Photo of Itala Marcella Azzarelli, MSW, LCSW, Clinical Social Work/Therapist
Itala Marcella Azzarelli
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27707
Adaptation, growth, and healing can happen within the right therapeutic alliance. For some of us, pursuing therapy is just acknowledging that we are capable of more joy and more ease on this human journey. I have worked with a wide range of presenting concerns, ages, and abilities. I take pride in my creativity with customizing therapy tools to fit clients who learn best in less traditional ways.
Adaptation, growth, and healing can happen within the right therapeutic alliance. For some of us, pursuing therapy is just acknowledging that we are capable of more joy and more ease on this human journey. I have worked with a wide range of presenting concerns, ages, and abilities. I take pride in my creativity with customizing therapy tools to fit clients who learn best in less traditional ways.
(919) 726-3730 View (919) 726-3730
Photo of Mitzi Quint, LCSW, Clinical Social Work/Therapist
Mitzi Quint
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Durham, NC 27707  (Online Only)
Are you struggling with loss, unwanted changes, or stressful life transitions? Do you feel alone in your struggle, that others don't really understand? Whatever your distress, I can help you find ways to cope with overwhelming emotions and to move forward in your challenging world, discovering new possibilities for yourself. My expertise is in grief due to death, but I have over 20 years therapy experience with loss and transitions of all kinds: chronic and terminal illness, end of life issues, caregiving, troubling relationships, job loss and changes, life passages, and identity changes.
Are you struggling with loss, unwanted changes, or stressful life transitions? Do you feel alone in your struggle, that others don't really understand? Whatever your distress, I can help you find ways to cope with overwhelming emotions and to move forward in your challenging world, discovering new possibilities for yourself. My expertise is in grief due to death, but I have over 20 years therapy experience with loss and transitions of all kinds: chronic and terminal illness, end of life issues, caregiving, troubling relationships, job loss and changes, life passages, and identity changes.
(919) 446-8304 View (919) 446-8304
Photo of Dharma Pantha - Dharma Counseling Services, LPCS, LCAS, CCS, Licensed Professional Counselor
Dharma Counseling Services
Licensed Professional Counselor, LPCS, LCAS, CCS
Verified Verified
2 Endorsed
Durham, NC 27707
As a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed Clinical Addiction Specialist (LCAS) I provide individual psychotherapy, viewing each individual within the context of their environment & their inner sources. I have worked at all levels of care. I appreciate collaborating with other treatment providers to provide the best care possible. In the midst of a struggle, we can often lose sight of our strengths, and I work alongside clients to re-connect to their inherent resilience/resources. I meet clients where they are and strive to create a therapeutic environment that is affirming, accepting and inclusive
As a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed Clinical Addiction Specialist (LCAS) I provide individual psychotherapy, viewing each individual within the context of their environment & their inner sources. I have worked at all levels of care. I appreciate collaborating with other treatment providers to provide the best care possible. In the midst of a struggle, we can often lose sight of our strengths, and I work alongside clients to re-connect to their inherent resilience/resources. I meet clients where they are and strive to create a therapeutic environment that is affirming, accepting and inclusive
(919) 629-0476 View (919) 629-0476
Photo of Illyana Massey, MSW, LCSWA, Clinical Social Work/Therapist
Illyana Massey
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Durham, NC 27707
Deciding to come to therapy can be difficult but deciding on sex therapy can be even harder. There are a magnitude of reasons why you may seek sex therapy. Experiencing low desire? Trauma? Sex makes you anxious? Unhealthy relationship with sex? Struggling to connect with your partner or having differences in frequency? Or just simply wanting more out of sex but unsure as where to go? The reasons why can be limitless, but together let's figure out what you need to achieve a healthy relationship with sex. It is important to know that sex therapy will not solely focus on sex but your entire self.
Deciding to come to therapy can be difficult but deciding on sex therapy can be even harder. There are a magnitude of reasons why you may seek sex therapy. Experiencing low desire? Trauma? Sex makes you anxious? Unhealthy relationship with sex? Struggling to connect with your partner or having differences in frequency? Or just simply wanting more out of sex but unsure as where to go? The reasons why can be limitless, but together let's figure out what you need to achieve a healthy relationship with sex. It is important to know that sex therapy will not solely focus on sex but your entire self.
(984) 217-8877 View (984) 217-8877
Photo of Lauren Setubal, MS, EdS, LCMHCA, NCC, Counselor
Lauren Setubal
Counselor, MS, EdS, LCMHCA, NCC
Verified Verified
Durham, NC 27707
I'm here to help! I would consider it a privilege and a joy to be another person in your corner, collaborating with you on your journey to emotional wellness. My goal is to build an authentic and healing relationship with my clients of all ages. I especially love working with clients to tackle anxiety, fear and burnout.
I'm here to help! I would consider it a privilege and a joy to be another person in your corner, collaborating with you on your journey to emotional wellness. My goal is to build an authentic and healing relationship with my clients of all ages. I especially love working with clients to tackle anxiety, fear and burnout.
(984) 646-0446 View (984) 646-0446
Photo of Whitley Grant-Goodman, LCMHCS, LCAS
Whitley Grant-Goodman
Licensed Clinical Mental Health Counselor, LCMHCS, LCAS
Verified Verified
2 Endorsed
Durham, NC 27707  (Online Only)
You deserve optimal mental wellness and a space to have your concerns validated. Some of us are battling issues that others can see and some that are not so visible. My purpose as your therapist is to provide you with a safe space to process, help you better understand your emotions, identify your strengths and guide you on your journey to find the tools and techniques to deal with those battles. I specialize in working with women of color who struggle with these battles and are looking for tools to combat them.
You deserve optimal mental wellness and a space to have your concerns validated. Some of us are battling issues that others can see and some that are not so visible. My purpose as your therapist is to provide you with a safe space to process, help you better understand your emotions, identify your strengths and guide you on your journey to find the tools and techniques to deal with those battles. I specialize in working with women of color who struggle with these battles and are looking for tools to combat them.
(919) 351-6205 View (919) 351-6205
Photo of Kate Mayfour, LCSW-A, Clinical Social Work/Therapist
Kate Mayfour
Clinical Social Work/Therapist, LCSW-A
Verified Verified
1 Endorsed
Durham, NC 27707
Hi, my name is Kate, and I'm glad you're here. I work with folks of all ages who are experiencing eating disorders, trauma, anxiety, depression, and family of origin issues. I am particularly passionate about working with queer and trans individuals, women, and older adults. I am deeply committed to maintaining an anti-racist, feminist, and neurodiversity-affirming lens, and incorporating a systems perspective to explore your experience in context of oppressive systems.
Hi, my name is Kate, and I'm glad you're here. I work with folks of all ages who are experiencing eating disorders, trauma, anxiety, depression, and family of origin issues. I am particularly passionate about working with queer and trans individuals, women, and older adults. I am deeply committed to maintaining an anti-racist, feminist, and neurodiversity-affirming lens, and incorporating a systems perspective to explore your experience in context of oppressive systems.
(919) 343-0081 View (919) 343-0081
Photo of Elizabeth Ross, LCSW, Clinical Social Work/Therapist
Elizabeth Ross
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27707
I enjoy working collaboratively with adult clients to improve interpersonal relationships, identify strengths, and move toward a sense of wholeness. I am passionate about working with clients who are experiencing grief and loss, anxiety, depression, chronic illness, relationship issues and have a history of trauma. I adopt an anti-racist and LGBTQ affirming approach and recognize the ways in which ones identity development is impacted by systemic oppression.
I enjoy working collaboratively with adult clients to improve interpersonal relationships, identify strengths, and move toward a sense of wholeness. I am passionate about working with clients who are experiencing grief and loss, anxiety, depression, chronic illness, relationship issues and have a history of trauma. I adopt an anti-racist and LGBTQ affirming approach and recognize the ways in which ones identity development is impacted by systemic oppression.
(919) 213-0225 View (919) 213-0225
Photo of Kathy Murray, LCSW, SEP, Somatic, NBC-HWC, Clinical Social Work/Therapist
Kathy Murray
Clinical Social Work/Therapist, LCSW, SEP, Somatic, NBC-HWC
Verified Verified
1 Endorsed
Durham, NC 27707  (Online Only)
As a Somatic Therapist and Licensed Health and Wellness Coach, I believe that everyone has within them an inner wisdom and inner healing power that is their natural birthright. My past role as a Behavioral Health Clinician within Duke Health and Wellbeing and Duke Diet and Fitness provided me with wide experience assisting individuals in managing a variety of behavioral and emotional concerns. This would include difficult life transitions, weight management, anxiety, depression, stress management, trauma, chronic pain and other health issues
As a Somatic Therapist and Licensed Health and Wellness Coach, I believe that everyone has within them an inner wisdom and inner healing power that is their natural birthright. My past role as a Behavioral Health Clinician within Duke Health and Wellbeing and Duke Diet and Fitness provided me with wide experience assisting individuals in managing a variety of behavioral and emotional concerns. This would include difficult life transitions, weight management, anxiety, depression, stress management, trauma, chronic pain and other health issues
(919) 276-8754 View (919) 276-8754
Photo of Renee Ridolfi, LCSW, MSW, MEd, Clinical Social Work/Therapist
Renee Ridolfi
Clinical Social Work/Therapist, LCSW, MSW, MEd
Verified Verified
Durham, NC 27707
Many of my clients come to me feeling like anxious thoughts have them feeling run down, burned out, and out of control. Some clients have strained relationships with their primary caregiver(s) and struggle with feeling a sense of purpose and value in their lives. Others are coming to see me because their parent or caregiver is searching for ways to support them through the challenges of adolescence, and they stumbled upon my page.
Many of my clients come to me feeling like anxious thoughts have them feeling run down, burned out, and out of control. Some clients have strained relationships with their primary caregiver(s) and struggle with feeling a sense of purpose and value in their lives. Others are coming to see me because their parent or caregiver is searching for ways to support them through the challenges of adolescence, and they stumbled upon my page.
(866) 619-9231 View (866) 619-9231
Photo of Paul DeMello, MS, CRC, LCMHCA
Paul DeMello
Lic Clinical Mental Health Counselor Associate, MS, CRC, LCMHCA
Verified Verified
1 Endorsed
Durham, NC 27707
The challenges of life can be overwhelming. Whether you are seeking support or want to better understand yourself, I am here to help. I am committed to helping you build the skills to cope with adversity, navigate the complexities of life, improve your emotional well-being, and work toward finding meaning and purpose. My work with individuals is grounded strongly in a patient-centered/dynamic approach that is informed by various cognitive behavioral therapies (CBT), including dialectical behavioral therapy (DBT) and Acceptance and Commitment Therapy (ACT).
The challenges of life can be overwhelming. Whether you are seeking support or want to better understand yourself, I am here to help. I am committed to helping you build the skills to cope with adversity, navigate the complexities of life, improve your emotional well-being, and work toward finding meaning and purpose. My work with individuals is grounded strongly in a patient-centered/dynamic approach that is informed by various cognitive behavioral therapies (CBT), including dialectical behavioral therapy (DBT) and Acceptance and Commitment Therapy (ACT).
(919) 627-1311 View (919) 627-1311
Photo of LeeAnna Gill, LCSWA, LCAS, Clinical Social Work/Therapist
LeeAnna Gill
Clinical Social Work/Therapist, LCSWA, LCAS
Verified Verified
3 Endorsed
Durham, NC 27707
If you are struggling and looking for a space for your experiences and emotions to be validated and affirmed, a place free of judgment, and searching for some hope when it feels like there is none, then we may be a good fit. My therapy style allows me to work well with those who are experiencing interpersonal challenges, life transitions, general and social anxiety, depression, and patterns of substance use.
If you are struggling and looking for a space for your experiences and emotions to be validated and affirmed, a place free of judgment, and searching for some hope when it feels like there is none, then we may be a good fit. My therapy style allows me to work well with those who are experiencing interpersonal challenges, life transitions, general and social anxiety, depression, and patterns of substance use.
(919) 429-8802 View (919) 429-8802
Photo of Sydney Mohnasky, LSCWA, Clinical Social Work/Therapist
Sydney Mohnasky
Clinical Social Work/Therapist, LSCWA
Verified Verified
1 Endorsed
Durham, NC 27707
My goal in therapy is to guide you in self-exploration so you can better understand yourself and the issues you face, and then learn what it looks like to live in alignment with your values. At the foundation of this work is a trustworthy therapeutic relationship. I have experience and am trained to help clients navigate eating disorders/disordered eating, anxiety, depression, religious trauma, pregnancy/postpartum, and significant life transitions. I am an LGBTQIA+ affirming clinician devoted to creating a safe space for all identities. I enjoy working with clients of all ages and am Health at Every Size (HAES) aligned.
My goal in therapy is to guide you in self-exploration so you can better understand yourself and the issues you face, and then learn what it looks like to live in alignment with your values. At the foundation of this work is a trustworthy therapeutic relationship. I have experience and am trained to help clients navigate eating disorders/disordered eating, anxiety, depression, religious trauma, pregnancy/postpartum, and significant life transitions. I am an LGBTQIA+ affirming clinician devoted to creating a safe space for all identities. I enjoy working with clients of all ages and am Health at Every Size (HAES) aligned.
(984) 213-5510 View (984) 213-5510
Photo of David Oh - Radical Healing, NP, Counselor
Radical Healing
Counselor, NP
Verified Verified
Durham, NC 27707
We are a group practice of primary care providers, psychiatric medication management providers, psychologists, behavioral health providers and cultural workers working to provide inclusive, culturally responsive primary care, psychiatric medication management, psychological assessment support and counseling care and support. We are trauma informed and body and gender affirming.
We are a group practice of primary care providers, psychiatric medication management providers, psychologists, behavioral health providers and cultural workers working to provide inclusive, culturally responsive primary care, psychiatric medication management, psychological assessment support and counseling care and support. We are trauma informed and body and gender affirming.
(919) 925-5745 View (919) 925-5745
Photo of Hazel Shepherd, CPNP, PMHS
Hazel Shepherd
CPNP, PMHS
Verified Verified
Durham, NC 27707
I am a Pediatric Nurse Practitioner. I provide psychiatric medication management for patients 4-21 years of age. I understand that a person is more than the sum of medical conditions. Medication can help but is not a cure. I encourage patients to actively participate in their care by learning about their condition and utilizing other management strategies, such as therapy, meditation, and a healthy lifestyle. I work in partnership with patients and families to develop a treatment plan to successfully meet their goals. I am allied with the LGBTQ+ community.
I am a Pediatric Nurse Practitioner. I provide psychiatric medication management for patients 4-21 years of age. I understand that a person is more than the sum of medical conditions. Medication can help but is not a cure. I encourage patients to actively participate in their care by learning about their condition and utilizing other management strategies, such as therapy, meditation, and a healthy lifestyle. I work in partnership with patients and families to develop a treatment plan to successfully meet their goals. I am allied with the LGBTQ+ community.
(919) 724-4560 View (919) 724-4560
Photo of James McCracken, MSW, LCSW, DCSW, Clinical Social Work/Therapist
James McCracken
Clinical Social Work/Therapist, MSW, LCSW, DCSW
Verified Verified
6 Endorsed
Durham, NC 27707
Waitlist for new clients
I work with couples, families and adults who are seeking support and guidance with relationship issues and healing from painful childhoods and traumatic experiences. Many people I treat present with relationship distress, adjustment problems, symptoms of depression, anxiety and PTSD. I have been in practice for more than 20 years, have completed multiple post-graduate certifications (ie. AEDP; EFT with couples, families and individuals; Discernment Counseling), and am passionate about providing effective psychotherapy. Additionally, I enjoy providing therapy and consultation to therapists with similar interests.
I work with couples, families and adults who are seeking support and guidance with relationship issues and healing from painful childhoods and traumatic experiences. Many people I treat present with relationship distress, adjustment problems, symptoms of depression, anxiety and PTSD. I have been in practice for more than 20 years, have completed multiple post-graduate certifications (ie. AEDP; EFT with couples, families and individuals; Discernment Counseling), and am passionate about providing effective psychotherapy. Additionally, I enjoy providing therapy and consultation to therapists with similar interests.
(919) 883-5637 x101 View (919) 883-5637 x101
Photo of Kristin Henry, MSW, LCSWA
Kristin Henry
LCSW Associate, MSW, LCSWA
Verified Verified
2 Endorsed
Durham, NC 27707
I believe each of us have gifts to aid us in our healing and they can shine in a supportive environment. With curiosity and collaboration, I will walk alongside you in navigating, coping, and thriving through hardships, life transitions, and self exploration. I bring a grounding and patient presence that offers support and encouragement and cultivates an open, non judgemental, and affirming space where you can show up as you are. I welcome people from all backgrounds and specialize in working with those who are transgender, gender expansive, queer, in the LGBTQ+ community, or are a parent.
I believe each of us have gifts to aid us in our healing and they can shine in a supportive environment. With curiosity and collaboration, I will walk alongside you in navigating, coping, and thriving through hardships, life transitions, and self exploration. I bring a grounding and patient presence that offers support and encouragement and cultivates an open, non judgemental, and affirming space where you can show up as you are. I welcome people from all backgrounds and specialize in working with those who are transgender, gender expansive, queer, in the LGBTQ+ community, or are a parent.
(984) 400-4659 View (984) 400-4659
Photo of Erin Katz, MSW, LCSW-A
Erin Katz
LCSW Associate , MSW, LCSW-A
Verified Verified
Durham, NC 27707
Beginning the work of therapy can bring up many emotions, and I am here to be with you through all of them. I approach therapy with reverence for your lived experience, nervous system, and desires for the future. I specialize in working with teenagers through adults to address concerns related to anxiety, depression, life transitions big or small, religion and identity, and family of origin issues. I’m passionate about working with parents to explore their own histories and ties to the present, as well as individuals seeking to understand their experience of neurodivergence or that of a loved one.
Beginning the work of therapy can bring up many emotions, and I am here to be with you through all of them. I approach therapy with reverence for your lived experience, nervous system, and desires for the future. I specialize in working with teenagers through adults to address concerns related to anxiety, depression, life transitions big or small, religion and identity, and family of origin issues. I’m passionate about working with parents to explore their own histories and ties to the present, as well as individuals seeking to understand their experience of neurodivergence or that of a loved one.
(984) 217-8024 View (984) 217-8024
Photo of Leslie Rhyne Roach, LCSW, LMBT, ERYT500, Clinical Social Work/Therapist
Leslie Rhyne Roach
Clinical Social Work/Therapist, LCSW, LMBT, ERYT500
Verified Verified
Durham, NC 27707
Our bodies store everything we have ever experienced, making them essential in therapeutic and healing processes. When our bodies are full of painful experiences of the past, it can feel impossible to be engaged, invested, or fully alive in the present. I work well with clients that are seeking a somatic, integrative, and trauma-informed approach. My work with clients is creative, collaborative and designed to help individuals find pathways to embodiment and an expanded capacity to embrace all emotion or circumstance with greater ease, intimacy and balance.
Our bodies store everything we have ever experienced, making them essential in therapeutic and healing processes. When our bodies are full of painful experiences of the past, it can feel impossible to be engaged, invested, or fully alive in the present. I work well with clients that are seeking a somatic, integrative, and trauma-informed approach. My work with clients is creative, collaborative and designed to help individuals find pathways to embodiment and an expanded capacity to embrace all emotion or circumstance with greater ease, intimacy and balance.
(919) 443-6931 View (919) 443-6931
Photo of Katie da Luz, MS, LCMHC, LCAS, Licensed Professional Counselor
Katie da Luz
Licensed Professional Counselor, MS, LCMHC, LCAS
Verified Verified
1 Endorsed
Durham, NC 27707
I believe the relationship between you and your therapist is fundamental to the therapeutic process. I focus on concepts of trust and creating a safe environment so you feel free to process thoughts, develop healthy coping skills, and focus on reducing, managing and eliminating symptoms. I emphasize open and honest communication while maintaining a non-judgmental approach throughout treatment. I will create and support an individualized experience for you and center the therapeutic process on your personal goals.
I believe the relationship between you and your therapist is fundamental to the therapeutic process. I focus on concepts of trust and creating a safe environment so you feel free to process thoughts, develop healthy coping skills, and focus on reducing, managing and eliminating symptoms. I emphasize open and honest communication while maintaining a non-judgmental approach throughout treatment. I will create and support an individualized experience for you and center the therapeutic process on your personal goals.
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How does your Therapist compare?

Number of Therapists in 27707

400+

Average cost per session

$150

Therapists in 27707 who prioritize treating:

93% Anxiety
88% Depression
79% Relationship Issues
76% Self Esteem
70% Life Transitions
68% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
76% Aetna
53% Cigna and Evernorth

How Therapists in 27707 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

82% Female
15% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27707?

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.