Therapists in Fairfax, VA

Photo of Hyesun Jeong, Licensed Professional Counselor in Fairfax, VA
Hyesun Jeong
Licensed Professional Counselor, LPC, MPhilEd, MSEd
Verified Verified
1 Endorsed
Fairfax, VA 22031  (Online Only)
Do you remember a time when you were calm and at peace? Has it been difficult to see the light ahead of you and find ways to get back on track in your life? What if you can get on that path you envisioned and able to return to your previous level of functioning? I believe we all have stories to tell and your story matters. I understand that it can be quiet challenging and scary to know at which point you felt lost in control of your life. It can be even scarier to know whom to rely on or whom to open up to during this most critical time.
Do you remember a time when you were calm and at peace? Has it been difficult to see the light ahead of you and find ways to get back on track in your life? What if you can get on that path you envisioned and able to return to your previous level of functioning? I believe we all have stories to tell and your story matters. I understand that it can be quiet challenging and scary to know at which point you felt lost in control of your life. It can be even scarier to know whom to rely on or whom to open up to during this most critical time.
(571) 200-2492 View (571) 200-2492
Photo of NOVA Older Adult Counseling (OAC), Clinical Social Work/Therapist in Fairfax, VA
NOVA Older Adult Counseling (OAC)
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 22032
OAC is a professional mental health care practice that strives to provide excellent and affordable counseling services to adults in our community. OAC is an affordable and accessible resource to individuals who are experiencing emotional pain, struggling with family conflict, family and relationship challenges, life transitions, physical disabilities, grief and loss, anxiety and depression. OAC's goal is to establish a strong therapeutic alliance with a relationship based on trust, commitment and support.
OAC is a professional mental health care practice that strives to provide excellent and affordable counseling services to adults in our community. OAC is an affordable and accessible resource to individuals who are experiencing emotional pain, struggling with family conflict, family and relationship challenges, life transitions, physical disabilities, grief and loss, anxiety and depression. OAC's goal is to establish a strong therapeutic alliance with a relationship based on trust, commitment and support.
(571) 556-9469 View (571) 556-9469
Photo of Sultana Karim, Licensed Professional Counselor in Fairfax, VA
Sultana Karim
Licensed Professional Counselor, MA, LCPC, LPC
Verified Verified
Fairfax, VA 22030
You are struggling with keeping yourself together. You don’t know who you are anymore. You are grieving for what your life was before baby, without a baby, or thoughts what life would be like when having baby. You are feeling overwhelmed and tired. You find it difficult to take care of yourself when you are focused others needs. Asking for help seems like a weakness and you believe that you have to do it by yourself. I help those who are trying to conceive, pregnant, and postpartum people who are struggling with mood and anxiety disorders to feel confident in themselves to know that they are enough and they are doing enough.
You are struggling with keeping yourself together. You don’t know who you are anymore. You are grieving for what your life was before baby, without a baby, or thoughts what life would be like when having baby. You are feeling overwhelmed and tired. You find it difficult to take care of yourself when you are focused others needs. Asking for help seems like a weakness and you believe that you have to do it by yourself. I help those who are trying to conceive, pregnant, and postpartum people who are struggling with mood and anxiety disorders to feel confident in themselves to know that they are enough and they are doing enough.
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Photo of Michael Lovett, Licensed Professional Counselor in Fairfax, VA
Michael Lovett
Licensed Professional Counselor, LPC, MAC, NCC, CSAC
Verified Verified
Fairfax, VA 22030
I am a Licensed Professional Counselor (LPC) with over 20 years of experience in the helping profession. I provide a safe, non-judgmental experience in my therapeutic approach. The therapeutic relationship is the key to doing transformative work and creating positive life changes. I welcome an opportunity to partner with you on the road to wellness. I have worked in inpatient hospital systems, outpatient, and residential treatment centers. I have a wide range of experiences with clients seeking to start or continue their healing journeys.
I am a Licensed Professional Counselor (LPC) with over 20 years of experience in the helping profession. I provide a safe, non-judgmental experience in my therapeutic approach. The therapeutic relationship is the key to doing transformative work and creating positive life changes. I welcome an opportunity to partner with you on the road to wellness. I have worked in inpatient hospital systems, outpatient, and residential treatment centers. I have a wide range of experiences with clients seeking to start or continue their healing journeys.
(571) 639-4320 View (571) 639-4320
Photo of Debbie A. Covert, Resident in Counseling in Fairfax, VA
Debbie A. Covert
Resident in Counseling, MA
Verified Verified
1 Endorsed
Fairfax, VA 22030
Life can be so overwhelming sometimes. What does it take to keep moving forward? I've been there before too. Counseling is my second career. After attending the University of Virginia for my undergrad, I moved to Madrid, Spain. I worked there for three years serving immigrants and refugees. I learned a lot through these cross-cultural experiences. I heard many stories and started adding formative chapters to my own story. These experiences led me to my own counseling. In processing my story, I discovered the power of counseling.
Life can be so overwhelming sometimes. What does it take to keep moving forward? I've been there before too. Counseling is my second career. After attending the University of Virginia for my undergrad, I moved to Madrid, Spain. I worked there for three years serving immigrants and refugees. I learned a lot through these cross-cultural experiences. I heard many stories and started adding formative chapters to my own story. These experiences led me to my own counseling. In processing my story, I discovered the power of counseling.
(571) 536-7790 View (571) 536-7790
Photo of Juliette Levchenko, Clinical Social Work/Therapist in Fairfax, VA
Juliette Levchenko
Clinical Social Work/Therapist, LMSW
Verified Verified
Fairfax, VA 22031
I am a Supervisee in Social Work at Fairfax Place Therapy, where I practice under the supervision of Rachel Rosenberg, LCSW, RPT-S. As a social worker, I prioritize a strengths-based approach, and I deeply value the importance of human relationships. I believe the therapeutic relationship is essential in cultivating a brave space to facilitate connection and healing. To best fit you or your child’s needs, I aim to pull from different skills and therapeutic approaches including cognitive-behavioral therapy, psychodynamic therapy, mindfulness, motivational interviewing, and expressive therapies.
I am a Supervisee in Social Work at Fairfax Place Therapy, where I practice under the supervision of Rachel Rosenberg, LCSW, RPT-S. As a social worker, I prioritize a strengths-based approach, and I deeply value the importance of human relationships. I believe the therapeutic relationship is essential in cultivating a brave space to facilitate connection and healing. To best fit you or your child’s needs, I aim to pull from different skills and therapeutic approaches including cognitive-behavioral therapy, psychodynamic therapy, mindfulness, motivational interviewing, and expressive therapies.
(571) 252-3294 View (571) 252-3294
Photo of Maggie Maxwell, Resident in Counseling in Fairfax, VA
Maggie Maxwell
Resident in Counseling, MA
Verified Verified
Fairfax, VA 22031  (Online Only)
If you are ready to change the way you respond to anxiety and stress, you're in the right place. I work with clients seeking long-term lifestyle changes in the way they approach uncertainty in life, being stuck in thought loops, and obsessive thinking and compulsions. In our work together, we address anxiety and depression, OCD, and/or other mental health concerns through introspection & outward action. We work together in developing insight & creative exploration of self while taking actionable steps to rebuild trust in yourself. You can learn to meet your needs & live through your values, not your fears.
If you are ready to change the way you respond to anxiety and stress, you're in the right place. I work with clients seeking long-term lifestyle changes in the way they approach uncertainty in life, being stuck in thought loops, and obsessive thinking and compulsions. In our work together, we address anxiety and depression, OCD, and/or other mental health concerns through introspection & outward action. We work together in developing insight & creative exploration of self while taking actionable steps to rebuild trust in yourself. You can learn to meet your needs & live through your values, not your fears.
(571) 462-2650 View (571) 462-2650
Photo of Stephanie Brown, Clinical Social Work/Therapist in Fairfax, VA
Stephanie Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fairfax, VA 22030
I am a trauma-informed licensed clinical social worker (LCSW) who is dedicated to helping people from diverse backgrounds reach their personal goals and lead more satisfying lives. My areas of clinical expertise include supporting clients with issues related to mood, anxiety, trauma, self-esteem, attention, learning, behavior, stress management, substance abuse and life transitions.
I am a trauma-informed licensed clinical social worker (LCSW) who is dedicated to helping people from diverse backgrounds reach their personal goals and lead more satisfying lives. My areas of clinical expertise include supporting clients with issues related to mood, anxiety, trauma, self-esteem, attention, learning, behavior, stress management, substance abuse and life transitions.
(571) 281-4047 View (571) 281-4047
Photo of Jackie Sargent, Licensed Professional Counselor in Fairfax, VA
Jackie Sargent
Licensed Professional Counselor, LPC, ATR-BC, LCPAT
Verified Verified
7 Endorsed
Fairfax, VA 22030
The journey towards healing is a path marked by resilience and courage. It is one of self-discovery, growth, and transformation—a voyage of understanding and mending wounds, both seen and unseen. My name is Jackie, and I am here, ready and willing to walk beside you on this meaningful journey towards healing. I am a trauma-informed board certified art therapist and licensed professional counselor with over 13 years of clinical and supervisory experience. I integrate art therapy, sand tray therapy, and IFS into my practice. As such, I am dedicated to a therapeutic intervention that is rooted in nurturance and creative expression.
The journey towards healing is a path marked by resilience and courage. It is one of self-discovery, growth, and transformation—a voyage of understanding and mending wounds, both seen and unseen. My name is Jackie, and I am here, ready and willing to walk beside you on this meaningful journey towards healing. I am a trauma-informed board certified art therapist and licensed professional counselor with over 13 years of clinical and supervisory experience. I integrate art therapy, sand tray therapy, and IFS into my practice. As such, I am dedicated to a therapeutic intervention that is rooted in nurturance and creative expression.
(571) 470-5219 View (571) 470-5219
Photo of Constantina N. Kass in Fairfax, VA
Constantina N. Kass
PhD, NCSP
Verified Verified
Fairfax, VA 22031
I am here to help children, teens and their parents develop well-being during these very stressful times. Raising children is hard; raising children who have ADHD, relationship difficulties, anxiety, learning issues, and/or depression is even harder. Parents need help and so do their kids. Therapy and coaching offer a venue to express feelings, practice new skills, and establish new ways of connecting with one another. I have also traveled extensively and completed my doctoral research on acculturation, academic stress, and burnout and have a unique interest and skill set in serving families returning to the US from abroad.
I am here to help children, teens and their parents develop well-being during these very stressful times. Raising children is hard; raising children who have ADHD, relationship difficulties, anxiety, learning issues, and/or depression is even harder. Parents need help and so do their kids. Therapy and coaching offer a venue to express feelings, practice new skills, and establish new ways of connecting with one another. I have also traveled extensively and completed my doctoral research on acculturation, academic stress, and burnout and have a unique interest and skill set in serving families returning to the US from abroad.
(571) 200-4422 View (571) 200-4422
Photo of Elizabeth Calvano, Clinical Social Work/Therapist in Fairfax, VA
Elizabeth Calvano
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 22030  (Online Only)
Hi my name is Liz. I treat clients who suffer from anxiety, depression, addiction, grief, and PTSD. I served for 27 years in the military. Twelve years with the Army and 15 with the Air Force. I believe that the rapport and trust between the therapist and the client are most important. I love doing therapy and have been a therapist for over 4 decades.
Hi my name is Liz. I treat clients who suffer from anxiety, depression, addiction, grief, and PTSD. I served for 27 years in the military. Twelve years with the Army and 15 with the Air Force. I believe that the rapport and trust between the therapist and the client are most important. I love doing therapy and have been a therapist for over 4 decades.
(571) 946-4223 View (571) 946-4223
Photo of Amy L. Harman, Marriage & Family Therapist in Fairfax, VA
Amy L. Harman
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fairfax, VA 22030
Are you wondering whether your worries about food, exercise, and weight are becoming a serious problem? I can help you understand the extent of the problem and help you understand if therapy would be a good option for you. While I have a wide range of experience treating many issues, I specialize in treating women and teens who struggle with eating issues, body acceptance, depression, anxiety, and trauma. I especially enjoy working with teens and young adults and their parents to establish a family structure conducive to recovery.
Are you wondering whether your worries about food, exercise, and weight are becoming a serious problem? I can help you understand the extent of the problem and help you understand if therapy would be a good option for you. While I have a wide range of experience treating many issues, I specialize in treating women and teens who struggle with eating issues, body acceptance, depression, anxiety, and trauma. I especially enjoy working with teens and young adults and their parents to establish a family structure conducive to recovery.
(703) 936-6583 View (703) 936-6583
Photo of Kwangsuk Hutchinson, Pre-Licensed Professional in Fairfax, VA
Kwangsuk Hutchinson
Pre-Licensed Professional, MA, CIRT, QMHP-A
Verified Verified
Fairfax, VA 22031
As a Certified Imago Relationship Therapist(CIRT), and a Qualified Mental Health Professional (QMHP), I have experience in helping individual, marital, premarital and family discord, cultural issues with interracial couples, children, parenting, interpersonal issues, depression, anxiety disorders, self-esteem issues and others. The pain that humans experience is diverse, deep, and wide. But there is also healing power within everyone to overcome pain. I believe that there is healing power within every person and that each person has good qualities that are unique to them.
As a Certified Imago Relationship Therapist(CIRT), and a Qualified Mental Health Professional (QMHP), I have experience in helping individual, marital, premarital and family discord, cultural issues with interracial couples, children, parenting, interpersonal issues, depression, anxiety disorders, self-esteem issues and others. The pain that humans experience is diverse, deep, and wide. But there is also healing power within everyone to overcome pain. I believe that there is healing power within every person and that each person has good qualities that are unique to them.
(571) 200-1280 View (571) 200-1280
Photo of Dr. Lisa Pittman, Psychologist in Fairfax, VA
Dr. Lisa Pittman
Psychologist, PhD
Verified Verified
Fairfax, VA 22030  (Online Only)
Are you struggling with "life as you know it," or experiencing new or ongoing distress? Are you looking for a safe and judgement-free place to explore, process, and work through those issues? If you want to experience improved coping and increased confidence, then you have come to the right place! >Please note that I have openings from time to time, for week day, daytime appointments only. If you reach out via email, please make sure to check your Junk/Spam folder if you do not receive an email response in your inbox.<
Are you struggling with "life as you know it," or experiencing new or ongoing distress? Are you looking for a safe and judgement-free place to explore, process, and work through those issues? If you want to experience improved coping and increased confidence, then you have come to the right place! >Please note that I have openings from time to time, for week day, daytime appointments only. If you reach out via email, please make sure to check your Junk/Spam folder if you do not receive an email response in your inbox.<
(571) 410-2906 View (571) 410-2906
Photo of Dr. Megan Barone, Psychologist in Fairfax, VA
Dr. Megan Barone
Psychologist, PsyD
Verified Verified
1 Endorsed
Fairfax, VA 22030
If you're looking for a warm, dedicated therapist to guide you through life challenges, I am here to help. I work with adults struggling with relationship issues, anxiety, body image, OCD, panic, social anxiety, PTSD, low self esteem, coping skills, life transitions, family conflict, depression, and grief.
If you're looking for a warm, dedicated therapist to guide you through life challenges, I am here to help. I work with adults struggling with relationship issues, anxiety, body image, OCD, panic, social anxiety, PTSD, low self esteem, coping skills, life transitions, family conflict, depression, and grief.
(703) 215-1233 View (703) 215-1233
Photo of Alexandria Harz, Clinical Social Work/Therapist in Fairfax, VA
Alexandria Harz
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fairfax, VA 22030
If you are feeling disconnected, helpless, or stuck, I can assist you in changing the patterns and ways of relating which might be holding you back. By prioritizing your sense of safety, welcoming heavy emotions, and guiding you to meet/heal unknown parts of yourself or your partner, you can gain freedom from the patterns in which you feel trapped. I work with individuals and couples, supporting them to understand the ways they manage stress through retreating inward and shutting down, or turning outwards for connection and validation. From there, I help clients to better understand who they are and what they need.
If you are feeling disconnected, helpless, or stuck, I can assist you in changing the patterns and ways of relating which might be holding you back. By prioritizing your sense of safety, welcoming heavy emotions, and guiding you to meet/heal unknown parts of yourself or your partner, you can gain freedom from the patterns in which you feel trapped. I work with individuals and couples, supporting them to understand the ways they manage stress through retreating inward and shutting down, or turning outwards for connection and validation. From there, I help clients to better understand who they are and what they need.
(571) 200-8459 View (571) 200-8459
Photo of Grae Worthington, Licensed Professional Counselor in Fairfax, VA
Grae Worthington
Licensed Professional Counselor, MA , NCC, LPC
Verified Verified
2 Endorsed
Fairfax, VA 22030
I am a passionate advocate for my clients & have extensive experience working with children, adolescents, adults, & families. I specialize in working with populations struggling with depression, anxiety, trauma, and grief & loss. My therapeutic approach is tailored to each individual, but often utilizes Person-centered counseling, Solution-focused Brief counseling, & Cognitive Behavioral Therapy.
I am a passionate advocate for my clients & have extensive experience working with children, adolescents, adults, & families. I specialize in working with populations struggling with depression, anxiety, trauma, and grief & loss. My therapeutic approach is tailored to each individual, but often utilizes Person-centered counseling, Solution-focused Brief counseling, & Cognitive Behavioral Therapy.
(571) 351-1055 View (571) 351-1055
Photo of Jenna Cataldi, Licensed Professional Counselor in Fairfax, VA
Jenna Cataldi
Licensed Professional Counselor, ATR-BC, CSTIP
Verified Verified
Fairfax, VA 22030
Waitlist for new clients
Therapy can be scary. It takes a lot of courage to seek support. As a therapist, I believe art making provides another language to communicate and process life experiences that are difficult to verbalize. Mark making represents evidence of our existence, and having a witness to your story is a powerful first step.
Therapy can be scary. It takes a lot of courage to seek support. As a therapist, I believe art making provides another language to communicate and process life experiences that are difficult to verbalize. Mark making represents evidence of our existence, and having a witness to your story is a powerful first step.
(703) 705-2565 View (703) 705-2565
Photo of Michelle Booth, Clinical Social Work/Therapist in Fairfax, VA
Michelle Booth
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 22030  (Online Only)
I specialize in trauma work and can help you with relief from emotions and relationships that are intense or emotionally painful. By working with me you can recover from traumatic childhood memories, combat experiences, and eating disorders; you can experience recovery and live a productive life. I will invest myself in helping you transform the relationship with your life stressors and put an end to nightmares and flashbacks. I am a certified instructor and practitioner of Traumatic Incident Reduction (TIR) and Life Stress Reduction (LSR), which are highly effective and resolve conditions in months instead of years.
I specialize in trauma work and can help you with relief from emotions and relationships that are intense or emotionally painful. By working with me you can recover from traumatic childhood memories, combat experiences, and eating disorders; you can experience recovery and live a productive life. I will invest myself in helping you transform the relationship with your life stressors and put an end to nightmares and flashbacks. I am a certified instructor and practitioner of Traumatic Incident Reduction (TIR) and Life Stress Reduction (LSR), which are highly effective and resolve conditions in months instead of years.
(571) 512-7631 View (571) 512-7631
Photo of Delos Wellness Center, Licensed Professional Counselor in Fairfax, VA
Delos Wellness Center
Licensed Professional Counselor, LPC, NCC, QMHCM
Verified Verified
Fairfax, VA 22030
Waitlist for new clients
Often asking for help is one of the hardest parts on the road to self-fulfillment. I am a Licensed Professional Counselor with more than 5 years of experience working with individuals, families and couples. Through listening, validation and learning your unique needs, I will create a plan specifically catered to you to assist in improving functioning across areas and life satisfaction. My approach is to explore and understand thoughts and behaviors that impact current functioning, as well as how past experiences can shape and impact the present moment.
Often asking for help is one of the hardest parts on the road to self-fulfillment. I am a Licensed Professional Counselor with more than 5 years of experience working with individuals, families and couples. Through listening, validation and learning your unique needs, I will create a plan specifically catered to you to assist in improving functioning across areas and life satisfaction. My approach is to explore and understand thoughts and behaviors that impact current functioning, as well as how past experiences can shape and impact the present moment.
(571) 998-1757 View (571) 998-1757

How does your Therapist compare?

Number of Therapists in Fairfax, VA

1,000+

Average cost per session

$150

Therapists in Fairfax, VA who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
73% Coping Skills
72% Relationship Issues
67% Trauma and PTSD
63% Stress

Average years in practice

12 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
64% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in Fairfax, VA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fairfax?

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.