Therapists in Downtown, Washington, DC

Photo of Jasmine Thompson, MSW, LICSW, LCSW, LCSW-C, Clinical Social Work/Therapist
Jasmine Thompson
Clinical Social Work/Therapist, MSW, LICSW, LCSW, LCSW-C
Verified Verified
1 Endorsed
Downtown, Washington, DC 20002  (Online Only)
In life there are stressors that can be overwhelming and leaves one mentally fatigue. I believe a person is entitled to a new beginning. The Healing Factory is here to provide new techniques and strategies to utilizes when life throws you obstacles that becomes unmanageable and challenging. When starting this process it is not easy and seeking healing is the first step to making a change. If you are ready to embark on a new journey of rebuilding and self growth you came to the right place.
In life there are stressors that can be overwhelming and leaves one mentally fatigue. I believe a person is entitled to a new beginning. The Healing Factory is here to provide new techniques and strategies to utilizes when life throws you obstacles that becomes unmanageable and challenging. When starting this process it is not easy and seeking healing is the first step to making a change. If you are ready to embark on a new journey of rebuilding and self growth you came to the right place.
(202) 519-8346 View (202) 519-8346
Photo of Manal Abukishk - Active Psychotherapy Services, EdD, LPC, Licensed Professional Counselor
Active Psychotherapy Services
Licensed Professional Counselor, EdD, LPC
Verified Verified
Downtown, Washington, DC 20006  (Online Only)
I have an extensive and unique clinical experience with more than 15 years in inpatient and outpatients settings. I have helped many individuals with assorted emotional problems, including PTSD, mood and adjustment disorders, grief, anger, ADHD, and borderline personality disorder. I also serve as a mental health consultant for childhood and early childhood programs in Fairfax where I provide play therapy for young children with emotional and behavioral problems and parents' consultations.
I have an extensive and unique clinical experience with more than 15 years in inpatient and outpatients settings. I have helped many individuals with assorted emotional problems, including PTSD, mood and adjustment disorders, grief, anger, ADHD, and borderline personality disorder. I also serve as a mental health consultant for childhood and early childhood programs in Fairfax where I provide play therapy for young children with emotional and behavioral problems and parents' consultations.
(202) 796-5839 View (202) 796-5839
Photo of Alison Panton, LPC, Licensed Professional Counselor
Alison Panton
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Downtown, Washington, DC 20005  (Online Only)
I provide person centered, culturally informed, trauma focused therapy. I am able to provide Christian based counseling as requested.
I provide person centered, culturally informed, trauma focused therapy. I am able to provide Christian based counseling as requested.
(202) 831-3707 View (202) 831-3707
Photo of Aleesha O’Brien, MEd, LGPC, NCC, Counselor
Aleesha O’Brien
Counselor, MEd, LGPC, NCC
Verified Verified
1 Endorsed
Downtown, Washington, DC 20006  (Online Only)
Email communication is preferred! Aleesha’s goal is to create a safe and comfortable environment for all of her clients to be their genuine selves. She also hopes to help clients gain tools needed to process and express different emotions wholeheartedly. She believes that with a strong therapeutic relationship, anything is possible!
Email communication is preferred! Aleesha’s goal is to create a safe and comfortable environment for all of her clients to be their genuine selves. She also hopes to help clients gain tools needed to process and express different emotions wholeheartedly. She believes that with a strong therapeutic relationship, anything is possible!
(202) 935-9687 View (202) 935-9687
Photo of Taneasha Clark, LMSW, LGSW, Clinical Social Work/Therapist
Taneasha Clark
Clinical Social Work/Therapist, LMSW, LGSW
Verified Verified
1 Endorsed
Downtown, Washington, DC 20006  (Online Only)
Greetings! My name is Taneasha Clark and I am a psychotherapist at Revo Well. We are a tribe of extraordinary clinicians dedicated to REVOlutionizing WELLness in the BIPOC community. My passion is helping people navigate their unique journeys of self discovery and acceptance. I hold space for them to express their innermost feelings and facilitate processing them in a healthy way. We work collaboratively to develop and enhance skills to cope with depression, ADHD, anxiety, and other adversities. I am here to help you thrive. I specialize in working with adults, children/teens, and couples.
Greetings! My name is Taneasha Clark and I am a psychotherapist at Revo Well. We are a tribe of extraordinary clinicians dedicated to REVOlutionizing WELLness in the BIPOC community. My passion is helping people navigate their unique journeys of self discovery and acceptance. I hold space for them to express their innermost feelings and facilitate processing them in a healthy way. We work collaboratively to develop and enhance skills to cope with depression, ADHD, anxiety, and other adversities. I am here to help you thrive. I specialize in working with adults, children/teens, and couples.
(202) 933-6770 View (202) 933-6770
Photo of Elsa Mendez, LICSW, MSW, Clinical Social Work/Therapist
Elsa Mendez
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Downtown, Washington, DC 20005  (Online Only)
Hello, I'm Elsa Mendez, a bilingual Licensed Independent Clinical Social Worker (LICSW) based in DC. I hold a bachelor's degree in psychology from Towson University and a master's in Social Work from Catholic University. My professional journey has led me to collaborate with diverse populations across the DC and Maryland regions. These experiences have enriched my perspective and equipped me with valuable insights into the diverse challenges individuals face from all walks of life. My goal is to provide you with a safe, compassionate, and culturally sensitive space where your journey towards healing and growth can flourish.
Hello, I'm Elsa Mendez, a bilingual Licensed Independent Clinical Social Worker (LICSW) based in DC. I hold a bachelor's degree in psychology from Towson University and a master's in Social Work from Catholic University. My professional journey has led me to collaborate with diverse populations across the DC and Maryland regions. These experiences have enriched my perspective and equipped me with valuable insights into the diverse challenges individuals face from all walks of life. My goal is to provide you with a safe, compassionate, and culturally sensitive space where your journey towards healing and growth can flourish.
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Photo of Dr. Francine Baffa - Dr. Francine Baffa, LCSW — Balance, Focus, Support, PhD, LCSW, BCBA-D, Clinical Social Work/Therapist
Dr. Francine Baffa, LCSW — Balance, Focus, Support
Clinical Social Work/Therapist, PhD, LCSW, BCBA-D
Verified Verified
Downtown, Washington, DC 20005
Do you feel stuck? Are external obstacles, or your own internal fears, holding you back from living a full and meaningful life? In therapy, you can grow, heal, and move forward. Anxiety, depression, ADHD, and Autism Spectrum Disorder are real challenges. You can expect to build lifelong coping skills that enable you to reach your goals and experience sustained healing. You can feel calmer, more balanced, more motivated, and more focused. You can learn to build and sustain healthier and more satisfying relationships with family, work colleagues, and romantic partners. Contact me today. I am looking forward to hearing your story.
Do you feel stuck? Are external obstacles, or your own internal fears, holding you back from living a full and meaningful life? In therapy, you can grow, heal, and move forward. Anxiety, depression, ADHD, and Autism Spectrum Disorder are real challenges. You can expect to build lifelong coping skills that enable you to reach your goals and experience sustained healing. You can feel calmer, more balanced, more motivated, and more focused. You can learn to build and sustain healthier and more satisfying relationships with family, work colleagues, and romantic partners. Contact me today. I am looking forward to hearing your story.
(703) 782-3846 View (703) 782-3846
Photo of Tim Pineau, PhD, Psychologist
Tim Pineau
Psychologist, PhD
Verified Verified
5 Endorsed
Downtown, Washington, DC 20006
As a licensed psychologist, I provide individual therapy to adolescent and adult clients looking to better understand themselves and their relationships. People often seek therapy to address symptoms or problems that they want to change, but ironically, this felt need for things to be different can often create more stress. I believe people are more than their problems, and so my aim is to create a safe, nonjudgmental space to explore the connections between your past experience, relational patterns, and current behaviors to help you a achieve a meaningful sense of self-awareness, thereby giving you more freedom and choice.
As a licensed psychologist, I provide individual therapy to adolescent and adult clients looking to better understand themselves and their relationships. People often seek therapy to address symptoms or problems that they want to change, but ironically, this felt need for things to be different can often create more stress. I believe people are more than their problems, and so my aim is to create a safe, nonjudgmental space to explore the connections between your past experience, relational patterns, and current behaviors to help you a achieve a meaningful sense of self-awareness, thereby giving you more freedom and choice.
(202) 858-0656 View (202) 858-0656
Photo of Mark Rosenblum - The Online Insomnia Center with Dr. Rosenblum, PsyD, DBSM, Psychologist
The Online Insomnia Center with Dr. Rosenblum
Psychologist, PsyD, DBSM
Verified Verified
Downtown, Washington, DC 20006  (Online Only)
Has sleeping turned into a struggle? Are you tossing and turning at night or having trouble falling or staying asleep? Are you a night owl who finds it hard to get to bed on time? Maybe your sleep issues are starting to affect your health, mood, or how you function during the day. Perhaps you hoped your sleep problems would go away this summer. Hi, I'm Dr. Mark Rosenblum, a Sleep Psychologist with nearly 20 years of experience. I provide Cognitive Behavioral Therapy for Insomnia (CBT-I), the gold standard for treating insomnia. If you'd like to know more about CBT-I and how I can help you sleep better, feel free to reach out to me.
Has sleeping turned into a struggle? Are you tossing and turning at night or having trouble falling or staying asleep? Are you a night owl who finds it hard to get to bed on time? Maybe your sleep issues are starting to affect your health, mood, or how you function during the day. Perhaps you hoped your sleep problems would go away this summer. Hi, I'm Dr. Mark Rosenblum, a Sleep Psychologist with nearly 20 years of experience. I provide Cognitive Behavioral Therapy for Insomnia (CBT-I), the gold standard for treating insomnia. If you'd like to know more about CBT-I and how I can help you sleep better, feel free to reach out to me.
(202) 933-9406 View (202) 933-9406
Photo of Fernando Tripodi, MSW, Clinical Social Work/Therapist
Fernando Tripodi
Clinical Social Work/Therapist, MSW
Verified Verified
Downtown, Washington, DC 20036
I work with people who are struggling with depression, anxiety, OCD and panic, as well as those facing relationship difficulties, life transitions and people coping with trauma/PTSD. I also help people who experience difficulties with acculturation and adaptation. I also offer Immigration evaluations for U Visas, T Visas, Asylum, VAWA Petitions and Hardship Evaluations via a secure online connection. I work with your attorney to provide you with the professional, impartial report you need to resolve your immigration case.
I work with people who are struggling with depression, anxiety, OCD and panic, as well as those facing relationship difficulties, life transitions and people coping with trauma/PTSD. I also help people who experience difficulties with acculturation and adaptation. I also offer Immigration evaluations for U Visas, T Visas, Asylum, VAWA Petitions and Hardship Evaluations via a secure online connection. I work with your attorney to provide you with the professional, impartial report you need to resolve your immigration case.
(202) 390-7781 View (202) 390-7781
Photo of Adrienne Harding - Adrienne Harding, MA, LPC — Optimal Wellness, MA, LPC, Licensed Professional Counselor
Adrienne Harding, MA, LPC — Optimal Wellness
Licensed Professional Counselor, MA, LPC
Verified Verified
Downtown, Washington, DC 20005
Are you stuck? Do you or your teenager need support recovering from addiction? Are depression, anxiety, or poor self-image keeping you stuck in life? Have you been diagnosed with Bipolar Disorder (BPD), schizophrenia, or other mental health challenges? Have you experienced traumatic events in childhood or in your adult life? In therapy, we will draw from Cognitive Behavioral Therapy (CBT) and other treatment modalities to support you in developing effective coping skills. We can work on resolving trauma and defusing other factors that may be powering your difficulties. Contact me today. I am looking forward to hearing your story.
Are you stuck? Do you or your teenager need support recovering from addiction? Are depression, anxiety, or poor self-image keeping you stuck in life? Have you been diagnosed with Bipolar Disorder (BPD), schizophrenia, or other mental health challenges? Have you experienced traumatic events in childhood or in your adult life? In therapy, we will draw from Cognitive Behavioral Therapy (CBT) and other treatment modalities to support you in developing effective coping skills. We can work on resolving trauma and defusing other factors that may be powering your difficulties. Contact me today. I am looking forward to hearing your story.
(202) 866-1366 View (202) 866-1366
Photo of Shalin Carter, MS, LPC, LCPC, NCC, Licensed Professional Counselor
Shalin Carter
Licensed Professional Counselor, MS, LPC, LCPC, NCC
Verified Verified
6 Endorsed
Downtown, Washington, DC 20006  (Online Only)
Waitlist for new clients
Make peace with your thoughts and emotions, silence your inner critic and experience authentic emotions. Increase peace and understanding in your relationships, learn to communicate in ways that facilitate connection and lessen conflict. Find clarity in your purpose and uncover what has been holding you back, keeping you feeling stuck. Identify triggers to feelings of anxiety, overwhelm, and imposter syndrome. You can learn to trust yourself. You can learn to be authentic & engage safely in relationships. My name is Shalin Carter, I am a Licensed Counselor in Maryland and DC & these are the things I want to help you with.
Make peace with your thoughts and emotions, silence your inner critic and experience authentic emotions. Increase peace and understanding in your relationships, learn to communicate in ways that facilitate connection and lessen conflict. Find clarity in your purpose and uncover what has been holding you back, keeping you feeling stuck. Identify triggers to feelings of anxiety, overwhelm, and imposter syndrome. You can learn to trust yourself. You can learn to be authentic & engage safely in relationships. My name is Shalin Carter, I am a Licensed Counselor in Maryland and DC & these are the things I want to help you with.
(202) 831-3361 View (202) 831-3361
Photo of Katherine S Marshall Woods, PsyD, Psychologist
Katherine S Marshall Woods
Psychologist, PsyD
Verified Verified
Downtown, Washington, DC 20006  (Online Only)
Ever wonder if what you see about therapy on television is accurate? Are you ever curious regarding the psychology, behavior, and symptoms exhibited within characters? Psychology is happening all around us, even portrayed within our media. Dr. Marshall Woods examines the psychological dynamics found within cinema and media. She consults with screenwriters, directors, and producers to assist with accurate portrayals of psychology within media, providing script review, set and diagnostic accuracy, character and theme development and film festival Q & A prep.
Ever wonder if what you see about therapy on television is accurate? Are you ever curious regarding the psychology, behavior, and symptoms exhibited within characters? Psychology is happening all around us, even portrayed within our media. Dr. Marshall Woods examines the psychological dynamics found within cinema and media. She consults with screenwriters, directors, and producers to assist with accurate portrayals of psychology within media, providing script review, set and diagnostic accuracy, character and theme development and film festival Q & A prep.
(908) 652-9979 View (908) 652-9979
Photo of Dr. Jennifer Fuisz, PsyD, Psychological Associate
Dr. Jennifer Fuisz
Psychological Associate, PsyD
Verified Verified
1 Endorsed
Downtown, Washington, DC 20005
I specialize in working with adults struggling with anxiety, addiction, attachment issues, depression, grief and relational struggles. Additionally, I love working with emerging young adults as they separate from their family of origin and learn how to navigate life's transitions and develop an authentic sense of self.
I specialize in working with adults struggling with anxiety, addiction, attachment issues, depression, grief and relational struggles. Additionally, I love working with emerging young adults as they separate from their family of origin and learn how to navigate life's transitions and develop an authentic sense of self.
(202) 930-8708 x202525 View (202) 930-8708 x202525
Photo of Danya Weltman, LCSW, Clinical Social Work/Therapist
Danya Weltman
Clinical Social Work/Therapist, LCSW
Verified Verified
Downtown, Washington, DC 20006  (Online Only)
Do you have unhealthy patterns of thinking and feelings about life, relationships, and yourself? Together, we will examine these patterns and experiment with new ways of processing and acting. My goal is to help increase your insight, enhance your relationships, and build on your strengths, while helping you develop tangible skills and strategies to live your life to its fullest.
Do you have unhealthy patterns of thinking and feelings about life, relationships, and yourself? Together, we will examine these patterns and experiment with new ways of processing and acting. My goal is to help increase your insight, enhance your relationships, and build on your strengths, while helping you develop tangible skills and strategies to live your life to its fullest.
(202) 517-7603 View (202) 517-7603
Photo of Moksha Living, LICSW, LGPC, LGSW, Clinical Social Work/Therapist
Moksha Living
Clinical Social Work/Therapist, LICSW, LGPC, LGSW
Verified Verified
Downtown, Washington, DC 20036
Moksha Living, LLC. is a Minority Woman & Black/POC owned Holistic Psychotherapy and Coaching practice in Washington D.C. Moksha ( मोक्ष) is a Sanskrit word that can be simply defined as: “Liberation from that which holds you back”. Moksha Living is a holistic approach to mental wellness that combines life coaching and psychotherapy with holistic services such as: mindfulness and yoga towards enhancing wellness and fulfillment in all areas of life functioning.
Moksha Living, LLC. is a Minority Woman & Black/POC owned Holistic Psychotherapy and Coaching practice in Washington D.C. Moksha ( मोक्ष) is a Sanskrit word that can be simply defined as: “Liberation from that which holds you back”. Moksha Living is a holistic approach to mental wellness that combines life coaching and psychotherapy with holistic services such as: mindfulness and yoga towards enhancing wellness and fulfillment in all areas of life functioning.
(202) 915-2773 View (202) 915-2773
Photo of Phyllis Kaye, MSW, LICSW, Clinical Social Work/Therapist
Phyllis Kaye
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Downtown, Washington, DC 20006  (Online Only)
I have been providing individual and couples therapy for 30 years. I have been told that my style is direct, compassionate and non-judgemental.
I have been providing individual and couples therapy for 30 years. I have been told that my style is direct, compassionate and non-judgemental.
(202) 656-8970 View (202) 656-8970
Photo of Jasmine Washington - Onyx Therapy Group , LMSW, LGSW
Onyx Therapy Group
LMSW, LGSW
Verified Verified
1 Endorsed
Downtown, Washington, DC 20006  (Online Only)
Waitlist for new clients
Jasmine is a devoted licensed social worker in Maryland (LGSW) and Washington, DC (LMSW). She earned her Master’s of Social Work from Howard University. She is also a certified yoga instructor, educator, and youth mental health first aider. She infuses her clinical work with mindfulness and social-emotional learning. She firmly believes that a holistic approach combined with a clinical aspect allows clients to understand their whole self and the connection between mind, body, and spirit. Jasmine has experience working with children, adolescents/teens, adults, and mature adults.
Jasmine is a devoted licensed social worker in Maryland (LGSW) and Washington, DC (LMSW). She earned her Master’s of Social Work from Howard University. She is also a certified yoga instructor, educator, and youth mental health first aider. She infuses her clinical work with mindfulness and social-emotional learning. She firmly believes that a holistic approach combined with a clinical aspect allows clients to understand their whole self and the connection between mind, body, and spirit. Jasmine has experience working with children, adolescents/teens, adults, and mature adults.
(202) 972-5797 View (202) 972-5797
Photo of Grace H Depp, Clinical Social Work/Therapist
Grace H Depp
Clinical Social Work/Therapist
Verified Verified
Downtown, Washington, DC 20006
Patients with a history of trauma, addiction, or Attachment Issues will find comfort, guidance, education and even community in this practice through individual and/or group therapy as well as award-winning psychoeducation.
Patients with a history of trauma, addiction, or Attachment Issues will find comfort, guidance, education and even community in this practice through individual and/or group therapy as well as award-winning psychoeducation.
(202) 335-9550 View (202) 335-9550
Photo of Jacqueline Trombley, LCSW-C, Clinical Social Work/Therapist
Jacqueline Trombley
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Downtown, Washington, DC 20001
I have over 13 years experience working with both adolescents and adults. I specialize in trauma, anxiety, depression, grief, low self-esteem, and other relationship related challenges. I have a level 1 and level 2 trauma certificate from the Ferentz institute and work with both childhood and adult trauma. I am also an Internal Family Systems Certified Therapist. Though trauma is my speciality, I have experience with a wide range of mental health issues.
I have over 13 years experience working with both adolescents and adults. I specialize in trauma, anxiety, depression, grief, low self-esteem, and other relationship related challenges. I have a level 1 and level 2 trauma certificate from the Ferentz institute and work with both childhood and adult trauma. I am also an Internal Family Systems Certified Therapist. Though trauma is my speciality, I have experience with a wide range of mental health issues.
(240) 213-9099 View (240) 213-9099
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How does your Therapist compare?

Number of Therapists in Downtown, Washington, DC

500+

Average cost per session

$175

Therapists in Downtown, Washington, DC who prioritize treating:

94% Anxiety
88% Depression
74% Self Esteem
72% Relationship Issues
71% Trauma and PTSD
68% Stress
66% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

65% Cigna and Evernorth
61% CareFirst
60% BlueCross and BlueShield

How Therapists in Downtown, Washington, DC see their clients

54% Online Only
46% In Person and Online

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Downtown, 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.