Therapists in Asheville, NC

Photo of Teal Russeau, Counselor in Asheville, NC
Teal Russeau
Counselor, MA, LCMHCA
Verified Verified
1 Endorsed
Asheville, NC 28801  (Online Only)
Your story is worth telling. Your experiences are real. Your feelings are valid. I identify as queer, nonbinary, and a gifted AuDHDer (autistic and ADHD). I am passionate about walking alongside neurodivergent and gifted LGBTQIA+ adults and couples working through understanding their identity and relationships. I also work with parents of neurodivergent, gifted, and/or LGBTQIA+ kids who are seeking guidance in supporting their children.
Your story is worth telling. Your experiences are real. Your feelings are valid. I identify as queer, nonbinary, and a gifted AuDHDer (autistic and ADHD). I am passionate about walking alongside neurodivergent and gifted LGBTQIA+ adults and couples working through understanding their identity and relationships. I also work with parents of neurodivergent, gifted, and/or LGBTQIA+ kids who are seeking guidance in supporting their children.
(980) 294-4070 View (980) 294-4070
Photo of Cynthia A Bailey, Psychologist in Asheville, NC
Cynthia A Bailey
Psychologist, PhD
Verified Verified
Asheville, NC 28801  (Online Only)
A lot of people think therapy is a one-sided conversation, with little opportunity to experience each other as real people. My clients know that I am as real as it gets! I want to help you achieve your goals, learn more about yourself, and understand how your mind and brain work. While progressing along this path, you will enjoy the process of learning about yourself and perceiving yourself in new ways. My experience is that therapy doesn't need to be painful. I know it can be intimidating to call a therapist, but I hope you will call me and see how I can help you.
A lot of people think therapy is a one-sided conversation, with little opportunity to experience each other as real people. My clients know that I am as real as it gets! I want to help you achieve your goals, learn more about yourself, and understand how your mind and brain work. While progressing along this path, you will enjoy the process of learning about yourself and perceiving yourself in new ways. My experience is that therapy doesn't need to be painful. I know it can be intimidating to call a therapist, but I hope you will call me and see how I can help you.
(828) 471-4673 View (828) 471-4673
Photo of Sarah Page .... Therapist Counselor Navigator, Clinical Social Work/Therapist in Asheville, NC
Sarah Page .... Therapist Counselor Navigator
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28803
Are you living with depression, anxiety, grief, addiction, lack of direction, trauma? I believe that we naturally feel a call to live meaningful, loving lives and know intuitively that this is our best path but we often will feel stuck, unsure, fearful and so take no action. Existential therapy calls this a restricted existence and believes the goal of all therapy is to remove the road blocks that are limiting you from moving toward living your best life.
Are you living with depression, anxiety, grief, addiction, lack of direction, trauma? I believe that we naturally feel a call to live meaningful, loving lives and know intuitively that this is our best path but we often will feel stuck, unsure, fearful and so take no action. Existential therapy calls this a restricted existence and believes the goal of all therapy is to remove the road blocks that are limiting you from moving toward living your best life.
(828) 528-6644 View (828) 528-6644
Photo of George Hardie, Counselor in Asheville, NC
George Hardie
Counselor, MA, MEd, LCMHCA, CHT
Verified Verified
Asheville, NC 28801
*****NOW ACCEPTING BCBS***** Welcome! Let's start with some good news: 80% of people in therapy get better! Many feel better right away. Change is possible within the crucible of a healing relationship. Working together we will create a safe space where you can begin to let go of the struggle and give voice to your deepest concerns, thoughts, feelings, and desires without fear of judgment or shame. Where you can experiment with new ways of being and behaving, and create a more meaningful narrative for your life. Healing begins with the first step. And, the best time to start is always now.
*****NOW ACCEPTING BCBS***** Welcome! Let's start with some good news: 80% of people in therapy get better! Many feel better right away. Change is possible within the crucible of a healing relationship. Working together we will create a safe space where you can begin to let go of the struggle and give voice to your deepest concerns, thoughts, feelings, and desires without fear of judgment or shame. Where you can experiment with new ways of being and behaving, and create a more meaningful narrative for your life. Healing begins with the first step. And, the best time to start is always now.
(828) 408-0673 View (828) 408-0673
Photo of Griffin Harrow, Marriage & Family Therapist in Asheville, NC
Griffin Harrow
Marriage & Family Therapist, LMFT
Verified Verified
Asheville, NC 28806  (Online Only)
My practice is dedicated to helping individuals and families reclaim their lives from OCD, anxiety, panic, and related conditions, born out of my own journey of healing. My approach is built upon the most effective treatments in the field, alongside utmost compassion and respect. I utilize Exposure Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and create individualized treatment plans for individuals and families. My priority is ensuring that my clients feel supported and validated while taking the courageous steps of changing their lives.
My practice is dedicated to helping individuals and families reclaim their lives from OCD, anxiety, panic, and related conditions, born out of my own journey of healing. My approach is built upon the most effective treatments in the field, alongside utmost compassion and respect. I utilize Exposure Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and create individualized treatment plans for individuals and families. My priority is ensuring that my clients feel supported and validated while taking the courageous steps of changing their lives.
(828) 414-2464 View (828) 414-2464
Photo of Erika Czerwinski, Psychologist in Asheville, NC
Erika Czerwinski
Psychologist, PsyD
Verified Verified
1 Endorsed
Asheville, NC 28801
People come to see me because they are experiencing a life transition, struggling with partnership/ relationships, frustrated with self-defeating patterns that they have not been able to change, having a hard time shifting relational/ family patterns, needing support navigating conflict, creating boundaries or improving relationship dynamics. I work to create a warm, safe environment where deep personal issues can be explored. I believe that we are shaped by our relationships and life experiences. I am often described as warm, intuitive and an active listener who promotes a confident, safe atmosphere for collaborative work.
People come to see me because they are experiencing a life transition, struggling with partnership/ relationships, frustrated with self-defeating patterns that they have not been able to change, having a hard time shifting relational/ family patterns, needing support navigating conflict, creating boundaries or improving relationship dynamics. I work to create a warm, safe environment where deep personal issues can be explored. I believe that we are shaped by our relationships and life experiences. I am often described as warm, intuitive and an active listener who promotes a confident, safe atmosphere for collaborative work.
(828) 759-5515 View (828) 759-5515
Photo of Mark Xavier Dunn, Lic Clinical Mental Health Counselor Supervisor in Asheville, NC
Mark Xavier Dunn
Lic Clinical Mental Health Counselor Supervisor, LCMHCS, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28806
Are you struggling with depression, anxiety or trauma? Are there problematic patterns in your relationships? Are you having difficulty effectively parenting your adolescent or young adult? You are not alone and I can help. I have been working with individuals and families for over 25 years with positive results. I create a compassionate and emotionally safe environment where we will begin your journey. I will listen to your story and together we will work through the beliefs that create limitations. I will help you develop strategies and a daily practice to improve your life.
Are you struggling with depression, anxiety or trauma? Are there problematic patterns in your relationships? Are you having difficulty effectively parenting your adolescent or young adult? You are not alone and I can help. I have been working with individuals and families for over 25 years with positive results. I create a compassionate and emotionally safe environment where we will begin your journey. I will listen to your story and together we will work through the beliefs that create limitations. I will help you develop strategies and a daily practice to improve your life.
(828) 522-9662 View (828) 522-9662
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 Robin Rea, Marriage & Family Therapist in Asheville, NC
Robin Rea
Marriage & Family Therapist, LMFT
Verified Verified
Asheville, NC 28801
Not accepting new clients
Have you been longing for a different way to be with others and yourself? Maybe noticing things you want to change, but don't know how? Like muting your voice to get along with others, then feeling resentful when you're not heard? Lonely and yearning for a deeper connection in your relationships, but fearful of being known? Generous and compassionate with others, but often impatient and angry with yourself? Quick to offer support and care to loved ones, but filled with dread and hopelessness over asking for help for yourself?
Have you been longing for a different way to be with others and yourself? Maybe noticing things you want to change, but don't know how? Like muting your voice to get along with others, then feeling resentful when you're not heard? Lonely and yearning for a deeper connection in your relationships, but fearful of being known? Generous and compassionate with others, but often impatient and angry with yourself? Quick to offer support and care to loved ones, but filled with dread and hopelessness over asking for help for yourself?
(424) 570-1128 View (424) 570-1128
Photo of Benny Williams, Clinical Social Work/Therapist in Asheville, NC
Benny Williams
Clinical Social Work/Therapist, LCSWA, LCASA
Verified Verified
1 Endorsed
Asheville, NC 28801
Not accepting new clients
Do you find yourself going through an uncomfortable period of change? Or maybe you’re facing a need for change and feeling overwhelmed by it. Either way, you may be dealing with stress, grief, isolation, or addiction. Additional factors like discrimination burden, caregiving roles, and financial difficulty may make change seem impossible. It can feel safer to live with dissatisfaction than to risk losing the comfort of routine, but avoidance can allow unhappiness to snowball. This can happen at any age. Humans grow and change throughout our lives, which requires maintenance, flexibility, and willingness to tune in to our needs.
Do you find yourself going through an uncomfortable period of change? Or maybe you’re facing a need for change and feeling overwhelmed by it. Either way, you may be dealing with stress, grief, isolation, or addiction. Additional factors like discrimination burden, caregiving roles, and financial difficulty may make change seem impossible. It can feel safer to live with dissatisfaction than to risk losing the comfort of routine, but avoidance can allow unhappiness to snowball. This can happen at any age. Humans grow and change throughout our lives, which requires maintenance, flexibility, and willingness to tune in to our needs.
(828) 547-4719 View (828) 547-4719
Photo of Ashley Marder, Counselor in Asheville, NC
Ashley Marder
Counselor, MA, LCMHCA, NCC
Verified Verified
Asheville, NC 28801
Looking for therapeutic counseling is the first step on your journey to a happier and healthier version of you. Part of that process is finding the right therapist. My goal is to hold a safe space, that is non-judgmental and a comfortable environment where you can be yourself. I believe that therapy is a collaborative process, where you are the expert of your own life, and your goals are the focus. I want to work with you to overcome obstacles and issues that are interfering in your life
Looking for therapeutic counseling is the first step on your journey to a happier and healthier version of you. Part of that process is finding the right therapist. My goal is to hold a safe space, that is non-judgmental and a comfortable environment where you can be yourself. I believe that therapy is a collaborative process, where you are the expert of your own life, and your goals are the focus. I want to work with you to overcome obstacles and issues that are interfering in your life
(828) 367-1010 View (828) 367-1010
Photo of Alan Goth Marshall, Psychologist in Asheville, NC
Alan Goth Marshall
Psychologist, PhD
Verified Verified
Asheville, NC 28804
I've been doing psychotherapy for about 50 years, and hope to never have to give it up. My role in the work is to get to know the other person as thoroughly and deeply as possible, providing the opportunity for them to get to know themselves more deeply as well. If that sounds like something that could be helpful to you, give me a call and we'll see whether we can work together.
I've been doing psychotherapy for about 50 years, and hope to never have to give it up. My role in the work is to get to know the other person as thoroughly and deeply as possible, providing the opportunity for them to get to know themselves more deeply as well. If that sounds like something that could be helpful to you, give me a call and we'll see whether we can work together.
(828) 537-1477 View (828) 537-1477
Photo of Richard Shaw, Marriage & Family Therapist in Asheville, NC
Richard Shaw
Marriage & Family Therapist, LMFT, LCAS
Verified Verified
Asheville, NC 28801
Happiness often feels as if it belongs to everyone else. The steps you've taken seem to only go backwards, no matter the intent. Difficult situations and regretful choices trap us in hopelessness. You feel lost even though you feel as if you've been down every path. You are ready for something to change. One thing all my clients hear me say is that “it’s easier for us to choose to be miserable and remain where we are now; however, if we choose to be uncomfortable for just a few moments, we may achieve something we thought not possible.”
Happiness often feels as if it belongs to everyone else. The steps you've taken seem to only go backwards, no matter the intent. Difficult situations and regretful choices trap us in hopelessness. You feel lost even though you feel as if you've been down every path. You are ready for something to change. One thing all my clients hear me say is that “it’s easier for us to choose to be miserable and remain where we are now; however, if we choose to be uncomfortable for just a few moments, we may achieve something we thought not possible.”
(828) 373-0754 View (828) 373-0754
Photo of Verena Wieloch, Licensed Clinical Mental Health Counselor in Asheville, NC
Verena Wieloch
Licensed Clinical Mental Health Counselor
Verified Verified
Asheville, NC 28806
Not accepting new clients
Not currently accepting clients. My approach to working with clients is relationship-based. No one heals in isolation. I don’t believe your struggles are a mistake or even rooted in a discoverable cause. I focus on how we can stay at the evolving edge of your psychological ecosystem and pay subtle attention to information we find there through nonverbal awareness, dreams, images, and other access points for unconscious material. Talking about and analyzing the problem isn't enough, if it was you would have thought your way out of the problem already.
Not currently accepting clients. My approach to working with clients is relationship-based. No one heals in isolation. I don’t believe your struggles are a mistake or even rooted in a discoverable cause. I focus on how we can stay at the evolving edge of your psychological ecosystem and pay subtle attention to information we find there through nonverbal awareness, dreams, images, and other access points for unconscious material. Talking about and analyzing the problem isn't enough, if it was you would have thought your way out of the problem already.
(828) 882-2556 View (828) 882-2556
Photo of Melissa Bridges, Marriage & Family Therapist in Asheville, NC
Melissa Bridges
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Asheville, NC 28804  (Online Only)
Stability can often be disrupted in life when you and your family are going through a major transition. This instability can bring about all kids of symptoms, including anxiety, depression, and relationship challenges. Regardless of the challenges you are currently facing, getting input from a professional outside perspective can hep you make sense of things, creating a clearer path back to stability. If you are looking for help right now, it means you have already begun to take proactive steps towards more peace in your life.
Stability can often be disrupted in life when you and your family are going through a major transition. This instability can bring about all kids of symptoms, including anxiety, depression, and relationship challenges. Regardless of the challenges you are currently facing, getting input from a professional outside perspective can hep you make sense of things, creating a clearer path back to stability. If you are looking for help right now, it means you have already begun to take proactive steps towards more peace in your life.
(828) 761-3733 View (828) 761-3733
Photo of Sarah Ruth Hollis, Licensed Clinical Mental Health Counselor in Asheville, NC
Sarah Ruth Hollis
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
Asheville, NC 28805  (Online Only)
I create a safe space so that you can discover the sources causing patterns identified as unproductive so that renewal and recovery becomes a possibility. I work with 18-65 y/o women of all gender and sexual identities who are looking to heal from wounds of their past that have caused patterns they feel stuck in and who want freedom. I utilize Somatic Experiencing, Internal Family Systems, Mindfulness and Attachment-based interventions from the past 15 years of my training, guidance and experience as a mental health counselor and addiction specialist.
I create a safe space so that you can discover the sources causing patterns identified as unproductive so that renewal and recovery becomes a possibility. I work with 18-65 y/o women of all gender and sexual identities who are looking to heal from wounds of their past that have caused patterns they feel stuck in and who want freedom. I utilize Somatic Experiencing, Internal Family Systems, Mindfulness and Attachment-based interventions from the past 15 years of my training, guidance and experience as a mental health counselor and addiction specialist.
(828) 332-5338 View (828) 332-5338
Photo of Chuck Elliott, Licensed Professional Counselor in Asheville, NC
Chuck Elliott
Licensed Professional Counselor, MS, LCMHC, LCAS-A
Verified Verified
Asheville, NC 28801
I believe as humans we must support each other on our life journey. I enjoy helping clients gain a deeper understanding of themselves, their thought patterns and emotions, relationships, and navigate and make sense of their world. I believe that clarifying what is important to each individual, their needs, and their goals, helps provide direction and purpose in life. I often help clients explore how past experiences, family dynamics, addiction, and personality affect how we relate and function in this world. I offer individual, couples, and family sessions.
I believe as humans we must support each other on our life journey. I enjoy helping clients gain a deeper understanding of themselves, their thought patterns and emotions, relationships, and navigate and make sense of their world. I believe that clarifying what is important to each individual, their needs, and their goals, helps provide direction and purpose in life. I often help clients explore how past experiences, family dynamics, addiction, and personality affect how we relate and function in this world. I offer individual, couples, and family sessions.
(828) 330-9205 View (828) 330-9205
Photo of Matt Wood, Clinical Social Work/Therapist in Asheville, NC
Matt Wood
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Asheville, NC 28806  (Online Only)
Hi, I’m Matt, and it’s my mission to help people find their peace. I specialize in dealing with depression, anxiety, and healing from traumatic experiences; I have worked with adults, children, and families for over 15 years. My primary focus is to help you establish meaningful goals that bring you back to a life full of joy. As a licensed Clinical Social Worker, my approach to therapy is both relational and collaborative. Trusting you as the expert of yourself, and I offer support as you regain the capacity to be your best self.
Hi, I’m Matt, and it’s my mission to help people find their peace. I specialize in dealing with depression, anxiety, and healing from traumatic experiences; I have worked with adults, children, and families for over 15 years. My primary focus is to help you establish meaningful goals that bring you back to a life full of joy. As a licensed Clinical Social Worker, my approach to therapy is both relational and collaborative. Trusting you as the expert of yourself, and I offer support as you regain the capacity to be your best self.
(828) 374-9634 View (828) 374-9634
Photo of Alisa Genovese, Marriage & Family Therapist in Asheville, NC
Alisa Genovese
Marriage & Family Therapist, MFT
Verified Verified
Asheville, NC 28806
My work is largely as an innate wisdom coach, I believe you'll learn to listen and trust your own innate wisdom, as we work collaboratively to move you past what's blocking wholeness. If given the right support and nurturance, our psyches, much like our bodies, will naturally move towards healing and higher consciousness. ​ My work combines insight and intuition with a warm, open, and interactive style.
My work is largely as an innate wisdom coach, I believe you'll learn to listen and trust your own innate wisdom, as we work collaboratively to move you past what's blocking wholeness. If given the right support and nurturance, our psyches, much like our bodies, will naturally move towards healing and higher consciousness. ​ My work combines insight and intuition with a warm, open, and interactive style.
(828) 382-8719 View (828) 382-8719
Photo of Becky M Miller, Counselor in Asheville, NC
Becky M Miller
Counselor, MA, LCMHC
Verified Verified
Asheville, NC 28801
I'm glad you're here. I deeply respect your courage to engage in this process, and I want to know you and your story. To help you get grounded in your body, perspective, and self. I strive to create a warm space of acceptance, meeting you with care, insight, empathy, humor and playful challenge. Through this, I hope to help you create an experience of self compassion that leads to deep changes in perspective that offer new possibilities for you. I believe therapy is a balance of support and challenge, and you grow at your own pace. I help my clients find meaning in their experiences and move forward to create new stories.
I'm glad you're here. I deeply respect your courage to engage in this process, and I want to know you and your story. To help you get grounded in your body, perspective, and self. I strive to create a warm space of acceptance, meeting you with care, insight, empathy, humor and playful challenge. Through this, I hope to help you create an experience of self compassion that leads to deep changes in perspective that offer new possibilities for you. I believe therapy is a balance of support and challenge, and you grow at your own pace. I help my clients find meaning in their experiences and move forward to create new stories.
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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.