Therapists in Alexandria, VA

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Photo of Whole Health Counseling LLC, Licensed Professional Counselor in Alexandria, VA
Whole Health Counseling LLC
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22314
Acting as a sounding board, I will support you as your work through a wide array of issues Helping to navigate long-lasting and meaningful change from your anxiety, depression, drug/alcohol use, reduce stress, and raise self-esteem. I use a person-centered approach focusing on the whole self and use Cognitive Behavioral Therapy concepts, mindfulness, Motivational Interviewing and emphasize nutrition and exercise. I provide these services through telehealth so you can access therapy more easily from the comfort of your home or office while avoiding the commute and/or parking and the constraints of your busy schedule.
Acting as a sounding board, I will support you as your work through a wide array of issues Helping to navigate long-lasting and meaningful change from your anxiety, depression, drug/alcohol use, reduce stress, and raise self-esteem. I use a person-centered approach focusing on the whole self and use Cognitive Behavioral Therapy concepts, mindfulness, Motivational Interviewing and emphasize nutrition and exercise. I provide these services through telehealth so you can access therapy more easily from the comfort of your home or office while avoiding the commute and/or parking and the constraints of your busy schedule.
(571) 982-8482 View (571) 982-8482
Photo of Cara Cicero, Psychologist in Alexandria, VA
Cara Cicero
Psychologist, PsyD
Verified Verified
Alexandria, VA 22303
I strive to help individuals examine and remove the challenges that are causing them difficulties in their day-to-day lives and relationships. Current challenges may be due to earlier experiences that are continuing to contribute to unhelpful patterns of interactions and reactions. I primarily use a cognitive-behavioral approach to help clients who are experiencing anxiety, depression, and other “stuck” negative thoughts and feelings; I see therapy as a collaborative process for gaining tools and moving forward toward more positive experiences.
I strive to help individuals examine and remove the challenges that are causing them difficulties in their day-to-day lives and relationships. Current challenges may be due to earlier experiences that are continuing to contribute to unhelpful patterns of interactions and reactions. I primarily use a cognitive-behavioral approach to help clients who are experiencing anxiety, depression, and other “stuck” negative thoughts and feelings; I see therapy as a collaborative process for gaining tools and moving forward toward more positive experiences.
(571) 789-0126 View (571) 789-0126
Photo of The Wise Family, Counseling & Assessment , Licensed Professional Counselor in Alexandria, VA
The Wise Family, Counseling & Assessment
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Alexandria, VA 22314
The Wise Family specializes in helping worried kids, stressed-out teens, over-scheduled adults and the families who love them. Is your child having trouble making friends, paying attention in school, or managing big feelings? Does your teen seem moody, distant, and unhappy? Are you finding that your family is having constant battles or struggling to get along on a day to day basis? Worrying about children and teens makes family life that much harder. And when a member of your family is suffering, everyone suffers.
The Wise Family specializes in helping worried kids, stressed-out teens, over-scheduled adults and the families who love them. Is your child having trouble making friends, paying attention in school, or managing big feelings? Does your teen seem moody, distant, and unhappy? Are you finding that your family is having constant battles or struggling to get along on a day to day basis? Worrying about children and teens makes family life that much harder. And when a member of your family is suffering, everyone suffers.
(571) 458-1550 View (571) 458-1550
Photo of Kindred Tree Healing Center, llc, Clinical Social Work/Therapist in Alexandria, VA
Kindred Tree Healing Center, llc
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Alexandria, VA 22314
At Kindred Tree Healing Center, we provide holistic psychotherapy, yoga, reiki, and other healing based services. We help individuals overcome trauma, depression, anxiety, grief, and other life stressors. We operate from an attachment based lens, and are a social justice allied practice.
At Kindred Tree Healing Center, we provide holistic psychotherapy, yoga, reiki, and other healing based services. We help individuals overcome trauma, depression, anxiety, grief, and other life stressors. We operate from an attachment based lens, and are a social justice allied practice.
(571) 424-1189 View (571) 424-1189
Photo of Towanta Barrettt, MS — Anxiety, depression, trauma, Pre-Licensed Professional in Alexandria, VA
Towanta Barrettt, MS — Anxiety, depression, trauma
Pre-Licensed Professional, LPC-R, MS, LMHP-R
Verified Verified
Alexandria, VA 22314  (Online Only)
Are feelings of anxiety or low energy affecting your work and home life? Do you need to heal from a recent or past trauma? Do you have difficulty forming and sustaining healthy relationships? In therapy, you can build coping skills and get practical help. Difficult experiences in your past or mental health struggles in the present don't have to dictate your future. You can recover from trauma, build self-esteem, improve your relationships, move past anxiety, and feel more confident. Therapy can build hope and support tangible progress. Live a fuller, happier, and more balanced life. Online therapy — all residents of VA.
Are feelings of anxiety or low energy affecting your work and home life? Do you need to heal from a recent or past trauma? Do you have difficulty forming and sustaining healthy relationships? In therapy, you can build coping skills and get practical help. Difficult experiences in your past or mental health struggles in the present don't have to dictate your future. You can recover from trauma, build self-esteem, improve your relationships, move past anxiety, and feel more confident. Therapy can build hope and support tangible progress. Live a fuller, happier, and more balanced life. Online therapy — all residents of VA.
(571) 496-9989 View (571) 496-9989
Photo of Nikki Lemke, Licensed Professional Counselor in Alexandria, VA
Nikki Lemke
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Alexandria, VA 22314
Do you find yourself struggling in your most intimate personal relationships? Or feel like you're constantly playing small to make everyone else around you happy? Feeling misunderstood or unseen in your closest connections, is often a very lonely place to be. I can help you make sense of what seems like confusing interpersonal dynamics, so that you can begin to feel the genuine connection and sense of beloning we all crave as human beings. The self-knowledge, skills and insights you gain in session, are an investment into yourself and all your future relationships.
Do you find yourself struggling in your most intimate personal relationships? Or feel like you're constantly playing small to make everyone else around you happy? Feeling misunderstood or unseen in your closest connections, is often a very lonely place to be. I can help you make sense of what seems like confusing interpersonal dynamics, so that you can begin to feel the genuine connection and sense of beloning we all crave as human beings. The self-knowledge, skills and insights you gain in session, are an investment into yourself and all your future relationships.
(571) 470-6368 View (571) 470-6368
Photo of Brian Marvin, Clinical Social Work/Therapist in Alexandria, VA
Brian Marvin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Alexandria, VA 22314
Not accepting new clients
***I AM NOT TAKING NEW CLIENTS**** Welcome to my TELEHEALTH practice! I have over 25 years of experience. I see pre-teens, adolescents and adults. If your youth struggles with school or friends, substance abuse, bullying, negative behaviors or self-confidence, I can help. If they worry too much or experience depression, I can help. I also work a lot with parents and children around divorce, blended family issues. In addition I can help you with job-stress, anxiety, panic attacks, feeling overwhelmed, mood changes, grief issues, relationship challenges or feelings related to unwanted sexual experiences in the past.
***I AM NOT TAKING NEW CLIENTS**** Welcome to my TELEHEALTH practice! I have over 25 years of experience. I see pre-teens, adolescents and adults. If your youth struggles with school or friends, substance abuse, bullying, negative behaviors or self-confidence, I can help. If they worry too much or experience depression, I can help. I also work a lot with parents and children around divorce, blended family issues. In addition I can help you with job-stress, anxiety, panic attacks, feeling overwhelmed, mood changes, grief issues, relationship challenges or feelings related to unwanted sexual experiences in the past.
(703) 935-1517 View (703) 935-1517
Photo of Angela Bost, Supervisee in Clinical Social Work in Alexandria, VA
Angela Bost
Supervisee in Clinical Social Work, MSW
Verified Verified
Alexandria, VA 22304  (Online Only)
Not accepting new clients
You’re feeling hopeless, wanting to give up running out of options, and feeling exhausted. Your story is filled with pain, grief, and confusion. Family and friends let you down in your childhood. People have given up on you. Despite all this, there is something that keeps pushing you forward. People depend on you, but you can't help them because lack of motivation, but you can't give up. You are here to find understanding and support in finding and learning about yourself.
You’re feeling hopeless, wanting to give up running out of options, and feeling exhausted. Your story is filled with pain, grief, and confusion. Family and friends let you down in your childhood. People have given up on you. Despite all this, there is something that keeps pushing you forward. People depend on you, but you can't help them because lack of motivation, but you can't give up. You are here to find understanding and support in finding and learning about yourself.
(540) 583-3418 View (540) 583-3418
Photo of Maria-Pilar Pina, Clinical Social Work/Therapist in Alexandria, VA
Maria-Pilar Pina
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22314  (Online Only)
Not accepting new clients
I am honored to be trusted in all of my clients' lives. I believe that holding a safe holistic therapeutic space supports individuals to address their emotional needs, allowing for the development of a deeper authentic relationship with self and others that they love, as well as reach their personal goals. My style of therapy is highly individualized and collaboratively designed with each client. I provide both short-term and long-term therapy in Virginia and DC.
I am honored to be trusted in all of my clients' lives. I believe that holding a safe holistic therapeutic space supports individuals to address their emotional needs, allowing for the development of a deeper authentic relationship with self and others that they love, as well as reach their personal goals. My style of therapy is highly individualized and collaboratively designed with each client. I provide both short-term and long-term therapy in Virginia and DC.
(571) 777-0120 View (571) 777-0120
Photo of Amarachi Onyima, Licensed Professional Counselor in Alexandria, VA
Amarachi Onyima
Licensed Professional Counselor, MS, LPC, LCPC
Verified Verified
1 Endorsed
Alexandria, VA 22302
Are you a black professional feeling overwhelmed by workplace stress? If so, I'm here to help. I understand the unique stressors that black professionals face in the workplace and the toll it can take on your mental health. My goal is to provide a safe and supportive space where you can explore your experiences and develop effective coping strategies. Together, we'll work to identify the root causes of your stress, including issues related to race, discrimination, and microaggressions. We'll also explore how your personal beliefs and values may be impacting your work experience.
Are you a black professional feeling overwhelmed by workplace stress? If so, I'm here to help. I understand the unique stressors that black professionals face in the workplace and the toll it can take on your mental health. My goal is to provide a safe and supportive space where you can explore your experiences and develop effective coping strategies. Together, we'll work to identify the root causes of your stress, including issues related to race, discrimination, and microaggressions. We'll also explore how your personal beliefs and values may be impacting your work experience.
(571) 946-2876 View (571) 946-2876
Photo of Pearl Vitality Counseling, LLC, Licensed Professional Counselor in Alexandria, VA
Pearl Vitality Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22304
Aaron Whitehead is a Licensed Professional Counselor (LPC) with an extensive counseling background in the community and private practice sector. Aaron received his Bachelor's degree from James Madison University and obtained his Masters Degree from George Mason University. Aaron has been provided mental health services in the Northern VA area for over 12 years.
Aaron Whitehead is a Licensed Professional Counselor (LPC) with an extensive counseling background in the community and private practice sector. Aaron received his Bachelor's degree from James Madison University and obtained his Masters Degree from George Mason University. Aaron has been provided mental health services in the Northern VA area for over 12 years.
(571) 336-0974 View (571) 336-0974
Margaret T Robinson
Clinical Social Work/Therapist, LCSW, LCSW-C
Verified Verified
Alexandria, VA 22307  (Online Only)
Not accepting new clients
Thank you for visiting my site. I am licensed in Virginia and Maryland and offer a free 15 minute teletherapy session to help you decide if I am the therapist you are looking for. My clients often come to therapy because they are dealing with anxiety, depression, grief, loss and life transitions. During my hospice grad school practicum and the next five years working with a local hospice I helped patients and familes as they encourntered death, loss and bereavement. I honor each individual's worth and inherent dignity and believe that by working together we can face the challenges and difficulties that lay ahead.
Thank you for visiting my site. I am licensed in Virginia and Maryland and offer a free 15 minute teletherapy session to help you decide if I am the therapist you are looking for. My clients often come to therapy because they are dealing with anxiety, depression, grief, loss and life transitions. During my hospice grad school practicum and the next five years working with a local hospice I helped patients and familes as they encourntered death, loss and bereavement. I honor each individual's worth and inherent dignity and believe that by working together we can face the challenges and difficulties that lay ahead.
(571) 470-6783 View (571) 470-6783
Photo of Brooke Buck, Licensed Professional Counselor in Alexandria, VA
Brooke Buck
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Alexandria, VA 22315
Are you having a hard time figuring out what is going on with your relationships with others? Do you have recurring or consistent negative thoughts and feelings about yourself and your future? Are you feeling helpless even though you know you should be doing ok? My name is Brooke Buck and I am here to assist you in breaking down the walls of communication and rebuild them the way you have always wanted to. I work hard to listen and help to provide a different perspective to my clients.
Are you having a hard time figuring out what is going on with your relationships with others? Do you have recurring or consistent negative thoughts and feelings about yourself and your future? Are you feeling helpless even though you know you should be doing ok? My name is Brooke Buck and I am here to assist you in breaking down the walls of communication and rebuild them the way you have always wanted to. I work hard to listen and help to provide a different perspective to my clients.
(703) 594-1966 View (703) 594-1966
Photo of Michelle Reeves, Pre-Licensed Professional in Alexandria, VA
Michelle Reeves
Pre-Licensed Professional, MSW
Verified Verified
Alexandria, VA 22304
Life can sometimes be messy, challenging, and just plain hard. My mission is to support, uplift, and meet each individual where they are. I have experience helping children, adolescents, and adults navigate a variety of challenges, including anxiety, depression, self-harm, loss, and difficult life transitions. I strive to create a safe environment where clients of all ages feel comfortable and at ease.
Life can sometimes be messy, challenging, and just plain hard. My mission is to support, uplift, and meet each individual where they are. I have experience helping children, adolescents, and adults navigate a variety of challenges, including anxiety, depression, self-harm, loss, and difficult life transitions. I strive to create a safe environment where clients of all ages feel comfortable and at ease.
(571) 556-6386 View (571) 556-6386
Photo of Stacie Kruzinski, Clinical Social Work/Therapist in Alexandria, VA
Stacie Kruzinski
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22304
Hello, I'm Stacie. As a licensed clinical social worker, I bring extensive experience across various healthcare settings, including inpatient psychiatric facilities and outpatient psychiatric/substance use treatment centers. My focus lies in empowering individuals to discover their inner drive for transformation, fostering stress management techniques, and nurturing self-assurance. My counseling approach is characterized by authenticity, support, genuineness, kindness, compassion, and responsiveness.
Hello, I'm Stacie. As a licensed clinical social worker, I bring extensive experience across various healthcare settings, including inpatient psychiatric facilities and outpatient psychiatric/substance use treatment centers. My focus lies in empowering individuals to discover their inner drive for transformation, fostering stress management techniques, and nurturing self-assurance. My counseling approach is characterized by authenticity, support, genuineness, kindness, compassion, and responsiveness.
(804) 567-7249 View (804) 567-7249
Photo of Cherie Taylor, Licensed Professional Counselor in Alexandria, VA
Cherie Taylor
Licensed Professional Counselor, LCPC
Verified Verified
Alexandria, VA 22314  (Online Only)
Congratulations on making a commitment to invest in your growth and positive life changes! Therapy isn't always easy, but if you are willing to do the work, I can provide the tools needed to help you be your best self. I have dedicated my professional career to helping people help themselves through life's biggest challenges. I have experience working with teens and adults in obtaining and maintaining every facet of healthy living. I adhere to a strengths-based, CBT approach that is client-centered and solution-focused.
Congratulations on making a commitment to invest in your growth and positive life changes! Therapy isn't always easy, but if you are willing to do the work, I can provide the tools needed to help you be your best self. I have dedicated my professional career to helping people help themselves through life's biggest challenges. I have experience working with teens and adults in obtaining and maintaining every facet of healthy living. I adhere to a strengths-based, CBT approach that is client-centered and solution-focused.
(571) 496-9740 View (571) 496-9740
Photo of Rosa Gomes, Pre-Licensed Professional in Alexandria, VA
Rosa Gomes
Pre-Licensed Professional, MEd, CAGS, QMHP-C
Verified Verified
Alexandria, VA 22314
My ideal client navigates the multifaceted challenges of anxiety and stress, often originating from academic, personal, and professional spheres. Frequently entangled in a cycle of worry and negative self-talk, their ability to focus, make decisions, and fully savor life is obstructed. The core of their needs centers around crafting coping strategies, honing emotional regulation, and developing a toolkit to manage anxiety across various scenarios. Their objectives anchor in stabilizing mental tranquility, nurturing a positive self-image, and unlocking pathways to richly experience life’s abundances.
My ideal client navigates the multifaceted challenges of anxiety and stress, often originating from academic, personal, and professional spheres. Frequently entangled in a cycle of worry and negative self-talk, their ability to focus, make decisions, and fully savor life is obstructed. The core of their needs centers around crafting coping strategies, honing emotional regulation, and developing a toolkit to manage anxiety across various scenarios. Their objectives anchor in stabilizing mental tranquility, nurturing a positive self-image, and unlocking pathways to richly experience life’s abundances.
(571) 982-8511 View (571) 982-8511
Photo of Kate Westhoven, Psychologist in Alexandria, VA
Kate Westhoven
Psychologist, PsyD
Verified Verified
1 Endorsed
Alexandria, VA 22314
I provide couple counseling and individual psychotherapy to adults and adolescents with presenting concerns, such as anxiety, depression, trauma, addiction, grief and bereavement. In therapy, I focus on the individual strengths and wisdom of each person in an effort to support and assist their ability to make positive, effective, and mindful changes in their lives. Through a collaborative and caring relationship, I aim to create a safe space in which individuals and couples can increase their psychological insight, rework coping strategies, grieve losses, process traumas, and increase their overall well-being.
I provide couple counseling and individual psychotherapy to adults and adolescents with presenting concerns, such as anxiety, depression, trauma, addiction, grief and bereavement. In therapy, I focus on the individual strengths and wisdom of each person in an effort to support and assist their ability to make positive, effective, and mindful changes in their lives. Through a collaborative and caring relationship, I aim to create a safe space in which individuals and couples can increase their psychological insight, rework coping strategies, grieve losses, process traumas, and increase their overall well-being.
(703) 348-4435 View (703) 348-4435
Photo of Kristin Nygaard-Daugherty, Pre-Licensed Professional in Alexandria, VA
Kristin Nygaard-Daugherty
Pre-Licensed Professional, MA , LPC-R
Verified Verified
1 Endorsed
Alexandria, VA 22314
Taking the leap to find a therapist can feel overwhelming. The thought of talking to a complete stranger about the deepest darkest parts of your mind may feel frightening, but seeking help is something to celebrate. If you are searching for someone to help lighten the load of the weight of the world or even just the thoughts swirling around in your mind, I am here to help.
Taking the leap to find a therapist can feel overwhelming. The thought of talking to a complete stranger about the deepest darkest parts of your mind may feel frightening, but seeking help is something to celebrate. If you are searching for someone to help lighten the load of the weight of the world or even just the thoughts swirling around in your mind, I am here to help.
(540) 845-6940 x1 View (540) 845-6940 x1
Photo of Brian Rosen, Psychologist in Alexandria, VA
Brian Rosen
Psychologist, PsyD
Verified Verified
Alexandria, VA 22314
I am a clinical psychologist who specializes in helping adults, adolescents, and children and their families deal with depression, anxiety, and life transitions. I have specialized experience working with grief, behavioral problems and anger management, attention-deficit hyperactivity disorder, and identity and relationship issues. In addition to my private practice, I have experience working in outpatient clinics, university counseling centers, and schools.
I am a clinical psychologist who specializes in helping adults, adolescents, and children and their families deal with depression, anxiety, and life transitions. I have specialized experience working with grief, behavioral problems and anger management, attention-deficit hyperactivity disorder, and identity and relationship issues. In addition to my private practice, I have experience working in outpatient clinics, university counseling centers, and schools.
(540) 491-4954 View (540) 491-4954

How does your Therapist compare?

Number of Therapists in Alexandria, VA

1,000+

Average cost per session

$160

Therapists in Alexandria, VA who prioritize treating:

95% Anxiety
91% Depression
80% Self Esteem
75% Relationship Issues
75% Stress
74% Coping Skills
69% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
67% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in Alexandria, VA see their clients

57% In Person and Online
43% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Alexandria?

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.