Therapists in Asheville, NC

Photo of Stuart Rae Montgomery, Clinical Social Work/Therapist in Asheville, NC
Stuart Rae Montgomery
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28803  (Online Only)
I am passionate about working with neuro-diverse populations in various capacities and I am Certified Autism Spectrum Disorder Clinical Specialist (ASDCS). I have worked with children, adolescents, young adults, and adults, who have been diagnosed with Autism Spectrum Disorder (ASD), Learning Differences, Attention Deficit Hyperactivity Disorder (ADHD), Epilepsy and Anxiety Disorders. I have over 13 years working with the neurodivergent population as well as their parents/ families through parent coaching.
I am passionate about working with neuro-diverse populations in various capacities and I am Certified Autism Spectrum Disorder Clinical Specialist (ASDCS). I have worked with children, adolescents, young adults, and adults, who have been diagnosed with Autism Spectrum Disorder (ASD), Learning Differences, Attention Deficit Hyperactivity Disorder (ADHD), Epilepsy and Anxiety Disorders. I have over 13 years working with the neurodivergent population as well as their parents/ families through parent coaching.
(828) 656-5228 View (828) 656-5228
Photo of Christina Earley, Clinical Social Work/Therapist in Asheville, NC
Christina Earley
Clinical Social Work/Therapist, LCSWA
Verified Verified
Asheville, NC 28805
Warm welcome! Would you like to soothe overwhelming thoughts or feelings? Feel more calm and present in the now? My purpose is to help you find relief from anxiety, depression, or trauma that prevents you from experiencing a life worth living. We would collaborate together to treat whatever is on your list of priorities; examples include helping with anxiety, trauma, ADHD, Autism, school issues, depression, mood, low self-esteem or career goals. I work with children, teenagers, and adults from all walks of life. My style is evidence-based, non-judgmental, and sincere.
Warm welcome! Would you like to soothe overwhelming thoughts or feelings? Feel more calm and present in the now? My purpose is to help you find relief from anxiety, depression, or trauma that prevents you from experiencing a life worth living. We would collaborate together to treat whatever is on your list of priorities; examples include helping with anxiety, trauma, ADHD, Autism, school issues, depression, mood, low self-esteem or career goals. I work with children, teenagers, and adults from all walks of life. My style is evidence-based, non-judgmental, and sincere.
(828) 540-2641 View (828) 540-2641
Photo of Amber Lavin- True Nature Coaching in Asheville, NC
Amber Lavin- True Nature Coaching
BAed, CLC, CRC
Verified Verified
Asheville, NC 28801
I believe loving compassion underpins all the best parts of life. That includes the work we do, building our coaching relationships and working through your personal challenges. Through compassion, we grow. I specialize in working with individuals around mindful & intentional dating/relationships. As well as neurodivergent adults. Together, we'll practice proven goal and habit-setting techniques that will help you achieve more than you set out to.
I believe loving compassion underpins all the best parts of life. That includes the work we do, building our coaching relationships and working through your personal challenges. Through compassion, we grow. I specialize in working with individuals around mindful & intentional dating/relationships. As well as neurodivergent adults. Together, we'll practice proven goal and habit-setting techniques that will help you achieve more than you set out to.
(828) 827-5056 View (828) 827-5056
Photo of Elizabeth R Allen, LMFT, Marriage & Family Therapist in Asheville, NC
Elizabeth R Allen, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Asheville, NC 28803
I focus primarily on work with adolescents experiencing anxiety and depression or struggling with self-esteem as well as their families who are experiencing life transitions, parenting difficulties, and relationship concerns.
I focus primarily on work with adolescents experiencing anxiety and depression or struggling with self-esteem as well as their families who are experiencing life transitions, parenting difficulties, and relationship concerns.
(828) 408-0527 View (828) 408-0527
Photo of Andrea Siegel, Clinical Social Work/Therapist in Asheville, NC
Andrea Siegel
Clinical Social Work/Therapist, LCSWA
Verified Verified
Asheville, NC 28801
Are you wrestling with big questions? I will support you to cultivate hope and to act on what is in your power to change. If you have let yourself down, hurt others, or been hurt by others: I can help you to examine your wounded moral compass, to discern how it points you toward your true north. If you have cultural and spiritual traditions to include, we can lean into them –or not, according to your preference; I have trained in integrative health, chaplaincy, clinical social work, and the humanities. If you want a therapist who understands the stresses of university, healthcare, nonprofit, and religious institutions, I do!
Are you wrestling with big questions? I will support you to cultivate hope and to act on what is in your power to change. If you have let yourself down, hurt others, or been hurt by others: I can help you to examine your wounded moral compass, to discern how it points you toward your true north. If you have cultural and spiritual traditions to include, we can lean into them –or not, according to your preference; I have trained in integrative health, chaplaincy, clinical social work, and the humanities. If you want a therapist who understands the stresses of university, healthcare, nonprofit, and religious institutions, I do!
(828) 520-2957 View (828) 520-2957
Photo of Julia Popowski, Counselor in Asheville, NC
Julia Popowski
Counselor, LCMHC
Verified Verified
2 Endorsed
Asheville, NC 28803
Waitlist for new clients
It is an honor to be trusted to collaborate with my clients on their healing journey. I work diligently to empower each individual to reawaken to their innate wisdom and strengths within a stigma-free and judgment-free environment. I specialize in helping those with complex trauma, attachment wounds, and adverse life experiences resulting in toxic shame and patterns of feeling "stuck". I also work with problematic substance use, habitual problematic behaviors, anxiety, depression, and relationship issues.
It is an honor to be trusted to collaborate with my clients on their healing journey. I work diligently to empower each individual to reawaken to their innate wisdom and strengths within a stigma-free and judgment-free environment. I specialize in helping those with complex trauma, attachment wounds, and adverse life experiences resulting in toxic shame and patterns of feeling "stuck". I also work with problematic substance use, habitual problematic behaviors, anxiety, depression, and relationship issues.
(828) 373-8865 View (828) 373-8865
Photo of Jake Philip Wilensky, Licensed Professional Counselor in Asheville, NC
Jake Philip Wilensky
Licensed Professional Counselor, LCMHC-S
Verified Verified
Asheville, NC 28804
I am effective working with adults who experience many different kinds of emotional health conditions. I work with people who are having relationship difficulties, issues with codependency, trouble navigating traumatic events, and looking for overall personal growth. I also have experience and enjoy working with people who are on the autism spectrum.
I am effective working with adults who experience many different kinds of emotional health conditions. I work with people who are having relationship difficulties, issues with codependency, trouble navigating traumatic events, and looking for overall personal growth. I also have experience and enjoy working with people who are on the autism spectrum.
(828) 471-4396 View (828) 471-4396
Photo of Jeff Beers, LMFT, PLLC, Marriage & Family Therapist in Asheville, NC
Jeff Beers, LMFT, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
Asheville, NC 28803
I offer lively, growth-oriented consultation for people ready for change in their personal, professional, and creative lives. My years in practice have sharpened my abilities in close listening, flexible thinking, problem solving and effective communication. I’ve helped my clients address challenging dilemmas, accept difficult realities, enhance creative thinking and access their emotional intelligence. My clients most often find fresh perspective, new language, useful insight and direction to further develop their efforts and themselves. I’m not easily overwhelmed by strong feelings or complex issues, and I don’t judge.
I offer lively, growth-oriented consultation for people ready for change in their personal, professional, and creative lives. My years in practice have sharpened my abilities in close listening, flexible thinking, problem solving and effective communication. I’ve helped my clients address challenging dilemmas, accept difficult realities, enhance creative thinking and access their emotional intelligence. My clients most often find fresh perspective, new language, useful insight and direction to further develop their efforts and themselves. I’m not easily overwhelmed by strong feelings or complex issues, and I don’t judge.
(828) 518-2570 View (828) 518-2570
Photo of Andrew Perez, Licensed Clinical Mental Health Counselor in Asheville, NC
Andrew Perez
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Asheville, NC 28801  (Online Only)
Andrew Perez is a Licensed Clinical Mental Health Counselor (LMHC) with over 8 years of experience in the field of mental health. Andrew is passionate about working with adults to identify and overcome obstacles in order to thrive in their lives. Andrew has experience working with anxiety, depression, trauma, stress management, anger management, relationships, and goal setting toward peak performance.
Andrew Perez is a Licensed Clinical Mental Health Counselor (LMHC) with over 8 years of experience in the field of mental health. Andrew is passionate about working with adults to identify and overcome obstacles in order to thrive in their lives. Andrew has experience working with anxiety, depression, trauma, stress management, anger management, relationships, and goal setting toward peak performance.
(828) 827-1598 View (828) 827-1598
Photo of Gracie McCarroll, Licensed Professional Counselor in Asheville, NC
Gracie McCarroll
Licensed Professional Counselor, MFA, MS, LCMHC
Verified Verified
Asheville, NC 28804
I am devoted to working with individuals who are curious about when and how their suffering and emotional distress began. In my work, I notice that such suffering is often the result of long established patterns of thinking and acting. Such patterns were at one time essential for the individual to cope with distress but with repetition and the accumulation of life experiences, they can become destructive. The power of a therapist trained to make space for such sufferings can provide alleviation from long standing pain. ​
I am devoted to working with individuals who are curious about when and how their suffering and emotional distress began. In my work, I notice that such suffering is often the result of long established patterns of thinking and acting. Such patterns were at one time essential for the individual to cope with distress but with repetition and the accumulation of life experiences, they can become destructive. The power of a therapist trained to make space for such sufferings can provide alleviation from long standing pain. ​
(828) 374-1115 View (828) 374-1115
Photo of Tony Godwin, Licensed Professional Counselor in Asheville, NC
Tony Godwin
Licensed Professional Counselor, MA, LPC, CHT
Verified Verified
Asheville, NC 28804
My orientation as a therapist is well suited for clients looking for deeper, clearer self-connection and awareness as well as the attuned, sensitive therapeutic relationship that supports this. My approach often includes the body's wisdom along with a kind of present moment, open and curious attention - mindfulness. Given enough safety, your awareness can relax and become less habitual, more rich and intuitive, as the session becomes a space for uncovering and revising the implicit learning and beliefs that hold you in place, including troubling patterns of thought related to past trauma, attachment wounding and addiction.
My orientation as a therapist is well suited for clients looking for deeper, clearer self-connection and awareness as well as the attuned, sensitive therapeutic relationship that supports this. My approach often includes the body's wisdom along with a kind of present moment, open and curious attention - mindfulness. Given enough safety, your awareness can relax and become less habitual, more rich and intuitive, as the session becomes a space for uncovering and revising the implicit learning and beliefs that hold you in place, including troubling patterns of thought related to past trauma, attachment wounding and addiction.
(828) 395-1374 View (828) 395-1374
Photo of Lauren M Woodard, Clinical Social Work/Therapist in Asheville, NC
Lauren M Woodard
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Asheville, NC 28801  (Online Only)
Being a young adult female in high school, college, or in the beginning of your career can be both an exciting and terrifying time. Whether it be anxiety, perfectionism, self-esteem struggles, issues adjusting to and balancing new schedules/demands, or just figuring out who you are and what feels right in this stage of life… I am here to help you sort it out and find healthy coping patterns that work for you.
Being a young adult female in high school, college, or in the beginning of your career can be both an exciting and terrifying time. Whether it be anxiety, perfectionism, self-esteem struggles, issues adjusting to and balancing new schedules/demands, or just figuring out who you are and what feels right in this stage of life… I am here to help you sort it out and find healthy coping patterns that work for you.
(828) 536-4841 View (828) 536-4841
Photo of Cassie Coleman, Lic Clinical Mental Health Counselor Associate in Asheville, NC
Cassie Coleman
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Verified Verified
Asheville, NC 28806
Are you anxious and navigating more questions than answers? Do you have difficulty trusting your own feelings? Are you tired of putting everyone else's needs before your own? Perhaps you struggle with negative self-talk, perfectionism, and loving yourself. You may wake up to one existential crisis after another and find yourself confused about the future. You might feel disconnected from your inner compass and creative life. You may need support navigating change and loss. You desire therapy because you are ready to grow further and receive support. You are ready to embrace more connection, self-love, and authenticity.
Are you anxious and navigating more questions than answers? Do you have difficulty trusting your own feelings? Are you tired of putting everyone else's needs before your own? Perhaps you struggle with negative self-talk, perfectionism, and loving yourself. You may wake up to one existential crisis after another and find yourself confused about the future. You might feel disconnected from your inner compass and creative life. You may need support navigating change and loss. You desire therapy because you are ready to grow further and receive support. You are ready to embrace more connection, self-love, and authenticity.
(828) 826-1093 View (828) 826-1093
Photo of Bryan Michalowski, Clinical Social Work/Therapist in Asheville, NC
Bryan Michalowski
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Asheville, NC 28801
I am particularly passionate about serving individuals in the neurodivergent, BIPOC, and/or LGBTQIA+ communities. As a member of all three communities, I know that these three identities often intersect to affect our mental health, most often in a negative way. I want to help my clients understand the many different ways in which they intersect and take steps to use those intersections to their advantage.
I am particularly passionate about serving individuals in the neurodivergent, BIPOC, and/or LGBTQIA+ communities. As a member of all three communities, I know that these three identities often intersect to affect our mental health, most often in a negative way. I want to help my clients understand the many different ways in which they intersect and take steps to use those intersections to their advantage.
(828) 360-9483 View (828) 360-9483
Photo of Jackie O'Neil, Clinical Social Work/Therapist in Asheville, NC
Jackie O'Neil
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Asheville, NC 28805  (Online Only)
When we've experienced unhealthy relationship dynamics or trauma, it can be hard to know how to trust ourselves and others. This can lead to low self-worth, codependency, repeating unwanted patterns, depression, or relational issues. Safely exploring what is at the core of these issues will allow you to live a more authentic and connected life. I work primarily with women who want to uncover their core beliefs and subconscious patterns in order to consciously create the life they desire. Unburden yourself by learning how to compassionately accept your story, process your emotions, and become the safe, loving place you yearn for.
When we've experienced unhealthy relationship dynamics or trauma, it can be hard to know how to trust ourselves and others. This can lead to low self-worth, codependency, repeating unwanted patterns, depression, or relational issues. Safely exploring what is at the core of these issues will allow you to live a more authentic and connected life. I work primarily with women who want to uncover their core beliefs and subconscious patterns in order to consciously create the life they desire. Unburden yourself by learning how to compassionately accept your story, process your emotions, and become the safe, loving place you yearn for.
(828) 528-6016 View (828) 528-6016
Photo of Denise C Johnson, Licensed Clinical Mental Health Counselor in Asheville, NC
Denise C Johnson
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, LPC, CCMHC, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Have you ever said “ I will never drink again” only to find yourself drinking again? Do you find yourself hiding bottles? Going to different stores each day to buy alcohol? Does your drinking cause shame and guilt? Are you feeling isolated, alone, misunderstood? Are you stuck in the same patterns of behavior? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, then you have made the right choice by being here. Together we can work to help equip you with the necessary tools to help you face and overcome your challenges.
Have you ever said “ I will never drink again” only to find yourself drinking again? Do you find yourself hiding bottles? Going to different stores each day to buy alcohol? Does your drinking cause shame and guilt? Are you feeling isolated, alone, misunderstood? Are you stuck in the same patterns of behavior? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, then you have made the right choice by being here. Together we can work to help equip you with the necessary tools to help you face and overcome your challenges.
(828) 332-5298 View (828) 332-5298
Photo of Lexie Arlt, Clinical Social Work/Therapist in Asheville, NC
Lexie Arlt
Clinical Social Work/Therapist, MSW, LCSW-A, LCAS-A
Verified Verified
Asheville, NC 28803
Waitlist for new clients
Let’s partner together on a journey of self-understanding and liberation. With a warm and empathetic approach, I try to create an environment in which you feel safe, nurtured, and free to express yourself. Life experiences can leave us feeling defeated, broken, and searching for meaning. Trauma-informed care and a person-centered approach are important to me. I am experienced in treating PTSD, depression, anxiety, and personality disorders. I utilize an eclectic blend of evidence-based practices to help understand and appreciate how our life experiences have shaped our reality. I specialize in addictions, grief, and trauma.
Let’s partner together on a journey of self-understanding and liberation. With a warm and empathetic approach, I try to create an environment in which you feel safe, nurtured, and free to express yourself. Life experiences can leave us feeling defeated, broken, and searching for meaning. Trauma-informed care and a person-centered approach are important to me. I am experienced in treating PTSD, depression, anxiety, and personality disorders. I utilize an eclectic blend of evidence-based practices to help understand and appreciate how our life experiences have shaped our reality. I specialize in addictions, grief, and trauma.
(828) 800-0933 View (828) 800-0933
Photo of Angie King, Counselor in Asheville, NC
Angie King
Counselor, LCMHCA
Verified Verified
3 Endorsed
Asheville, NC 28801
Sometimes we feel stuck. We’ve tried on our own to heal, grow, and learn but we still find ourselves in the same patterns that have led to a continuous cycle of confusion, shame, and hopelessness. You are not alone. If you have found yourself questioning your worth, your relationships, or your identity, I am here to help. Most of us know, logically, that hardship, distress, and unwanted emotions are a part of life. But sometimes we were not given the correct tools to manage these difficult experiences. Together, I believe we can connect back to your authentic self so that you can lead the life you want.
Sometimes we feel stuck. We’ve tried on our own to heal, grow, and learn but we still find ourselves in the same patterns that have led to a continuous cycle of confusion, shame, and hopelessness. You are not alone. If you have found yourself questioning your worth, your relationships, or your identity, I am here to help. Most of us know, logically, that hardship, distress, and unwanted emotions are a part of life. But sometimes we were not given the correct tools to manage these difficult experiences. Together, I believe we can connect back to your authentic self so that you can lead the life you want.
(828) 373-3237 View (828) 373-3237
Photo of Alicia Kennedy, Marriage & Family Therapist in Asheville, NC
Alicia Kennedy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Asheville, NC 28801
My purpose and passion is to support couples and individuals dealing with relationship conflict and life stressors. As a therapist I take a relational/systemic approach and value utilizing evidence-based practices to support couples in decreasing conflict and increasing intimacy and connection. For individuals, I understand that every person’s experience is unique and therefore I integrate several therapeutic models and interventions to uniquely support each client.
My purpose and passion is to support couples and individuals dealing with relationship conflict and life stressors. As a therapist I take a relational/systemic approach and value utilizing evidence-based practices to support couples in decreasing conflict and increasing intimacy and connection. For individuals, I understand that every person’s experience is unique and therefore I integrate several therapeutic models and interventions to uniquely support each client.
(828) 415-5155 View (828) 415-5155
Photo of Chris Hargrove, Clinical Social Work/Therapist in Asheville, NC
Chris Hargrove
Clinical Social Work/Therapist, MSSW, LCSW, CCTP, CCS, CCGP
Verified Verified
1 Endorsed
Asheville, NC 28804  (Online Only)
I believe that each individual already possesses the solutions to the challenges they face. My role as a counselor and a healer is to be a companion in the discovery of those solutions. I am a reliable guide with over 25 years of experience working with people of all ages. I specialize in helping people during major life transitions, times of grief & loss, and with trauma recovery. During my 11 years in Hospice, I learned how to help people navigate the many challenges that come with grief and loss. ​ As a long time meditation instructor, one of the hallmarks of my practice is the use of meditation as a tool for healing.
I believe that each individual already possesses the solutions to the challenges they face. My role as a counselor and a healer is to be a companion in the discovery of those solutions. I am a reliable guide with over 25 years of experience working with people of all ages. I specialize in helping people during major life transitions, times of grief & loss, and with trauma recovery. During my 11 years in Hospice, I learned how to help people navigate the many challenges that come with grief and loss. ​ As a long time meditation instructor, one of the hallmarks of my practice is the use of meditation as a tool for healing.
(828) 618-4184 View (828) 618-4184

How does your Therapist compare?

Number of Therapists in Asheville, NC

1,000+

Average cost per session

$140

Therapists in Asheville, NC who prioritize treating:

92% Anxiety
86% Depression
78% Relationship Issues
78% Self Esteem
75% Trauma and PTSD
69% Coping Skills
69% Stress

Average years in practice

11 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
70% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in Asheville, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Asheville?

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.