Therapists in Raleigh, NC

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Photo of Dawn Bowes, LCSW Associate in Raleigh, NC
Dawn Bowes
LCSW Associate, MSW, LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27607  (Online Only)
Accepting New Clients - I believe that everyone deserves to be happy, healthy, and fulfilled in their work—and that's why my mission is simple: helping people create balance between their personal and professional lives. If you choose to work with me, I will be someone who can support you, encourage you to grow with self-discovery, guide you towards a greater sense of well-being, and help you feel empowered to manage life’s ups and downs
Accepting New Clients - I believe that everyone deserves to be happy, healthy, and fulfilled in their work—and that's why my mission is simple: helping people create balance between their personal and professional lives. If you choose to work with me, I will be someone who can support you, encourage you to grow with self-discovery, guide you towards a greater sense of well-being, and help you feel empowered to manage life’s ups and downs
(984) 230-9681 View (984) 230-9681
Photo of Sammantha Andes, Drug & Alcohol Counselor in Raleigh, NC
Sammantha Andes
Drug & Alcohol Counselor, MS, LCAS
Verified Verified
Raleigh, NC 27609  (Online Only)
I am a Licensed Clinical Addiction Specialist with 8 years of experience. I have worked with individuals at every stage of their addiction, including clients having difficulty recognizing they have a problem, knowing they have a problem but being unsure if they want to do something about it, actively making steps towards recovery, and being in recovery. I also have experience working with clients that use substances to cope with their anxiety, depression, trauma, self-esteem, and life changes (such as becoming a new parent, getting a new job, and losing a loved one).
I am a Licensed Clinical Addiction Specialist with 8 years of experience. I have worked with individuals at every stage of their addiction, including clients having difficulty recognizing they have a problem, knowing they have a problem but being unsure if they want to do something about it, actively making steps towards recovery, and being in recovery. I also have experience working with clients that use substances to cope with their anxiety, depression, trauma, self-esteem, and life changes (such as becoming a new parent, getting a new job, and losing a loved one).
(919) 626-9072 View (919) 626-9072
Photo of Claire Costello, Pre-Licensed Professional in Raleigh, NC
Claire Costello
Pre-Licensed Professional
Verified Verified
Raleigh, NC 27614  (Online Only)
I believe everyone deserves to feel acknowledged, understood, and supported in effecting desired changes in their lives. I work with adult individuals who are navigating transitional life periods, identity issues, processing existential questions, grief, and the end-of-life. I have a particular passion for working with queer, trans, monogamous individuals, and political activists and organizers.
I believe everyone deserves to feel acknowledged, understood, and supported in effecting desired changes in their lives. I work with adult individuals who are navigating transitional life periods, identity issues, processing existential questions, grief, and the end-of-life. I have a particular passion for working with queer, trans, monogamous individuals, and political activists and organizers.
(984) 231-8955 View (984) 231-8955
Photo of Hallie Barnhill, Marriage & Family Therapist Associate in Raleigh, NC
Hallie Barnhill
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Raleigh, NC 27609
Are you feeling lost and unsure where to start? Are you living in the past and want help processing in order to begin healing? Are you unsatisfied and having difficulty with the relationships in your life? Are you undergoing a life transition and struggling to cope with the changes? Are you having a hard time loving yourself? Are you struggling to develop a positive body image? I am here to collaboratively work through whatever challenges you may be facing by providing the space and support for you to heal and grow. Whatever you may be going through - change is possible.
Are you feeling lost and unsure where to start? Are you living in the past and want help processing in order to begin healing? Are you unsatisfied and having difficulty with the relationships in your life? Are you undergoing a life transition and struggling to cope with the changes? Are you having a hard time loving yourself? Are you struggling to develop a positive body image? I am here to collaboratively work through whatever challenges you may be facing by providing the space and support for you to heal and grow. Whatever you may be going through - change is possible.
(919) 739-3148 View (919) 739-3148
Photo of Tabre'a Sledge, Clinical Social Work/Therapist in Raleigh, NC
Tabre'a Sledge
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27615
My name is TaBre’a (Tuh-Bree-Yuh), I’m a Maryland native and moved to North Carolina in 2022. I have been in the social work field since 2018 and have had the privilege of supporting many communities and colorful walks of life. If I am not snuggling with my baby girl, you can find me tuned into a good podcast or cooking some of my favorite meals. I believe that everyone has a story to tell, and I want to hear as many as I can. In a loud world where you might feel silenced, I hear you. I have a master’s degree in social work from Salisbury University. I am presently enrolled at Walden University for my Ph.D. in Human Services.
My name is TaBre’a (Tuh-Bree-Yuh), I’m a Maryland native and moved to North Carolina in 2022. I have been in the social work field since 2018 and have had the privilege of supporting many communities and colorful walks of life. If I am not snuggling with my baby girl, you can find me tuned into a good podcast or cooking some of my favorite meals. I believe that everyone has a story to tell, and I want to hear as many as I can. In a loud world where you might feel silenced, I hear you. I have a master’s degree in social work from Salisbury University. I am presently enrolled at Walden University for my Ph.D. in Human Services.
(984) 600-6883 View (984) 600-6883
Photo of Steve Sutton, Licensed Professional Counselor in Raleigh, NC
Steve Sutton
Licensed Professional Counselor, LCMHC, MS
Verified Verified
Raleigh, NC 27612
I can assist you with many personal issues, self-growth, life transitions and more. I interactively work with you in a holistically person-centered and solution-focused way and regularly use mindfulness and heartfulness, which not only improves self-awareness/acceptance and coping but also promotes personal growth, healing and lasting solutions. In this way, I encourage you to have independence, increase trust in yourself and make confident and effective choices in your life. My interest includes empowering my clients to be their truest self in the present so to maintain inner peace while also accessing their potential and goals.
I can assist you with many personal issues, self-growth, life transitions and more. I interactively work with you in a holistically person-centered and solution-focused way and regularly use mindfulness and heartfulness, which not only improves self-awareness/acceptance and coping but also promotes personal growth, healing and lasting solutions. In this way, I encourage you to have independence, increase trust in yourself and make confident and effective choices in your life. My interest includes empowering my clients to be their truest self in the present so to maintain inner peace while also accessing their potential and goals.
(984) 205-1711 View (984) 205-1711
Photo of Finding Enough, Eve Cribbs, LCSW, Clinical Social Work/Therapist in Raleigh, NC
Finding Enough, Eve Cribbs, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Raleigh, NC 27605
Do you obsess about food, dieting, body image and exercise? Are you feeling ashamed and depressed despite your attempts to stop this behavior? If you can relate, help is available. I have been working with adults who have eating disorders, anxiety and depression for over 30 years and would love to work with you. If you are motivated and have had enough of your struggle with food, body and exercise then getting to the heart of the problem with my help will surely bring about the changes you are looking for.
Do you obsess about food, dieting, body image and exercise? Are you feeling ashamed and depressed despite your attempts to stop this behavior? If you can relate, help is available. I have been working with adults who have eating disorders, anxiety and depression for over 30 years and would love to work with you. If you are motivated and have had enough of your struggle with food, body and exercise then getting to the heart of the problem with my help will surely bring about the changes you are looking for.
(919) 299-0251 View (919) 299-0251
Photo of Emily Steel in Raleigh, NC
Emily Steel
MA, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
Not accepting new clients
I specialize in working with 3 types of clients; couples who are struggling in their relationships feeling like no matter what they say it starts an argument, couples who don't need therapy but want to make sure their marriage is rock solid for when life throws stressers their way, and individuals who struggle with anxiety. If you feel like you're struggling with coping with perfectionism, boundaries, communication, or just can't seem to turn your brain off; I can help. I understand that every individual and marriage is unique therefore, I utilize a plethora of coping skills to assist you in achieving your goals in therapy.
I specialize in working with 3 types of clients; couples who are struggling in their relationships feeling like no matter what they say it starts an argument, couples who don't need therapy but want to make sure their marriage is rock solid for when life throws stressers their way, and individuals who struggle with anxiety. If you feel like you're struggling with coping with perfectionism, boundaries, communication, or just can't seem to turn your brain off; I can help. I understand that every individual and marriage is unique therefore, I utilize a plethora of coping skills to assist you in achieving your goals in therapy.
(910) 240-3822 View (910) 240-3822
Photo of Kristyn Martinez, Licensed Clinical Mental Health Counselor in Raleigh, NC
Kristyn Martinez
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Raleigh, NC 27601  (Online Only)
Kristyn Martinez is a Licensed Mental Health Counselor (LMHC) with over 6 years of professional experience. She specializes in working with all adults looking to focus on identifying, healing, and learning to cope with anxiety, depression, OCD, stressors in life, work-life balancing, body image, or single motherhood. Kristyn also specializes in helping clients learn to be successful with bipolar, psychosis, dissociative, and mood disorders. In addition, she is a military spouse with first-hand knowledge of life's many stressors.
Kristyn Martinez is a Licensed Mental Health Counselor (LMHC) with over 6 years of professional experience. She specializes in working with all adults looking to focus on identifying, healing, and learning to cope with anxiety, depression, OCD, stressors in life, work-life balancing, body image, or single motherhood. Kristyn also specializes in helping clients learn to be successful with bipolar, psychosis, dissociative, and mood disorders. In addition, she is a military spouse with first-hand knowledge of life's many stressors.
(984) 205-2699 View (984) 205-2699
Photo of Nate Day, Marriage & Family Therapist Associate in Raleigh, NC
Nate Day
Marriage & Family Therapist Associate, LMFTA, MDiv
Verified Verified
1 Endorsed
Raleigh, NC 27607
Is life leaving you exhausted? Or does it seem hope is difficult to come by? If you’re looking for an encouraging, collaborative presence that is professionally trained to walk through various life troubles, I would much look forward to hearing from you. People describe me as open, honest, easy to talk to, relatable, and hard-working. I enjoy the privilege of working with children, seeing the world through their eyes, and helping them to know and express themselves in a way that helps get their needs met.
Is life leaving you exhausted? Or does it seem hope is difficult to come by? If you’re looking for an encouraging, collaborative presence that is professionally trained to walk through various life troubles, I would much look forward to hearing from you. People describe me as open, honest, easy to talk to, relatable, and hard-working. I enjoy the privilege of working with children, seeing the world through their eyes, and helping them to know and express themselves in a way that helps get their needs met.
(919) 823-3971 View (919) 823-3971
Photo of Christine Duffy-Gill, Clinical Social Work/Therapist in Raleigh, NC
Christine Duffy-Gill
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27607
Not accepting new clients
Not your traditional therapy... With nearly 20 years of counseling experience, I use state-of-the-art, evidence-based mental health treatments, such as EMDR and CBT, to help clients make changes to become happier and healthier. Evidenced based therapies, combined with genuine compassion and care, allow clients to get better quicker and with fewer therapy sessions. I have training in multiple evidenced based therapies that I use to treat adults who are experiencing a wide range of mental health difficulties, with a focus on treating trauma, depression, and anxiety. Please visit provenprogesscounseling.com for more information.
Not your traditional therapy... With nearly 20 years of counseling experience, I use state-of-the-art, evidence-based mental health treatments, such as EMDR and CBT, to help clients make changes to become happier and healthier. Evidenced based therapies, combined with genuine compassion and care, allow clients to get better quicker and with fewer therapy sessions. I have training in multiple evidenced based therapies that I use to treat adults who are experiencing a wide range of mental health difficulties, with a focus on treating trauma, depression, and anxiety. Please visit provenprogesscounseling.com for more information.
(919) 276-0626 View (919) 276-0626
Photo of Iain Irwin, Marriage & Family Therapist in Raleigh, NC
Iain Irwin
Marriage & Family Therapist, LMFT
Verified Verified
Raleigh, NC 27604
My ideal client has a desire to commit to creating change and willing to be vulnerable throughout the therapeutic process. Clients who struggle with intimacy struggles and mental health issues such as depression, anxiety and stress are both great focuses in my practice. My client's desire to be in happy and healthy relationships is what I like to foster.
My ideal client has a desire to commit to creating change and willing to be vulnerable throughout the therapeutic process. Clients who struggle with intimacy struggles and mental health issues such as depression, anxiety and stress are both great focuses in my practice. My client's desire to be in happy and healthy relationships is what I like to foster.
(919) 301-9985 View (919) 301-9985
Photo of Tim Hartline, Lic Clinical Mental Health Counselor Associate in Raleigh, NC
Tim Hartline
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Verified Verified
Raleigh, NC 27615
I love working with adults and teens to help them achieve their goals, pinpoint the things that are holding them back, and partner with them to increase both joy and peace in their lives. I work with people to help them through the issues they are experiencing and actively help them create practical plans to build better and more fulfilling lives. I believe everyone has the ability to improve their life, it's my honor to help others work through their hardship and sustain a high quality of life.
I love working with adults and teens to help them achieve their goals, pinpoint the things that are holding them back, and partner with them to increase both joy and peace in their lives. I work with people to help them through the issues they are experiencing and actively help them create practical plans to build better and more fulfilling lives. I believe everyone has the ability to improve their life, it's my honor to help others work through their hardship and sustain a high quality of life.
(919) 980-5786 View (919) 980-5786
Photo of Ananya Ranjan, Counselor in Raleigh, NC
Ananya Ranjan
Counselor, LCMHCA
Verified Verified
Raleigh, NC 27615
Therapy is about become more and more comfortable with yourself and with facing challenges with as much confidence in yourself as possible. I want to work with you to help you achieve a higher sense of self. I provide a safe and welcoming space where we can collaborate to reach your goals.
Therapy is about become more and more comfortable with yourself and with facing challenges with as much confidence in yourself as possible. I want to work with you to help you achieve a higher sense of self. I provide a safe and welcoming space where we can collaborate to reach your goals.
(919) 891-8226 View (919) 891-8226
Photo of Kiki Pineiro - Psychedelic Integration And Mindfulness, Counselor in Raleigh, NC
Kiki Pineiro - Psychedelic Integration And Mindfulness
Counselor, LCMHCA, MEd
Verified Verified
Raleigh, NC 27614  (Online Only)
Kiki specializes in psychedelic preparation (from a harm reduction approach) and integration for those who seek support in processing experiences of non-ordinary states of consciousness. She utilizes mindfulness based interventions for stress management, personal development, and spiritual growth. Tarot can be incorporated upon request for empowerment/self growth.
Kiki specializes in psychedelic preparation (from a harm reduction approach) and integration for those who seek support in processing experiences of non-ordinary states of consciousness. She utilizes mindfulness based interventions for stress management, personal development, and spiritual growth. Tarot can be incorporated upon request for empowerment/self growth.
(919) 343-9742 View (919) 343-9742
Photo of Amy Lynn Otterson, Licensed Clinical Mental Health Counselor in Raleigh, NC
Amy Lynn Otterson
Licensed Clinical Mental Health Counselor, MEd, NCC, CMCC, LCMHCS
Verified Verified
2 Endorsed
Raleigh, NC 27605
Are you looking for something to be different in your life? Do you want to change your life situation, solve a problem, make a major decision, or gain a better understanding of what is happening in your life or relationships? Through counseling, I will provide a person-centered and cognitive behavioral perspective. This means I view counseling as a process by which I help to facilitate my client's exploration and identification of their needs to assist them in making changes in their cognition and behaviors, which will result in the attainment of improved life satisfaction and self-acceptance.
Are you looking for something to be different in your life? Do you want to change your life situation, solve a problem, make a major decision, or gain a better understanding of what is happening in your life or relationships? Through counseling, I will provide a person-centered and cognitive behavioral perspective. This means I view counseling as a process by which I help to facilitate my client's exploration and identification of their needs to assist them in making changes in their cognition and behaviors, which will result in the attainment of improved life satisfaction and self-acceptance.
(919) 246-4215 View (919) 246-4215
Photo of Melodye Ranyak, Counselor in Raleigh, NC
Melodye Ranyak
Counselor, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27615
Hello! I provide in-person, telehealth, and walk-and-talk counseling for adults and teens seeking healing and empowerment from difficulties with relationships, self-worth, trauma, and lacking passion or uncertainty about your place and direction in life. We might be a good fit if you like a more collaborative and relaxed approach (no “expert” ego here), want someone who highlights your strengths yet also holds you accountable to making meaningful changes, and appreciate a little humor to balance out the heavier work.
Hello! I provide in-person, telehealth, and walk-and-talk counseling for adults and teens seeking healing and empowerment from difficulties with relationships, self-worth, trauma, and lacking passion or uncertainty about your place and direction in life. We might be a good fit if you like a more collaborative and relaxed approach (no “expert” ego here), want someone who highlights your strengths yet also holds you accountable to making meaningful changes, and appreciate a little humor to balance out the heavier work.
(919) 899-4416 View (919) 899-4416
Photo of Kenya Burton, LCSW Associate in Raleigh, NC
Kenya Burton
LCSW Associate, LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27609
Transparency is important to me, and I want you to know that I face struggles just like anyone else. Relationships, parenting, and my own emotions and trauma - they're all part of my journey too. That's why I firmly believe in therapy and, just like you, my therapist is one of my biggest support systems. Therapy is my go to for healing and growth. My vision has grown to give me the freedom to be with you on your life's journey, providing guidance, support, and a judgment-free space. Making a difference in someone's life, even if it's through a smile or a release of tears, is what drives me every day.
Transparency is important to me, and I want you to know that I face struggles just like anyone else. Relationships, parenting, and my own emotions and trauma - they're all part of my journey too. That's why I firmly believe in therapy and, just like you, my therapist is one of my biggest support systems. Therapy is my go to for healing and growth. My vision has grown to give me the freedom to be with you on your life's journey, providing guidance, support, and a judgment-free space. Making a difference in someone's life, even if it's through a smile or a release of tears, is what drives me every day.
(984) 983-4845 View (984) 983-4845
Photo of Tierra Cash, Clinical Social Work/Therapist in Raleigh, NC
Tierra Cash
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27617
Born and raised in South Carolina, I transitioned to North Caroling in 2017 and received a Bachelor of Arts degree in Psychology from Lander University. I later received a Master of Social Worker Degree from University of North Carolina at Pembroke. I am a Licensed Clinical Social Worker Associate and has experience in crisis intervention, intensive in-home services and community-based mental health. . . . "Frequently, we face many challenges in our lives. Sometimes we encounter challenges in our jobs, challenges in our home, and challenges in community with others. Navigating through those challenges can be hard and scary!
Born and raised in South Carolina, I transitioned to North Caroling in 2017 and received a Bachelor of Arts degree in Psychology from Lander University. I later received a Master of Social Worker Degree from University of North Carolina at Pembroke. I am a Licensed Clinical Social Worker Associate and has experience in crisis intervention, intensive in-home services and community-based mental health. . . . "Frequently, we face many challenges in our lives. Sometimes we encounter challenges in our jobs, challenges in our home, and challenges in community with others. Navigating through those challenges can be hard and scary!
(984) 363-8318 View (984) 363-8318
Photo of Tanya M Richmond, Clinical Social Work/Therapist in Raleigh, NC
Tanya M Richmond
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27615  (Online Only)
No matter where you are along your lifespan, you can find purpose and meaning in life. I create a compassionate and understanding space where you can explore your experiences, and create a connection that encourages growth, trust, resilience, and vulnerability. As you navigate the balance between what is important to you and what is important for you, I will help you explore ways to create the balance you desire. I would be honored to support you on your journey towards heightened self-awareness and a more fulfilling life.
No matter where you are along your lifespan, you can find purpose and meaning in life. I create a compassionate and understanding space where you can explore your experiences, and create a connection that encourages growth, trust, resilience, and vulnerability. As you navigate the balance between what is important to you and what is important for you, I will help you explore ways to create the balance you desire. I would be honored to support you on your journey towards heightened self-awareness and a more fulfilling life.
(984) 368-5210 View (984) 368-5210

How does your Therapist compare?

Number of Therapists in Raleigh, NC

2,000+

Average cost per session

$140

Therapists in Raleigh, NC who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
74% Coping Skills
73% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
73% Aetna
55% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

60% In Person and Online
40% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Raleigh?

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.