Therapists in Blacksburg, VA

Photo of Darian Phillips Fawbush, Licensed Professional Counselor in Blacksburg, VA
Darian Phillips Fawbush
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
Darian Phillips Fawbush is a Licensed Professional Counselor (LPC) with over 4 years of experience in the mental health field. Darian specializes in depression, anxiety, trauma, relationship issues, women's issues, rural mental health, and the intersectionality of familial, social, and cultural dynamics that can bring a diverse range of challenges. Darian identifies as an ally of the LGBTQIA+ community and affirms all spiritual or religious beliefs. Darian completed her Bachelor's degree in Psychology from the University of Virginia's College-Wise, and her Master's degree in Counseling Education from Virginia Tech.
Darian Phillips Fawbush is a Licensed Professional Counselor (LPC) with over 4 years of experience in the mental health field. Darian specializes in depression, anxiety, trauma, relationship issues, women's issues, rural mental health, and the intersectionality of familial, social, and cultural dynamics that can bring a diverse range of challenges. Darian identifies as an ally of the LGBTQIA+ community and affirms all spiritual or religious beliefs. Darian completed her Bachelor's degree in Psychology from the University of Virginia's College-Wise, and her Master's degree in Counseling Education from Virginia Tech.
(540) 274-2627 View (540) 274-2627
Photo of Mikayla A. Tittsworth in Blacksburg, VA
Mikayla A. Tittsworth
MS, LRC
Verified Verified
Blacksburg, VA 24060
Waitlist for new clients
I am currently a resident in counseling working towards LPC licensure under supervision. I believe the root of the therapeutic process lies within the relationship not only between the client and their counselor, but the relationship to self. One of my favorite quotes by Yogi Bhajan reads "You are very powerful, provided you know how powerful you are." It is also a passion of mine to guide clients in meaning-making. My passion for meaning-making therapy is well summarized by late psychiatrist and Holocaust survivor Viktor Frankl, "Those who have 'why' to live can bear with almost any 'how'."
I am currently a resident in counseling working towards LPC licensure under supervision. I believe the root of the therapeutic process lies within the relationship not only between the client and their counselor, but the relationship to self. One of my favorite quotes by Yogi Bhajan reads "You are very powerful, provided you know how powerful you are." It is also a passion of mine to guide clients in meaning-making. My passion for meaning-making therapy is well summarized by late psychiatrist and Holocaust survivor Viktor Frankl, "Those who have 'why' to live can bear with almost any 'how'."
(540) 315-7032 View (540) 315-7032
Photo of Maria Flaccavento, Pre-Licensed Professional in Blacksburg, VA
Maria Flaccavento
Pre-Licensed Professional, MEd, MFA, LMHP-R
Verified Verified
1 Endorsed
Blacksburg, VA 24060
I am a native to SWVA with a background in yoga and creative arts. I love learning new things and working with clients to explore the most effective and engaging tools for their journey. I am especially interested in the ways that language shapes cognition. I think that people are inherently motivated toward meaning, and that when we build curiosity for something (like our mind or our suffering), it's harder to hate or be fearful of it. I'm interested in helping you to access your inner resources and live your life the way you want to live it. Healing is bold and unpredictable. It's a privilege to accompany you through the process.
I am a native to SWVA with a background in yoga and creative arts. I love learning new things and working with clients to explore the most effective and engaging tools for their journey. I am especially interested in the ways that language shapes cognition. I think that people are inherently motivated toward meaning, and that when we build curiosity for something (like our mind or our suffering), it's harder to hate or be fearful of it. I'm interested in helping you to access your inner resources and live your life the way you want to live it. Healing is bold and unpredictable. It's a privilege to accompany you through the process.
(540) 616-2108 View (540) 616-2108
Photo of Michael Orndoff, Clinical Social Work/Therapist in Blacksburg, VA
Michael Orndoff
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060
Michael Orndoff is a Licensed Clinical Social Worker (LCSW) with over 4 years of experience in the field of Social Work. He is passionate about helping adults, adolescents, and couples manage their own unique challenges in their daily life. Michael specializes in relationship issues, depression, career concerns, anger management, building self-esteem, and parenting concerns. Michael completed his Master's Degree in Social Work from Norfolk State University and his Bachelor's degree in Social Work from Virginia Wesleyan University.
Michael Orndoff is a Licensed Clinical Social Worker (LCSW) with over 4 years of experience in the field of Social Work. He is passionate about helping adults, adolescents, and couples manage their own unique challenges in their daily life. Michael specializes in relationship issues, depression, career concerns, anger management, building self-esteem, and parenting concerns. Michael completed his Master's Degree in Social Work from Norfolk State University and his Bachelor's degree in Social Work from Virginia Wesleyan University.
(540) 517-6020 View (540) 517-6020
Photo of Nathan S Cooke, Clinical Social Work/Therapist in Blacksburg, VA
Nathan S Cooke
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060  (Online Only)
Greetings! I'm Nathan, and I'm genuinely excited about the opportunity to meet with you. With a Masters of Social Work from West Virginia University and additional post-graduate work in Special Education from Radford University, I bring a solid educational foundation to my practice. Over the past 20 years, I have been dedicated to assisting individuals of all ages—children, families, and adults—through various challenges such as depression, anxiety, ADHD, relationship struggles, and trauma. My experience has honed my skills and deepened my understanding of the complexities people face in their lives.
Greetings! I'm Nathan, and I'm genuinely excited about the opportunity to meet with you. With a Masters of Social Work from West Virginia University and additional post-graduate work in Special Education from Radford University, I bring a solid educational foundation to my practice. Over the past 20 years, I have been dedicated to assisting individuals of all ages—children, families, and adults—through various challenges such as depression, anxiety, ADHD, relationship struggles, and trauma. My experience has honed my skills and deepened my understanding of the complexities people face in their lives.
(540) 315-4886 View (540) 315-4886
Photo of Hollie O'Connor, Clinical Social Work/Therapist in Blacksburg, VA
Hollie O'Connor
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060  (Online Only)
Hollie L. O'Connor is a Licensed Clinical Social Worker and substance use professional with 11 years of experience in the field of mental health and addictions. She is passionate about helping adolescents, teens, adults, and couples address their unique challenges and work toward improving their overall quality of life. Hollie specializes in anxiety, depression, anger, trauma, substance use disorders, borderline personality disorder, major life transitions, grief and loss, and relationship issues. She is a veteran of the U.S. Air Force, where she served for 6 years during Desert Shield/Desert Storm 2 years in the Reserves.
Hollie L. O'Connor is a Licensed Clinical Social Worker and substance use professional with 11 years of experience in the field of mental health and addictions. She is passionate about helping adolescents, teens, adults, and couples address their unique challenges and work toward improving their overall quality of life. Hollie specializes in anxiety, depression, anger, trauma, substance use disorders, borderline personality disorder, major life transitions, grief and loss, and relationship issues. She is a veteran of the U.S. Air Force, where she served for 6 years during Desert Shield/Desert Storm 2 years in the Reserves.
(540) 579-5359 View (540) 579-5359
Photo of Patty Jean Albert, Pastoral Counselor in Blacksburg, VA
Patty Jean Albert
Pastoral Counselor, LPC, LTT
Verified Verified
Blacksburg, VA 24060
Some clients are specifically looking for a faith-based therapy. Our services offer individualized temperament therapeutic care based on the Word of God. Our mission is to offer affordable Biblical counseling that equips clients with tools for success and healing. Our goal is to bring women to a better understanding of themselves and their Creator. We achieve this by the temperament profile method, providing a neutral safe space, listening to your concerns, and giving seed (God’s Word) to form a plan of wisdom and direction, with hope and compassion.
Some clients are specifically looking for a faith-based therapy. Our services offer individualized temperament therapeutic care based on the Word of God. Our mission is to offer affordable Biblical counseling that equips clients with tools for success and healing. Our goal is to bring women to a better understanding of themselves and their Creator. We achieve this by the temperament profile method, providing a neutral safe space, listening to your concerns, and giving seed (God’s Word) to form a plan of wisdom and direction, with hope and compassion.
(540) 410-1829 View (540) 410-1829
Photo of Amanda Kassay, Licensed Professional Counselor in Blacksburg, VA
Amanda Kassay
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
Amanda is a Licensed Professional Counselor (LPC) in the state of Virginia with over 6 years of experience. She specializes in working with individuals from childhood and adolescence to late adulthood in individual and in family therapeutic settings. Amanda partners with clients to work through and manage anxiety, depression, trauma, self-esteem issues, stress, life transitions, grief, loss, and other concerns. Amanda received her Master's degree in Counseling and Human Services in 2015 from the CACREP-accredited Institute, Lindsey Wilson College, School of Professional Counseling in Columbia KY.
Amanda is a Licensed Professional Counselor (LPC) in the state of Virginia with over 6 years of experience. She specializes in working with individuals from childhood and adolescence to late adulthood in individual and in family therapeutic settings. Amanda partners with clients to work through and manage anxiety, depression, trauma, self-esteem issues, stress, life transitions, grief, loss, and other concerns. Amanda received her Master's degree in Counseling and Human Services in 2015 from the CACREP-accredited Institute, Lindsey Wilson College, School of Professional Counseling in Columbia KY.
(540) 572-7109 View (540) 572-7109
Photo of Melissa Asbury, Licensed Professional Counselor in Blacksburg, VA
Melissa Asbury
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060  (Online Only)
Melissa is a Licensed Professional Counselor (LPC) who has worked with adults with serious mental illness in community-based positions, individual counseling, group facilitation, and assessment. She has worked with individuals experiencing depression, anxiety, bipolar disorders, psychosis, adjustment issues, grief and loss, substance use disorders, self-esteem deficiencies, relationship issues, trauma, and much more.
Melissa is a Licensed Professional Counselor (LPC) who has worked with adults with serious mental illness in community-based positions, individual counseling, group facilitation, and assessment. She has worked with individuals experiencing depression, anxiety, bipolar disorders, psychosis, adjustment issues, grief and loss, substance use disorders, self-esteem deficiencies, relationship issues, trauma, and much more.
(540) 507-2668 View (540) 507-2668
Photo of Cassandra Simpson, Licensed Professional Counselor in Blacksburg, VA
Cassandra Simpson
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060  (Online Only)
Cassandra Simpson is an LPC who has 5 years of experience providing clients with clinical therapeutic assessment and treatment of depression/anxiety, trauma, relationship issues, and mood regulation. Cassandra is also specialized in assisting clients who are currently experiencing or have previously endured domestic/intimate partner violence. Cassandra completed her Bachelor of Applied Science (BAS) in Administration of Justice at Northern Arizona University and her Master of Arts (MA) in Professional Counseling at Ottawa University in Phoenix, Arizona.
Cassandra Simpson is an LPC who has 5 years of experience providing clients with clinical therapeutic assessment and treatment of depression/anxiety, trauma, relationship issues, and mood regulation. Cassandra is also specialized in assisting clients who are currently experiencing or have previously endured domestic/intimate partner violence. Cassandra completed her Bachelor of Applied Science (BAS) in Administration of Justice at Northern Arizona University and her Master of Arts (MA) in Professional Counseling at Ottawa University in Phoenix, Arizona.
(540) 573-2836 View (540) 573-2836
Photo of Courtney Sutphin-Hebdon, Licensed Professional Counselor in Blacksburg, VA
Courtney Sutphin-Hebdon
Licensed Professional Counselor, LCSW, CMHIMP
Verified Verified
Blacksburg, VA 24060
Courtney Sutphin-Hebdon is a Licensed Clinical Social Worker (LCSW) and Certified Mental Health Integrative Medicine Provider (CMHIMP) who has 20 years of experience in the mental health field. Courtney completed her Master of Social Work (MSW) at the University of Tennessee.
Courtney Sutphin-Hebdon is a Licensed Clinical Social Worker (LCSW) and Certified Mental Health Integrative Medicine Provider (CMHIMP) who has 20 years of experience in the mental health field. Courtney completed her Master of Social Work (MSW) at the University of Tennessee.
(540) 253-1795 View (540) 253-1795
Photo of Michael M Love, Psychologist in Blacksburg, VA
Michael M Love
Psychologist, PsyD, LCP
Verified Verified
Blacksburg, VA 24060  (Online Only)
Waitlist for new clients
Accepting clients to start in May 2024! I believe that psychotherapy is a tool for transforming our effort into meaningful change in our lives. We can do this through seeking insight into understanding ourselves as well as making practical changes in our day-to-day habits. In addition to psychotherapy services, I provide psychological testing and assessment, as well as consultation to healthcare providers and others.
Accepting clients to start in May 2024! I believe that psychotherapy is a tool for transforming our effort into meaningful change in our lives. We can do this through seeking insight into understanding ourselves as well as making practical changes in our day-to-day habits. In addition to psychotherapy services, I provide psychological testing and assessment, as well as consultation to healthcare providers and others.
(540) 277-9172 View (540) 277-9172
Photo of Caley Gelsomino, Licensed Professional Counselor in Blacksburg, VA
Caley Gelsomino
Licensed Professional Counselor, LCSW
Verified Verified
Blacksburg, VA 24060
Caley Gelsomino is a Licensed Clinical Social Worker (LCSW) who specializes in treating anxiety, depression, trauma, relationship issues, and grief. Caley completed her Master of Social Work (MSW) at Simmons College. Caley believes that life’s challenges show no bias and that everyone experiences changes and overwhelming emotions. While those differ from person to person, what everyone has in common is that they don’t have to do it alone.
Caley Gelsomino is a Licensed Clinical Social Worker (LCSW) who specializes in treating anxiety, depression, trauma, relationship issues, and grief. Caley completed her Master of Social Work (MSW) at Simmons College. Caley believes that life’s challenges show no bias and that everyone experiences changes and overwhelming emotions. While those differ from person to person, what everyone has in common is that they don’t have to do it alone.
(540) 712-8993 View (540) 712-8993
Photo of Sarah Rash, Licensed Professional Counselor in Blacksburg, VA
Sarah Rash
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
Sarah Rash is a Licensed Professional Counselor (LPC) with 7 years of combined experience working in a variety of counseling venues. She has a passion for helping adults understand and navigate the challenges they face as a result of life circumstances or diagnoses to lead to more rewarding day-to-day lives. Sarah specializes in anxiety, depression, grief, coping skills education, self-esteem, some trauma work, and self-exploration/growth.
Sarah Rash is a Licensed Professional Counselor (LPC) with 7 years of combined experience working in a variety of counseling venues. She has a passion for helping adults understand and navigate the challenges they face as a result of life circumstances or diagnoses to lead to more rewarding day-to-day lives. Sarah specializes in anxiety, depression, grief, coping skills education, self-esteem, some trauma work, and self-exploration/growth.
(540) 307-2453 View (540) 307-2453
Photo of The Therapy Hub, Licensed Professional Counselor in Blacksburg, VA
The Therapy Hub
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
Waitlist for new clients
Hi there, I’m Angel Whitehead, owner of The Therapy Hub, PLLC in Blacksburg, Virginia. I’m glad you’re here! I enjoy working with individuals who are facing challenges in their relationships. Maybe you're hoping to better connect with a partner or loved one, improve assertive communication (looking at you people pleasers), establish healthy boundaries, or you realize it's time to break free from a relationship or situationship that's depleting your energy and peace. I am also passionate about working with folks who feel preoccupied with food, weight, and body image.
Hi there, I’m Angel Whitehead, owner of The Therapy Hub, PLLC in Blacksburg, Virginia. I’m glad you’re here! I enjoy working with individuals who are facing challenges in their relationships. Maybe you're hoping to better connect with a partner or loved one, improve assertive communication (looking at you people pleasers), establish healthy boundaries, or you realize it's time to break free from a relationship or situationship that's depleting your energy and peace. I am also passionate about working with folks who feel preoccupied with food, weight, and body image.
(540) 750-5593 View (540) 750-5593
Photo of Curt Ramsey, Licensed Professional Counselor in Blacksburg, VA
Curt Ramsey
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
As your counselor, I’ll guide you through some of your toughest challenges in life with a gentle but “real” approach. Within our counselor-client relationship, I prioritize developing trust and openness, allowing you the freedom to share anything on your mind without fear of judgment or criticism. I've enjoyed my work with college students tremendously. I often see people struggling with anxiety, depression, low self-esteem, or just dealing with the stress of life.
As your counselor, I’ll guide you through some of your toughest challenges in life with a gentle but “real” approach. Within our counselor-client relationship, I prioritize developing trust and openness, allowing you the freedom to share anything on your mind without fear of judgment or criticism. I've enjoyed my work with college students tremendously. I often see people struggling with anxiety, depression, low self-esteem, or just dealing with the stress of life.
(540) 701-4379 View (540) 701-4379
Photo of Calmed Counseling & Consulting LLC, Licensed Professional Counselor in Blacksburg, VA
Calmed Counseling & Consulting LLC
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Blacksburg, VA 24060
Not accepting new clients
An update on our availability as of March 21: all of our providers are either full or have very limited openings. We hope to have a new Resident in Counseling on board next month & will share more details about them soon.
An update on our availability as of March 21: all of our providers are either full or have very limited openings. We hope to have a new Resident in Counseling on board next month & will share more details about them soon.
(540) 218-1902 View (540) 218-1902
Photo of Kati Griggs-Shine Bright Therapy, Licensed Professional Counselor in Blacksburg, VA
Kati Griggs-Shine Bright Therapy
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
Waitlist for new clients
I want to provide an environment where you feel like you can be your best self. This happens by providing a safe space for you to feel cozy, welcomed and heard. When you are in the right space and with the right person, it gives you the ability to be open to discuss any issues or concerns to improve and become the best version of you.
I want to provide an environment where you feel like you can be your best self. This happens by providing a safe space for you to feel cozy, welcomed and heard. When you are in the right space and with the right person, it gives you the ability to be open to discuss any issues or concerns to improve and become the best version of you.
(540) 584-8925 View (540) 584-8925
Photo of Rosana Lopez Haugh, Clinical Social Work/Therapist in Blacksburg, VA
Rosana Lopez Haugh
Clinical Social Work/Therapist
Verified Verified
Blacksburg, VA 24060
Rosana Lopez Haugh received her Master's in Social Work, Planning, and Administration from Virginia Commonwealth University and has over 25 years of experience in the field of social work, advocating and serving people with disabilities in their community. Rosana has extensive experience working with children and adults assisting them in both English and Spanish language. She received her undergraduate degree in Studio Art from Mary Washington University and also worked as an accomplished artist.
Rosana Lopez Haugh received her Master's in Social Work, Planning, and Administration from Virginia Commonwealth University and has over 25 years of experience in the field of social work, advocating and serving people with disabilities in their community. Rosana has extensive experience working with children and adults assisting them in both English and Spanish language. She received her undergraduate degree in Studio Art from Mary Washington University and also worked as an accomplished artist.
(540) 701-4919 View (540) 701-4919
Photo of Mia Mickenberg, Licensed Professional Counselor in Blacksburg, VA
Mia Mickenberg
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060  (Online Only)
Mia Mickenberg is a Licensed Professional Counselor (LPC) who has 10 years of experience in the mental health field, working with diverse populations, many different issues, and in various settings, including schools, homes, a college counseling center, and a substance abuse prevention center. Mia enjoys working with and has a great deal of experience in counseling youth, adolescents, and adults. Mia uses a holistic and integrative approach to counseling because, as people, we are not just our minds or physical selves, but a combination of the two.
Mia Mickenberg is a Licensed Professional Counselor (LPC) who has 10 years of experience in the mental health field, working with diverse populations, many different issues, and in various settings, including schools, homes, a college counseling center, and a substance abuse prevention center. Mia enjoys working with and has a great deal of experience in counseling youth, adolescents, and adults. Mia uses a holistic and integrative approach to counseling because, as people, we are not just our minds or physical selves, but a combination of the two.
(540) 924-1964 View (540) 924-1964

How does your Therapist compare?

Number of Therapists in Blacksburg, VA

100+

Average cost per session

$140

Therapists in Blacksburg, VA who prioritize treating:

93% Anxiety
86% Depression
75% Self Esteem
68% Relationship Issues
66% Stress
65% Trauma and PTSD
63% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

80% Anthem | Elevance
70% Aetna
68% BlueCross and BlueShield

How Therapists in Blacksburg, VA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Blacksburg?

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.