Therapists in West Jefferson, NC

Photo of Silver Rose Mental Health Counseling, PLLC, Counselor in West Jefferson, NC
Silver Rose Mental Health Counseling, PLLC
Counselor, LCMHC
Verified Verified
West Jefferson, NC 28694
My goal is to help people of all ages to face life's difficulties and become happier and healthier. I give support and guidance, backed with years of experience, and can assist you in discovering who you are and where you want to be.
My goal is to help people of all ages to face life's difficulties and become happier and healthier. I give support and guidance, backed with years of experience, and can assist you in discovering who you are and where you want to be.
(336) 920-8611 View (336) 920-8611
Photo of CH Therapy Services, Clinical Social Work/Therapist in West Jefferson, NC
CH Therapy Services
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
West Jefferson, NC 28694
Not accepting new clients
When you are feeling overwhelmed by life, a therapist can help you. You know that you want to feel better - and be better for yourself and others - but when you have been doing the things that have always worked in the past and find they are not working now, it may be time to enlist the support of a therapist.  I love to work with people who feel overwhelmed, stuck, sad, anxious, indecisive, or have any other painful emotion. Instead of feeling stuck, I want to help you feel empowered to move forward and help manage those painful feelings.
When you are feeling overwhelmed by life, a therapist can help you. You know that you want to feel better - and be better for yourself and others - but when you have been doing the things that have always worked in the past and find they are not working now, it may be time to enlist the support of a therapist.  I love to work with people who feel overwhelmed, stuck, sad, anxious, indecisive, or have any other painful emotion. Instead of feeling stuck, I want to help you feel empowered to move forward and help manage those painful feelings.
(336) 750-6974 View (336) 750-6974
Photo of Laura L Lawson, Clinical Social Work/Therapist in West Jefferson, NC
Laura L Lawson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
West Jefferson, NC 28694  (Online Only)
Waitlist for new clients
For 30 years I have provided counseling services to couples, families, and individuals. I assist individual adults who are dealing with depression, relationship issues, childhood or adult trauma, or aging concerns. I work with clients to understand and resolve the effects of stress on the mind and body. With couples we focus on resolving underlying issues that impede communication as well as crises such as dealing with sexual or emotional infidelity and most other relationship problems. I work extensively with families dealing with addiction, parenting concerns, and with intergenerational family conflicts.
For 30 years I have provided counseling services to couples, families, and individuals. I assist individual adults who are dealing with depression, relationship issues, childhood or adult trauma, or aging concerns. I work with clients to understand and resolve the effects of stress on the mind and body. With couples we focus on resolving underlying issues that impede communication as well as crises such as dealing with sexual or emotional infidelity and most other relationship problems. I work extensively with families dealing with addiction, parenting concerns, and with intergenerational family conflicts.
(336) 489-4254 View (336) 489-4254
Photo of Lesley Icenhour, Clinical Social Work/Therapist in West Jefferson, NC
Lesley Icenhour
Clinical Social Work/Therapist, LCSW, LCASA
Verified Verified
West Jefferson, NC 28694  (Online Only)
Waitlist for new clients
Life asks a lot from us. How can we thrive in our lives, work and relationships in fulfilling, whole-hearted ways? We all occasionally feel blocked or frustrated and benefit from support that can connect us with our potential. You are deserving of purpose, meaning and joy in your life and we will work together to discover what your unique needs are so that you can live in closer alignment with your goals and values. I specialize in serving adults who are experiencing anxiety, depression, challenging life transitions, domestic and/or sexual violence as well as substance use and addiction.
Life asks a lot from us. How can we thrive in our lives, work and relationships in fulfilling, whole-hearted ways? We all occasionally feel blocked or frustrated and benefit from support that can connect us with our potential. You are deserving of purpose, meaning and joy in your life and we will work together to discover what your unique needs are so that you can live in closer alignment with your goals and values. I specialize in serving adults who are experiencing anxiety, depression, challenging life transitions, domestic and/or sexual violence as well as substance use and addiction.
(336) 849-5653 View (336) 849-5653
Photo of Carrie A Richardson, Clinical Social Work/Therapist in West Jefferson, NC
Carrie A Richardson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
West Jefferson, NC 28694  (Online Only)
I am a LCSW practicing in the beautiful Blue Ridge Mountains of NC since 2010. Therapy is an opportunity for learning and growth, and I have witnessed amazing outcomes for individuals who worked hard in treatment to elicit positive personal change. I have extensive experience as a Crisis Clinician in Emergency Departments, an outpatient therapy provider, a Mobile Crisis Clinician, a Health Coach, and an Employee Assistance Program therapist. I am equipped to provide clinical supervision for associate professionals seeking licensure through the NC Social Work Certification and Licensure Board.
I am a LCSW practicing in the beautiful Blue Ridge Mountains of NC since 2010. Therapy is an opportunity for learning and growth, and I have witnessed amazing outcomes for individuals who worked hard in treatment to elicit positive personal change. I have extensive experience as a Crisis Clinician in Emergency Departments, an outpatient therapy provider, a Mobile Crisis Clinician, a Health Coach, and an Employee Assistance Program therapist. I am equipped to provide clinical supervision for associate professionals seeking licensure through the NC Social Work Certification and Licensure Board.
(336) 568-8059 View (336) 568-8059
Photo of Jane Smyre, Clinical Social Work/Therapist in West Jefferson, NC
Jane Smyre
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
West Jefferson, NC 28694
Waitlist for new clients
I am pleased you are considering working with me. We all have issues which need improvement. Life is a journey of change in which therapy can be a supportive tool.
I am pleased you are considering working with me. We all have issues which need improvement. Life is a journey of change in which therapy can be a supportive tool.
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Photo of Lexie Danner Counseling, Licensed Professional Counselor in West Jefferson, NC
Lexie Danner Counseling
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
West Jefferson, NC 28694
Not accepting new clients
I believe we each possess the resources necessary to meet the challenges we are presented in life. Resources are those things, actions, qualities, faculties, and relationships we can draw upon for aid in times of need. Through a mutual relationship built on trust and transparency, we will explore where you are now, where you want to go, and how you might get there.
I believe we each possess the resources necessary to meet the challenges we are presented in life. Resources are those things, actions, qualities, faculties, and relationships we can draw upon for aid in times of need. Through a mutual relationship built on trust and transparency, we will explore where you are now, where you want to go, and how you might get there.
(336) 715-5244 View (336) 715-5244
Photo of Jody R Gardner, Marriage & Family Therapist in West Jefferson, NC
Jody R Gardner
Marriage & Family Therapist, MA, LMFT
Verified Verified
West Jefferson, NC 28694
I am a graduate of Appalachian State University with a Master of Arts in Marriage and Family Therapy, and have been practicing for the past thirteen years. I specialize in work with individuals, couples, families and teens, and have a focus in systems theory and narrative therapy. I prefer to work in collaboration with my clients to use the expertise that they have in their own lives to help find strategies that can help them build the life that they want.
I am a graduate of Appalachian State University with a Master of Arts in Marriage and Family Therapy, and have been practicing for the past thirteen years. I specialize in work with individuals, couples, families and teens, and have a focus in systems theory and narrative therapy. I prefer to work in collaboration with my clients to use the expertise that they have in their own lives to help find strategies that can help them build the life that they want.
(828) 358-1737 View (828) 358-1737
Photo of Sue Vannoy, Marriage & Family Therapist in West Jefferson, NC
Sue Vannoy
Marriage & Family Therapist, MA, LMFT, LCAS
Verified Verified
7 Endorsed
West Jefferson, NC 28694
Not accepting new clients
**CURRENTLY NOT ACCEPTING NEW CLIENTS** I work with with students, adults, couples, and families looking to change the things that aren't working by identifying the patterns that are creating problems in your life. I believe we all possess the ability to change our circumstances. But life happens and sometimes we can get so tangled up in our circumstances that we can't find the way out and need a little extra guidance.
**CURRENTLY NOT ACCEPTING NEW CLIENTS** I work with with students, adults, couples, and families looking to change the things that aren't working by identifying the patterns that are creating problems in your life. I believe we all possess the ability to change our circumstances. But life happens and sometimes we can get so tangled up in our circumstances that we can't find the way out and need a little extra guidance.
(828) 559-9800 View (828) 559-9800
Photo of Jackie Belhumeur Wayne, Psychological Associate in West Jefferson, NC
Jackie Belhumeur Wayne
Psychological Associate, MA, LPA
Verified Verified
West Jefferson, NC 28694
Waitlist for new clients
If college is the best four years of your life, then why do you feel like this? Stressed and alone. Surrounded by people, but struggling to connect. Wanting love, but tired of the games and swiping. Scared of the real world, and still stuck with that vape habit and yoyo diet from high school. Or maybe you were so excited for parenthood, but not for this. This is so loud and hard and nothing like the pictures online. Life transitions - my favorites being college and parenthood - can shake you up and reveal cracks you never knew were there, but they can also shake you loose from your old habits so you can grow.
If college is the best four years of your life, then why do you feel like this? Stressed and alone. Surrounded by people, but struggling to connect. Wanting love, but tired of the games and swiping. Scared of the real world, and still stuck with that vape habit and yoyo diet from high school. Or maybe you were so excited for parenthood, but not for this. This is so loud and hard and nothing like the pictures online. Life transitions - my favorites being college and parenthood - can shake you up and reveal cracks you never knew were there, but they can also shake you loose from your old habits so you can grow.
(828) 527-0164 View (828) 527-0164
Photo of Peter A Paglen, Licensed Professional Counselor in West Jefferson, NC
Peter A Paglen
Licensed Professional Counselor, MA, NCC, LCMHCQS
Verified Verified
West Jefferson, NC 28694
Do you have something on your mind? There are times when we all have thoughts running through our minds. Thoughts related to family, friends, relationships, school, love, spirituality, money, work, or happiness. Sometimes they are memories from your past that you're unable to let go. Maybe you can't sleep, maybe you can't eat. Maybe you have lost your purpose, who you are, what you're doing or why. It could be big, or just a small thing you want to let go. These situations can slow you down and pull your life to a stop.
Do you have something on your mind? There are times when we all have thoughts running through our minds. Thoughts related to family, friends, relationships, school, love, spirituality, money, work, or happiness. Sometimes they are memories from your past that you're unable to let go. Maybe you can't sleep, maybe you can't eat. Maybe you have lost your purpose, who you are, what you're doing or why. It could be big, or just a small thing you want to let go. These situations can slow you down and pull your life to a stop.
(828) 457-8331 View (828) 457-8331
Photo of Melissa R. Parlier, LMFT, Marriage & Family Therapist in West Jefferson, NC
Melissa R. Parlier, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
West Jefferson, NC 28694
Waitlist for new clients
Are you struggling with depression or anxiety? Are you having difficulty bouncing back after a traumatic experience? Are you having difficulties in a relationship? I can help! I am a licensed marriage and family therapist with over 20 years of experience providing trauma-informed services to children, adults, families, and couples. Areas of specialization include: anxiety and mood disorders, PTSD, grief and loss, child/adolescent behavior problems, adjustment and phase of life issues, and interpersonal relationship problems.
Are you struggling with depression or anxiety? Are you having difficulty bouncing back after a traumatic experience? Are you having difficulties in a relationship? I can help! I am a licensed marriage and family therapist with over 20 years of experience providing trauma-informed services to children, adults, families, and couples. Areas of specialization include: anxiety and mood disorders, PTSD, grief and loss, child/adolescent behavior problems, adjustment and phase of life issues, and interpersonal relationship problems.
(828) 394-4320 View (828) 394-4320
Photo of Emily Gray, Licensed Professional Counselor in West Jefferson, NC
Emily Gray
Licensed Professional Counselor, MEd, LCMHCS
Verified Verified
West Jefferson, NC 28694  (Online Only)
Trauma is often at the root of anxiety, depression, and low self-esteem. It can dysregulate our nervous systems and keep us stuck in 'survival mode.' The same coping strategies that once protected us are now disrupting our relationships and everyday lives. The good news is that our minds and bodies want to heal. We just need to learn how to integrate ourselves and our experiences into a new, more mindful, and compassionate way so that the past is not always in the driver's seat. It is said “what you resist, persists”. I believe the practice of coming to know ourselves fully can be very powerful.
Trauma is often at the root of anxiety, depression, and low self-esteem. It can dysregulate our nervous systems and keep us stuck in 'survival mode.' The same coping strategies that once protected us are now disrupting our relationships and everyday lives. The good news is that our minds and bodies want to heal. We just need to learn how to integrate ourselves and our experiences into a new, more mindful, and compassionate way so that the past is not always in the driver's seat. It is said “what you resist, persists”. I believe the practice of coming to know ourselves fully can be very powerful.
(828) 537-0085 View (828) 537-0085
Photo of Craig B McKinney, Clinical Social Work/Therapist in West Jefferson, NC
Craig B McKinney
Clinical Social Work/Therapist, LCSW
Verified Verified
West Jefferson, NC 28694
***NOW ACCEPTING NEW CLIENTS**** I am a licensed clinical social worker with 20 years in the field with experience treating a wide range of psychological issues. I have experience working with people of all ages including college students . I enjoy helping those who are experiencing anxiety, depression, and trauma. Additionally, I have enjoyed working with people experiencing the more severe symptoms of mental health so that they may live a more stable and fulfilling life. I am located in Boone NC but can offer Telehealth services to those in need anywhere in North Carolina
***NOW ACCEPTING NEW CLIENTS**** I am a licensed clinical social worker with 20 years in the field with experience treating a wide range of psychological issues. I have experience working with people of all ages including college students . I enjoy helping those who are experiencing anxiety, depression, and trauma. Additionally, I have enjoyed working with people experiencing the more severe symptoms of mental health so that they may live a more stable and fulfilling life. I am located in Boone NC but can offer Telehealth services to those in need anywhere in North Carolina
(828) 268-3692 View (828) 268-3692
Photo of Mountain Lotus Therapy Services, Licensed Professional Counselor in West Jefferson, NC
Mountain Lotus Therapy Services
Licensed Professional Counselor, LPC, LCAS, CSI
Verified Verified
West Jefferson, NC 28694
** Christian Counseling ** My professional experience has been working with adolescents, college students, adults, working on various issues, and wanting someone to help them in the journey. No one lives life without going through something that makes them question whether they can work through it on their own. This is the very place God has for us to come to him and his strength. I have personally experienced a few of these, and have been given a calling for helping others in theirs. My practice aims to shine light on the purpose we have on this earth, and walking with you to uncover the roots of why you struggle.
** Christian Counseling ** My professional experience has been working with adolescents, college students, adults, working on various issues, and wanting someone to help them in the journey. No one lives life without going through something that makes them question whether they can work through it on their own. This is the very place God has for us to come to him and his strength. I have personally experienced a few of these, and have been given a calling for helping others in theirs. My practice aims to shine light on the purpose we have on this earth, and walking with you to uncover the roots of why you struggle.
(828) 457-8757 View (828) 457-8757
Photo of Beck Long Counseling, PLLC, Licensed Clinical Mental Health Counselor in West Jefferson, NC
Beck Long Counseling, PLLC
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NBCC
Verified Verified
West Jefferson, NC 28694
Welcome. I am a person centered, LGBTQ+ clinical mental health counselor and addictions specialist. I use an eclectic and uniquely adaptable approach for a range of ages, developmental-transitional stages towards positive shifts in attitude, behavior, and mood for the wellbeing of clients. I have advanced training using expressive arts therapy, trauma-informed care, infused with nature, and sports psychotherapy interventions. I work collaboratively with people to rebuild trust in themselves and the world. I work with local resources and help identify self strategies for increased positive life experiences.
Welcome. I am a person centered, LGBTQ+ clinical mental health counselor and addictions specialist. I use an eclectic and uniquely adaptable approach for a range of ages, developmental-transitional stages towards positive shifts in attitude, behavior, and mood for the wellbeing of clients. I have advanced training using expressive arts therapy, trauma-informed care, infused with nature, and sports psychotherapy interventions. I work collaboratively with people to rebuild trust in themselves and the world. I work with local resources and help identify self strategies for increased positive life experiences.
(828) 332-5512 View (828) 332-5512
Photo of Jake Keller, Marriage & Family Therapist in West Jefferson, NC
Jake Keller
Marriage & Family Therapist, MA MMT, LMFT, MT-BC
Verified Verified
2 Endorsed
West Jefferson, NC 28694
Not accepting new clients
Sometimes we can feel as if on a mountaintop with a sense of clarity and other times in a valley unable to see the next step. Life is a journey with experiences and seasons where we can all use some help along the way. Whether it be marriage, dating, work, friendships, or family dynamics, relationships can be complex. Through life's complexities we can learn and grow. I believe everyone deserves to experience joy and live an abundant life. By living authentically to ourselves and others we can become the best version of ourselves. My desire is to meet you where you are and collaboratively work with you to reach your full potential.
Sometimes we can feel as if on a mountaintop with a sense of clarity and other times in a valley unable to see the next step. Life is a journey with experiences and seasons where we can all use some help along the way. Whether it be marriage, dating, work, friendships, or family dynamics, relationships can be complex. Through life's complexities we can learn and grow. I believe everyone deserves to experience joy and live an abundant life. By living authentically to ourselves and others we can become the best version of ourselves. My desire is to meet you where you are and collaboratively work with you to reach your full potential.
(828) 537-1457 View (828) 537-1457
Photo of Pamela Aycock, Counselor in West Jefferson, NC
Pamela Aycock
Counselor, LCMHCA, NCC, MA
Verified Verified
West Jefferson, NC 28694
Modern life is full of challenges and uncertainty, and everyone struggles at times. It’s OK to ask for help when things feel difficult, whether it’s dealing with hopelessness or overwhelm, or not feeling close to the people around you. Perhaps past traumas have led to your feeling disconnected or "not good enough," and managing your emotions feels nearly impossible. You are not alone. Finding the right support is an important step on your mental health journey, and I am here to help you work through the obstacles that are keeping you from living the life you want.
Modern life is full of challenges and uncertainty, and everyone struggles at times. It’s OK to ask for help when things feel difficult, whether it’s dealing with hopelessness or overwhelm, or not feeling close to the people around you. Perhaps past traumas have led to your feeling disconnected or "not good enough," and managing your emotions feels nearly impossible. You are not alone. Finding the right support is an important step on your mental health journey, and I am here to help you work through the obstacles that are keeping you from living the life you want.
(828) 818-8302 View (828) 818-8302

More Therapists Nearby

Photo of CareNet Counseling Northwest Region, Marriage & Family Therapist in West Jefferson, NC
CareNet Counseling Northwest Region
Marriage & Family Therapist, LMFT, LPC, LCAS, LCSWA
Verified Verified
Jefferson, NC 28640
CareNet Counseling improves the health of the mind, body, spirit and community through spiritually-integrated counseling, psychotherapy, research and education. We are here to help our clients restore and maintain mental wellness. There is no real health without mental health.
CareNet Counseling improves the health of the mind, body, spirit and community through spiritually-integrated counseling, psychotherapy, research and education. We are here to help our clients restore and maintain mental wellness. There is no real health without mental health.
(336) 844-4494 View (336) 844-4494
Photo of Erin Sesemann, Marriage & Family Therapist in West Jefferson, NC
Erin Sesemann
Marriage & Family Therapist, PhD, LMFT, CBIS
Verified Verified
2 Endorsed
Jefferson, NC 28640
Waitlist for new clients
Welcome! My goal is to create an open, non-judgmental space where we can work together to help you manage your situation and feelings while also exploring how to do things differently. We will work together to gain insight into your relationship dynamics, personality, commitment styles, beliefs, and family systems. My practice areas include: chronic health conditions/injuries, depression, anxiety, trauma, and relationship issues. I work with individuals and families. Openings for couples/family therapy are now available with the intern therapist at my practice (offered at a reduced cost).
Welcome! My goal is to create an open, non-judgmental space where we can work together to help you manage your situation and feelings while also exploring how to do things differently. We will work together to gain insight into your relationship dynamics, personality, commitment styles, beliefs, and family systems. My practice areas include: chronic health conditions/injuries, depression, anxiety, trauma, and relationship issues. I work with individuals and families. Openings for couples/family therapy are now available with the intern therapist at my practice (offered at a reduced cost).
(828) 332-5315 View (828) 332-5315

See more therapy options for West Jefferson

How does your Therapist compare?

Number of Therapists in West Jefferson, NC

10+

Average cost per session

$125

Therapists in West Jefferson, NC who prioritize treating:

100% Relationship Issues
100% Depression
94% Anxiety
94% Trauma and PTSD
89% Stress
83% Coping Skills
83% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
75% UnitedHealthcare UHC | UBH
63% Aetna

How Therapists in West Jefferson, NC see their clients

78% In Person and Online
22% Online Only

Gender breakdown

76% Female
18% Male
6% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in West Jefferson?

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.