Therapists in Washington, DC

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Photo of Eugene Morris, Clinical Social Work/Therapist in Washington, DC
Eugene Morris
Clinical Social Work/Therapist, LICSW, LCSW-C, Dipl
Verified Verified
Washington, DC 20008
Psychotherapy can be many things: from understanding and gaining control of a major emotional or substance abuse problem, to improving a partner or family relationship, to knowing yourself better. Our “mental health” like our physical health can benefit greatly from a skilled helper to address a sudden major problem or provide long-term support to be stronger and achieve our potential. Good individual, couple/family or group therapy can address the kind of work you need for where you are in life, whether you are facing a major crisis or looking for the insight and support you need to be who you can truly be.
Psychotherapy can be many things: from understanding and gaining control of a major emotional or substance abuse problem, to improving a partner or family relationship, to knowing yourself better. Our “mental health” like our physical health can benefit greatly from a skilled helper to address a sudden major problem or provide long-term support to be stronger and achieve our potential. Good individual, couple/family or group therapy can address the kind of work you need for where you are in life, whether you are facing a major crisis or looking for the insight and support you need to be who you can truly be.
(202) 953-5851 View (202) 953-5851
Photo of Ashley Acosta, Counselor in Washington, DC
Ashley Acosta
Counselor, MA, LGPC
Verified Verified
1 Endorsed
Washington, DC 20005
As your therapist, I take an investigative and collaborative approach to what you are experiencing. I provide an open and safe space for us to explore why you feel the way you do, past experiences that may be contributing to your present, and how you can move forward. We will consider all angles of your lived experience in making sense of the issues you’re facing. Angles like your relationships to others, your childhood experiences, instincts and gut reactions, and societal systems. I welcome adults of all identities.
As your therapist, I take an investigative and collaborative approach to what you are experiencing. I provide an open and safe space for us to explore why you feel the way you do, past experiences that may be contributing to your present, and how you can move forward. We will consider all angles of your lived experience in making sense of the issues you’re facing. Angles like your relationships to others, your childhood experiences, instincts and gut reactions, and societal systems. I welcome adults of all identities.
(844) 699-3368 View (844) 699-3368
Photo of Courtney Wright, Clinical Social Work/Therapist in Washington, DC
Courtney Wright
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20036  (Online Only)
My clients find that they are ready to dig deep into their lived experiences and are committed to self-growth. My approach will always remain client centered, and is rooted in a combination of Cognitive-Behavioral Therapy (CBT), Humanistic Therapy, Solutions-Focused Brief Therapy (SFBT), and Psychodynamic Therapy models. The integration of various therapy models is based on the unique needs and challenges that you, the client, bring forward to be addressed.
My clients find that they are ready to dig deep into their lived experiences and are committed to self-growth. My approach will always remain client centered, and is rooted in a combination of Cognitive-Behavioral Therapy (CBT), Humanistic Therapy, Solutions-Focused Brief Therapy (SFBT), and Psychodynamic Therapy models. The integration of various therapy models is based on the unique needs and challenges that you, the client, bring forward to be addressed.
(202) 630-1530 View (202) 630-1530
Photo of Janine Donnelly, Clinical Social Work/Therapist in Washington, DC
Janine Donnelly
Clinical Social Work/Therapist, LICSW
Verified Verified
4 Endorsed
Washington, DC 20018
Not accepting new clients
Therapy is the process of rediscovering clarity, purpose, and joy. While starting therapy can seem daunting, I offer a warm, nonjudgmental space in which we'll explore your concerns together. I use compassion and humor to help you move through pain and worry, so that you can be more fully present in your life, relationships, and community. I will work hard with you to release unhealthy or frustrating ways of thinking or behaving that stand between you and the life you want. I strive to meet my clients with empathy and authenticity, backed up by over twenty years of experience and a commitment to research-based methods.
Therapy is the process of rediscovering clarity, purpose, and joy. While starting therapy can seem daunting, I offer a warm, nonjudgmental space in which we'll explore your concerns together. I use compassion and humor to help you move through pain and worry, so that you can be more fully present in your life, relationships, and community. I will work hard with you to release unhealthy or frustrating ways of thinking or behaving that stand between you and the life you want. I strive to meet my clients with empathy and authenticity, backed up by over twenty years of experience and a commitment to research-based methods.
(240) 232-2738 View (240) 232-2738
Photo of Rosie Bick-Mera, Clinical Social Work/Therapist in Washington, DC
Rosie Bick-Mera
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Washington, DC 20036  (Online Only)
I work with adults who have experienced childhood trauma and abuse. It's OK if you don't resonate with that word. Maybe you've said that you had a "dysfunctional family" or a "complicated childhood." However you see it, it is what we experienced and learned in childhood that influences how we show up in relationships with others and with ourselves. My clients want to heal their inner child, want to improve their relationships, what to feel safe and secure in who they are. They want to rewrite the stories they've held on to, and unlearn the painful negative beliefs about who they are and what they deserve.
I work with adults who have experienced childhood trauma and abuse. It's OK if you don't resonate with that word. Maybe you've said that you had a "dysfunctional family" or a "complicated childhood." However you see it, it is what we experienced and learned in childhood that influences how we show up in relationships with others and with ourselves. My clients want to heal their inner child, want to improve their relationships, what to feel safe and secure in who they are. They want to rewrite the stories they've held on to, and unlearn the painful negative beliefs about who they are and what they deserve.
(202) 883-8129 View (202) 883-8129
Photo of Jeanily Cruz, Clinical Social Work/Therapist in Washington, DC
Jeanily Cruz
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
1 Endorsed
Washington, DC 20011  (Online Only)
I am a trauma-informed therapist who is deeply passionate about working with communities of color, those in the LGBTQ community and other marginalized individuals. Whether you are struggling with anxiety, relational issues, self esteem, boundaries or you come from a family or culture where mental health is swept under the rug. If you find yourself stuck, shrinking, or sometimes unable to use your voice- I am here to help gently guide you back to your authentic self by creating a safe space to process and make meaning of your experiences. Healing is a birth right. No matter what you've experienced and gone through-you deserve joy!
I am a trauma-informed therapist who is deeply passionate about working with communities of color, those in the LGBTQ community and other marginalized individuals. Whether you are struggling with anxiety, relational issues, self esteem, boundaries or you come from a family or culture where mental health is swept under the rug. If you find yourself stuck, shrinking, or sometimes unable to use your voice- I am here to help gently guide you back to your authentic self by creating a safe space to process and make meaning of your experiences. Healing is a birth right. No matter what you've experienced and gone through-you deserve joy!
(202) 868-8056 View (202) 868-8056
Photo of Jamie Hunt, Licensed Professional Counselor in Washington, DC
Jamie Hunt
Licensed Professional Counselor, LPC, RDN, NCC
Verified Verified
1 Endorsed
Washington, DC 20036  (Online Only)
Waitlist for new clients
Does feeling guilt, shame, and unworthiness take up all your free time and you feel you can’t stop these thoughts? You are not alone. I understand how difficult this makes life for you- from difficulty concentrating, low energy, avoiding interactions with others, to issues with intimacy in dating/relationships and feeling like you don't fit in. With me, you will learn to identify unhealthy thoughts, habits, and patterns to safely challenge and replace those negative thoughts. You will experience relief from being your own worst critic, improved comfort in socializing with others and feel better about yourself overall.
Does feeling guilt, shame, and unworthiness take up all your free time and you feel you can’t stop these thoughts? You are not alone. I understand how difficult this makes life for you- from difficulty concentrating, low energy, avoiding interactions with others, to issues with intimacy in dating/relationships and feeling like you don't fit in. With me, you will learn to identify unhealthy thoughts, habits, and patterns to safely challenge and replace those negative thoughts. You will experience relief from being your own worst critic, improved comfort in socializing with others and feel better about yourself overall.
(202) 915-9131 View (202) 915-9131
Photo of Jermaine Boston (Graves), Counselor in Washington, DC
Jermaine Boston (Graves)
Counselor, MA, LCPC, LPC, BCPC
Verified Verified
Washington, DC 20036  (Online Only)
I am a Licensed Clinical Professional Counselor (LCPC) serving children, adolescents, individuals, couples, college/graduate students, and LGBTQ clients. I have specialized in providing services to adolescents and their families for more than 25 years. I am licensed in Maryland and the District of Columbia. I have been practicing as a Mental Health Clinician for 14 years providing services in group homes, communities, educational, and private practice settings. At Peace of Mind Therapy, LLC, we offer services by other Licensed Professional Counselors or Licensed Social Workers that are Qualified, Capable, & Culturally Competent.
I am a Licensed Clinical Professional Counselor (LCPC) serving children, adolescents, individuals, couples, college/graduate students, and LGBTQ clients. I have specialized in providing services to adolescents and their families for more than 25 years. I am licensed in Maryland and the District of Columbia. I have been practicing as a Mental Health Clinician for 14 years providing services in group homes, communities, educational, and private practice settings. At Peace of Mind Therapy, LLC, we offer services by other Licensed Professional Counselors or Licensed Social Workers that are Qualified, Capable, & Culturally Competent.
(240) 428-6710 View (240) 428-6710
Photo of Calming The Inner Therapeutics and Wellness, LLC, Licensed Professional Counselor in Washington, DC
Calming The Inner Therapeutics and Wellness, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Washington, DC 20003  (Online Only)
Saqueita is a compassionate and dedicated therapist who founded her private practice, "Calming the Inner Therapeutics and Wellness, LLC," in 2023. With a deep passion for mental health and well-being, Saqueita has devoted her career for over a decade to helping individuals navigate the complexities of life and find inner peace. Particularly navigate stress, anxiety, and relationship issues among other presenting concerns.
Saqueita is a compassionate and dedicated therapist who founded her private practice, "Calming the Inner Therapeutics and Wellness, LLC," in 2023. With a deep passion for mental health and well-being, Saqueita has devoted her career for over a decade to helping individuals navigate the complexities of life and find inner peace. Particularly navigate stress, anxiety, and relationship issues among other presenting concerns.
(855) 626-9279 View (855) 626-9279
Photo of Madelyn Keefe, Clinical Social Work/Therapist in Washington, DC
Madelyn Keefe
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20018  (Online Only)
Madelyn is a Licensed Independent Clinical Social Worker in Washington, DC with experience providing individual therapy to clients living with depression, anxiety, and other mood related disorders. Madelyn has experience providing therapy to clients who have faced grief and loss, have difficulties managing life stressors, and have experienced trauma. Her sessions are culturally sensitive, person-centered, and take a strengths-based approach to care. Sessions are provided using Teletherapy services.
Madelyn is a Licensed Independent Clinical Social Worker in Washington, DC with experience providing individual therapy to clients living with depression, anxiety, and other mood related disorders. Madelyn has experience providing therapy to clients who have faced grief and loss, have difficulties managing life stressors, and have experienced trauma. Her sessions are culturally sensitive, person-centered, and take a strengths-based approach to care. Sessions are provided using Teletherapy services.
(202) 949-6913 View (202) 949-6913
Photo of Cara Marie Curcio, Clinical Social Work/Therapist in Washington, DC
Cara Marie Curcio
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20009
Whatever your reason for seeking therapy is—whether it is an addiction, depression, anxiety, body image issues, gender identity—I work to collaboratively to help you get to the root of it to help increase insight about patterns that are playing out in your life. I have a background as a yoga practitioner and teacher so I also work to use mindfulness and meditation in sessions where appropriate. I work to individualize each therapy relationship, using psychodynamic principles, cognitive behavioral therapy, and dialectical behavioral therapy to guide my interventions.
Whatever your reason for seeking therapy is—whether it is an addiction, depression, anxiety, body image issues, gender identity—I work to collaboratively to help you get to the root of it to help increase insight about patterns that are playing out in your life. I have a background as a yoga practitioner and teacher so I also work to use mindfulness and meditation in sessions where appropriate. I work to individualize each therapy relationship, using psychodynamic principles, cognitive behavioral therapy, and dialectical behavioral therapy to guide my interventions.
(202) 410-0234 View (202) 410-0234
Photo of Devon Pu in Washington, DC
Devon Pu
MPA, MSW, LGSW
Verified Verified
Washington, DC 20016
Have you recently received a diagnosis of mental illness? Are you adjusting after a mental health crisis, or wrestling with past trauma that is impacting your ability to live the life you want to lead? Whether you’re navigating a new path, struggling with relationships, or looking to develop coping skills for lifelong chronic illness, my goal is to serve as a partner in your journey. I believe in the connection between our past experiences and the way we operate in our present environment. I strive to help clients understand how their physical body and mental health are linked!
Have you recently received a diagnosis of mental illness? Are you adjusting after a mental health crisis, or wrestling with past trauma that is impacting your ability to live the life you want to lead? Whether you’re navigating a new path, struggling with relationships, or looking to develop coping skills for lifelong chronic illness, my goal is to serve as a partner in your journey. I believe in the connection between our past experiences and the way we operate in our present environment. I strive to help clients understand how their physical body and mental health are linked!
(855) 629-2317 View (855) 629-2317
Photo of Julie Colatrella, Counselor in Washington, DC
Julie Colatrella
Counselor, LGPC
Verified Verified
3 Endorsed
Washington, DC 20002  (Online Only)
LGBTQ+ Provider Accepting Clients! - Have you been struggling with anxiety, depression, relationship issues, life stressors, or are you exploring your gender and/or sexual identity? Dedicate 2024 to YOU and give yourself the gift of therapy. Together, we will establish goals, explore applicable techniques and solutions you can use in the moment, and dive into understanding who you are, how you got there, and where you want to go in the future. While I myself am queer, I enjoy working with people of all sexualities and genders, so if you (or your child) are between the ages of 14-30 and looking for therapy, please reach out!
LGBTQ+ Provider Accepting Clients! - Have you been struggling with anxiety, depression, relationship issues, life stressors, or are you exploring your gender and/or sexual identity? Dedicate 2024 to YOU and give yourself the gift of therapy. Together, we will establish goals, explore applicable techniques and solutions you can use in the moment, and dive into understanding who you are, how you got there, and where you want to go in the future. While I myself am queer, I enjoy working with people of all sexualities and genders, so if you (or your child) are between the ages of 14-30 and looking for therapy, please reach out!
(240) 424-0690 View (240) 424-0690
Photo of Grace A Whitman, Clinical Social Work/Therapist in Washington, DC
Grace A Whitman
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20006
Not accepting new clients
I can be most helpful to you if you are interested in growing yourself and your own potential for intimacy and sexuality. Instead of identifying what's "wrong" with you, I focus on your strengths. By balancing your desire for autonomy and your desire for connection, you can increase your capacity for desire and eroticism in intimate sexuality. As an active therapist, I'm willing to challenge you and your partner to develop and grow yourself up.
I can be most helpful to you if you are interested in growing yourself and your own potential for intimacy and sexuality. Instead of identifying what's "wrong" with you, I focus on your strengths. By balancing your desire for autonomy and your desire for connection, you can increase your capacity for desire and eroticism in intimate sexuality. As an active therapist, I'm willing to challenge you and your partner to develop and grow yourself up.
(202) 517-9245 View (202) 517-9245
Photo of Jessica Mcdonald, Psychologist in Washington, DC
Jessica Mcdonald
Psychologist, PsyD
Verified Verified
1 Endorsed
Washington, DC 20005
Are you looking to make a change in your life or your relationships? Do you want to understand why you tend to repeat the same patterns again and again? I am here to help. I believe in the resilience that exists within all of us and the healing power of the therapeutic relationship. My role as a therapist is that of an active collaborator, working together with clients to explore and address current challenges. My most important job is creating a safe and empathic therapeutic environment which fosters individual growth and empowers clients to overcome obstacles and achieve their goals.
Are you looking to make a change in your life or your relationships? Do you want to understand why you tend to repeat the same patterns again and again? I am here to help. I believe in the resilience that exists within all of us and the healing power of the therapeutic relationship. My role as a therapist is that of an active collaborator, working together with clients to explore and address current challenges. My most important job is creating a safe and empathic therapeutic environment which fosters individual growth and empowers clients to overcome obstacles and achieve their goals.
(813) 452-4917 View (813) 452-4917
Photo of Danya Weltman, Clinical Social Work/Therapist in Washington, DC
Danya Weltman
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20006  (Online Only)
Do you have unhealthy patterns of thinking and feelings about life, relationships, and yourself? Together, we will examine these patterns and experiment with new ways of processing and acting. My goal is to help increase your insight, enhance your relationships, and build on your strengths, while helping you develop tangible skills and strategies to live your life to its fullest.
Do you have unhealthy patterns of thinking and feelings about life, relationships, and yourself? Together, we will examine these patterns and experiment with new ways of processing and acting. My goal is to help increase your insight, enhance your relationships, and build on your strengths, while helping you develop tangible skills and strategies to live your life to its fullest.
(202) 517-7603 View (202) 517-7603
Photo of Sasha Varner, Marriage & Family Therapist in Washington, DC
Sasha Varner
Marriage & Family Therapist, LMFT, LCMFT
Verified Verified
Washington, DC 20006  (Online Only)
Sasha empowers couples and individuals to overcome personal obstacles to improve their relationships with others and themselves for the last 10 years. Sasha usually works with couples struggling with communication and individuals dealing with self esteem, setting boundaries and improving the negative inner voice.
Sasha empowers couples and individuals to overcome personal obstacles to improve their relationships with others and themselves for the last 10 years. Sasha usually works with couples struggling with communication and individuals dealing with self esteem, setting boundaries and improving the negative inner voice.
(202) 972-6580 View (202) 972-6580
Photo of Stephanie Sullivan, Licensed Professional Counselor in Washington, DC
Stephanie Sullivan
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Washington, DC 20006  (Online Only)
Waitlist for new clients
I personally believe that as humans we have the innate capacity to heal, and an intrinsic ability for growth. My goal is to assist in providing compassionate and empathic support that will empower you to uncover your true potential. Searching for support is a brave step.
I personally believe that as humans we have the innate capacity to heal, and an intrinsic ability for growth. My goal is to assist in providing compassionate and empathic support that will empower you to uncover your true potential. Searching for support is a brave step.
(202) 972-1486 View (202) 972-1486
Photo of Keltie Hawkins, Clinical Social Work/Therapist in Washington, DC
Keltie Hawkins
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Washington, DC 20016
I specialize in the treatment of unresolved trauma and difficult life experiences. But I also believe therapy is a comfortable space to get to know yourself better—and a vehicle for hope, whether you are in acute crisis, or simply feeling stuck. Through an integrative approach, I help you identify patterns of thoughts, feelings, and behaviors that may have begun early in life and continue to affect your relationships or your work.
I specialize in the treatment of unresolved trauma and difficult life experiences. But I also believe therapy is a comfortable space to get to know yourself better—and a vehicle for hope, whether you are in acute crisis, or simply feeling stuck. Through an integrative approach, I help you identify patterns of thoughts, feelings, and behaviors that may have begun early in life and continue to affect your relationships or your work.
(202) 918-4218 View (202) 918-4218
Photo of Susan R Driscoll, Marriage & Family Therapist in Washington, DC
Susan R Driscoll
Marriage & Family Therapist, MS
Verified Verified
Washington, DC 20002  (Online Only)
Susan R. Driscoll is a licensed Marriage and Family Therapist (LMFT) in Washington DC who entered the field with an interest in helping couples, families, and individuals develop their inherent strengths to create positive and lasting change in their lives. She brings a compassionate, empathic, authentic, and flexible approach to each of her clients. Susan considers the therapeutic alliance between herself and her clients as a partnership with the goal of empowering clients to be effective experts in their own lives.
Susan R. Driscoll is a licensed Marriage and Family Therapist (LMFT) in Washington DC who entered the field with an interest in helping couples, families, and individuals develop their inherent strengths to create positive and lasting change in their lives. She brings a compassionate, empathic, authentic, and flexible approach to each of her clients. Susan considers the therapeutic alliance between herself and her clients as a partnership with the goal of empowering clients to be effective experts in their own lives.
(202) 972-4287 View (202) 972-4287

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.