Therapists in Ann Arbor, MI
Rachel Beaver
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Ann Arbor, MI 48104
New Client openings are now available! - Therapy works best when we seek to balance acceptance and change. This approach allows us to gain insight and understanding regarding our emotional patterns, relationships, and other life circumstances as well as build practical skills that can be used in the present moment to navigate life more effectively. I seek to bring a validating, collaborative approach to therapy, helping you to make the changes you want with sensitivity, humor, and respect.
New Client openings are now available! - Therapy works best when we seek to balance acceptance and change. This approach allows us to gain insight and understanding regarding our emotional patterns, relationships, and other life circumstances as well as build practical skills that can be used in the present moment to navigate life more effectively. I seek to bring a validating, collaborative approach to therapy, helping you to make the changes you want with sensitivity, humor, and respect.
Laura Sagolla
Clinical Social Work/Therapist, LMSW, JD
Verified Verified
6 Endorsed
Ann Arbor, MI 48103
You need not carry your worries, pain, or sadness alone. I am here to help you tolerate and accept your unwanted thoughts and feelings at the same time that you move toward the life you've always wanted to live. In a supportive, nonjudgmental environment, we will work together to make improvements, however small, in mood, thinking, relating, and coping. I believe there is a place for humor and play in therapy, even amidst the painful thoughts and feelings bound to arise.
You need not carry your worries, pain, or sadness alone. I am here to help you tolerate and accept your unwanted thoughts and feelings at the same time that you move toward the life you've always wanted to live. In a supportive, nonjudgmental environment, we will work together to make improvements, however small, in mood, thinking, relating, and coping. I believe there is a place for humor and play in therapy, even amidst the painful thoughts and feelings bound to arise.
Jordan Backstrom
Psychologist, MDiv, PsyD
Verified Verified
Ann Arbor, MI 48108
Waitlist for new clients
Are you finding it difficult to engage in activities that once brought joy and meaning to your life due to sadness, feelings of loss, or overwhelming worry? I help people reengage in valued activities and relationships, heal from trauma, and rediscover what is most important in their lives. My approach to therapy is relational and integrative. I employ behavioral health interventions, viewing these elements as tools that are best utilized in a broader person-centered context of physiological health and psychological wholeness.
Are you finding it difficult to engage in activities that once brought joy and meaning to your life due to sadness, feelings of loss, or overwhelming worry? I help people reengage in valued activities and relationships, heal from trauma, and rediscover what is most important in their lives. My approach to therapy is relational and integrative. I employ behavioral health interventions, viewing these elements as tools that are best utilized in a broader person-centered context of physiological health and psychological wholeness.
Diann Davis
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48105
Diann is a licensed clinical social worker who has over 30 years of experience of working with persons in need. She has worked in a variety of settings – traditional outpatient, partial hospitalization programs and inpatient settings, within Michigan, New York City and Louisville, KY. She has a strong background in working with individuals with substance use disorders and has also worked with individuals dealing with depression, anxiety, and a multitude of other mental health issues.
Diann is a licensed clinical social worker who has over 30 years of experience of working with persons in need. She has worked in a variety of settings – traditional outpatient, partial hospitalization programs and inpatient settings, within Michigan, New York City and Louisville, KY. She has a strong background in working with individuals with substance use disorders and has also worked with individuals dealing with depression, anxiety, and a multitude of other mental health issues.
Michael Linkevich
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48103
Is something out of balance in your life? With yourself? Your child? Your effectiveness as a parent? Your relationships? Life circumstances/transitions? If it is, please know that my way of practicing is to non-judgmentally understand what is going on--what area of your life is being negatively impacted. Then we can collaboratively work on establishing goals and a treatment plan. Whether it is Anxiety, OCD, Autism (including very young kids with autism), Depression/Bipolar, Behavior Problems, ADHD, Trauma or Insomnia, there is a way for you or your child to feel more in control, grounded and balanced.
Is something out of balance in your life? With yourself? Your child? Your effectiveness as a parent? Your relationships? Life circumstances/transitions? If it is, please know that my way of practicing is to non-judgmentally understand what is going on--what area of your life is being negatively impacted. Then we can collaboratively work on establishing goals and a treatment plan. Whether it is Anxiety, OCD, Autism (including very young kids with autism), Depression/Bipolar, Behavior Problems, ADHD, Trauma or Insomnia, there is a way for you or your child to feel more in control, grounded and balanced.
Hannah Walker
Licensed Professional Counselor, MA, LPC
Verified Verified
Ann Arbor, MI 48105
Not accepting new clients
“If anyone knew my true financial situation, they would be appalled." “It feels like I’m in a pit that I can’t climb out of.” “Budgets don't work for me.” Have you ever said or thought these things to yourself? I have. I’ve been where you are. My journey to become a Licensed Professional Counselor began as a result of my own money story. I specialize in Financial Therapy, a process that helps people think, feel, communicate, and behave differently with money. I began my journey as a financial coach. Instead of coaching people with budget blunders, I discovered that disorganized finances cause deep emotional pain.
“If anyone knew my true financial situation, they would be appalled." “It feels like I’m in a pit that I can’t climb out of.” “Budgets don't work for me.” Have you ever said or thought these things to yourself? I have. I’ve been where you are. My journey to become a Licensed Professional Counselor began as a result of my own money story. I specialize in Financial Therapy, a process that helps people think, feel, communicate, and behave differently with money. I began my journey as a financial coach. Instead of coaching people with budget blunders, I discovered that disorganized finances cause deep emotional pain.
Lynn Frances Cartwright
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48103 (Online Only)
I have experience with treating clients with a variety of diagnoses including Depression, Anxiety Disorder, Bi-polar Disorder, Borderline Personality Disorder, Obsessive-Compulsive Disorder, Sexuality Issues, Transgender issues, Substance Abuse, Psychosis, Behavioral and Parenting Issues. I've worked in the Behavioral Health Unit of a local hospital for the past several years and have practiced in clinics in urban and rural areas. I have seen clients from a variety of educational backgrounds including higher education such as teachers and professors. At this time, I am seeing patients by telehealth only.
I have experience with treating clients with a variety of diagnoses including Depression, Anxiety Disorder, Bi-polar Disorder, Borderline Personality Disorder, Obsessive-Compulsive Disorder, Sexuality Issues, Transgender issues, Substance Abuse, Psychosis, Behavioral and Parenting Issues. I've worked in the Behavioral Health Unit of a local hospital for the past several years and have practiced in clinics in urban and rural areas. I have seen clients from a variety of educational backgrounds including higher education such as teachers and professors. At this time, I am seeing patients by telehealth only.
Cait Hanley Rominski
Clinical Social Work/Therapist, LMSW, LLC
Verified Verified
Ann Arbor, MI 48103 (Online Only)
Welcome! I specialize in therapy for adults who are interested in digging into their relational history, anxiety, or parenting. Over the years, I have transitioned from working with children to working with adults. My strong understanding of child development helps me support adult clients in making sense of their early years and changing patterns that are no longer serving them. I often work with parents who want to parent in a way that is different than how they were parented and new parents who are feeling overwhelmed. I also enjoy supporting individuals who are having difficulties in their relationships.
Welcome! I specialize in therapy for adults who are interested in digging into their relational history, anxiety, or parenting. Over the years, I have transitioned from working with children to working with adults. My strong understanding of child development helps me support adult clients in making sense of their early years and changing patterns that are no longer serving them. I often work with parents who want to parent in a way that is different than how they were parented and new parents who are feeling overwhelmed. I also enjoy supporting individuals who are having difficulties in their relationships.
Jessica (Jessie) G Katz
Clinical Social Work/Therapist, LLMSW, JD
Verified Verified
1 Endorsed
Ann Arbor, MI 48105
I’m so glad you’re here! If you’re anything like me, your path to this space had a lot of twists and turns, a lot of ups and downs, and maybe even a few accidents. You may be wondering how you got to this point and how to get back on a path that has meaning for you. You may be wondering how to decide what to do next. You’re looking for someone who will hear you, meet you where you are, and help you sort through the chaos with no judgment.
I’m so glad you’re here! If you’re anything like me, your path to this space had a lot of twists and turns, a lot of ups and downs, and maybe even a few accidents. You may be wondering how you got to this point and how to get back on a path that has meaning for you. You may be wondering how to decide what to do next. You’re looking for someone who will hear you, meet you where you are, and help you sort through the chaos with no judgment.
Claire Bensen
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
I work to create an affirming space to explore yourself and your identity, to process your emotions and experiences, and to support you in difficult moments, including navigating conflict with family and friends. My ideal client is someone motivated to participate in weekly therapy who wants to put in a focused effort to learn to utilize coping skills, self-reflection, and process difficult emotions and experiences. My goal as a therapist is to create a safe, supportive, and empowering environment where you feel comfortable to express yourself fully.
I work to create an affirming space to explore yourself and your identity, to process your emotions and experiences, and to support you in difficult moments, including navigating conflict with family and friends. My ideal client is someone motivated to participate in weekly therapy who wants to put in a focused effort to learn to utilize coping skills, self-reflection, and process difficult emotions and experiences. My goal as a therapist is to create a safe, supportive, and empowering environment where you feel comfortable to express yourself fully.
Breanna Greer
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
Ann Arbor, MI 48105
Not accepting new clients
Does your child have worries, sadness or angry outbursts that leave you speechless and frustrated? Or maybe you or your child have experienced something painful and difficult that leaves you feeling hopeless about the future. You might find your own anger, depression, or anxiety increasing as you try to understand your child or your own reactions to stress. We all strive to experience peace in our families and inside ourselves. I will assist you in developing confidence in your personal choices or your parenting choices so you can experience more happiness and success in your life.
Does your child have worries, sadness or angry outbursts that leave you speechless and frustrated? Or maybe you or your child have experienced something painful and difficult that leaves you feeling hopeless about the future. You might find your own anger, depression, or anxiety increasing as you try to understand your child or your own reactions to stress. We all strive to experience peace in our families and inside ourselves. I will assist you in developing confidence in your personal choices or your parenting choices so you can experience more happiness and success in your life.
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Limited Licensed Psychologist, MA, LLP
Verified Verified
Ann Arbor, MI 48104
Are you ready to express yourself authentically? Are you interested in challenging self limiting beliefs and ways of being, reducing depressed mood or relieving anxiety? Are you open to examining relationship dynamics and patterns of behavior that no longer serve you? With over 20 years of experience as a psychotherapist, I am ready to work with you. I support people with all kinds of issues, and I treat each person with respect and dignity, whatever your background, religion, ethnicity, ability or gender orientation. I will accept you as you are now, and from there we can begin. LGBTQ +
Are you ready to express yourself authentically? Are you interested in challenging self limiting beliefs and ways of being, reducing depressed mood or relieving anxiety? Are you open to examining relationship dynamics and patterns of behavior that no longer serve you? With over 20 years of experience as a psychotherapist, I am ready to work with you. I support people with all kinds of issues, and I treat each person with respect and dignity, whatever your background, religion, ethnicity, ability or gender orientation. I will accept you as you are now, and from there we can begin. LGBTQ +
Amy Naylor
Clinical Social Work/Therapist, BSpsych, BSW, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48103 (Online Only)
Change takes courage and each struggle is unique to the individual. My goal as a therapist is to provide clients with a safe judgement-free space to address those individual struggles and create goal-oriented strategies to foster change. Always working from a holistic, person centered, strengths-based perspective, I hope to offer clients new perspectives, healthy coping techniques and the support needed along the journey of healing and empowerment. I have experience working with adult individuals as well as couples of various identities and/or orientations. I am excited to meet you and look forward to working together.
Change takes courage and each struggle is unique to the individual. My goal as a therapist is to provide clients with a safe judgement-free space to address those individual struggles and create goal-oriented strategies to foster change. Always working from a holistic, person centered, strengths-based perspective, I hope to offer clients new perspectives, healthy coping techniques and the support needed along the journey of healing and empowerment. I have experience working with adult individuals as well as couples of various identities and/or orientations. I am excited to meet you and look forward to working together.
Nicole Rowe
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48104 (Online Only)
We're going to laugh too. Unless you prefer a more serious tone, I can do that too. What's your story? I'll be here to listen and guide your work on whatever brought you here today. Maybe it's something small that you need to speak out loud in a safe space or maybe it's something huge, like grief, we can talk about that too. Are there feelings or thoughts you just can’t shake lately? Are your relationships becoming challenging? Are you wanting to create new habits and ditch old ones? Reach out via email, and let's see if we're a good match.
We're going to laugh too. Unless you prefer a more serious tone, I can do that too. What's your story? I'll be here to listen and guide your work on whatever brought you here today. Maybe it's something small that you need to speak out loud in a safe space or maybe it's something huge, like grief, we can talk about that too. Are there feelings or thoughts you just can’t shake lately? Are your relationships becoming challenging? Are you wanting to create new habits and ditch old ones? Reach out via email, and let's see if we're a good match.
Thrive Counseling and Support
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48104
Thrive Counseling provides a positive approach to mental, emotional and behavioral health. Our work is based on the belief that people want to lead meaningful and fulfilling lives. We work with clients to cultivate what is best within themselves, and to enhance their experiences of love, work and play. At Thrive Counseling, we offer individual, couples, and family therapy both in-person and through telehealth. We are committed to affordable, accessible, holistic, and culturally sensitive care and accept most insurance plans, as well as offer a sliding scale fee. Please review our website at thrivecounselinga2.com for more.
Thrive Counseling provides a positive approach to mental, emotional and behavioral health. Our work is based on the belief that people want to lead meaningful and fulfilling lives. We work with clients to cultivate what is best within themselves, and to enhance their experiences of love, work and play. At Thrive Counseling, we offer individual, couples, and family therapy both in-person and through telehealth. We are committed to affordable, accessible, holistic, and culturally sensitive care and accept most insurance plans, as well as offer a sliding scale fee. Please review our website at thrivecounselinga2.com for more.
Casey L O'Neill
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48103
Accepting new clients. My goal is to establish a safe, affirming & supportive therapeutic professional relationship. As I firmly believe the quality of the client-therapist relationship are crucial factors in the outcome of the therapeutic process & you reaching your goals. I believe in meeting people where they are at & that therapy is about helping you to discover the capacity that you already possess to create change in your life. I work with adults across the lifespan with a diverse range of attraction, class, diagnoses, ethnicity, gender, races and religious/spiritual values.
Accepting new clients. My goal is to establish a safe, affirming & supportive therapeutic professional relationship. As I firmly believe the quality of the client-therapist relationship are crucial factors in the outcome of the therapeutic process & you reaching your goals. I believe in meeting people where they are at & that therapy is about helping you to discover the capacity that you already possess to create change in your life. I work with adults across the lifespan with a diverse range of attraction, class, diagnoses, ethnicity, gender, races and religious/spiritual values.
Hasan Atriss
Limited Licensed Psychologist, MA, TLLP
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
My own journey in mental health counseling has been shaped by my multicultural heritage and a deep commitment to supporting individuals facing various challenges. Growing up in Arizona as a multi-ethnic man, I learned about the importance of having a sense of belongingness, caring for others, being connected to community, having and offering emotinal safety, and valuing mental health despite cultural stigma around it. I approach therapy as a collaborative journey, drawing from a diverse range of therapeutic modalities to create a personalized and holistic approach for my clients. I am honored to be of service to my clients.
My own journey in mental health counseling has been shaped by my multicultural heritage and a deep commitment to supporting individuals facing various challenges. Growing up in Arizona as a multi-ethnic man, I learned about the importance of having a sense of belongingness, caring for others, being connected to community, having and offering emotinal safety, and valuing mental health despite cultural stigma around it. I approach therapy as a collaborative journey, drawing from a diverse range of therapeutic modalities to create a personalized and holistic approach for my clients. I am honored to be of service to my clients.
Wendy L Thompson
Psychologist, PhD, LP, Fully, License
Verified Verified
Ann Arbor, MI 48104
Are you feeling sad, depressed, worried, fighting, arguing, anxious, feeling stuck, unhappy, having communication issues, inattention, concentration problems, social skills problems, low self confidence, relationship problems, or need crisis intervention? Have you experienced trauma? Do you want to enhance peek performance in sports or everyday life with the development of mental skills (concentration, imagery, self talk, etc.)? I worked with a diversity of problems including parenting skills, child behavior disorders, autism, marital discord, job finding skills, fears and nervous habits, stress, depression, assertiveness training, panic disorder, phobias, social skills deficit, emotional and behavioral problems. I specialize in cognitive behavior therapy.
Are you feeling sad, depressed, worried, fighting, arguing, anxious, feeling stuck, unhappy, having communication issues, inattention, concentration problems, social skills problems, low self confidence, relationship problems, or need crisis intervention? Have you experienced trauma? Do you want to enhance peek performance in sports or everyday life with the development of mental skills (concentration, imagery, self talk, etc.)? I worked with a diversity of problems including parenting skills, child behavior disorders, autism, marital discord, job finding skills, fears and nervous habits, stress, depression, assertiveness training, panic disorder, phobias, social skills deficit, emotional and behavioral problems. I specialize in cognitive behavior therapy.
Reid Depowski-Knowles
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48105
Searching for a therapist takes tremendous courage, even if you have experienced therapy before. I would be happy to walk with you on your own personal journey of life & mental health. It is a privilege to help people realize their inner strengths and innate problem-solving skills, even in the darkest of times. My past experience is working on a psychiatric inpatient unit, where I developed my ability to form relationships quickly to support people's recovery. I believe in the power of a strong therapeutic relationship to help people achieve their goals, and value relationships in all realms of life.
Searching for a therapist takes tremendous courage, even if you have experienced therapy before. I would be happy to walk with you on your own personal journey of life & mental health. It is a privilege to help people realize their inner strengths and innate problem-solving skills, even in the darkest of times. My past experience is working on a psychiatric inpatient unit, where I developed my ability to form relationships quickly to support people's recovery. I believe in the power of a strong therapeutic relationship to help people achieve their goals, and value relationships in all realms of life.
Selena Quintanilla
Counselor, LLPC
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
Hello and welcome! My name is Selena. Thank you for your interest in learning more about my work. The energy required to seek out and begin therapy is hard work, so I appreciate you being here. Please take the time to read about me and my specialties when determining if we would be a good fit together. I strive to provide every client with a safe and supportive environment to heal and grow. My professional experiences include working with children, adolescents, adults, and couples/families. I currently work with individuals 18+y/o through a variety of general mental health concerns, such as stress, anxiety and depression.
Hello and welcome! My name is Selena. Thank you for your interest in learning more about my work. The energy required to seek out and begin therapy is hard work, so I appreciate you being here. Please take the time to read about me and my specialties when determining if we would be a good fit together. I strive to provide every client with a safe and supportive environment to heal and grow. My professional experiences include working with children, adolescents, adults, and couples/families. I currently work with individuals 18+y/o through a variety of general mental health concerns, such as stress, anxiety and depression.
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How does your Therapist compare?
Number of Therapists in Ann Arbor, MI
1,000+
Average cost per session
$150
Therapists in Ann Arbor, MI who prioritize treating:
92% | Anxiety |
88% | Depression |
77% | Self Esteem |
75% | Relationship Issues |
71% | Trauma and PTSD |
70% | Stress |
69% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
93% | BlueCross and BlueShield |
55% | Blue Care Network |
46% | Aetna |
How Therapists in Ann Arbor, MI see their clients
63% | In Person and Online | |
37% | Online Only |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Ann Arbor?
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
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.
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.
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.