Therapists in Charlotte, NC

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Photo of Jess Hunter, Clinical Social Work/Therapist in Charlotte, NC
Jess Hunter
Clinical Social Work/Therapist, MSW, LCSW, TF-CBT
Verified Verified
1 Endorsed
Charlotte, NC 28205
Waitlist for new clients
You are the expert on you and your family. Which may be hard to recognize at times because of things that have happened in your past or there may be experiences that are impacting you more than you realize. Or you may have a child who feels overlooked or misunderstood. Because only you are experiencing your life, I am here to assist you in making changes in areas you identify to better fulfill your goals. I work with adolescents, adults, and families to help navigate through communication, anxiety, trauma, and depression. I have experience with the LGBTQ+ population and certified in letter writing for gender affirming medical care.
You are the expert on you and your family. Which may be hard to recognize at times because of things that have happened in your past or there may be experiences that are impacting you more than you realize. Or you may have a child who feels overlooked or misunderstood. Because only you are experiencing your life, I am here to assist you in making changes in areas you identify to better fulfill your goals. I work with adolescents, adults, and families to help navigate through communication, anxiety, trauma, and depression. I have experience with the LGBTQ+ population and certified in letter writing for gender affirming medical care.
(704) 327-0681 View (704) 327-0681
Photo of Diana Levitt, Lic Clinical Mental Health Counselor Supervisor in Charlotte, NC
Diana Levitt
Lic Clinical Mental Health Counselor Supervisor, NCC, LCMHC-S, BC-TMHP
Verified Verified
Charlotte, NC 28210  (Online Only)
I applaud you for taking the first and most important step in reaching out for help, especially during these difficult times. The major focus of my practice is assisting adolescents and adults who have experienced trauma, whether that is a singular episode or prolonged complex trauma. I also work with Depression, Anxiety, Grief, and major life transitions. I meet the client where their current needs are through various treatment modalities and approaches. I have expertise in CBT, DBT, EFT, and TF-CBT. I only provide individual therapy, so please do not contact me for couples/marital counseling.
I applaud you for taking the first and most important step in reaching out for help, especially during these difficult times. The major focus of my practice is assisting adolescents and adults who have experienced trauma, whether that is a singular episode or prolonged complex trauma. I also work with Depression, Anxiety, Grief, and major life transitions. I meet the client where their current needs are through various treatment modalities and approaches. I have expertise in CBT, DBT, EFT, and TF-CBT. I only provide individual therapy, so please do not contact me for couples/marital counseling.
(704) 307-4359 View (704) 307-4359
Photo of Carly Meadows, Counselor in Charlotte, NC
Carly Meadows
Counselor, MA, LCMHCA
Verified Verified
Charlotte, NC 28203
Now seeing Charlotte clients! At Promise Counseling, PLLC, our focus is to help clients grow and heal as they become aware of their inner strengths. We strive to achieve this by providing a safe environment where clients can be heard and understood. We collaborate with our clients to establish goals that will move them toward freedom from the things that they believe are keeping them from fully engaging in their lives.
Now seeing Charlotte clients! At Promise Counseling, PLLC, our focus is to help clients grow and heal as they become aware of their inner strengths. We strive to achieve this by providing a safe environment where clients can be heard and understood. We collaborate with our clients to establish goals that will move them toward freedom from the things that they believe are keeping them from fully engaging in their lives.
(910) 665-7414 View (910) 665-7414
Photo of Alicia Tetteh, Clinical Social Work/Therapist in Charlotte, NC
Alicia Tetteh
Clinical Social Work/Therapist, LCSW, RYT-200
Verified Verified
13 Endorsed
Charlotte, NC 28262
Life is a marathon and I believe that it is all about endurance. Sometimes we have to get a little help along the way whether it be a change of shoes, re-uptake of protein or a water break. There is this idea that we are weak when we seek others to help us out, but I also know that in life we cannot always persevere without a helping hand. I look forward to being an option of that new running shoe or Gatorade as we stride through the finish line together.
Life is a marathon and I believe that it is all about endurance. Sometimes we have to get a little help along the way whether it be a change of shoes, re-uptake of protein or a water break. There is this idea that we are weak when we seek others to help us out, but I also know that in life we cannot always persevere without a helping hand. I look forward to being an option of that new running shoe or Gatorade as we stride through the finish line together.
(980) 404-2326 View (980) 404-2326
Photo of Steffie M Beard, Licensed Clinical Mental Health Counselor in Charlotte, NC
Steffie M Beard
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Charlotte, NC 28205
I offer a safe gender affirming, body acceptance, feminist, and multicultural approach in therapy that focuses on the whole person. Humanistic (whole person) psychology often refers to a therapy modality that emphasizes focus on the entire scope of the individual supporting clients in achieving a deeper understanding and connection with their true self. My ultimate goal is for the client to feel seen and heard through an empathetic, safe, and unbiased environment.
I offer a safe gender affirming, body acceptance, feminist, and multicultural approach in therapy that focuses on the whole person. Humanistic (whole person) psychology often refers to a therapy modality that emphasizes focus on the entire scope of the individual supporting clients in achieving a deeper understanding and connection with their true self. My ultimate goal is for the client to feel seen and heard through an empathetic, safe, and unbiased environment.
(704) 742-2402 View (704) 742-2402
Photo of Aimee Whaley, Licensed Professional Counselor in Charlotte, NC
Aimee Whaley
Licensed Professional Counselor, MS, LCMHC, NCC
Verified Verified
7 Endorsed
Charlotte, NC 28270  (Online Only)
Not accepting new clients
I help clients identify practical strategies to address the concerns that are important in their lives, all within a therapy space that is safe for those who feel alienated due to their neurodivergence, sexuality, gender, relationship configurations, and/or belief system.
I help clients identify practical strategies to address the concerns that are important in their lives, all within a therapy space that is safe for those who feel alienated due to their neurodivergence, sexuality, gender, relationship configurations, and/or belief system.
(704) 325-5093 View (704) 325-5093
Photo of Anna Marchese, Clinical Social Work/Therapist in Charlotte, NC
Anna Marchese
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28211
*Accepting new clients!* For those who are ready to go inward. We spend so much time looking for answers outside of ourselves. I'm here to guide you to the answers and healing available within YOU.
*Accepting new clients!* For those who are ready to go inward. We spend so much time looking for answers outside of ourselves. I'm here to guide you to the answers and healing available within YOU.
(980) 217-2454 View (980) 217-2454
Photo of Jennifer McConnell, Psychological Associate in Charlotte, NC
Jennifer McConnell
Psychological Associate, MA, EdS
Verified Verified
Charlotte, NC 28277
I work with children of all ages and their families by being passionate about promoting their academic, social, and emotional success. I strive to provide a greater understanding of a child's learning strengths and weaknesses through comprehensive assessments. Through counseling, I utilize an approach that teaches coping skills to help children in navigating strong emotions.
I work with children of all ages and their families by being passionate about promoting their academic, social, and emotional success. I strive to provide a greater understanding of a child's learning strengths and weaknesses through comprehensive assessments. Through counseling, I utilize an approach that teaches coping skills to help children in navigating strong emotions.
(704) 270-8402 View (704) 270-8402
Photo of Jeanetta Garrison, Clinical Social Work/Therapist in Charlotte, NC
Jeanetta Garrison
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Charlotte, NC 28210  (Online Only)
Anxiety and perfectionism have you feeling like you can't relax. No one knows the stress you carry because you seem to have it all together. Being driven has led to you being overworked and feeling like you will never be enough. Any time it feels like life is about to fall apart, you have a panic attack. Hi I'm Jeanetta Garrison, a compassionate EMDR trained, anxiety therapist who helps high achieving professionals quiet their inner critic. I will help you break things down, organize the jumbled thoughts, and really understand the anxiety so you can release it and no longer be walled off from the world because of fear.
Anxiety and perfectionism have you feeling like you can't relax. No one knows the stress you carry because you seem to have it all together. Being driven has led to you being overworked and feeling like you will never be enough. Any time it feels like life is about to fall apart, you have a panic attack. Hi I'm Jeanetta Garrison, a compassionate EMDR trained, anxiety therapist who helps high achieving professionals quiet their inner critic. I will help you break things down, organize the jumbled thoughts, and really understand the anxiety so you can release it and no longer be walled off from the world because of fear.
(980) 372-8513 View (980) 372-8513
Photo of Janet Mutahangarwa, Clinical Social Work/Therapist in Charlotte, NC
Janet Mutahangarwa
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28202  (Online Only)
My name is Janet Mutahangarwa and I am a Licensed Clinical Social Worker (LCSW). I treat individuals from diverse backgrounds. I also hold a degree in finance which sometimes comes handy when helping those who are stressed due to financial needs. My approach is treating the whole person because most of the time our problems are the outcome of more than just one thing and when I get to know you as a whole person I am able to address different issues that could be contributing to that one specific problem.
My name is Janet Mutahangarwa and I am a Licensed Clinical Social Worker (LCSW). I treat individuals from diverse backgrounds. I also hold a degree in finance which sometimes comes handy when helping those who are stressed due to financial needs. My approach is treating the whole person because most of the time our problems are the outcome of more than just one thing and when I get to know you as a whole person I am able to address different issues that could be contributing to that one specific problem.
(980) 332-5600 View (980) 332-5600
Photo of Kelly S Griffin, Clinical Social Work/Therapist in Charlotte, NC
Kelly S Griffin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Charlotte, NC 28262  (Online Only)
Not accepting new clients
Are you ready to improve your emotional wellness, become happier, and progress with living your best life? It takes courage to seek for a more fulfilling life, and to take the first steps towards a change. Life challenges can take many forms and can affect every part of our lives. Developing good coping skills can better help manage those challenges. Sometimes the smallest step in the right direction ends up being the biggest step of your life. I believe in the power of counseling and coaching to help improve life obstacles. I am ready to meet you where you are.
Are you ready to improve your emotional wellness, become happier, and progress with living your best life? It takes courage to seek for a more fulfilling life, and to take the first steps towards a change. Life challenges can take many forms and can affect every part of our lives. Developing good coping skills can better help manage those challenges. Sometimes the smallest step in the right direction ends up being the biggest step of your life. I believe in the power of counseling and coaching to help improve life obstacles. I am ready to meet you where you are.
(704) 703-6978 View (704) 703-6978
Photo of Mary Jo Klingel, Clinical Social Work/Therapist in Charlotte, NC
Mary Jo Klingel
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28215
People often seek therapy when they have hit a wall in their lives. Maybe you have tried to do it differently this time, in your relationships or your work, or you have a sense that you are not where you want to be in your life. You may be dealing with anxiety, depression, stress or trauma, or are in a major life transition. Whatever your needs or goals, you may have heard the small voice that says, "Maybe I need some help". My ideal client is anyone who is ready to listen to that voice, and knows that today is the day to reach out, and to seek the life you deserve.
People often seek therapy when they have hit a wall in their lives. Maybe you have tried to do it differently this time, in your relationships or your work, or you have a sense that you are not where you want to be in your life. You may be dealing with anxiety, depression, stress or trauma, or are in a major life transition. Whatever your needs or goals, you may have heard the small voice that says, "Maybe I need some help". My ideal client is anyone who is ready to listen to that voice, and knows that today is the day to reach out, and to seek the life you deserve.
(980) 276-2744 View (980) 276-2744
Photo of Cara Lima, Marriage & Family Therapist Associate in Charlotte, NC
Cara Lima
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Charlotte, NC 28210
Feeling disconnected from yourself, friends, family? Experiencing a life transition? Struggling with depression or anxiety? Do you feel like something is missing from your sex life? Are you longing to re-ignite your intimacy and/or sexuality? Would you like to repair or strengthen your relationship? Are you single & looking to discover your potential for pleasure? I believe people have the desire & capacity to heal & grow, & that our quality of life is impacted by our relationship with others. I help clients increase intimacy, passion, sexual satisfaction, & pleasure so they can develop a deeper connection with Self & others.
Feeling disconnected from yourself, friends, family? Experiencing a life transition? Struggling with depression or anxiety? Do you feel like something is missing from your sex life? Are you longing to re-ignite your intimacy and/or sexuality? Would you like to repair or strengthen your relationship? Are you single & looking to discover your potential for pleasure? I believe people have the desire & capacity to heal & grow, & that our quality of life is impacted by our relationship with others. I help clients increase intimacy, passion, sexual satisfaction, & pleasure so they can develop a deeper connection with Self & others.
(704) 327-0308 View (704) 327-0308
Photo of Madeleine Baldwin, Clinical Social Work/Therapist in Charlotte, NC
Madeleine Baldwin
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28203
I have 18 years of experience working with children, families and adults. I help my clients to acheive their therapeutic goals by learning new skills and coping strategies. By providing a safe and supportive environment clients can explore their issues and find resolutions that will improve their relationships, communication skills, mood and overall functioning. I enjoy diversity and have worked with people from all different cultural backgrounds. I look forward to meeting with you and developing a treatment plan that addresses your needs.
I have 18 years of experience working with children, families and adults. I help my clients to acheive their therapeutic goals by learning new skills and coping strategies. By providing a safe and supportive environment clients can explore their issues and find resolutions that will improve their relationships, communication skills, mood and overall functioning. I enjoy diversity and have worked with people from all different cultural backgrounds. I look forward to meeting with you and developing a treatment plan that addresses your needs.
(704) 412-4046 View (704) 412-4046
Photo of Stacy Bechtel, Clinical Social Work/Therapist in Charlotte, NC
Stacy Bechtel
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28210
Welcome! My name is Stacy Bechtel and I’m a Licensed Clinical Social Worker. I believe that change is facilitated through the power of the therapeutic relationship. I prioritize creating a warm, safe, and supportive environment for my clients to feel seen and heard. I will be there with you every step of the way, as we navigate all of life’s ups and downs! I am passionate about mental health and believe in empowering clients by focusing on the strengths and resilience of each person.
Welcome! My name is Stacy Bechtel and I’m a Licensed Clinical Social Worker. I believe that change is facilitated through the power of the therapeutic relationship. I prioritize creating a warm, safe, and supportive environment for my clients to feel seen and heard. I will be there with you every step of the way, as we navigate all of life’s ups and downs! I am passionate about mental health and believe in empowering clients by focusing on the strengths and resilience of each person.
(704) 270-5141 x7 View (704) 270-5141 x7
Photo of Rita L Berry, Licensed Professional Counselor in Charlotte, NC
Rita L Berry
Licensed Professional Counselor, EdS, LCMHC, BC-TMH
Verified Verified
8 Endorsed
Charlotte, NC 28262  (Online Only)
Struggling with emotional turbulence, stress, or mid-life existential concerns? You're not alone. NewVision specializes in helping women who seek a harmonious blend of spiritual wisdom and psychological insight. We offer telehealth services to empower you to navigate life's complexities and to make spiritually aligned, health-conscious decisions.
Struggling with emotional turbulence, stress, or mid-life existential concerns? You're not alone. NewVision specializes in helping women who seek a harmonious blend of spiritual wisdom and psychological insight. We offer telehealth services to empower you to navigate life's complexities and to make spiritually aligned, health-conscious decisions.
(704) 288-0163 View (704) 288-0163
Photo of Julissa (Amparo) Edwards, Licensed Clinical Mental Health Counselor in Charlotte, NC
Julissa (Amparo) Edwards
Licensed Clinical Mental Health Counselor, LCMHC, NCC, MS
Verified Verified
Charlotte, NC 28273  (Online Only)
Julissa Edward takes a holistic approach to counseling and coaching, incorporating various techniques to help individuals achieve their goals. She firmly believes that the power of the mind is one of the best skills you can hone in on to achieve any accomplishment in life and overcome hardships. Drawing upon her years of experience as a therapist, coach, and psychology professor, Julissa guides clients to strengthen their resiliency and develop a positive mindset that can transform their perception of the world. Her goal is not only to help clients heal, but to also empower to create better tomorrows for themselves.
Julissa Edward takes a holistic approach to counseling and coaching, incorporating various techniques to help individuals achieve their goals. She firmly believes that the power of the mind is one of the best skills you can hone in on to achieve any accomplishment in life and overcome hardships. Drawing upon her years of experience as a therapist, coach, and psychology professor, Julissa guides clients to strengthen their resiliency and develop a positive mindset that can transform their perception of the world. Her goal is not only to help clients heal, but to also empower to create better tomorrows for themselves.
(980) 400-9846 View (980) 400-9846
Photo of Frederick D. Murphy, Licensed Professional Counselor in Charlotte, NC
Frederick D. Murphy
Licensed Professional Counselor, LCMHC, DCC
Verified Verified
1 Endorsed
Charlotte, NC 28269  (Online Only)
Welcome! Choosing a counselor is an extremely important decision. Trust and a good fit is essential to success. This process comes by way of warmth, respect, empathy, atonement and truthfulness, all intricate factors in the journey of healing. I've happily worked in Mental /Behavioral health for more than 17 years. While working in a variety of settings, ranging from Outpatient mental health clinics, Higher education, Private practice and Non-for-profit organizations, I have developed an eclectic skill for supporting individuals from diverse demographics.
Welcome! Choosing a counselor is an extremely important decision. Trust and a good fit is essential to success. This process comes by way of warmth, respect, empathy, atonement and truthfulness, all intricate factors in the journey of healing. I've happily worked in Mental /Behavioral health for more than 17 years. While working in a variety of settings, ranging from Outpatient mental health clinics, Higher education, Private practice and Non-for-profit organizations, I have developed an eclectic skill for supporting individuals from diverse demographics.
(704) 343-8918 View (704) 343-8918
Photo of Kimberly A. (Vogel) Whalen, Marriage & Family Therapist in Charlotte, NC
Kimberly A. (Vogel) Whalen
Marriage & Family Therapist, MA, LMFT
Verified Verified
Charlotte, NC 28277
I am a Licensed Marriage and Family Therapist. I obtained my undergraduate degree in Clinical Psychology and graduate degree in Marriage and Family Therapy. My therapy approach is taken from an attachment theory and perspective. I believe humans are wired to feel connected, and that we all greatly benefit from healthy relationships. Without this connectedness, we may experience loneliness or isolation. I provide a safe, accepting space for individuals, couples, and families using a positive Existential Therapy Model to support self-awareness, meaningful relationships, and values of life.
I am a Licensed Marriage and Family Therapist. I obtained my undergraduate degree in Clinical Psychology and graduate degree in Marriage and Family Therapy. My therapy approach is taken from an attachment theory and perspective. I believe humans are wired to feel connected, and that we all greatly benefit from healthy relationships. Without this connectedness, we may experience loneliness or isolation. I provide a safe, accepting space for individuals, couples, and families using a positive Existential Therapy Model to support self-awareness, meaningful relationships, and values of life.
(704) 909-7018 View (704) 909-7018
Photo of Melissa J Gary, Clinical Social Work/Therapist in Charlotte, NC
Melissa J Gary
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Charlotte, NC 28216  (Online Only)
Are you feeling overwhelmed by life's challenges and seeking support on your journey towards healing and personal growth? Melissa, therapist with Behind The Smile, PLLC, provides a welcoming sanctuary where the journey of healing commences and optimism is rekindled. With a comprehension of trauma's complexities and its profound impact on individuals, families, and communities, she brings forth empathy, expertise, and unwavering commitment to her practice. As a clinician, Melissa is devoted to providing personalized approach to therapy that emphasizes empathy, trust, and collaboration.
Are you feeling overwhelmed by life's challenges and seeking support on your journey towards healing and personal growth? Melissa, therapist with Behind The Smile, PLLC, provides a welcoming sanctuary where the journey of healing commences and optimism is rekindled. With a comprehension of trauma's complexities and its profound impact on individuals, families, and communities, she brings forth empathy, expertise, and unwavering commitment to her practice. As a clinician, Melissa is devoted to providing personalized approach to therapy that emphasizes empathy, trust, and collaboration.
(980) 575-1776 View (980) 575-1776

How does your Therapist compare?

Number of Therapists in Charlotte, NC

3,000+

Average cost per session

$135

Therapists in Charlotte, NC who prioritize treating:

93% Anxiety
87% Depression
77% Self Esteem
73% Relationship Issues
72% Coping Skills
69% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
73% Aetna
61% UnitedHealthcare UHC | UBH

How Therapists in Charlotte, NC see their clients

61% In Person and Online
39% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Charlotte?

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.