Therapists in Washington, DC

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Photo of Susan G Goldberg, Psychologist in Washington, DC
Susan G Goldberg
Psychologist, JD, PhD
Verified Verified
Washington, DC 20009  (Online Only)
Deep listening to your story is central to my practice. I work with people who are suffering, including those who have had feelings or experiences of “otherness.” I have had several careers and lived in various places, so I am sensitive to the rich diversity of lived experience. I have worked with various types of people, including adolescents, college students, and adults, individually, in couples, and in groups. My approach to therapy is integrative, with elements of psychodynamic, humanistic, and existential orientations.
Deep listening to your story is central to my practice. I work with people who are suffering, including those who have had feelings or experiences of “otherness.” I have had several careers and lived in various places, so I am sensitive to the rich diversity of lived experience. I have worked with various types of people, including adolescents, college students, and adults, individually, in couples, and in groups. My approach to therapy is integrative, with elements of psychodynamic, humanistic, and existential orientations.
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Photo of Michael A Giordano, Clinical Social Work/Therapist in Washington, DC
Michael A Giordano
Clinical Social Work/Therapist, LICSW, CST
Verified Verified
4 Endorsed
Washington, DC 20009
In a world full of judgment, you need to trust that your therapist is affirming and ready to hear your "deep, dark secrets." With that, you can then talk about what's really going on and address your true concerns. I have experience helping people with all kinds of issues, including relationships, sex and sexuality, addictions, gender identity, physical/emotional/sexual abuse, as well as general questions of self-worth. Together, we will explore any issue that is important to you. We will discuss how past experiences shape what you're currently thinking and feeling.
In a world full of judgment, you need to trust that your therapist is affirming and ready to hear your "deep, dark secrets." With that, you can then talk about what's really going on and address your true concerns. I have experience helping people with all kinds of issues, including relationships, sex and sexuality, addictions, gender identity, physical/emotional/sexual abuse, as well as general questions of self-worth. Together, we will explore any issue that is important to you. We will discuss how past experiences shape what you're currently thinking and feeling.
(202) 559-4269 View (202) 559-4269
Photo of Andromeda Peters, Clinical Social Work/Therapist in Washington, DC
Andromeda Peters
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20006  (Online Only)
Do you ever feel like you’re alone in your emotional challenges? Managing our mental health is something we should never have to do alone. My life’s journey has led me to my passions in both the mental health and entertainment industries, allowing me to advocate for mental health resources internationally and provide therapy. I guide people to feel their power which does not lie in an ideal of perfection, but rather to find ourselves in a space where we can begin to meet ourselves where we are to heal with self-compassion. With gratitude, I am a guide to assist individuals with depression, anxiety, and PTSD, as well as couples.
Do you ever feel like you’re alone in your emotional challenges? Managing our mental health is something we should never have to do alone. My life’s journey has led me to my passions in both the mental health and entertainment industries, allowing me to advocate for mental health resources internationally and provide therapy. I guide people to feel their power which does not lie in an ideal of perfection, but rather to find ourselves in a space where we can begin to meet ourselves where we are to heal with self-compassion. With gratitude, I am a guide to assist individuals with depression, anxiety, and PTSD, as well as couples.
(202) 937-0786 View (202) 937-0786
Photo of Harmon Biddle, Clinical Social Work/Therapist in Washington, DC
Harmon Biddle
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Washington, DC 20036
As a Psychoanalyst and Psychotherapist, my expertise is working with adults experiencing depression and anxiety stemming from feelings of anger and sadness often related to loss. Issues of self esteem can result in one feeling left out and isolated from others. Hard work in Individual Psychotherapy or Psychoanalysis can bring an acute awareness of how unconscious life is causing one to repeat painful dynamics. What a relief it is to get to know everything about the most important person in the world, yourself, and create balance and contentment.
As a Psychoanalyst and Psychotherapist, my expertise is working with adults experiencing depression and anxiety stemming from feelings of anger and sadness often related to loss. Issues of self esteem can result in one feeling left out and isolated from others. Hard work in Individual Psychotherapy or Psychoanalysis can bring an acute awareness of how unconscious life is causing one to repeat painful dynamics. What a relief it is to get to know everything about the most important person in the world, yourself, and create balance and contentment.
(202) 296-8121 View (202) 296-8121
Photo of Therapeutic Links Behavioral Health Services LLC, Counselor in Washington, DC
Therapeutic Links Behavioral Health Services LLC
Counselor, LGPC, NCC
Verified Verified
Washington, DC 20036
If you're looking for support, I'm here for you. Whether it's managing stress and anger, building healthier relationships, overcoming addictions, navigating the justice system, or addressing feelings of depression and anxiety, I'm committed to helping you heal from trauma. Together, we'll work towards regaining control over your emotional well-being and creating a more fulfilling and balanced life.
If you're looking for support, I'm here for you. Whether it's managing stress and anger, building healthier relationships, overcoming addictions, navigating the justice system, or addressing feelings of depression and anxiety, I'm committed to helping you heal from trauma. Together, we'll work towards regaining control over your emotional well-being and creating a more fulfilling and balanced life.
(877) 812-6807 x1 View (877) 812-6807 x1
Photo of Adriana Scott, Clinical Social Work/Therapist in Washington, DC
Adriana Scott
Clinical Social Work/Therapist, LGSW
Verified Verified
1 Endorsed
Washington, DC 20006  (Online Only)
Hi! I am Adriana and I am happy to serve you. My ideal client ranges between the ages of 18-35 years old. They may suffer from low-self esteem, establishing their identity, or looking to overcome their traumas in life. These individuals are looking to become happier, healthier versions of themselves!
Hi! I am Adriana and I am happy to serve you. My ideal client ranges between the ages of 18-35 years old. They may suffer from low-self esteem, establishing their identity, or looking to overcome their traumas in life. These individuals are looking to become happier, healthier versions of themselves!
(202) 952-6974 View (202) 952-6974
Photo of Makira Holder, Counselor in Washington, DC
Makira Holder
Counselor, MA, LGPC
Verified Verified
1 Endorsed
Washington, DC 20006  (Online Only)
Hello! My Name is Makira. I am a therapist with Arelis Perez Psychotherapy Services. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population. At Arelis Perez Psychotherapy Services, our mission is to deliver exceptional, patient-centered care to individuals of all ages who are facing mental health challenges or experiencing stress. We approach our work with understanding, respect, and genuine care, aiming to provide the best possible support.
Hello! My Name is Makira. I am a therapist with Arelis Perez Psychotherapy Services. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population. At Arelis Perez Psychotherapy Services, our mission is to deliver exceptional, patient-centered care to individuals of all ages who are facing mental health challenges or experiencing stress. We approach our work with understanding, respect, and genuine care, aiming to provide the best possible support.
(202) 946-3741 View (202) 946-3741
Photo of Sarah Pogue, Clinical Social Work/Therapist in Washington, DC
Sarah Pogue
Clinical Social Work/Therapist, MSW
Verified Verified
Washington, DC 20010  (Online Only)
I identify as and specialize in LGBTQIA+ matters and open relationships. Do you struggle to motivate, care for yourself/daily tasks, or feel overwhelmed with responsibilities of life? Are your relationships suffering because of stress you feel? You desire to find a sense of peace. You want to be able to relax, to enjoy your life. You are a whole human being deserving of fulfilling relationships, connection, and meaningful direction. Let's take a step together in figuring out how to make life flow more smoothly, to talk through what possible hindrances are in the way of a more balanced, centered life.
I identify as and specialize in LGBTQIA+ matters and open relationships. Do you struggle to motivate, care for yourself/daily tasks, or feel overwhelmed with responsibilities of life? Are your relationships suffering because of stress you feel? You desire to find a sense of peace. You want to be able to relax, to enjoy your life. You are a whole human being deserving of fulfilling relationships, connection, and meaningful direction. Let's take a step together in figuring out how to make life flow more smoothly, to talk through what possible hindrances are in the way of a more balanced, centered life.
(202) 804-0825 View (202) 804-0825
Photo of Victoria Campbell, Licensed Professional Counselor in Washington, DC
Victoria Campbell
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20005  (Online Only)
I work to meet each of my clients needs by tailoring my approach to meet them where they are. Together, we work to reach goals, learn more about one's self, and obtain a level of wellness and functioning that the client can go on to thrive from. I want my space to be a refuge where you feel safe, comfortable, and free to explore your thoughts and feelings without judgment.
I work to meet each of my clients needs by tailoring my approach to meet them where they are. Together, we work to reach goals, learn more about one's self, and obtain a level of wellness and functioning that the client can go on to thrive from. I want my space to be a refuge where you feel safe, comfortable, and free to explore your thoughts and feelings without judgment.
(833) 875-6499 View (833) 875-6499
Photo of Debra Zatz, Clinical Social Work/Therapist in Washington, DC
Debra Zatz
Clinical Social Work/Therapist, MS, LICSW, BCPsa
Verified Verified
1 Endorsed
Washington, DC 20009
I treat individuals and couples who present with a range of needs, from debilitating eating disorders to mild anxiety and to issues that cannot be described in five words or less. I see the whole person rather than a group of symptoms with the recognition that people are complex and that most of us have difficulties in one or more areas of our lives. I work to help people become more integrated which, I believe, helps them lead more fulfilling lives. Life isn't so easy sometimes, but through insight change is possible.
I treat individuals and couples who present with a range of needs, from debilitating eating disorders to mild anxiety and to issues that cannot be described in five words or less. I see the whole person rather than a group of symptoms with the recognition that people are complex and that most of us have difficulties in one or more areas of our lives. I work to help people become more integrated which, I believe, helps them lead more fulfilling lives. Life isn't so easy sometimes, but through insight change is possible.
(202) 643-9909 View (202) 643-9909
Photo of Mia Newell, Clinical Social Work/Therapist in Washington, DC
Mia Newell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Washington, DC 20007
Sometimes the world can feel impossibly heavy, and it is exhausting to cope with underlying challenges like chronic stressors, depression, anxiety, or trauma. Having a space to fully vent your worries and frustrations without fear or guilt is so important for mental health, but often so difficult to find. I approach my clients with warmth and without judgment. I work to cultivate a collaborative connection with clients, while empowering them to make sustainable, long-term changes, beyond our time together.
Sometimes the world can feel impossibly heavy, and it is exhausting to cope with underlying challenges like chronic stressors, depression, anxiety, or trauma. Having a space to fully vent your worries and frustrations without fear or guilt is so important for mental health, but often so difficult to find. I approach my clients with warmth and without judgment. I work to cultivate a collaborative connection with clients, while empowering them to make sustainable, long-term changes, beyond our time together.
(202) 980-2626 View (202) 980-2626
Photo of Elizabeth Crunk, Counselor in Washington, DC
Elizabeth Crunk
Counselor, PhD, NCC, LGPC
Verified Verified
1 Endorsed
Washington, DC 20036
I help adults navigate the challenging experience of coping with grief. Loss is often highly distressing and there is not a duration of time that grieving should take. However, we sometimes feel stuck in our grief or desire support. Because grief is a natural response to loss, the goal of our work together is not to "cure" your grief, but to help you find ways to adjust to your loss and cope with the stressors that accompany it. I also work with clients experiencing relationship and family-of-origin concerns and with individuals who would like to live more authentically and develop greater self-compassion and healthier boundaries.
I help adults navigate the challenging experience of coping with grief. Loss is often highly distressing and there is not a duration of time that grieving should take. However, we sometimes feel stuck in our grief or desire support. Because grief is a natural response to loss, the goal of our work together is not to "cure" your grief, but to help you find ways to adjust to your loss and cope with the stressors that accompany it. I also work with clients experiencing relationship and family-of-origin concerns and with individuals who would like to live more authentically and develop greater self-compassion and healthier boundaries.
(240) 702-2393 View (240) 702-2393
Photo of Consuella North, Clinical Social Work/Therapist in Washington, DC
Consuella North
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20005  (Online Only)
Welcome! I'm Consuella North, MA, MSW, LICSW, and I work with individuals, young adults, and families, in the District of Columbia. As a Clinician, with 15 plus years of experience, I believe in embodying life by caring for self through nurturing your mind and overall wellbeing. I am eager to partner with you in this new chapter as you embrace a big first step of showing up for your SELF.
Welcome! I'm Consuella North, MA, MSW, LICSW, and I work with individuals, young adults, and families, in the District of Columbia. As a Clinician, with 15 plus years of experience, I believe in embodying life by caring for self through nurturing your mind and overall wellbeing. I am eager to partner with you in this new chapter as you embrace a big first step of showing up for your SELF.
(855) 646-1992 View (855) 646-1992
Photo of Serenity Rain in Washington, DC
Serenity Rain
MSW, LGSW, LMSW
Verified Verified
Washington, DC 20032  (Online Only)
Waitlist for new clients
Congratulations—-you love yourself enough to get the help you deserve! The stressors and stresses of everyday like can wear us down. From constantly being bombarded with the rings and dings from technological devices to the pressure to work harder and perform better, it can bring us to our breaking point or close to it. How can we operate at our most optimal level if we are overworked and burnt out? Anxiety and Depression comes from not feeling good enough for just being ourselves and trying to live up to society’s expectations.
Congratulations—-you love yourself enough to get the help you deserve! The stressors and stresses of everyday like can wear us down. From constantly being bombarded with the rings and dings from technological devices to the pressure to work harder and perform better, it can bring us to our breaking point or close to it. How can we operate at our most optimal level if we are overworked and burnt out? Anxiety and Depression comes from not feeling good enough for just being ourselves and trying to live up to society’s expectations.
(301) 965-6469 View (301) 965-6469
Photo of Nyasha Chikowore, Psychological Associate in Washington, DC
Nyasha Chikowore
Psychological Associate, PsyD
Verified Verified
1 Endorsed
Washington, DC 20009
My clients range from adolescents to adults, presenting with concerns around depression, anxiety, ADHD, trauma, family discord, work & academic stress/conflict, gender and sexual identity, racism, and relationship problems. I have worked with individuals who are coming to therapy for the first time and those who want a change of pace in their journey; what all my clients have in common is that they're ready and willing to start.
My clients range from adolescents to adults, presenting with concerns around depression, anxiety, ADHD, trauma, family discord, work & academic stress/conflict, gender and sexual identity, racism, and relationship problems. I have worked with individuals who are coming to therapy for the first time and those who want a change of pace in their journey; what all my clients have in common is that they're ready and willing to start.
(202) 618-4934 View (202) 618-4934
Photo of Arelis Perez Psychotherapy Services , Licensed Professional Counselor in Washington, DC
Arelis Perez Psychotherapy Services
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20006  (Online Only)
Hello! My Name is Arelis, and I am a therapist and founder of Arelis Perez Psychotherapy Services. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, we are here to help you achieve your goal. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population.
Hello! My Name is Arelis, and I am a therapist and founder of Arelis Perez Psychotherapy Services. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, we are here to help you achieve your goal. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population.
(202) 902-6338 View (202) 902-6338
Photo of Emily Hamberger, Licensed Professional Counselor in Washington, DC
Emily Hamberger
Licensed Professional Counselor, MA, EdM , LPC
Verified Verified
2 Endorsed
Washington, DC 20016
Are you struggling to have a healthy relationship with yourself or with others? Does it often feel like happiness comes more easily to other people than it does to you? Or that somewhere along the way, you stumbled or lost your way, and are fighting to find it again? Let me assure you that you deserve and are capable of joy and growth. My work has shown me that happiness does not mean feeling "good" all the time, but rather being strong enough to tolerate all that life throws at us. Maybe you have been thrown an awful lot.
Are you struggling to have a healthy relationship with yourself or with others? Does it often feel like happiness comes more easily to other people than it does to you? Or that somewhere along the way, you stumbled or lost your way, and are fighting to find it again? Let me assure you that you deserve and are capable of joy and growth. My work has shown me that happiness does not mean feeling "good" all the time, but rather being strong enough to tolerate all that life throws at us. Maybe you have been thrown an awful lot.
(202) 335-3128 View (202) 335-3128
Photo of Dr. Shelley L Marfori, Psychologist in Washington, DC
Dr. Shelley L Marfori
Psychologist, Psy D
Verified Verified
Washington, DC 20008  (Online Only)
As a member of the LGBTQIA+ community, a trauma survivor, and someone with a chronic pain disorder; I approach the work that I do from a place of empathy and personal understanding. I have an intense passion for understanding personal identity and the way race, culture, class, and sexuality come together to form what we believe about ourselves and what we feel we can accomplish in our lives. Anxiety and trauma can live in our bodies - together we will create a relationship that fosters dynamic and lasting growth, tapping into undiscovered reserves of resiliency that will help navigate the past and prepare for a more hopeful future.
As a member of the LGBTQIA+ community, a trauma survivor, and someone with a chronic pain disorder; I approach the work that I do from a place of empathy and personal understanding. I have an intense passion for understanding personal identity and the way race, culture, class, and sexuality come together to form what we believe about ourselves and what we feel we can accomplish in our lives. Anxiety and trauma can live in our bodies - together we will create a relationship that fosters dynamic and lasting growth, tapping into undiscovered reserves of resiliency that will help navigate the past and prepare for a more hopeful future.
(202) 919-6929 x779 View (202) 919-6929 x779
Photo of Krystin Harper, Counselor in Washington, DC
Krystin Harper
Counselor, MA, LGPC, NCC
Verified Verified
Washington, DC 20037
Life can feel so hard sometimes - that is ok! Often the most challenging moments provide the space to slow down, appreciate all you have endured, and take steps to create truly meaningful and lasting change. Together, with kindness and a bit of humor, I will help to empower your resilience and capacity to live a joyful and fulfilling life. I am passionate about supporting both individuals and couples. My work is rooted in a holistic, person-centered approach to healing. I will treat you with empathy, create a non-judgmental environment in which you feel safe and heard, and work to understand your lived experiences.
Life can feel so hard sometimes - that is ok! Often the most challenging moments provide the space to slow down, appreciate all you have endured, and take steps to create truly meaningful and lasting change. Together, with kindness and a bit of humor, I will help to empower your resilience and capacity to live a joyful and fulfilling life. I am passionate about supporting both individuals and couples. My work is rooted in a holistic, person-centered approach to healing. I will treat you with empathy, create a non-judgmental environment in which you feel safe and heard, and work to understand your lived experiences.
(202) 866-5172 x2 View (202) 866-5172 x2
Photo of Matt Worhach, Psychologist in Washington, DC
Matt Worhach
Psychologist, PhD
Verified Verified
9 Endorsed
Washington, DC 20036
Welcome to my profile! I'm a compassionate and dedicated psychologist with 12 years of experience. I specialize in helping individuals break free from repetitive and "stuck" thought patterns that may be hindering their personal growth and well-being. Our minds have a tendency to get caught in loops of negative or unhelpful thoughts, which can create distress and limit our ability to thrive. I believe in empowering individuals to challenge and move beyond these patterns, allowing them to embrace new perspectives.
Welcome to my profile! I'm a compassionate and dedicated psychologist with 12 years of experience. I specialize in helping individuals break free from repetitive and "stuck" thought patterns that may be hindering their personal growth and well-being. Our minds have a tendency to get caught in loops of negative or unhelpful thoughts, which can create distress and limit our ability to thrive. I believe in empowering individuals to challenge and move beyond these patterns, allowing them to embrace new perspectives.
(202) 499-4555 View (202) 499-4555

How does your Therapist compare?

Number of Therapists in Washington, DC

3,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
57% CareFirst
54% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.