Therapists in Metairie, LA

Photo of Dr. Michelle E. Wade, Licensed Professional Counselor in Metairie, LA
Dr. Michelle E. Wade
Licensed Professional Counselor, LPC-S, NCC, ACS, BC-TMH
Verified Verified
Metairie, LA 70001  (Online Only)
Ultreya means Onward in Spanish. This sentiment is perfect for a mental health counselor, because our goals are about helping clients progress onward in their lives and to not let the past dictate their present or future. My intention with my practice is to help clients navigate their lives in a way that they become more self-aware and happy with the individual that they are, rather than who they think they should be based on the world around them.
Ultreya means Onward in Spanish. This sentiment is perfect for a mental health counselor, because our goals are about helping clients progress onward in their lives and to not let the past dictate their present or future. My intention with my practice is to help clients navigate their lives in a way that they become more self-aware and happy with the individual that they are, rather than who they think they should be based on the world around them.
(504) 732-9113 View (504) 732-9113
Photo of Heather N Tullier, Licensed Professional Counselor in Metairie, LA
Heather N Tullier
Licensed Professional Counselor, LPC, RPT, NCC
Verified Verified
1 Endorsed
Metairie, LA 70006
Life can be difficult for children and their parents. I have experience in both clinical and school settings working with children who experience anxiety, low self-esteem, peer issues, behavior issues, and adjustment to life events. Parent collaboration is essential to a child's growth and success in therapy, because you know your child best! I enjoy working with parents on creating structure, building a positive relationship with their child, and facilitating change.
Life can be difficult for children and their parents. I have experience in both clinical and school settings working with children who experience anxiety, low self-esteem, peer issues, behavior issues, and adjustment to life events. Parent collaboration is essential to a child's growth and success in therapy, because you know your child best! I enjoy working with parents on creating structure, building a positive relationship with their child, and facilitating change.
(504) 613-6853 View (504) 613-6853
Photo of Brandy Sheth, Licensed Professional Counselor in Metairie, LA
Brandy Sheth
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Metairie, LA 70002
Do you feel sad, anxious, stressed out, not sure where to turn? Do you have trouble sleeping or just not happy with the direction your life is going? Are you struggling with addiction or relationship issues? By making the brave decision to attend therapy, we can work on these issues resulting in less anxiety and depression and improved quality of life. I am a licensed professional counselor with over 16 years experience. I specialize in anxiety, depression and relationship issues.
Do you feel sad, anxious, stressed out, not sure where to turn? Do you have trouble sleeping or just not happy with the direction your life is going? Are you struggling with addiction or relationship issues? By making the brave decision to attend therapy, we can work on these issues resulting in less anxiety and depression and improved quality of life. I am a licensed professional counselor with over 16 years experience. I specialize in anxiety, depression and relationship issues.
(504) 684-5260 View (504) 684-5260
Photo of Michelle C Costa LCSW, Clinical Social Work/Therapist in Metairie, LA
Michelle C Costa LCSW
Clinical Social Work/Therapist, MSW, LCSW, LAC
Verified Verified
Metairie, LA 70002
I am a licensed clinical social worker, and a licensed addiction counselor with over 20 years experience. Life can present many challenges, and how we handle these adversities is the key to who we become and our success. Seeking professional help is the first step to change. Through the years, I have worked with both male and female clients ranging in age from 16 to 85. I have extensive training in substance abuse and co-dependency and over the last ten years enjoyed working with the elderly and their families addressing end of life issues along with dementia.
I am a licensed clinical social worker, and a licensed addiction counselor with over 20 years experience. Life can present many challenges, and how we handle these adversities is the key to who we become and our success. Seeking professional help is the first step to change. Through the years, I have worked with both male and female clients ranging in age from 16 to 85. I have extensive training in substance abuse and co-dependency and over the last ten years enjoyed working with the elderly and their families addressing end of life issues along with dementia.
(504) 383-8256 View (504) 383-8256
Photo of Krystal M Vaughn, Licensed Professional Counselor in Metairie, LA
Krystal M Vaughn
Licensed Professional Counselor, PhD, LPC-S, NCC, RPT-S
Verified Verified
Metairie, LA 70006
Dr. Vaughn is a Licensed Professional Counselor-Supervisor and Registered Play Therapist-Supervisor at Vaughn Therapeutic Collective. She specializes in working with children, adolescents, and parents. Dr. Vaughn provides the following clinical services: Individual Therapy, Play Therapy, Parent Child Interactional Therapy, Autplay, Telehealth, Mental Health Consultation to local schools. Dr. Vaughn has years of experience providing clinical services to those with ADHD, anxiety, autism (level 1), adjustment disorder, neurodevelopmental disorders, dysregulation issues, and other developmental disorders.
Dr. Vaughn is a Licensed Professional Counselor-Supervisor and Registered Play Therapist-Supervisor at Vaughn Therapeutic Collective. She specializes in working with children, adolescents, and parents. Dr. Vaughn provides the following clinical services: Individual Therapy, Play Therapy, Parent Child Interactional Therapy, Autplay, Telehealth, Mental Health Consultation to local schools. Dr. Vaughn has years of experience providing clinical services to those with ADHD, anxiety, autism (level 1), adjustment disorder, neurodevelopmental disorders, dysregulation issues, and other developmental disorders.
(504) 321-6728 View (504) 321-6728
Photo of Kendra Williams, Licensed Professional Counselor in Metairie, LA
Kendra Williams
Licensed Professional Counselor, LPC, NCC
Verified Verified
Metairie, LA 70005
Waitlist for new clients
I admire your courage to become intentional about improving the course of your life and/or relationships by exploring therapy. If you feel stagnant after exhausting your efforts to find resolution, I am here to join the context of your reality to facilitate progress through collaboration and uncovering your strengths. My expertise is in healing relationships, setting boundaries, and addressing transgenerational trauma that perpetuates emotional wounds and negative cycles. I am willing to carry hope for you until you gain the confidence to do so for yourself. I will work as diligently as your commitment is to the process.
I admire your courage to become intentional about improving the course of your life and/or relationships by exploring therapy. If you feel stagnant after exhausting your efforts to find resolution, I am here to join the context of your reality to facilitate progress through collaboration and uncovering your strengths. My expertise is in healing relationships, setting boundaries, and addressing transgenerational trauma that perpetuates emotional wounds and negative cycles. I am willing to carry hope for you until you gain the confidence to do so for yourself. I will work as diligently as your commitment is to the process.
(504) 434-7807 View (504) 434-7807
Photo of Courtney Carrier, Pre-Licensed Professional in Metairie, LA
Courtney Carrier
Pre-Licensed Professional, MA, PLPC
Verified Verified
Metairie, LA 70005
Hello! My name is Courtney Carrier, and I am an associate at Dr. Matt Morris & Associates of Metairie, Louisiana. Counseling can be an incredibly tough decision for someone to make. Asking for help is the first step of many to improving your quality of life. No one should have to feel as though they are going through this life alone. I am here to help you along this pathway to becoming a better you!
Hello! My name is Courtney Carrier, and I am an associate at Dr. Matt Morris & Associates of Metairie, Louisiana. Counseling can be an incredibly tough decision for someone to make. Asking for help is the first step of many to improving your quality of life. No one should have to feel as though they are going through this life alone. I am here to help you along this pathway to becoming a better you!
(504) 321-5737 View (504) 321-5737
Photo of Maria Gabriela Klaffky, Pre-Licensed Professional in Metairie, LA
Maria Gabriela Klaffky
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
3 Endorsed
Metairie, LA 70005
With my knowledge from clinical and lived experience I hope to work with clients in the perinatal/ postpartum community and those individuals going through infertility and/or fertility treatments. I deeply value the journey of becoming a parent and through my own experience of grief and loss, I center my practice in knowing that even if the goal is the same, each individual/couple has their own narrative filled with struggles and triumphs. I also enjoy working with artists, creatives, spiritual seekers, and those looking to understand in what ways difficult external situations and trauma have created inner voices that block their
With my knowledge from clinical and lived experience I hope to work with clients in the perinatal/ postpartum community and those individuals going through infertility and/or fertility treatments. I deeply value the journey of becoming a parent and through my own experience of grief and loss, I center my practice in knowing that even if the goal is the same, each individual/couple has their own narrative filled with struggles and triumphs. I also enjoy working with artists, creatives, spiritual seekers, and those looking to understand in what ways difficult external situations and trauma have created inner voices that block their
(504) 788-2503 View (504) 788-2503
Photo of Melissa J Aubert, Psychologist in Metairie, LA
Melissa J Aubert
Psychologist, PhD
Verified Verified
Metairie, LA 70002
As a Clinical Psychologist and Clinical Neuropsychologist, I offer a variety of services for children, adolescents, and adults. I conduct Neuropsychological and Psychological evaluations for head injuries, neurological conditions (e.g., seizure disorders, stroke), Attention-Deficit/Hyperactivity Disorder (ADHD), learning disabilities, developmental disorders (e.g., Autistic Spectrum Disorder, Intellectual Deficiency), auditory processing disorders, and lead poisoning. I offer general intelligence assessment for employment, Gifted placement, and school admission, as well as psychological evaluations for surgery clearance (e.g., bariatric surgery candidates). For more information on the services I provide, please see my personal website: www.nolaneuropsych.com.
As a Clinical Psychologist and Clinical Neuropsychologist, I offer a variety of services for children, adolescents, and adults. I conduct Neuropsychological and Psychological evaluations for head injuries, neurological conditions (e.g., seizure disorders, stroke), Attention-Deficit/Hyperactivity Disorder (ADHD), learning disabilities, developmental disorders (e.g., Autistic Spectrum Disorder, Intellectual Deficiency), auditory processing disorders, and lead poisoning. I offer general intelligence assessment for employment, Gifted placement, and school admission, as well as psychological evaluations for surgery clearance (e.g., bariatric surgery candidates). For more information on the services I provide, please see my personal website: www.nolaneuropsych.com.
(504) 315-1006 x2 View (504) 315-1006 x2
Photo of Paige Anne Walther, Licensed Professional Counselor in Metairie, LA
Paige Anne Walther
Licensed Professional Counselor, MA, LPC
Verified Verified
Metairie, LA 70006  (Online Only)
Not accepting new clients
Are you feeling stuck and frustrated in life? Congratulations, it takes courage to take the first step. I create a safe and judgment-free environment to explore the uncomfortable aspects of life & the things you want to change and evolve.
Are you feeling stuck and frustrated in life? Congratulations, it takes courage to take the first step. I create a safe and judgment-free environment to explore the uncomfortable aspects of life & the things you want to change and evolve.
(504) 732-0916 View (504) 732-0916
Photo of Noelle Raymond, Clinical Social Work/Therapist in Metairie, LA
Noelle Raymond
Clinical Social Work/Therapist, LCSW
Verified Verified
Metairie, LA 70005
Hi there. My name is Noelle Raymond and I am a licensed and skilled psychotherapist with several years of clinical experience. In my practice, I utilize various approaches to meet the individual needs of each client which most often include those rooted in psychodynamic, interpersonal, and existential therapy. I also incorporate CBT and DBT skills into my practice to help my clients develop coping tools to take with them outside of the therapy room.
Hi there. My name is Noelle Raymond and I am a licensed and skilled psychotherapist with several years of clinical experience. In my practice, I utilize various approaches to meet the individual needs of each client which most often include those rooted in psychodynamic, interpersonal, and existential therapy. I also incorporate CBT and DBT skills into my practice to help my clients develop coping tools to take with them outside of the therapy room.
(504) 788-1577 View (504) 788-1577
Photo of Gasper James Bongiovani, Clinical Social Work/Therapist in Metairie, LA
Gasper James Bongiovani
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
Metairie, LA 70002
I work with children, adolescents, adults, and couples, addressing a variety of challenges, including anxiety, depression, family issues, relationships, self-esteem, anger management, ADHD, personality disorder, behavioral challenges, etc. I have 16 years of experience providing intensive outpatient counseling to individuals and groups. I strongly believe that counseling is a partnership between the therapist and the client, designed to arrive at the needed objectives and goals. Whereas the therapist has skills and training, the client is always the expert on themselves and their families. Only through working together with regard for the dignity and worth of each individual can challenges be alleviated and strengths enhanced.
I work with children, adolescents, adults, and couples, addressing a variety of challenges, including anxiety, depression, family issues, relationships, self-esteem, anger management, ADHD, personality disorder, behavioral challenges, etc. I have 16 years of experience providing intensive outpatient counseling to individuals and groups. I strongly believe that counseling is a partnership between the therapist and the client, designed to arrive at the needed objectives and goals. Whereas the therapist has skills and training, the client is always the expert on themselves and their families. Only through working together with regard for the dignity and worth of each individual can challenges be alleviated and strengths enhanced.
(504) 556-2635 View (504) 556-2635
Photo of Melissa Jenny Lacoste, Licensed Professional Counselor in Metairie, LA
Melissa Jenny Lacoste
Licensed Professional Counselor, LPC, NCC
Verified Verified
Metairie, LA 70002
I have a passion for connecting and helping people reach balance, direction, and live a more fulfilling life. I work with teens, adults, couples, and families. I have worked with people from various backgrounds with anxiety, depression, grief, stages of life, trauma, severe mental illness, and marital/relationship, and identity issues. Therapy is highly effective, but requires openness, patience, and dedication! I would love to work with you and help you on this journey called “Life.” I am currently taking new clients in person and through telehealth(zoom).
I have a passion for connecting and helping people reach balance, direction, and live a more fulfilling life. I work with teens, adults, couples, and families. I have worked with people from various backgrounds with anxiety, depression, grief, stages of life, trauma, severe mental illness, and marital/relationship, and identity issues. Therapy is highly effective, but requires openness, patience, and dedication! I would love to work with you and help you on this journey called “Life.” I am currently taking new clients in person and through telehealth(zoom).
(504) 608-7205 View (504) 608-7205
Photo of Paramount Concepts and Wellness, LLC -Counseling, Licensed Professional Counselor in Metairie, LA
Paramount Concepts and Wellness, LLC -Counseling
Licensed Professional Counselor, M Ed2, LPC-S
Verified Verified
Metairie, LA 70005
Not accepting new clients
Paramount Concepts and Wellness is concerned with the Whole Wellness of you. The belief is that everyone can experience Whole Health, even when Mental and Physical illness is present. Services of Mental and Physical health are provided to improve, create, restore, maintain or support your well being. ….The PARAMOUNT EXPERIENCES!
Paramount Concepts and Wellness is concerned with the Whole Wellness of you. The belief is that everyone can experience Whole Health, even when Mental and Physical illness is present. Services of Mental and Physical health are provided to improve, create, restore, maintain or support your well being. ….The PARAMOUNT EXPERIENCES!
(504) 608-6202 View (504) 608-6202
Photo of Alexis Gonzalez, Licensed Professional Counselor in Metairie, LA
Alexis Gonzalez
Licensed Professional Counselor, LPC, LAC, SAP, CSAM, NCC
Verified Verified
Metairie, LA 70002
Hey there, my name is Alexis, and I am here to help guide you through the challenges of life. Taking the step to reach out to help takes a lot of courage especially when life becomes overwhelming. If you or a loved one is struggling with addiction issues, I will help educate you about the disease of addiction as we work on creating a plan for change that is manageable for you. If you are struggling with crippling mental health issues, let's unfold the underlying issues that continue to worsen your anxiety, depression, trauma, and anger. If you have struggled in abusive relationships, let me help you find your confidence again.
Hey there, my name is Alexis, and I am here to help guide you through the challenges of life. Taking the step to reach out to help takes a lot of courage especially when life becomes overwhelming. If you or a loved one is struggling with addiction issues, I will help educate you about the disease of addiction as we work on creating a plan for change that is manageable for you. If you are struggling with crippling mental health issues, let's unfold the underlying issues that continue to worsen your anxiety, depression, trauma, and anger. If you have struggled in abusive relationships, let me help you find your confidence again.
(504) 788-2768 View (504) 788-2768
Tony Melito
Marriage & Family Therapist, PhD, LMFT, LPC , C-MGCP
Verified Verified
Metairie, LA 70002
I have a successful practice in working with couples, individuals, and families. The nature of your problem(s) will determine the approaches and techniques I use for treatment. Additionally, as a Certified Mental Game Coaching Professional, I work with high school, collegiate, and professional athletes in a wide variety of sports.
I have a successful practice in working with couples, individuals, and families. The nature of your problem(s) will determine the approaches and techniques I use for treatment. Additionally, as a Certified Mental Game Coaching Professional, I work with high school, collegiate, and professional athletes in a wide variety of sports.
(504) 226-7566 View (504) 226-7566
Photo of Cody Smith, Clinical Social Work/Therapist in Metairie, LA
Cody Smith
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
Metairie, LA 70001  (Online Only)
I work with adolescents and adults who are interested in better managing their daily life. Whether it is anxiety, depression, life changes, traumatic or adverse experiences (recent or long ago event), or any similar concerns, my goal is to help you better manage the stress associated with it and live a happy, healthy life. I am currently available for evening and weekend virtual sessions.
I work with adolescents and adults who are interested in better managing their daily life. Whether it is anxiety, depression, life changes, traumatic or adverse experiences (recent or long ago event), or any similar concerns, my goal is to help you better manage the stress associated with it and live a happy, healthy life. I am currently available for evening and weekend virtual sessions.
(504) 732-1324 View (504) 732-1324
Photo of Francisco (Cisco) Gonzales, Licensed Professional Counselor in Metairie, LA
Francisco (Cisco) Gonzales
Licensed Professional Counselor, MEd, LPC, CFRA, NCC
Verified Verified
2 Endorsed
Metairie, LA 70002
Currently Accepting Clients in Louisiana and Texas with Insurance or Private Pay. Anxiety, Depression, ADHD, Family Issues, and the unknown sometimes control our lives. Whether it is you or your teenaged loved one; remember, It's okay to not be okay. Speak to a professional. In working together, we can promote growth by understanding the obstacles that you face and develop solutions that ought to bring you a newfound peace! Are you ready to explore the possibility of change in your life? It takes courage to ask for help, and it seems that you have begun that journey.
Currently Accepting Clients in Louisiana and Texas with Insurance or Private Pay. Anxiety, Depression, ADHD, Family Issues, and the unknown sometimes control our lives. Whether it is you or your teenaged loved one; remember, It's okay to not be okay. Speak to a professional. In working together, we can promote growth by understanding the obstacles that you face and develop solutions that ought to bring you a newfound peace! Are you ready to explore the possibility of change in your life? It takes courage to ask for help, and it seems that you have begun that journey.
(504) 499-5830 View (504) 499-5830
Photo of Jeff Teachworth in Metairie, LA
Jeff Teachworth
CGP, CRC, CLC
Verified Verified
Metairie, LA 70002
I have the highest regard for the path you are walking. I am an insightful, affordable, compassionate facilitator who will help you rediscover lost perspectives and new ways to make sense of your life. My techniques are innovative and practical, and filled with enlightening tools to find the buried treasure inside yourself.... We're all used to communicating in the ways we grew up with, but come discover more ways to communicate about important issues to upgrade and enrich your life. I can help you clear historic hurdles that have held you back for decades. Stop the Guessing Game and become the wise CEO inside of yourself again.
I have the highest regard for the path you are walking. I am an insightful, affordable, compassionate facilitator who will help you rediscover lost perspectives and new ways to make sense of your life. My techniques are innovative and practical, and filled with enlightening tools to find the buried treasure inside yourself.... We're all used to communicating in the ways we grew up with, but come discover more ways to communicate about important issues to upgrade and enrich your life. I can help you clear historic hurdles that have held you back for decades. Stop the Guessing Game and become the wise CEO inside of yourself again.
(504) 608-4663 View (504) 608-4663
Photo of Vin Lamia, Licensed Professional Counselor in Metairie, LA
Vin Lamia
Licensed Professional Counselor, MEd, LPC-S, NCC
Verified Verified
1 Endorsed
Metairie, LA 70002
"We know what we are, but know not what we may be" --Walt Whitman. Through a non-judgmental and inviting atmosphere, I strive to empower my clients to self-realize what they too can be in life. Using a person-centered approach, my client and I will embark on an odyssey of hope together to confront and address issues such as depression, anxiety, self esteem, and self worth.
"We know what we are, but know not what we may be" --Walt Whitman. Through a non-judgmental and inviting atmosphere, I strive to empower my clients to self-realize what they too can be in life. Using a person-centered approach, my client and I will embark on an odyssey of hope together to confront and address issues such as depression, anxiety, self esteem, and self worth.
(504) 475-6453 View (504) 475-6453

How does your Therapist compare?

Number of Therapists in Metairie, LA

400+

Average cost per session

$125

Therapists in Metairie, LA who prioritize treating:

94% Anxiety
90% Depression
80% Relationship Issues
79% Self Esteem
73% Coping Skills
70% Stress
68% Grief

Average years in practice

11 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
71% UnitedHealthcare UHC | UBH
62% Aetna

How Therapists in Metairie, LA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

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

How can I find a therapist in Metairie?

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.