Therapists in Apex, NC

Photo of Tiffany Burnette in Apex, NC
Tiffany Burnette
MT-BC, CFLC, CFLE-P, BCC
Verified Verified
1 Endorsed
Apex, NC 27502
Waitlist for new clients
Hi! I’m Tiffany Burnette; helping families and individuals improve their mental and physical health. I am here to help you or a loved one enhance communication and expression, strengthen relationships, and create great habits that keep you strong. I am dedicated to providing supportive guidance, family education, and music therapy through both structured programs and individualized attention. I offer a safe place for you to gain and practice new skills that will bring you the change you want to see.
Hi! I’m Tiffany Burnette; helping families and individuals improve their mental and physical health. I am here to help you or a loved one enhance communication and expression, strengthen relationships, and create great habits that keep you strong. I am dedicated to providing supportive guidance, family education, and music therapy through both structured programs and individualized attention. I offer a safe place for you to gain and practice new skills that will bring you the change you want to see.
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Photo of Dana Acheson, Clinical Social Work/Therapist in Apex, NC
Dana Acheson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Apex, NC 27502
We meet the world with what we have carried since birth, with what we have gained and lost along the way. Deciphering what serves you best, now, and what is holding you back, can be challenging work: but it is work well worth your efforts, and work you will not have to do alone. My approach is client centered, strengths based, and above all else, collaborative. Therapy is a process of guided discovery, and one that I would feel humbled and honored to embark on with you, should you be new to therapy, or have had many years of self-study.
We meet the world with what we have carried since birth, with what we have gained and lost along the way. Deciphering what serves you best, now, and what is holding you back, can be challenging work: but it is work well worth your efforts, and work you will not have to do alone. My approach is client centered, strengths based, and above all else, collaborative. Therapy is a process of guided discovery, and one that I would feel humbled and honored to embark on with you, should you be new to therapy, or have had many years of self-study.
(919) 636-5240 View (919) 636-5240
Photo of Maureen O'Connell, Licensed Clinical Mental Health Counselor in Apex, NC
Maureen O'Connell
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Apex, NC 27502  (Online Only)
Hello! I'm so glad you're here and I know the struggle is real. I believe therapy is something we can all benefit from and I've been on the other side myself. It's so important to find a good fit. I've been passionate about mental health my whole life and love helping people become what I call their "best self." I see therapy as a place to explore your difficulties, learn about yourself and receive guidance, education, and fresh ways to cope. My specialties are Anxiety/panicToxic relationships, and healing from trauma. To serve more clients, I'm excited to be getting credentialed with insurance! (BCBS, Aetna, and Cigna) June 2024
Hello! I'm so glad you're here and I know the struggle is real. I believe therapy is something we can all benefit from and I've been on the other side myself. It's so important to find a good fit. I've been passionate about mental health my whole life and love helping people become what I call their "best self." I see therapy as a place to explore your difficulties, learn about yourself and receive guidance, education, and fresh ways to cope. My specialties are Anxiety/panicToxic relationships, and healing from trauma. To serve more clients, I'm excited to be getting credentialed with insurance! (BCBS, Aetna, and Cigna) June 2024
(919) 823-7367 View (919) 823-7367
Photo of Shea Rouse, Pre-Licensed Professional in Apex, NC
Shea Rouse
Pre-Licensed Professional, LCSW-A
Verified Verified
1 Endorsed
Apex, NC 27502
Waitlist for new clients
Hi! My name is Shea, and I want to support and empower you to become your most authentic self. I provide a safe and collaborative space that encourages curiosity, healing, and growth. We will find the tools you need to cope with and overcome the challenges you are facing. You are the expert of your own experiences and I am interested in learning more about you. Let’s work together to create the life you want to live.
Hi! My name is Shea, and I want to support and empower you to become your most authentic self. I provide a safe and collaborative space that encourages curiosity, healing, and growth. We will find the tools you need to cope with and overcome the challenges you are facing. You are the expert of your own experiences and I am interested in learning more about you. Let’s work together to create the life you want to live.
(919) 893-0700 View (919) 893-0700
Photo of Kendall Panciera, Clinical Social Work/Therapist in Apex, NC
Kendall Panciera
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Apex, NC 27502
I strive to create a warm, safe, and supportive connection with all my clients. I use patient-centered, strengths-based, mindfulness, and trauma-informed approach in my practice. I have additional specialized training in EMDR therapy and Motivational Interviewing. I take a creative approach that welcomes curiosity and play regardless of age.
I strive to create a warm, safe, and supportive connection with all my clients. I use patient-centered, strengths-based, mindfulness, and trauma-informed approach in my practice. I have additional specialized training in EMDR therapy and Motivational Interviewing. I take a creative approach that welcomes curiosity and play regardless of age.
(919) 877-6863 View (919) 877-6863
Photo of Joan Stauffer, Clinical Social Work/Therapist in Apex, NC
Joan Stauffer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Apex, NC 27502
​I have 13+ years of experience in providing individual, family, & group mental health therapy to adults, with specialties in geriatric mental health & post-traumatic stress. Other areas of interest include, anxiety, chronic mood symptoms, obsessive compulsive disorder, caregiver stress, dementia processes, co-occurring illnesses, grief & loss, & trauma.
​I have 13+ years of experience in providing individual, family, & group mental health therapy to adults, with specialties in geriatric mental health & post-traumatic stress. Other areas of interest include, anxiety, chronic mood symptoms, obsessive compulsive disorder, caregiver stress, dementia processes, co-occurring illnesses, grief & loss, & trauma.
(919) 336-0798 View (919) 336-0798
Photo of Regina Brinkley Brown, Clinical Social Work/Therapist in Apex, NC
Regina Brinkley Brown
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Apex, NC 27502
You know what it feels like to sit at your kitchen table or on your front or back porch with a close friend or family member & talk the hours away? Some conversations bring laughter. Some bring tears. Some bring clarity. Therapy can take those conversations to the next level. You can expect therapy with me to be very relaxed. Put your feet up! Bring in your lunch! Check your phone! Tell me about your dog! Show me pictures! You tell me what is working and not working for you in therapy & I'll adjust. We'll move at your pace towards goals you set.
You know what it feels like to sit at your kitchen table or on your front or back porch with a close friend or family member & talk the hours away? Some conversations bring laughter. Some bring tears. Some bring clarity. Therapy can take those conversations to the next level. You can expect therapy with me to be very relaxed. Put your feet up! Bring in your lunch! Check your phone! Tell me about your dog! Show me pictures! You tell me what is working and not working for you in therapy & I'll adjust. We'll move at your pace towards goals you set.
(919) 355-9647 View (919) 355-9647
Photo of Jasmine Cope, Clinical Social Work/Therapist in Apex, NC
Jasmine Cope
Clinical Social Work/Therapist, LCSW
Verified Verified
Apex, NC 27539  (Online Only)
I am here to help you seek balance, feel better, or reach that next level of life gratification, You've already taken the first step by being here. Yes, things can and do get better, sometimes it's change, sometimes it's reflection, and sometimes it's a power within you that heels the heart and opens the mind to the core of the issue and to the possibilities beyond it.
I am here to help you seek balance, feel better, or reach that next level of life gratification, You've already taken the first step by being here. Yes, things can and do get better, sometimes it's change, sometimes it's reflection, and sometimes it's a power within you that heels the heart and opens the mind to the core of the issue and to the possibilities beyond it.
(984) 203-9593 View (984) 203-9593
Photo of Taylar Bolds, Clinical Social Work/Therapist in Apex, NC
Taylar Bolds
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Apex, NC 27502
Do you struggle with depression? Anxiety? Self-confidence? or inter-personal relationships? I believe one of the bravest things you can do is begin to understand your own story, and you deserve to live a life that leaves you excited to wake up every morning. On the surface, things are going well, but you've felt anxious for a long. My background in both social work and sociology allows me to work holistically with your needs to help you on your healing journey. I am strengths based, and regularly uses tools and techniques of Dialectical Behavioral Therapy and mindfulness to build trust and rapport through a non-judgmental demeanor.
Do you struggle with depression? Anxiety? Self-confidence? or inter-personal relationships? I believe one of the bravest things you can do is begin to understand your own story, and you deserve to live a life that leaves you excited to wake up every morning. On the surface, things are going well, but you've felt anxious for a long. My background in both social work and sociology allows me to work holistically with your needs to help you on your healing journey. I am strengths based, and regularly uses tools and techniques of Dialectical Behavioral Therapy and mindfulness to build trust and rapport through a non-judgmental demeanor.
(984) 283-5478 View (984) 283-5478
Photo of Jasmin K Ahluwalia, Clinical Social Work/Therapist in Apex, NC
Jasmin K Ahluwalia
Clinical Social Work/Therapist, MSW, LCSW, CST, L2 IFST, L1 CGT
Verified Verified
1 Endorsed
Apex, NC 27539  (Online Only)
“You are perfect the way you are and you can always grow and do better” This statement is central to my approach and the kind of space I create for my clients. Life can be challenging, overwhelming, and stressful, but self-acceptance and self-love free us to build the skills we need to cope with relationships, family, work, and life. This journey is not easy. It requires self-reflection, awareness, exploration of thoughts and feelings, and a willingness to change. As a therapist, I believe that our mental health, sex life, and relationships are all interconnected and approach therapy from a holistic perspective.
“You are perfect the way you are and you can always grow and do better” This statement is central to my approach and the kind of space I create for my clients. Life can be challenging, overwhelming, and stressful, but self-acceptance and self-love free us to build the skills we need to cope with relationships, family, work, and life. This journey is not easy. It requires self-reflection, awareness, exploration of thoughts and feelings, and a willingness to change. As a therapist, I believe that our mental health, sex life, and relationships are all interconnected and approach therapy from a holistic perspective.
(984) 459-7635 View (984) 459-7635
Photo of Counseling Supervision Services, Drug & Alcohol Counselor in Apex, NC
Counseling Supervision Services
Drug & Alcohol Counselor, MA, LCAS, CCS
Verified Verified
1 Endorsed
Apex, NC 27502  (Online Only)
My ideal client isn't sure about their relationship with alcohol, weed, or other substances. He or she wants to simply cut down on their drinking or stop using weed for a while to get a new job. Others want to abstain from everything, and need guidance. I work to provide a safe space for you to work that out.
My ideal client isn't sure about their relationship with alcohol, weed, or other substances. He or she wants to simply cut down on their drinking or stop using weed for a while to get a new job. Others want to abstain from everything, and need guidance. I work to provide a safe space for you to work that out.
(984) 249-2218 View (984) 249-2218
Photo of Marion Reeves Anderson, Licensed Clinical Mental Health Counselor in Apex, NC
Marion Reeves Anderson
Licensed Clinical Mental Health Counselor, LPC, LCMHC, NCC
Verified Verified
1 Endorsed
Apex, NC 27502
Hello! So glad you're here! Asking for help is one of the bravest things someone can do. In a world that tells us to be strong and push through, it can be hard to feel our emotions and say that we need help. Maybe you're struggling with feeling trapped by thoughts about food and your body. Maybe you're struggling with chronic overthinking, feeling down, or a feeling of not measuring up. Whatever it is, I'm here to help! We are not meant to go through life alone - I find it an honor to be trusted to hold so many stories and to walk alongside my clients through whatever is bringing them to my office.
Hello! So glad you're here! Asking for help is one of the bravest things someone can do. In a world that tells us to be strong and push through, it can be hard to feel our emotions and say that we need help. Maybe you're struggling with feeling trapped by thoughts about food and your body. Maybe you're struggling with chronic overthinking, feeling down, or a feeling of not measuring up. Whatever it is, I'm here to help! We are not meant to go through life alone - I find it an honor to be trusted to hold so many stories and to walk alongside my clients through whatever is bringing them to my office.
(919) 213-0276 View (919) 213-0276
Photo of Meaghan Henry, Clinical Social Work/Therapist in Apex, NC
Meaghan Henry
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Apex, NC 27502  (Online Only)
Are you interested in therapy, but feeling unsure about finding someone who you can relate to and trust? No matter what challenge brings you here, I’m ready to help! I offer a down-to-Earth approach with unique solutions for real problems. We will identify your strengths and together formulate a plan to meet your therapy goals on your terms. Change can be a difficult process, but I am here to walk through it with you.
Are you interested in therapy, but feeling unsure about finding someone who you can relate to and trust? No matter what challenge brings you here, I’m ready to help! I offer a down-to-Earth approach with unique solutions for real problems. We will identify your strengths and together formulate a plan to meet your therapy goals on your terms. Change can be a difficult process, but I am here to walk through it with you.
(984) 300-4724 View (984) 300-4724
Photo of Lauren Garrett in Apex, NC
Lauren Garrett
LCMHCA, NCC
Verified Verified
1 Endorsed
Apex, NC 27502
My passion lies in serving children, teens, and young adults. For the past three years, I have worked as a school counselor where my primary focus has been serving students experiencing anxiety, depression, struggles with low self-esteem, and life transitions such as divorce or the deployment of a loved one. I also enjoy partnering with parents of children who are experiencing emotional and behavioral difficulties. Because of my experience in the school system, I value the ability to collaborate with the various systems of a client's life (school, home, therapy, etc.) to best serve them.
My passion lies in serving children, teens, and young adults. For the past three years, I have worked as a school counselor where my primary focus has been serving students experiencing anxiety, depression, struggles with low self-esteem, and life transitions such as divorce or the deployment of a loved one. I also enjoy partnering with parents of children who are experiencing emotional and behavioral difficulties. Because of my experience in the school system, I value the ability to collaborate with the various systems of a client's life (school, home, therapy, etc.) to best serve them.
(984) 201-7111 View (984) 201-7111
Photo of Tina Mepani, LPC Intern in Apex, NC
Tina Mepani
LPC Intern
Verified Verified
1 Endorsed
Apex, NC 27523  (Online Only)
As a former lawyer and child of immigrants, I am passionate about supporting clients through difficult life transitions. My approach is aimed at providing clients with a warm, empathetic, and safe environment to explore challenging life matters. Using trauma-informed interventions, as well as tools rooted in somatic experiencing, cognitive behavioral therapy, and emotion-focused therapy, I give my clients skills to calm their nervous systems and encourage them to go deep to address the root cause of their present day distress.
As a former lawyer and child of immigrants, I am passionate about supporting clients through difficult life transitions. My approach is aimed at providing clients with a warm, empathetic, and safe environment to explore challenging life matters. Using trauma-informed interventions, as well as tools rooted in somatic experiencing, cognitive behavioral therapy, and emotion-focused therapy, I give my clients skills to calm their nervous systems and encourage them to go deep to address the root cause of their present day distress.
(910) 776-5159 View (910) 776-5159
Photo of Rachel Garfield, Licensed Clinical Mental Health Counselor in Apex, NC
Rachel Garfield
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Apex, NC 27502
If you are feeling stuck or alone, we will collaborate to find the best approach for you. I’m Psychoanalytic/Attachment based and believe in balance between insight and action. I specialize in the treatment of trauma, chronic pain, anxiety, addiction and relationships with adults with the goal of healing the client's relationship within themselves and with others. We will work through your past to free you in the present. If you feel isolated, or trapped in the same repetitive, negative patterns or relationships there is a solution and there is hope. We will work together so that you can find Joy and be free to move forward.
If you are feeling stuck or alone, we will collaborate to find the best approach for you. I’m Psychoanalytic/Attachment based and believe in balance between insight and action. I specialize in the treatment of trauma, chronic pain, anxiety, addiction and relationships with adults with the goal of healing the client's relationship within themselves and with others. We will work through your past to free you in the present. If you feel isolated, or trapped in the same repetitive, negative patterns or relationships there is a solution and there is hope. We will work together so that you can find Joy and be free to move forward.
(919) 535-4925 View (919) 535-4925
Photo of Mandy Anglemyer, Lic Clinical Mental Health Counselor Associate in Apex, NC
Mandy Anglemyer
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Verified Verified
1 Endorsed
Apex, NC 27502  (Online Only)
At times navigating life can be difficult and feel overwhelming. My passion lies in walking with you to gain insight, understand and solve problems, clarify values, and find more balance in life. I value the uniqueness of each person, which helps build on your strengths, self-acceptance, and healing. I strive to empower you to be self-compassionate as you journey through vulnerability and discomfort to reach a more fulfilling and meaningful life experience.
At times navigating life can be difficult and feel overwhelming. My passion lies in walking with you to gain insight, understand and solve problems, clarify values, and find more balance in life. I value the uniqueness of each person, which helps build on your strengths, self-acceptance, and healing. I strive to empower you to be self-compassionate as you journey through vulnerability and discomfort to reach a more fulfilling and meaningful life experience.
(919) 374-3032 View (919) 374-3032
Photo of Isabella Patterson, Clinical Social Work/Therapist in Apex, NC
Isabella Patterson
Clinical Social Work/Therapist, LCSW
Verified Verified
Apex, NC 27523  (Online Only)
My goal is to lend a compassionate hand to guide you through coping with the past and promoting healing for the future to achieve the best version of yourself. My passion lies in working with people from all walks of life to manage emotions and relationships. Whether you are trying to cope with a history of trauma or complexity, navigating a challenging life event or transition, or in the midst of conflict, I can help you achieve a more peaceful, fulfilling and resilient self through building on the skills you already have.
My goal is to lend a compassionate hand to guide you through coping with the past and promoting healing for the future to achieve the best version of yourself. My passion lies in working with people from all walks of life to manage emotions and relationships. Whether you are trying to cope with a history of trauma or complexity, navigating a challenging life event or transition, or in the midst of conflict, I can help you achieve a more peaceful, fulfilling and resilient self through building on the skills you already have.
(919) 629-1230 View (919) 629-1230
Photo of Elevate Sport Psychology, Psychologist in Apex, NC
Elevate Sport Psychology
Psychologist, PsyD, CMPC
Verified Verified
Apex, NC 27539  (Online Only)
Lonnie Sarnell, Psy.D. CMPC is a Clinical and Sport Psychologist and the owner of Elevate Sport Psychology, PLLC. Dr. Sarnell became interested in sport psychology through her personal experience as a Division I lacrosse goalie, and she enjoys working with athletes at all levels. She understands the emotional rollercoaster of competitive sports and wants to make sure you have the resources and skills needed to feel your best. She'll work with you to find a set of resources that feels both feasible given your busy schedule and effective, from individual sessions to team sessions to self-paced courses.
Lonnie Sarnell, Psy.D. CMPC is a Clinical and Sport Psychologist and the owner of Elevate Sport Psychology, PLLC. Dr. Sarnell became interested in sport psychology through her personal experience as a Division I lacrosse goalie, and she enjoys working with athletes at all levels. She understands the emotional rollercoaster of competitive sports and wants to make sure you have the resources and skills needed to feel your best. She'll work with you to find a set of resources that feels both feasible given your busy schedule and effective, from individual sessions to team sessions to self-paced courses.
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Photo of Sara Riggs, Clinical Social Work/Therapist in Apex, NC
Sara Riggs
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Apex, NC 27502
Waitlist for new clients
Your reasons for seeking therapy are valid. I will approach our work together with a compassionate heart and a non-judgmental mind. I want to help my clients create safety and peace in their bodies and feel connected to their world. I believe in empowering my clients through coping skills rooted in mindfulness and somatic practices, encouraging gentle vulnerability, and helping them identify paths towards Self confidence and embodiment. I use the natural world as a therapy setting and tool; I find it helps those who have felt stuck in the past with classic talk therapy.
Your reasons for seeking therapy are valid. I will approach our work together with a compassionate heart and a non-judgmental mind. I want to help my clients create safety and peace in their bodies and feel connected to their world. I believe in empowering my clients through coping skills rooted in mindfulness and somatic practices, encouraging gentle vulnerability, and helping them identify paths towards Self confidence and embodiment. I use the natural world as a therapy setting and tool; I find it helps those who have felt stuck in the past with classic talk therapy.
(919) 689-4227 View (919) 689-4227

How does your Therapist compare?

Number of Therapists in Apex, NC

300+

Average cost per session

$140

Therapists in Apex, NC who prioritize treating:

93% Anxiety
86% Depression
77% Self Esteem
75% Relationship Issues
75% Coping Skills
66% Trauma and PTSD
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
75% Aetna
50% Cigna and Evernorth

How Therapists in Apex, NC see their clients

77% In Person and Online
23% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Apex?

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.