Therapists in Amesville, OH

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Photo of Brittney R Doll LLC, Marriage & Family Therapist in Amesville, OH
Brittney R Doll LLC
Marriage & Family Therapist, PsyD, LCMFT, IMFT
Verified Verified
1 Endorsed
Athens, OH 45701
Do you struggle with coercive relationships and/or religious trauma? Together, we can work on assertiveness, boundaries, and codependency issues. Certified in EMDR trauma therapy, as well as EFT, hypnotherapy, and mindfulness practices, I am passionate about providing a safe, non-judgmental space for you to explore your own healing and personal empowerment.
Do you struggle with coercive relationships and/or religious trauma? Together, we can work on assertiveness, boundaries, and codependency issues. Certified in EMDR trauma therapy, as well as EFT, hypnotherapy, and mindfulness practices, I am passionate about providing a safe, non-judgmental space for you to explore your own healing and personal empowerment.
(740) 715-4982 View (740) 715-4982
Photo of Alex Mock, Counselor in Amesville, OH
Alex Mock
Counselor, MEd, LPCC
Verified Verified
6 Endorsed
Athens, OH 45701  (Online Only)
It is most important to me to create a space where you can feel welcome to share your stressors, goals, and lived experience, and feel heard and affirmed. We will focus on your whole self - your environment, relationships, and history - and how these impact your perspective and sense of self. I enjoy working with adults managing stress, anxiety, depression, trauma, identity development, and relationship concerns. My goal is to invite others who have marginalized identities to feel both safe and challenged in my (virtual) office, and to build the skills and confidence they need to grow into the version of themselves they hope to be.
It is most important to me to create a space where you can feel welcome to share your stressors, goals, and lived experience, and feel heard and affirmed. We will focus on your whole self - your environment, relationships, and history - and how these impact your perspective and sense of self. I enjoy working with adults managing stress, anxiety, depression, trauma, identity development, and relationship concerns. My goal is to invite others who have marginalized identities to feel both safe and challenged in my (virtual) office, and to build the skills and confidence they need to grow into the version of themselves they hope to be.
(216) 279-6563 View (216) 279-6563
Photo of Monica Baucher in Amesville, OH
Monica Baucher
LPCC-S, CCTP
Verified Verified
1 Endorsed
Athens, OH 45701  (Online Only)
You might think it is impossible to heal and overcome what you are facing. You might believe you are too broken, unworthy, unlovable, and ready to give up. Whether it be anxiety from unmanageable stress, depression, trauma, divorce, a death, or just trouble with navigating through life....there is hope! You can recover and heal! Broken vessels are often the ones that shine the brightest!
You might think it is impossible to heal and overcome what you are facing. You might believe you are too broken, unworthy, unlovable, and ready to give up. Whether it be anxiety from unmanageable stress, depression, trauma, divorce, a death, or just trouble with navigating through life....there is hope! You can recover and heal! Broken vessels are often the ones that shine the brightest!
(740) 224-8113 View (740) 224-8113
Photo of Katherine Daniels, Clinical Social Work/Therapist in Amesville, OH
Katherine Daniels
Clinical Social Work/Therapist, LISW-S
Verified Verified
Athens, OH 45701
Katie specializes in working with individuals who have experienced complex trauma. Her dedication to helping others extends to people of all ages, but she has a particular passion for working with adolescents and young adults. Katie assists individuals in navigating through grief and loss, managing chronic stress and illness, and exploring identity and relationship issues. Katie works with individuals who would like to learn to better manage symptoms of anxiety, depression, and trauma.
Katie specializes in working with individuals who have experienced complex trauma. Her dedication to helping others extends to people of all ages, but she has a particular passion for working with adolescents and young adults. Katie assists individuals in navigating through grief and loss, managing chronic stress and illness, and exploring identity and relationship issues. Katie works with individuals who would like to learn to better manage symptoms of anxiety, depression, and trauma.
(740) 318-0657 View (740) 318-0657
Photo of Rebecca Faith Rich-Fidler, Licensed Professional Clinical Counselor in Amesville, OH
Rebecca Faith Rich-Fidler
Licensed Professional Clinical Counselor, MA, LPCC-S, LICDC
Verified Verified
1 Endorsed
Athens, OH 45701
Please call me Faith. Having lived and worked in Hocking Co (Ohio), for the better part of 35 years. If you're looking for a comfortable setting, with a calm atmosphere, then you've come to the right place. I specialize in marriage/relationship (Gottman trained), anxiety, depression, bipolar, and trauma (EMDR trained), and working with adults, 18+. If you're looking for insight, experience, clinical expertise, and a healthy dose of wisdom, email or call today. PLEASE note, if you send an email, check your junkmail folder for a reply, as they often land there first.
Please call me Faith. Having lived and worked in Hocking Co (Ohio), for the better part of 35 years. If you're looking for a comfortable setting, with a calm atmosphere, then you've come to the right place. I specialize in marriage/relationship (Gottman trained), anxiety, depression, bipolar, and trauma (EMDR trained), and working with adults, 18+. If you're looking for insight, experience, clinical expertise, and a healthy dose of wisdom, email or call today. PLEASE note, if you send an email, check your junkmail folder for a reply, as they often land there first.
(740) 513-3078 View (740) 513-3078
Photo of Bradford Meyers, Psychologist in Amesville, OH
Bradford Meyers
Psychologist, PsyD
Verified Verified
Athens, OH 45701
Building a trusting, collaborative relationship is at the forefront of my work, though I’m aware this looks differently with each of my clients. I see the process of change as occurring in the context of relationships and through exploration of patterns that may be preventing one from living a fulfilling life. Through the discovery of these patterns, we can begin to understand how to live life more genuinely. I am a relational and psychodynamic therapist who incorporates various therapeutic approaches and interventions, including cognitive-behavioral and mindfulness techniques.
Building a trusting, collaborative relationship is at the forefront of my work, though I’m aware this looks differently with each of my clients. I see the process of change as occurring in the context of relationships and through exploration of patterns that may be preventing one from living a fulfilling life. Through the discovery of these patterns, we can begin to understand how to live life more genuinely. I am a relational and psychodynamic therapist who incorporates various therapeutic approaches and interventions, including cognitive-behavioral and mindfulness techniques.
(740) 520-4363 View (740) 520-4363
Photo of Dr. Shannon Coleman, Psychologist in Amesville, OH
Dr. Shannon Coleman
Psychologist, PhD
Verified Verified
2 Endorsed
Athens, OH 45701  (Online Only)
Dr. Shannon Coleman is a licensed clinical psychologist who provides virtual psychotherapy to adults and couples. Dr. Coleman received her undergraduate degree from Brown University and her Ph.D. in clinical psychology from Binghamton University (SUNY). With over 15 years of experience, Dr. Coleman specializes in evidence-based treatment of post-traumatic stress disorder (PTSD), grief, anxiety (e.g., social anxiety, OCD), depression, anger, relationship conflict, and coping with life stressors.
Dr. Shannon Coleman is a licensed clinical psychologist who provides virtual psychotherapy to adults and couples. Dr. Coleman received her undergraduate degree from Brown University and her Ph.D. in clinical psychology from Binghamton University (SUNY). With over 15 years of experience, Dr. Coleman specializes in evidence-based treatment of post-traumatic stress disorder (PTSD), grief, anxiety (e.g., social anxiety, OCD), depression, anger, relationship conflict, and coping with life stressors.
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Photo of Judith Smithchild, Counselor in Amesville, OH
Judith Smithchild
Counselor, MEd, LPCC, LICDC, NCC
Verified Verified
Cutler, OH 45724  (Online Only)
I have been providing quality psychotherapy services in Ohio for over 35 years. I have been offering video-audio TELETHERAPY sessions on-line to Ohio residents only with pre-approved insurance payors or self-pay for the past three years. I am skilled, patient, & effective in helping other with current/chronic distressing issues or situations. I counsel clients to learn effective communication & self-care skills to help improve the quality of their life and relationships. I work with couples to heal broken trust in relationships impacted by emotional or physical affairs.
I have been providing quality psychotherapy services in Ohio for over 35 years. I have been offering video-audio TELETHERAPY sessions on-line to Ohio residents only with pre-approved insurance payors or self-pay for the past three years. I am skilled, patient, & effective in helping other with current/chronic distressing issues or situations. I counsel clients to learn effective communication & self-care skills to help improve the quality of their life and relationships. I work with couples to heal broken trust in relationships impacted by emotional or physical affairs.
(740) 358-0849 View (740) 358-0849
Photo of Logan Fang, Licensed Professional Clinical Counselor in Amesville, OH
Logan Fang
Licensed Professional Clinical Counselor, LPCC
Verified Verified
3 Endorsed
Athens, OH 45701  (Online Only)
Waitlist for new clients
I'm Logan (they/them) and I'm an East Asian non-binary person who has lived insight into what it’s like to not be white, cis, or straight in a state like Ohio. I’ve lived in the Midwest my whole life, and I also come from a background of being raised in Christian/immigrant communities. I have experience working with the following: QTBIPOC communities, neurodivergent people, and people living with HIV. I’ve also got experience working specifically with trans clients who are exploring their transition process. I think it's crucial to provide empowering and identity-specific therapy spaces, especially for QTBIPOC right now.
I'm Logan (they/them) and I'm an East Asian non-binary person who has lived insight into what it’s like to not be white, cis, or straight in a state like Ohio. I’ve lived in the Midwest my whole life, and I also come from a background of being raised in Christian/immigrant communities. I have experience working with the following: QTBIPOC communities, neurodivergent people, and people living with HIV. I’ve also got experience working specifically with trans clients who are exploring their transition process. I think it's crucial to provide empowering and identity-specific therapy spaces, especially for QTBIPOC right now.
(614) 714-5650 View (614) 714-5650
Photo of Trisha Owsley, Counselor in Amesville, OH
Trisha Owsley
Counselor, MA, LPCC-S, LICDC
Verified Verified
Athens, OH 45701  (Online Only)
Hi, and thank you for taking the time to see review my information. I am a proud alumni of Liberty University (Lynchburg, VA) and graduated with a Master of Arts degree in Professional Counseling in 2015. Since this time, I have practiced psychotherapy in an outpatient setting in Southeastern Ohio. My primary focus as a therapist is to be an open, empathic, and non-judgmental source of support while using my clinical expertise to walk beside patients through the therapeutic journey.
Hi, and thank you for taking the time to see review my information. I am a proud alumni of Liberty University (Lynchburg, VA) and graduated with a Master of Arts degree in Professional Counseling in 2015. Since this time, I have practiced psychotherapy in an outpatient setting in Southeastern Ohio. My primary focus as a therapist is to be an open, empathic, and non-judgmental source of support while using my clinical expertise to walk beside patients through the therapeutic journey.
(740) 273-6913 View (740) 273-6913
Photo of Drea Renzelli- EMDR Intensive Therapy, Clinical Social Work/Therapist in Amesville, OH
Drea Renzelli- EMDR Intensive Therapy
Clinical Social Work/Therapist, MSW, LISW-S, LICSW, LCSW
Verified Verified
Athens, OH 45701
Are you experiencing symptoms of PTSD, anxiety, or depression? Are you struggling to navigate unhealthy or abusive relationships? Or maybe it’s difficult for you to establish heathy boundaries and you notice the same problems keep coming up in many of your relationships. EMDR intensive therapy can help get to the root of these issues more quickly than traditional talk therapy. I am a Licensed Independent Social Worker who has been helping clients with these issues since completing my Master of Social Work in 2005.
Are you experiencing symptoms of PTSD, anxiety, or depression? Are you struggling to navigate unhealthy or abusive relationships? Or maybe it’s difficult for you to establish heathy boundaries and you notice the same problems keep coming up in many of your relationships. EMDR intensive therapy can help get to the root of these issues more quickly than traditional talk therapy. I am a Licensed Independent Social Worker who has been helping clients with these issues since completing my Master of Social Work in 2005.
(740) 249-1406 View (740) 249-1406
Photo of Amy J. Smith, Clinical Social Work/Therapist in Amesville, OH
Amy J. Smith
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Athens, OH 45701
I serve couples online who are considering whether to stay or go, couples who want to save a marriage after infidelity, polyamorous couples, pre-marital counseling, couples who want to co-parent more effectively, and couples who want a stronger connection. To communicate better I use what I’ve learned to guide couples in how to disagree without hurting, highlight what is already working, and uncover the struggles they’re facing to get to the core reasons why we get stuck. I use what I’ve learned to give couples tips to discover how to love and appreciate each other and to learn why they feel unloved, and disrespected.
I serve couples online who are considering whether to stay or go, couples who want to save a marriage after infidelity, polyamorous couples, pre-marital counseling, couples who want to co-parent more effectively, and couples who want a stronger connection. To communicate better I use what I’ve learned to guide couples in how to disagree without hurting, highlight what is already working, and uncover the struggles they’re facing to get to the core reasons why we get stuck. I use what I’ve learned to give couples tips to discover how to love and appreciate each other and to learn why they feel unloved, and disrespected.
(740) 279-2829 View (740) 279-2829
Photo of Jina Varanasi-Lee, Clinical Social Work/Therapist in Amesville, OH
Jina Varanasi-Lee
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
2 Endorsed
Athens, OH 45701  (Online Only)
Thanks for checking out my profile. I work with folks from all walks of life throughout the state, including teenagers and adults. I have experience with women's issues, life transitions, shame, addiction, perfectionism, personality disorders, economic stress, loneliness, and caregiving. I utilize a variety of treatment modalities, including Cognitive Behavioral, Narrative and Psychodynamic Therapies. Because each client's concerns and goals are different, treatment is tailored to the individual.
Thanks for checking out my profile. I work with folks from all walks of life throughout the state, including teenagers and adults. I have experience with women's issues, life transitions, shame, addiction, perfectionism, personality disorders, economic stress, loneliness, and caregiving. I utilize a variety of treatment modalities, including Cognitive Behavioral, Narrative and Psychodynamic Therapies. Because each client's concerns and goals are different, treatment is tailored to the individual.
(614) 820-1545 View (614) 820-1545
Photo of Matthew David Coy, Licensed Professional Clinical Counselor in Amesville, OH
Matthew David Coy
Licensed Professional Clinical Counselor, MA, LPCC, NCC
Verified Verified
Athens, OH 45701  (Online Only)
It's been a while since you have felt like yourself. Every day is a struggle and you often wonder when things will be normal again. You find your mind racing, while fear robs you of a hopeful tomorrow. You feel like you have tried everything to bring peace and comfort to your situation, but the problems seem to be growing day by day. You ask yourself how things have progressed to this point? Depression and anxiety seem to rule your next step and have zapped you of any hope you have for tomorrow. The journey has been long and difficult and you’re tired and want to see changes happen.
It's been a while since you have felt like yourself. Every day is a struggle and you often wonder when things will be normal again. You find your mind racing, while fear robs you of a hopeful tomorrow. You feel like you have tried everything to bring peace and comfort to your situation, but the problems seem to be growing day by day. You ask yourself how things have progressed to this point? Depression and anxiety seem to rule your next step and have zapped you of any hope you have for tomorrow. The journey has been long and difficult and you’re tired and want to see changes happen.
(740) 306-0157 View (740) 306-0157
Photo of Nikki Tillman, Licensed Professional Counselor in Amesville, OH
Nikki Tillman
Licensed Professional Counselor, LPC, MA
Verified Verified
3 Endorsed
Athens, OH 45701
Anxiety and negative beliefs about one's self are areas of focus that I specialize in. These can come from many avenues, such as life changes, relationships, family issues, trauma, etc. I also hold spirituality and faith-based issues in hand for those in need. I consider working with clients to be a high privilege! I work with college students and adults, and work to provide secure spaces for clients to feel vulnerable and allow for deep change. I offer ways to cope, as well as work to understand the origin of these issues. If this resonates with you, I would be honored to be a part of your journey!
Anxiety and negative beliefs about one's self are areas of focus that I specialize in. These can come from many avenues, such as life changes, relationships, family issues, trauma, etc. I also hold spirituality and faith-based issues in hand for those in need. I consider working with clients to be a high privilege! I work with college students and adults, and work to provide secure spaces for clients to feel vulnerable and allow for deep change. I offer ways to cope, as well as work to understand the origin of these issues. If this resonates with you, I would be honored to be a part of your journey!
(614) 858-8268 View (614) 858-8268
Photo of Megan Rose, Clinical Social Work/Therapist in Amesville, OH
Megan Rose
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Athens, OH 45701  (Online Only)
It can be exhausting to cope with self-criticism and the feeling of never being good enough. Whether you're used to criticizing your body, your academic/work performance, or your social relationships, it can be tough to imagine a world in which you are kind to yourself. Through therapy, we can work together to address your inner critic and find new ways to cope with the stress of everyday life.
It can be exhausting to cope with self-criticism and the feeling of never being good enough. Whether you're used to criticizing your body, your academic/work performance, or your social relationships, it can be tough to imagine a world in which you are kind to yourself. Through therapy, we can work together to address your inner critic and find new ways to cope with the stress of everyday life.
(440) 616-8002 View (440) 616-8002
Photo of Jennifer A. Smith, Counselor in Amesville, OH
Jennifer A. Smith
Counselor, MEd, LPCC-S, CIMHP
Verified Verified
9 Endorsed
Athens, OH 45701  (Online Only)
Are you completely exhausted from your busy job or school schedule? Do you have a hard time setting boundaries and showing up fully in your personal life? Do you find yourself engaging in unhealthy habits such as poor eating or drinking too much? Are you finding modern life incredibly overstimulating and exhausting? If you are then you're most likely suffering from chronic burnout and fatigue! If you're feeling tired and sluggish even simple things can feel overwhelming to complete. You might notice you're feeling more anxious and depressed and more quick to get angry or frustrated. Thankfully there are ways to cope!
Are you completely exhausted from your busy job or school schedule? Do you have a hard time setting boundaries and showing up fully in your personal life? Do you find yourself engaging in unhealthy habits such as poor eating or drinking too much? Are you finding modern life incredibly overstimulating and exhausting? If you are then you're most likely suffering from chronic burnout and fatigue! If you're feeling tired and sluggish even simple things can feel overwhelming to complete. You might notice you're feeling more anxious and depressed and more quick to get angry or frustrated. Thankfully there are ways to cope!
(614) 802-5636 View (614) 802-5636
Photo of Amanda Brumfield, Licensed Professional Counselor in Amesville, OH
Amanda Brumfield
Licensed Professional Counselor, LPC, LSW
Verified Verified
1 Endorsed
Athens, OH 45701  (Online Only)
You've been struggling and you feel like you're stuck on this never ending cycle. You may be struggling with depression, anxiety, substance abuse, or have a history of trauma. You want to feel better but don't know how. I'm here to help.
You've been struggling and you feel like you're stuck on this never ending cycle. You may be struggling with depression, anxiety, substance abuse, or have a history of trauma. You want to feel better but don't know how. I'm here to help.
(740) 807-5136 View (740) 807-5136
Photo of Paula Lange, Clinical Social Work/Therapist in Amesville, OH
Paula Lange
Clinical Social Work/Therapist, LISW-S
Verified Verified
2 Endorsed
Athens, OH 45701  (Online Only)
Life can be hard. It can be really hard. And when life gets hard... we often find that we're just existing, somehow dragging ourselves through long days with little joy or hope for something better. We are burdened by: racing thoughts (we can overthink everything!), worry, sleepless nights, sadness, tearfulness, even anger over where we have landed in this crazy world. If you've experienced that aching pit in your stomach and are not sure what to do next, I hope you will call me.
Life can be hard. It can be really hard. And when life gets hard... we often find that we're just existing, somehow dragging ourselves through long days with little joy or hope for something better. We are burdened by: racing thoughts (we can overthink everything!), worry, sleepless nights, sadness, tearfulness, even anger over where we have landed in this crazy world. If you've experienced that aching pit in your stomach and are not sure what to do next, I hope you will call me.
(513) 904-9322 View (513) 904-9322
Photo of Derricka E Agee, Clinical Social Work/Therapist in Amesville, OH
Derricka E Agee
Clinical Social Work/Therapist, LISW
Verified Verified
Athens, OH 45701
Are you feeling under-motivated, stuck in a career you don't want, in an emotionally draining relationship, and not feeling any zest for life? Are you a high performer who doesn’t know how to quiet your anxiety? Does the life you dream of seem very far from where you are today? Are your past traumas continuously affecting your present life? I can help you! If you have faced significant challenges, you need a therapist who is passionate about her profession and uses the best, scientifically backed methodologies to help you heal from the past, engage in your present, and reshape your future!
Are you feeling under-motivated, stuck in a career you don't want, in an emotionally draining relationship, and not feeling any zest for life? Are you a high performer who doesn’t know how to quiet your anxiety? Does the life you dream of seem very far from where you are today? Are your past traumas continuously affecting your present life? I can help you! If you have faced significant challenges, you need a therapist who is passionate about her profession and uses the best, scientifically backed methodologies to help you heal from the past, engage in your present, and reshape your future!
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FAQs - About Therapy and Counseling

How can I find a therapist in Amesville?

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.