Therapists in Silver Spring, MD
Carol Lee Hilewick Phd
Psychologist, PhD
Verified Verified
Silver Spring, MD 20902
My goal is to help patients learn to be responders and to be in charge of themselves. Throughout treatment, a functional medicine approach is employed. Care collaboration is valued. Patients with cognitive, emotional, and behavioral challenges benefit from a variety of cognitive behavioral, neurobehavioral, and psychophysiological modalities. Patients with such conditions as emotional and physical trauma, chronic pain, addictions, brain injuries and disorders (autism, Asperger's, ADD/ADHD, motor and balance challenges, for example), sleep disorders, anxiety, and depression are treated. Individuals with neurological, autoimmune, metabolic, endocrinological, and other complex medical conditions find that the treatment modalities promote healing.
My goal is to help patients learn to be responders and to be in charge of themselves. Throughout treatment, a functional medicine approach is employed. Care collaboration is valued. Patients with cognitive, emotional, and behavioral challenges benefit from a variety of cognitive behavioral, neurobehavioral, and psychophysiological modalities. Patients with such conditions as emotional and physical trauma, chronic pain, addictions, brain injuries and disorders (autism, Asperger's, ADD/ADHD, motor and balance challenges, for example), sleep disorders, anxiety, and depression are treated. Individuals with neurological, autoimmune, metabolic, endocrinological, and other complex medical conditions find that the treatment modalities promote healing.
Janeen Cross
Clinical Social Work/Therapist, DSW, MBA, LCSW
Verified Verified
Silver Spring, MD 20910 (Online Only)
This group practice provides treatment for depression, anxiety, trauma, loss, grief, health related challenges and other disorders. We are a diverse group of clinicians providing client-focused, family-centered, and trauma-informed care. This practice also provides mental health first aid certification for organizations and groups.
This group practice provides treatment for depression, anxiety, trauma, loss, grief, health related challenges and other disorders. We are a diverse group of clinicians providing client-focused, family-centered, and trauma-informed care. This practice also provides mental health first aid certification for organizations and groups.
Karin M Senft
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Silver Spring, MD 20910 (Online Only)
Life events and transitions can hit you hard. You don’t have to keep putting yourself last, feeling guilty for not meeting expectations, or let the fear of failure or change keep you stuck. Are you starting/ending a relationship, beginning/graduating from school, having a child, making a job/career change, grieving, managing chronic illness, or experiencing any other change/interpersonal stress? You can build resiliency and believe you are worthy of the life you want by learning simple coping skills to practice your values, self-compassion, and gain new perspective. You are already taking a brave step forward by seeking help.
Life events and transitions can hit you hard. You don’t have to keep putting yourself last, feeling guilty for not meeting expectations, or let the fear of failure or change keep you stuck. Are you starting/ending a relationship, beginning/graduating from school, having a child, making a job/career change, grieving, managing chronic illness, or experiencing any other change/interpersonal stress? You can build resiliency and believe you are worthy of the life you want by learning simple coping skills to practice your values, self-compassion, and gain new perspective. You are already taking a brave step forward by seeking help.
Michael W. Bulger, Ph.D.
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
I believe our most troubling attitudes and behavior are meant to protect us from real emotional threats or to help us achieve certain experiences that are vital to our growth. I help clients understand their experiences in the world in terms of these important functions. In dialogue with me clients come to recognize how their most important relationships have shaped the way they think, feel, and act in both desirable and undesirable ways. I strive to help clients discern their authentic needs, desires, and values so they can assert them with conviction in their daily lives.
I believe our most troubling attitudes and behavior are meant to protect us from real emotional threats or to help us achieve certain experiences that are vital to our growth. I help clients understand their experiences in the world in terms of these important functions. In dialogue with me clients come to recognize how their most important relationships have shaped the way they think, feel, and act in both desirable and undesirable ways. I strive to help clients discern their authentic needs, desires, and values so they can assert them with conviction in their daily lives.
Constance E. Cannon
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
In a space of warmth, comfort and acceptance, I offer you an experienced therapist who listens closely, actively, inquisitively- with the goal of helping you to feel heard and understood. I strive to help form the questions that need to be asked, to discern that which is in your control, to divine the source of your pain, and to use humor, laughter, tears and plain talk to make sense of your world; to motivate and help create an authentic healthier you. Over a 30 year career, I've acquired experience that includes: counseling and therapy, program management, training and consultation.
In a space of warmth, comfort and acceptance, I offer you an experienced therapist who listens closely, actively, inquisitively- with the goal of helping you to feel heard and understood. I strive to help form the questions that need to be asked, to discern that which is in your control, to divine the source of your pain, and to use humor, laughter, tears and plain talk to make sense of your world; to motivate and help create an authentic healthier you. Over a 30 year career, I've acquired experience that includes: counseling and therapy, program management, training and consultation.
Aron Carlson
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
2 Endorsed
Silver Spring, MD 20910
Many challenges in life can feel like they are uniquely yours to bear alone; however, this is rarely the case. People visit me concerned about how they feel and function in key life and professional relationships. I have worked with individuals, couples, and families on a variety of overlapping issues such as anxiety and depression, self-esteem, parenting children with special needs, setting limits with adult children, work/life balance issues, and sexual desire issues in committed relationships. Often these issues can be helped by addressing the common denominator of individual development within a family or relationship system.
Many challenges in life can feel like they are uniquely yours to bear alone; however, this is rarely the case. People visit me concerned about how they feel and function in key life and professional relationships. I have worked with individuals, couples, and families on a variety of overlapping issues such as anxiety and depression, self-esteem, parenting children with special needs, setting limits with adult children, work/life balance issues, and sexual desire issues in committed relationships. Often these issues can be helped by addressing the common denominator of individual development within a family or relationship system.
Holley and Associates, Inc.
Clinical Social Work/Therapist, LICSW, LCSW-C, LCSW VA, LCSW IL
Verified Verified
Silver Spring, MD 20905 (Online Only)
"Let today be your best day ever” At Holley and Associates Inc., we provide mental health treatment for individuals and families. All treatment is done in the context of family...even a family of one. We will help you be the best YOU you can be. If you want to make a change, we want to help you. Call us"
"Let today be your best day ever” At Holley and Associates Inc., we provide mental health treatment for individuals and families. All treatment is done in the context of family...even a family of one. We will help you be the best YOU you can be. If you want to make a change, we want to help you. Call us"
Dana Payes
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910 (Online Only)
Welcome and thank you for taking the time to visit my page! Whether you are just beginning your therapy journey, find yourself searching for help with continued healing or are you getting back in touch with yourself after time away from therapy, I would like to be there for you to help! I work with clients aged preteen-adulthood who have experienced trauma, mood disorders, ADHD, and learning disabilities. Additionally, I work with individuals in transitional life stages and caregivers who want to work through challenges in parenting/caretaking and also hope to prioritize their own mental health or life challenges.
Welcome and thank you for taking the time to visit my page! Whether you are just beginning your therapy journey, find yourself searching for help with continued healing or are you getting back in touch with yourself after time away from therapy, I would like to be there for you to help! I work with clients aged preteen-adulthood who have experienced trauma, mood disorders, ADHD, and learning disabilities. Additionally, I work with individuals in transitional life stages and caregivers who want to work through challenges in parenting/caretaking and also hope to prioritize their own mental health or life challenges.
Dr. Kara Goobic
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
I have been described as a down-to-earth psychologist who integrates humor and compassion with a pragmatic, problem-solving approach to help clients reach their goals. I provide psychotherapeutic services to adults with autism spectrum, attention deficit, and other co-occurring disorders. My work involves concrete, structured interventions along with support and guidance that can be utilized in different settings. As a specialist in autism spectrum disorders, I also conduct autism spectrum evaluations for adults.
I have been described as a down-to-earth psychologist who integrates humor and compassion with a pragmatic, problem-solving approach to help clients reach their goals. I provide psychotherapeutic services to adults with autism spectrum, attention deficit, and other co-occurring disorders. My work involves concrete, structured interventions along with support and guidance that can be utilized in different settings. As a specialist in autism spectrum disorders, I also conduct autism spectrum evaluations for adults.
Saryn Levy
Psychologist, PhD
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Individuals frequently find themselves feeling stuck: in seemingly repeating patterns, with symptoms of anxiety and depression, or with pain from the past. Whether you are struggling in your connection with yourself and others, in your relationship with food and your body, or in your processing of past trauma and hurt, I believe that a warm and collaborative therapeutic relationship can facilitate healing, growth, and change.
Individuals frequently find themselves feeling stuck: in seemingly repeating patterns, with symptoms of anxiety and depression, or with pain from the past. Whether you are struggling in your connection with yourself and others, in your relationship with food and your body, or in your processing of past trauma and hurt, I believe that a warm and collaborative therapeutic relationship can facilitate healing, growth, and change.
Barbara Frame Logan
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20910 (Online Only)
Emotional growth is a lifelong process. Sometimes we get weighed down by old scripts or events that have left emotional scars. I draw on 40 years of accumulated wisdom from clinical practice to help patients navigate life's challenges, including grief, life transitions, parenthood, and challenging family-of-origin issues. A practical, interactive therapist, I bring humor, compassion and a good analytic skill set to my work. I'm trained in relaxation techniques, cognitive behavioral therapy, and structural family therapy. I have extensive experience working with clients of all ages.
Emotional growth is a lifelong process. Sometimes we get weighed down by old scripts or events that have left emotional scars. I draw on 40 years of accumulated wisdom from clinical practice to help patients navigate life's challenges, including grief, life transitions, parenthood, and challenging family-of-origin issues. A practical, interactive therapist, I bring humor, compassion and a good analytic skill set to my work. I'm trained in relaxation techniques, cognitive behavioral therapy, and structural family therapy. I have extensive experience working with clients of all ages.
15 Second Videos
Rachel Phillips-Anderson
Albena Tzaneff
Cj Seitz-Brown
Natasha Deen
Lizzie Liu
Restore Tranquility, LLC
Hannah Wilson
Bola Fanilola
Intrapersonal Commitment to Wellness, LLC
Bee Sanders
Sonja Harrison
Richard Kim Davenport
Good Health Practices
Zoe Zollinger
Anneke Vandenbroek Ph.d.; Abpp
Moses M Kushaba
Sophia Rizvi
Jon Mossberg
Crystal Thorpe
Healing-Circle, LLC
Cindy Cruz
Teneisha McIntyre
O.R.E And Associates, LLC
Julie Bulitt
Bridges 2 LIFE, LLC
Gabrielle Edenbaum
Carla Carreira
Maura Mulloy
Jeremy Mohler
Scott Levson
Mairead Burke
Dr Savage PsyD LLC
Esther Ungar
Braquelle Murphy Certified Emdr Therapist
Richard (Pinny) Roth @ Eft Center
Jennifer L Pauk
Dr. Mitch and Lisa Marriages/Couples Workshops
Alan Kutner
Elizabeth Gordon
Chelsea Tadesse
Kal Zeryihun
Siehda Parker
Cynthia Kohler
Kylie Stevenson
Kayla Wallington
Rebecca Austin
Reese Reed
Wendy-Nia Griffin
Sophie Hans
Restorative Focus Counseling
Ron Kelly
Psychologist, PsyD
Verified Verified
1 Endorsed
Silver Spring, MD 20910 (Online Only)
I believe that when problems surface, people do the best they can to cope. Therapy provides a way to increase our coping skills and can give us a sense of relief. With my empathetic style and collaborative problem-solving approach, I can help you create the kind of life you have always imagined for yourself. I seek to empower people with the tools and skills that they need to understand, confront, cope with and manage their life stressors. You'll gain important skills to cope with stress, manage troublesome feelings and improve relationships.
I believe that when problems surface, people do the best they can to cope. Therapy provides a way to increase our coping skills and can give us a sense of relief. With my empathetic style and collaborative problem-solving approach, I can help you create the kind of life you have always imagined for yourself. I seek to empower people with the tools and skills that they need to understand, confront, cope with and manage their life stressors. You'll gain important skills to cope with stress, manage troublesome feelings and improve relationships.
Kristie Trahan
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20906
Waitlist for new clients
What if I told you that you can stop having anxiety, intrusive thoughts or that pit in your stomach feeling? You might think, ‘Doesn’t everyone feel like this? This is just life, right?’ The answer is no! You don’t have to carry this yuck around with you anymore. Change is possible with EMDR therapy. We all have life experiences that impact us in minor and major ways that leave a lasting impression on us. Imagine a life where you have lessened anxiety or depression symptoms. You can have less inner conflict, better decision making, and enhanced self-control.
What if I told you that you can stop having anxiety, intrusive thoughts or that pit in your stomach feeling? You might think, ‘Doesn’t everyone feel like this? This is just life, right?’ The answer is no! You don’t have to carry this yuck around with you anymore. Change is possible with EMDR therapy. We all have life experiences that impact us in minor and major ways that leave a lasting impression on us. Imagine a life where you have lessened anxiety or depression symptoms. You can have less inner conflict, better decision making, and enhanced self-control.
Anne Kim
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20904 (Online Only)
I have experience working with clients ages from 5 to 105. I have worked at elementary school working with children, middle school & high school working with teens, university students working with young adults, community mental health centers working with adults, and a hospice setting working with mostly elders, providing individual, couples, family, group-therapy including bereavement counseling. I have enjoyed working with clients at every human development stages and learn to respect every one of my clients in the process of supporting them.
I have experience working with clients ages from 5 to 105. I have worked at elementary school working with children, middle school & high school working with teens, university students working with young adults, community mental health centers working with adults, and a hospice setting working with mostly elders, providing individual, couples, family, group-therapy including bereavement counseling. I have enjoyed working with clients at every human development stages and learn to respect every one of my clients in the process of supporting them.
Dr. Diamond Clark
Marriage & Family Therapist, EdD, LMFT, LCMFT
Verified Verified
Silver Spring, MD 20910 (Online Only)
Are you looking for a therapist to provide a safe space of respect and transparency? I specialize in unique relationship dynamics dedicated to supporting individuals, couples, and diverse relationships on their journey towards growth, understanding, and fulfillment. I embrace and celebrate the unique tapestry of human connections. Whether you identify as monogamous, non-monogamous, polyamorous, or belong to the LGBTQIA+ community, my practice is open and affirming. Here, you can explore challenges, strengthen connections, and foster a deep sense of self-acceptance.
Are you looking for a therapist to provide a safe space of respect and transparency? I specialize in unique relationship dynamics dedicated to supporting individuals, couples, and diverse relationships on their journey towards growth, understanding, and fulfillment. I embrace and celebrate the unique tapestry of human connections. Whether you identify as monogamous, non-monogamous, polyamorous, or belong to the LGBTQIA+ community, my practice is open and affirming. Here, you can explore challenges, strengthen connections, and foster a deep sense of self-acceptance.
Kemi Ajenifuja
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Silver Spring, MD 20910 (Online Only)
I believe undoing aloneness and establishing safety and trust is a crucial part of the therapeutic relationship. There's something about being listened to with unconditional positive regard that is healing. As a therapist at Hope's Helping Hands, LLC, my goal is to provide a space for you to explore and make sense of your thoughts, emotions and experiences freely. It is possible for you to uncover your inner strength and shift from emotional suffering to emotional prosperity. With my warm and non judgmental approach, we can work together to build skills that will help you thrive in your relationship with yourself and with others.
I believe undoing aloneness and establishing safety and trust is a crucial part of the therapeutic relationship. There's something about being listened to with unconditional positive regard that is healing. As a therapist at Hope's Helping Hands, LLC, my goal is to provide a space for you to explore and make sense of your thoughts, emotions and experiences freely. It is possible for you to uncover your inner strength and shift from emotional suffering to emotional prosperity. With my warm and non judgmental approach, we can work together to build skills that will help you thrive in your relationship with yourself and with others.
Saba Wong
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Silver Spring, MD 20910 (Online Only)
Saba is a compassionate, person-centered therapist who creates a warm and safe environment for her clients to express themselves freely and without judgement. Saba’s goal is to help others feel heard, empowered, and valued. Saba has extensive experience working with children and adults who have experienced anxiety, depression, and trauma.
Saba is a compassionate, person-centered therapist who creates a warm and safe environment for her clients to express themselves freely and without judgement. Saba’s goal is to help others feel heard, empowered, and valued. Saba has extensive experience working with children and adults who have experienced anxiety, depression, and trauma.
Wholesome Minds, LLC.
Psychologist, PsyD, PhD, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20901 (Online Only)
We are a group practice of licensed clinical psychologists and social workers. Collectively, we have experience covering the developmental lifespan from assessing and treating young children with behavioral and learning concerns to working with adolescents and (young and older) adult clients who have issues navigating anxiety, depression, PTSD, significant life stressors, and life transitions. Our focus is to help individuals heal, energize, and become aware of their inner strengths. We work to achieve this by providing a safe space, listening to your concerns, and customizing an individualized treatment plan.
We are a group practice of licensed clinical psychologists and social workers. Collectively, we have experience covering the developmental lifespan from assessing and treating young children with behavioral and learning concerns to working with adolescents and (young and older) adult clients who have issues navigating anxiety, depression, PTSD, significant life stressors, and life transitions. Our focus is to help individuals heal, energize, and become aware of their inner strengths. We work to achieve this by providing a safe space, listening to your concerns, and customizing an individualized treatment plan.
Lissa Mantell
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW
Verified Verified
8 Endorsed
Silver Spring, MD 20910
It's time to help you connect to your best self. My goal is for you to feel heard, supported and able to look at your challenges and successes. I'm warm, kind and welcoming as a therapist. Together we'll create a safe space for you to look at where the problem(s) may lie, and come up with solutions that will work in your everyday life. Let's talk about how I can help you feel more satisfied and at peace in your life.
It's time to help you connect to your best self. My goal is for you to feel heard, supported and able to look at your challenges and successes. I'm warm, kind and welcoming as a therapist. Together we'll create a safe space for you to look at where the problem(s) may lie, and come up with solutions that will work in your everyday life. Let's talk about how I can help you feel more satisfied and at peace in your life.
Elliott Conklin
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
I am the Executive Director of the Kingsbury Wellness & Learning Group, a nonprofit serving families in the DC metropolitan area. I work with clients who are hitting a wall with frustration and discouragement. I help them cope with immense stress and responsibility, navigate difficult life changes, engage with their families, and recover a sense of purpose. For young people, this typically means developing greater independence and feeling more secure as their responsibilities expand. For adult clients, it often means reflecting on the direction of their lives to develop a better understanding of what to accept and what to change.
I am the Executive Director of the Kingsbury Wellness & Learning Group, a nonprofit serving families in the DC metropolitan area. I work with clients who are hitting a wall with frustration and discouragement. I help them cope with immense stress and responsibility, navigate difficult life changes, engage with their families, and recover a sense of purpose. For young people, this typically means developing greater independence and feeling more secure as their responsibilities expand. For adult clients, it often means reflecting on the direction of their lives to develop a better understanding of what to accept and what to change.
See more therapy options for Silver Spring
Nearby Searches for Silver Spring
How does your Therapist compare?
Number of Therapists in Silver Spring, MD
900+
Average cost per session
$160
Therapists in Silver Spring, MD who prioritize treating:
93% | Anxiety |
88% | Depression |
78% | Relationship Issues |
76% | Self Esteem |
69% | Coping Skills |
67% | Trauma and PTSD |
65% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
74% | CareFirst |
72% | BlueCross and BlueShield |
63% | Cigna and Evernorth |
How Therapists in Silver Spring, MD see their clients
54% | In Person and Online | |
46% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Silver Spring?
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.