program. I have worked extensively with adults, children and adolescents, specializing in assessment and individual and group therapy, while working in the Court system for 27 years. In addition, I have provided therapy in various outpatient settings. I have worked contractually at Thrive Therapy Group for six years.
I earned my Masters degree from Wayne State University's Marriage and Family Therapy Program. I have worked extensively with adults, children and adolescents, specializing in assessment and individual and group therapy, while working in the Court system for 27 years. In addition, I have provided therapy in various outpatient settings. I have worked contractually at Thrive Therapy Group for six years.
(586) 500-6782 View (586) 500-6782
Photo of Kathleen Daley, Licensed Professional Counselor in 48315, MI
Kathleen Daley
Licensed Professional Counselor, MA, LPC
Verified
I believe that each client has their own story to tell and I meet you where you are at, to begin the process of healing. I provide compassion, education, and unconditional positive regard, which are key to moving forward in the therapy setting. I received my Master's degree in Counseling from Eastern Michigan University. I have specialized training in Cognitive Behavioral Therapy (CBT), Trauma-Focused Cognitive Behavioral Therapy (TFCBT), Cognitive Processing Therapy, Love and Logic (Parenting Skills), Motivational Interviewing, and Grief and Loss.
I believe that each client has their own story to tell and I meet you where you are at, to begin the process of healing. I provide compassion, education, and unconditional positive regard, which are key to moving forward in the therapy setting. I received my Master's degree in Counseling from Eastern Michigan University. I have specialized training in Cognitive Behavioral Therapy (CBT), Trauma-Focused Cognitive Behavioral Therapy (TFCBT), Cognitive Processing Therapy, Love and Logic (Parenting Skills), Motivational Interviewing, and Grief and Loss.
(586) 636-0978 View (586) 636-0978
Photo of Thrive Behavioral Health, PC, Limited Licensed Psychologist in 48315, MI
Thrive Behavioral Health, PC
Limited Licensed Psychologist, Admin
Thrive Behavioral Health, PC is an outpatient mental health group dedicated to providing experienced, compassionate, and empathetic psychological services for adolescents, adults, couples, and families. Clinicians are highly trained to provide a combination of treatment and evaluation/assessment services for a wide range of presenting conditions, including short-term and in-depth counseling and psychotherapy. Our team of licensed professionals include psychologists, professional counselors, and certified alcohol and drug counselors.
Thrive Behavioral Health, PC is an outpatient mental health group dedicated to providing experienced, compassionate, and empathetic psychological services for adolescents, adults, couples, and families. Clinicians are highly trained to provide a combination of treatment and evaluation/assessment services for a wide range of presenting conditions, including short-term and in-depth counseling and psychotherapy. Our team of licensed professionals include psychologists, professional counselors, and certified alcohol and drug counselors.
(586) 331-6163 View (586) 331-6163
Photo of Nicole Chinn, Licensed Professional Counselor in 48315, MI
Nicole Chinn
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Shelby Township, MI 48315  (Online Only)
My passion is to help people find balance and joy in their life. Many people get overwhelmed with the complexities of life and have a hard time juggling work, family, friends, spirituality, and hobbies. I prefer to take a holistic, life-coaching approach to instill belief in fixing the imbalance in our lives which causes anxiety and/or depression. I also enjoy helping people affected by ASD or ADHD to find hope in the healing process. So learning positive problem-solving strategies, relaxation techniques and brainstorming new ideas together helps to promote an overall healthy outlook.
My passion is to help people find balance and joy in their life. Many people get overwhelmed with the complexities of life and have a hard time juggling work, family, friends, spirituality, and hobbies. I prefer to take a holistic, life-coaching approach to instill belief in fixing the imbalance in our lives which causes anxiety and/or depression. I also enjoy helping people affected by ASD or ADHD to find hope in the healing process. So learning positive problem-solving strategies, relaxation techniques and brainstorming new ideas together helps to promote an overall healthy outlook.
(586) 690-4405 View (586) 690-4405
Photo of Bernice (Bernie) Komraus, Counselor in 48315, MI
Bernice (Bernie) Komraus
Counselor, LPC, CAADC
Verified
3 Endorsed
Waitlist for new clients
Have you ever felt like life is flying out of control? Perhaps you are watching a loved one go through a rough time and just need to talk and process what is going on for you. Emotional situations such as loss, grief, life transitions, medical illness, emotional illness, job loss and stress can be overwhelming. Talking and working with another person can help. Choosing to begin therapy shows incredible inner strength and a desire to invest in YOU. Therapy can help you return to a stable, comfortable life, while protecting you in a safe, warm, compassionate and non- judgmental environment.
Have you ever felt like life is flying out of control? Perhaps you are watching a loved one go through a rough time and just need to talk and process what is going on for you. Emotional situations such as loss, grief, life transitions, medical illness, emotional illness, job loss and stress can be overwhelming. Talking and working with another person can help. Choosing to begin therapy shows incredible inner strength and a desire to invest in YOU. Therapy can help you return to a stable, comfortable life, while protecting you in a safe, warm, compassionate and non- judgmental environment.
(586) 372-8924 View (586) 372-8924
Photo of Amber Parrish, Counselor in 48315, MI
Amber Parrish
Counselor, MA, LLPC, NCC
Verified
"Sometimes we have to let our old story go, so that a newer and truer version can be told about who we are." Life can feel so unpredictable at times. You might find that you start to ask yourself how you got here, why these events are happening to you, how it got this way, and if things will get better. You deserve to find answers, and more importantly, you deserve to reconcile your old story and find meaning in the next season of life.
"Sometimes we have to let our old story go, so that a newer and truer version can be told about who we are." Life can feel so unpredictable at times. You might find that you start to ask yourself how you got here, why these events are happening to you, how it got this way, and if things will get better. You deserve to find answers, and more importantly, you deserve to reconcile your old story and find meaning in the next season of life.
(586) 745-9020 View (586) 745-9020
Photo of Dr. Amy Hanes, Psychologist in 48315, MI
Dr. Amy Hanes
Psychologist, PsyD
Verified
1 Endorsed
If you are experiencing difficulty coping with daily life, chronic issues, an event in your life, or with feeling you are not living a fulfilling life, Dr. Hanes is eager to work with you in a safe, non-judgmental, caring environment. Her role is to be a partner, guide, and resource to help you reach your goals and live your optimal life. She has experience in health psychology, university counseling, crisis counseling, inpatient psychiatric hospital settings, outpatient clinics, and school psychology settings. She works with adults and adolescents with a wide range of presenting concerns. CALL FOR A FREE PHONE CONSULTATION!
If you are experiencing difficulty coping with daily life, chronic issues, an event in your life, or with feeling you are not living a fulfilling life, Dr. Hanes is eager to work with you in a safe, non-judgmental, caring environment. Her role is to be a partner, guide, and resource to help you reach your goals and live your optimal life. She has experience in health psychology, university counseling, crisis counseling, inpatient psychiatric hospital settings, outpatient clinics, and school psychology settings. She works with adults and adolescents with a wide range of presenting concerns. CALL FOR A FREE PHONE CONSULTATION!
(586) 697-3869 View (586) 697-3869
Photo of Tara Shepard, Limited Licensed Psychologist in 48315, MI
Tara Shepard
Limited Licensed Psychologist, MS, LLP
Verified
Shelby Township, MI 48315  (Online Only)
“Mental strength is not the ability to stay out of the darkness, its the ability to sit present in the darkness knowing that the light will shine again.” - Anonymous. I am a limited licensed psychologist (master's level) that practices therapy under the supervision of a fully licensed psychologist (LP).
“Mental strength is not the ability to stay out of the darkness, its the ability to sit present in the darkness knowing that the light will shine again.” - Anonymous. I am a limited licensed psychologist (master's level) that practices therapy under the supervision of a fully licensed psychologist (LP).
(586) 789-9713 View (586) 789-9713
Photo of Great Lakes Psychology Group - Troy, Psychologist in 48315, MI
Great Lakes Psychology Group - Troy
Psychologist
Verified
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
(248) 831-1057 View (248) 831-1057
Photo of Hyatt Almarsoumi, Pre-Licensed Professional in 48315, MI
Hyatt Almarsoumi
Pre-Licensed Professional, LLMSW
Verified
Shelby Township, MI 48315  (Online Only)
Life is a rollercoaster, and sometimes the ride can get pretty bumpy, but that doesn't mean you've gotta ride alone. If you're reading this, it's probably because something led you here. Maybe you're going through a recent loss, a tough breakup, or a big life adjustment. Maybe you're having trouble focusing or experiencing feelings of depression, shame, guilt anxiety, and/or a shift in your mood or behavior. No matter what the rollercoaster's bumps may look like in this season of your life, we'll work on those tracks and make the tweaks needed for a smoother ride. :)
Life is a rollercoaster, and sometimes the ride can get pretty bumpy, but that doesn't mean you've gotta ride alone. If you're reading this, it's probably because something led you here. Maybe you're going through a recent loss, a tough breakup, or a big life adjustment. Maybe you're having trouble focusing or experiencing feelings of depression, shame, guilt anxiety, and/or a shift in your mood or behavior. No matter what the rollercoaster's bumps may look like in this season of your life, we'll work on those tracks and make the tweaks needed for a smoother ride. :)
(313) 889-7212 View (313) 889-7212
Photo of Alejandra Isabel Medina, Counselor in 48315, MI
Alejandra Isabel Medina
Counselor, MA, LPC, NCC
Verified
Utica, MI 48315
Waitlist for new clients
My mission is to support the exploration and the search for the client's own skills, abilities, goals and purpose with a genuine, unconditional regard. In a non-directive way, I am here to support exploration, growth, discovery, strength, self-care and to encourage people's realization of their unlimited options to gain back control over their own lives.
My mission is to support the exploration and the search for the client's own skills, abilities, goals and purpose with a genuine, unconditional regard. In a non-directive way, I am here to support exploration, growth, discovery, strength, self-care and to encourage people's realization of their unlimited options to gain back control over their own lives.
(248) 639-4203 View (248) 639-4203

See more therapy options for 48315

How does your Therapist compare?

Number of Therapists in 48315

70+

Average cost per session

$140

Therapists in 48315 who prioritize treating:

97% Depression
97% Anxiety
86% Self Esteem
84% Relationship Issues
83% Grief
79% Coping Skills
71% Stress

Average years in practice

12 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
72% Blue Care Network
66% Aetna

How Therapists in 48315 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

81% Female
19% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 48315?

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.