Therapists in Washington, DC

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Photo of Alyssa Louise McCall, Clinical Social Work/Therapist in Washington, DC
Alyssa Louise McCall
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20002
Being our best selves is attainable when we allow ourselves to be on a path of peace, fulfillment, and self-awareness. I hold a passion for helping clients do just that. I work with clients through a holistic & individualistic approach to support them in moving closer to their personal & professional goals. I am here to help you on your journey to finding yourself, being in tune with your needs, and overcoming any trauma that may be hindering this. I specialize in supporting clients overcome anxiety, depression, low self-esteem, workplace & relationship challenges, low career self-efficacy, discrimination, and so much more.
Being our best selves is attainable when we allow ourselves to be on a path of peace, fulfillment, and self-awareness. I hold a passion for helping clients do just that. I work with clients through a holistic & individualistic approach to support them in moving closer to their personal & professional goals. I am here to help you on your journey to finding yourself, being in tune with your needs, and overcoming any trauma that may be hindering this. I specialize in supporting clients overcome anxiety, depression, low self-esteem, workplace & relationship challenges, low career self-efficacy, discrimination, and so much more.
(202) 914-1107 x701 View (202) 914-1107 x701
Photo of Hemi Hunt, Clinical Social Work/Therapist in Washington, DC
Hemi Hunt
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Washington, DC 20003  (Online Only)
Working with families and couples to connect with each other, while helping individuals learn about themselves and helping them feel grounded in their identity is my passion. I work with single parents, teenagers, and children as young as 4 years old. In my work with my clients, I offer positive parenting skill-building to help parents connect more with their children and build greater empathy, trust, and respect. It is really important to me to offer you and your family a safe space to heal and reconnect.
Working with families and couples to connect with each other, while helping individuals learn about themselves and helping them feel grounded in their identity is my passion. I work with single parents, teenagers, and children as young as 4 years old. In my work with my clients, I offer positive parenting skill-building to help parents connect more with their children and build greater empathy, trust, and respect. It is really important to me to offer you and your family a safe space to heal and reconnect.
(202) 972-8182 View (202) 972-8182
Photo of Frog Point Therapy, Licensed Professional Counselor in Washington, DC
Frog Point Therapy
Licensed Professional Counselor, PhD , MFT, LPC
Verified Verified
Washington, DC 20037
Frog Point Therapy are DC's relationship experts. Relationships are one of the most important aspects of being human: relationship to self, others, and the world. Our therapists specialize in curating a highly individualized treatment experience. We integrate classic western psychotherapeutic approaches, eastern wisdom traditions, and modern research on human development to help clients create stronger bonds with ourselves, the people in our lives, and the world around us and believe that healthy relationships on all three levels are essential to well-being and happiness.
Frog Point Therapy are DC's relationship experts. Relationships are one of the most important aspects of being human: relationship to self, others, and the world. Our therapists specialize in curating a highly individualized treatment experience. We integrate classic western psychotherapeutic approaches, eastern wisdom traditions, and modern research on human development to help clients create stronger bonds with ourselves, the people in our lives, and the world around us and believe that healthy relationships on all three levels are essential to well-being and happiness.
(202) 519-1046 x1 View (202) 519-1046 x1
Photo of Denise Jones, Clinical Social Work/Therapist in Washington, DC
Denise Jones
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C, LCSW
Verified Verified
3 Endorsed
Washington, DC 20003  (Online Only)
As an EMDR Certified Therapist and Consultant, I use EMDR with clients who want an effective and clear-cut method to overcome the challenges of complex-PTSD, depression, and anxiety that can arise from relationship issues, life transitions, occupational plight, or issues of family, social, and cultural duress. In practice for over ten years, I am more than EMDR-trained. I exclusively use EMDR therapy with my clients, and I am actively connected to a national and international network of professionals dedicated to advancing EMDR treatment, research, and protocols. I also provide EMDR consultations for therapists.
As an EMDR Certified Therapist and Consultant, I use EMDR with clients who want an effective and clear-cut method to overcome the challenges of complex-PTSD, depression, and anxiety that can arise from relationship issues, life transitions, occupational plight, or issues of family, social, and cultural duress. In practice for over ten years, I am more than EMDR-trained. I exclusively use EMDR therapy with my clients, and I am actively connected to a national and international network of professionals dedicated to advancing EMDR treatment, research, and protocols. I also provide EMDR consultations for therapists.
(202) 803-7113 View (202) 803-7113
Photo of Roberta Rothstein, Clinical Social Work/Therapist in Washington, DC
Roberta Rothstein
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Washington, DC 20036
Do you feel stuck? Maybe you can't seem to shake the blues. Maybe it’s a loss. Or you can’t make a crucial decision. Perhaps jittery moods have reduced your functioning. Or you’re unable to control unhealthy behavior. Maybe every conversation with your spouse becomes an argument. Feel more confident, improve your relationships, move from illness to health, reconnect with your creativity, learn valuable coping skills, take control of your life and just feel better. I can help you move forward through obstacles, uncovering your true potential. Our work helps you feel resilient, so you can set and reach your goals.
Do you feel stuck? Maybe you can't seem to shake the blues. Maybe it’s a loss. Or you can’t make a crucial decision. Perhaps jittery moods have reduced your functioning. Or you’re unable to control unhealthy behavior. Maybe every conversation with your spouse becomes an argument. Feel more confident, improve your relationships, move from illness to health, reconnect with your creativity, learn valuable coping skills, take control of your life and just feel better. I can help you move forward through obstacles, uncovering your true potential. Our work helps you feel resilient, so you can set and reach your goals.
(202) 618-4387 View (202) 618-4387
Photo of Faith G Lewis, Clinical Social Work/Therapist in Washington, DC
Faith G Lewis
Clinical Social Work/Therapist, LCSW, Cert, Analyst
Verified Verified
Washington, DC 20011
30+ years practicing clinical psychotherapy /psychoanalysis, I especially loving working with: young adults, couples, adolescents & their families .....I am French bi-lingual and work in French with some clients; I have lived, and loved living in, France and in the Third World ..... Two offices: DC and Falls Church, VA...... Work some evenings....
30+ years practicing clinical psychotherapy /psychoanalysis, I especially loving working with: young adults, couples, adolescents & their families .....I am French bi-lingual and work in French with some clients; I have lived, and loved living in, France and in the Third World ..... Two offices: DC and Falls Church, VA...... Work some evenings....
(202) 499-7682 View (202) 499-7682
Photo of Marisol Sanchez, Clinical Social Work/Therapist in Washington, DC
Marisol Sanchez
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
6 Endorsed
Washington, DC 20006  (Online Only)
Waitlist for new clients
In my private practice, I aim to help professionals and young adults with their personal and professional struggles, navigating life transitions, intersecting identities and family difficulties. I am one of the few mental health providers in the DC area trained by the American Diabetes Association (ADA) and prior to private practice, I worked at Children’s Hospital Los Angeles providing mental health support to families touched by Diabetes. I was also trained by the Harvard Medical School in Global Mental Health Trauma and Recovery.
In my private practice, I aim to help professionals and young adults with their personal and professional struggles, navigating life transitions, intersecting identities and family difficulties. I am one of the few mental health providers in the DC area trained by the American Diabetes Association (ADA) and prior to private practice, I worked at Children’s Hospital Los Angeles providing mental health support to families touched by Diabetes. I was also trained by the Harvard Medical School in Global Mental Health Trauma and Recovery.
(202) 335-4870 View (202) 335-4870
Photo of Karen Coad, Clinical Social Work/Therapist in Washington, DC
Karen Coad
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Washington, DC 20011
Do you worry too much about every possible thing? Are you ready to quiet your mind and stop the constant overthinking? Have you noticed that your worry is affecting your relationship with your partner, your job performance or even the way you parent? If you are feeling overwhelmed by the responsibilities of our chaotic, noisy world- I get it and can help. I am licensed in Florida, Virginia, Maryland and the District of Columbia.
Do you worry too much about every possible thing? Are you ready to quiet your mind and stop the constant overthinking? Have you noticed that your worry is affecting your relationship with your partner, your job performance or even the way you parent? If you are feeling overwhelmed by the responsibilities of our chaotic, noisy world- I get it and can help. I am licensed in Florida, Virginia, Maryland and the District of Columbia.
(202) 875-5544 View (202) 875-5544
Photo of Maggie Carroll, Clinical Social Work/Therapist in Washington, DC
Maggie Carroll
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Washington, DC 20016
I'm a therapist committed to serving queer and trans youth, and all young people, with respect, compassion, and attentiveness. I specialize in helping kids with self-regulation, anxiety management, and processing grief and trauma. I work to build collaborative relationships with kids and their parents to create a safe(r) space where kids can get the support they need. In therapy, they will learn new skills and work on changing patterns that no longer work for them.
I'm a therapist committed to serving queer and trans youth, and all young people, with respect, compassion, and attentiveness. I specialize in helping kids with self-regulation, anxiety management, and processing grief and trauma. I work to build collaborative relationships with kids and their parents to create a safe(r) space where kids can get the support they need. In therapy, they will learn new skills and work on changing patterns that no longer work for them.
(855) 673-1259 View (855) 673-1259
Photo of Marjorie Nightingale, Marriage & Family Therapist in Washington, DC
Marjorie Nightingale
Marriage & Family Therapist, PhD, JD, LMFT
Verified Verified
Washington, DC 20009
My ideal clients are those who are experiencing difficulties with their relationships and are looking for a compassionate person to validate that what they are experiencing is real and legitimate. I enjoy working with clients who have decided that wherever they are is not where they want to be and today is the day to make change. Therapy is not always easy or fast, but it has the power to shift one from hopeless to joyful for those who are willing to do the hard work.
My ideal clients are those who are experiencing difficulties with their relationships and are looking for a compassionate person to validate that what they are experiencing is real and legitimate. I enjoy working with clients who have decided that wherever they are is not where they want to be and today is the day to make change. Therapy is not always easy or fast, but it has the power to shift one from hopeless to joyful for those who are willing to do the hard work.
(202) 831-3045 View (202) 831-3045
Photo of Cara N. Burton, Clinical Social Work/Therapist in Washington, DC
Cara N. Burton
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20036
Many of us are looking outside ourselves for love, fulfillment and joy only to find ourselves deeply dissatisfied, lonely and separated from connection and intimacy with others and ourselves. Life can be difficult and is filled with challenges and traumatic experiences that require our attention and care in order to heal. We are skilled at silencing the aching inside via escape hatches: excessive shopping, over/under eating, using drugs or alcohol, sex, gambling, gaming, etc. I believe the therapeutic relationship can offer support as we move into freedom by learning to live in the present moment with all life has to offer.
Many of us are looking outside ourselves for love, fulfillment and joy only to find ourselves deeply dissatisfied, lonely and separated from connection and intimacy with others and ourselves. Life can be difficult and is filled with challenges and traumatic experiences that require our attention and care in order to heal. We are skilled at silencing the aching inside via escape hatches: excessive shopping, over/under eating, using drugs or alcohol, sex, gambling, gaming, etc. I believe the therapeutic relationship can offer support as we move into freedom by learning to live in the present moment with all life has to offer.
(202) 991-3396 View (202) 991-3396
Photo of Ruthie T Arbit, Clinical Social Work/Therapist in Washington, DC
Ruthie T Arbit
Clinical Social Work/Therapist, LICSW, MA
Verified Verified
2 Endorsed
Washington, DC 20015
My approach to therapy is to partner with you and your family to create an individualized and goal-directed treatment plan. I can help you uncover your strengths and use the skills you already have to make lasting changes. You will experience a warm, genuine, playful, and humorous treatment approach.
My approach to therapy is to partner with you and your family to create an individualized and goal-directed treatment plan. I can help you uncover your strengths and use the skills you already have to make lasting changes. You will experience a warm, genuine, playful, and humorous treatment approach.
(240) 230-3046 View (240) 230-3046
Photo of Brianna Dance, Clinical Social Work/Therapist in Washington, DC
Brianna Dance
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
1 Endorsed
Washington, DC 20002  (Online Only)
Not accepting new clients
Throughout life we go through tremendous life transitions that can affect us in a variety of ways. These transitions may find us feeling vulnerable, alone, depressed, anxious, and oftentimes hopeless. I am passionate about creating a safe space for my clients to embrace their true thoughts and feelings, void of judgements, as they heal, grow, and welcome self-love. My approach to providing evidence-based counseling stems from a strong foundation of person-centered care, cultural humility, and building authentic relationships with my clients that allows room for positive change.
Throughout life we go through tremendous life transitions that can affect us in a variety of ways. These transitions may find us feeling vulnerable, alone, depressed, anxious, and oftentimes hopeless. I am passionate about creating a safe space for my clients to embrace their true thoughts and feelings, void of judgements, as they heal, grow, and welcome self-love. My approach to providing evidence-based counseling stems from a strong foundation of person-centered care, cultural humility, and building authentic relationships with my clients that allows room for positive change.
(202) 951-8216 View (202) 951-8216
Photo of Krystin Harper, Counselor in Washington, DC
Krystin Harper
Counselor, MA, LGPC, NCC
Verified Verified
Washington, DC 20037
Life can feel so hard sometimes - that is ok! Often the most challenging moments provide the space to slow down, appreciate all you have endured, and take steps to create truly meaningful and lasting change. Together, with kindness and a bit of humor, I will help to empower your resilience and capacity to live a joyful and fulfilling life. I am passionate about supporting both individuals and couples. My work is rooted in a holistic, person-centered approach to healing. I will treat you with empathy, create a non-judgmental environment in which you feel safe and heard, and work to understand your lived experiences.
Life can feel so hard sometimes - that is ok! Often the most challenging moments provide the space to slow down, appreciate all you have endured, and take steps to create truly meaningful and lasting change. Together, with kindness and a bit of humor, I will help to empower your resilience and capacity to live a joyful and fulfilling life. I am passionate about supporting both individuals and couples. My work is rooted in a holistic, person-centered approach to healing. I will treat you with empathy, create a non-judgmental environment in which you feel safe and heard, and work to understand your lived experiences.
(202) 866-5172 x2 View (202) 866-5172 x2
Photo of Kara Gruszewski, Licensed Professional Counselor in Washington, DC
Kara Gruszewski
Licensed Professional Counselor, MA, LPC
Verified Verified
Washington, DC 20006
Some reasons you might seek therapy with me include the following: if you are struggling with anxiety or depression; if you lack motivation or feel overwhelmed by stress; if you are having trouble in your romantic or social relationships; if you are grieving the loss of a loved one; if you are navigating challenging workplace relationships; or if you are having strong emotional responses you don't understand.
Some reasons you might seek therapy with me include the following: if you are struggling with anxiety or depression; if you lack motivation or feel overwhelmed by stress; if you are having trouble in your romantic or social relationships; if you are grieving the loss of a loved one; if you are navigating challenging workplace relationships; or if you are having strong emotional responses you don't understand.
(202) 804-9938 View (202) 804-9938
Photo of Dr. Sabrina Taylor, Counselor in Washington, DC
Dr. Sabrina Taylor
Counselor, PhD, LGPC, CRC, CWIP
Verified Verified
1 Endorsed
Washington, DC 20009  (Online Only)
Hello and Welcome to my profile! As a seasoned therapist, I specialize in guiding individuals through the intricate terrain of vocational rehabilitation, career counseling, supporting college students on their unique journeys, and fostering resilience amid life changes due to mental and physical disabilities. My passion lies in illuminating the path toward personal and professional fulfillment, offering a safe space where growth and empowerment flourish. Let's embark on a collaborative journey, navigating challenges with purpose and unlocking the strength within you to create a future with unlimited opportunities.
Hello and Welcome to my profile! As a seasoned therapist, I specialize in guiding individuals through the intricate terrain of vocational rehabilitation, career counseling, supporting college students on their unique journeys, and fostering resilience amid life changes due to mental and physical disabilities. My passion lies in illuminating the path toward personal and professional fulfillment, offering a safe space where growth and empowerment flourish. Let's embark on a collaborative journey, navigating challenges with purpose and unlocking the strength within you to create a future with unlimited opportunities.
(202) 978-4384 View (202) 978-4384
Photo of Syreeta Carter, Clinical Social Work/Therapist in Washington, DC
Syreeta Carter
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20007  (Online Only)
Syreeta’s therapeutic approach consists of cognitive-behavioral therapy, motivational interviewing, and problem-solving therapy. Syreeta's priority is making sure that each client feels valued, empowered, and understood in order to develop new skills to address their problems. She works with individuals of all ages. She is accepting new clients!
Syreeta’s therapeutic approach consists of cognitive-behavioral therapy, motivational interviewing, and problem-solving therapy. Syreeta's priority is making sure that each client feels valued, empowered, and understood in order to develop new skills to address their problems. She works with individuals of all ages. She is accepting new clients!
(202) 858-1363 View (202) 858-1363
Photo of Monti Bush, Clinical Social Work/Therapist in Washington, DC
Monti Bush
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20008
I am a native Washingtonian who is passionate about assisting individuals and couples in navigating the challenges of everyday life. I am trauma aware with training in multiple therapeutic modalities and use an eclectic approach with my clients. My foundational belief is that therapy is best practiced collaboratively by building trust with clients and creating an individualized plan of care. Much of my work has been with those who need support in addressing grief, effective communication, anxiety, depression, trauma, and gaining greater self-awareness.
I am a native Washingtonian who is passionate about assisting individuals and couples in navigating the challenges of everyday life. I am trauma aware with training in multiple therapeutic modalities and use an eclectic approach with my clients. My foundational belief is that therapy is best practiced collaboratively by building trust with clients and creating an individualized plan of care. Much of my work has been with those who need support in addressing grief, effective communication, anxiety, depression, trauma, and gaining greater self-awareness.
(202) 519-1225 View (202) 519-1225
Photo of Jeff DiNardo, Licensed Professional Counselor in Washington, DC
Jeff DiNardo
Licensed Professional Counselor, PhD, LPC
Verified Verified
Washington, DC 20002  (Online Only)
Congratulations on searching for someone to help you explore your mental health! It's not an easy decision and therapy can be challenging at times, but I have the utmost respect for people willing to face their vulnerable parts in order to grow and develop. The fit between a client and a counselor is an important part of therapy, so I recommend reaching out to speak with me further to see if I might be able to be of service for what you are seeking. I'll list some considerations here so you can see if you'd like to reach out to discuss our potential work together. I offer a free consultation session to explore your options.
Congratulations on searching for someone to help you explore your mental health! It's not an easy decision and therapy can be challenging at times, but I have the utmost respect for people willing to face their vulnerable parts in order to grow and develop. The fit between a client and a counselor is an important part of therapy, so I recommend reaching out to speak with me further to see if I might be able to be of service for what you are seeking. I'll list some considerations here so you can see if you'd like to reach out to discuss our potential work together. I offer a free consultation session to explore your options.
(202) 858-1375 View (202) 858-1375
Photo of Washington Nutrition and Counseling Group, Clinical Social Work/Therapist in Washington, DC
Washington Nutrition and Counseling Group
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Washington, DC 20005
My approach to counseling is to create a safe space for growth and healing. I believe that growth and healing happen when people recognize that they have a circle of care (including clinicians) that show them empathy and support, that they can rely on and recognize that they have their best interests in mind. My therapeutic techniques include Cognitive Behavioral Therapy, Mindfulness, and Solution-Focused Therapy to create an atmosphere where the client recognizes that they are in control of their therapeutic experience.
My approach to counseling is to create a safe space for growth and healing. I believe that growth and healing happen when people recognize that they have a circle of care (including clinicians) that show them empathy and support, that they can rely on and recognize that they have their best interests in mind. My therapeutic techniques include Cognitive Behavioral Therapy, Mindfulness, and Solution-Focused Therapy to create an atmosphere where the client recognizes that they are in control of their therapeutic experience.
(202) 759-2780 View (202) 759-2780

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in Washington?

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.