Therapists in Wilmington, DE

Photo of Diane Necastro, Clinical Social Work/Therapist in Wilmington, DE
Diane Necastro
Clinical Social Work/Therapist, LCSW
Verified
Wilmington, DE 19806
Not accepting new clients
As a licensed clinical social worker, I work with individuals and families about personal life challenges they are facing. Besides addressing concerns that the pandemic brought with it, there are the usual issues regarding relationships, work, school, health, loss and grief. My approach is to work collaboratively with a client, focusing on strengths and the person’s natural inclination to move toward health and balance. Therapy is an opportunity to address and support change and growth.
As a licensed clinical social worker, I work with individuals and families about personal life challenges they are facing. Besides addressing concerns that the pandemic brought with it, there are the usual issues regarding relationships, work, school, health, loss and grief. My approach is to work collaboratively with a client, focusing on strengths and the person’s natural inclination to move toward health and balance. Therapy is an opportunity to address and support change and growth.
(302) 246-7497 View (302) 246-7497
Photo of Geeta D. Kotak, Clinical Social Work/Therapist in Wilmington, DE
Geeta D. Kotak
Clinical Social Work/Therapist, LCSW
Verified
Wilmington, DE 19806
I pride myself in providing a safe space where you, as a client, can retreat, and discover healing through conversation, art, music, skill building, and other activities. I will work with you to decide what you would like to accomplish in therapy, and how, along with providing from the wisdom of my own experiences. I strive to support a diverse client base, allowing me to focus on the challenges of mental health in the context of culture, the immigrant experience, living in the margins, identifying as LGBTQ+, and other identity related challenges.
I pride myself in providing a safe space where you, as a client, can retreat, and discover healing through conversation, art, music, skill building, and other activities. I will work with you to decide what you would like to accomplish in therapy, and how, along with providing from the wisdom of my own experiences. I strive to support a diverse client base, allowing me to focus on the challenges of mental health in the context of culture, the immigrant experience, living in the margins, identifying as LGBTQ+, and other identity related challenges.
(302) 520-3170 View (302) 520-3170
Photo of Carol Hopkins, Counselor in Wilmington, DE
Carol Hopkins
Counselor, LPCMH
Verified
1 Endorsed
Wilmington, DE 19809
I believe many clients have answers within but are blocked from recognizing or implementing them. Through careful, compassionate listening, I ask questions that help them find solutions that resonate. I approach my clients with unconditional positive regard and without judgement. Together, we will set strengths-based goals that will help you more fully realize your potential. In addition to being trained in traditional counseling, I am trained in Pastoral Counseling, and I can integrate spirituality into the counseling process. I define spirituality broadly, seeing it as the way a person finds meaning.
I believe many clients have answers within but are blocked from recognizing or implementing them. Through careful, compassionate listening, I ask questions that help them find solutions that resonate. I approach my clients with unconditional positive regard and without judgement. Together, we will set strengths-based goals that will help you more fully realize your potential. In addition to being trained in traditional counseling, I am trained in Pastoral Counseling, and I can integrate spirituality into the counseling process. I define spirituality broadly, seeing it as the way a person finds meaning.
(302) 786-0871 View (302) 786-0871
Photo of Dr. Debra Laino in Wilmington, DE
Dr. Debra Laino
DHS, MEd, MS, ACS, ABS
1 Endorsed
Wilmington, DE 19805
My specialty is in Holistic Sex Therapy and Relationship Therapy/Coaching. I have over 20 years of experience working with individuals and couples. I treat a variety of issues from sexual function and dysfunction, relationship issues (communication, sexuality, anger, divorce, touch, and much more) to life coaching. I look at the whole person as humans are depthful and layered beings. I am a member of various professional organizations such as AASECT, ACS, and ABS. I am Board Certified by three professional Boards, The American College of Sexologists and The American Board of Sexologists and AASECT as a Sexuality Educator.
My specialty is in Holistic Sex Therapy and Relationship Therapy/Coaching. I have over 20 years of experience working with individuals and couples. I treat a variety of issues from sexual function and dysfunction, relationship issues (communication, sexuality, anger, divorce, touch, and much more) to life coaching. I look at the whole person as humans are depthful and layered beings. I am a member of various professional organizations such as AASECT, ACS, and ABS. I am Board Certified by three professional Boards, The American College of Sexologists and The American Board of Sexologists and AASECT as a Sexuality Educator.
(302) 751-0990 View (302) 751-0990
Photo of Shirley A Brown, Licensed Professional Counselor in Wilmington, DE
Shirley A Brown
Licensed Professional Counselor, LPCMH
Verified
Wilmington, DE 19808
Not accepting new clients
I provide mental health counseling services to individuals and families impacted by mental health and life challenges often generated by the complexities of our modern world. These challenges include depression, anxiety ,adults working through childhood sexual abuse traumas, work/life balance and other life challenges. My mission is to help clients help themselves, adapt to the process of change, transition and recovery by engaging in a Client Centered Therapeutic Process. This process is meant to encourage client self awareness, acknowledgement of personal value, exploration of thoughts, feeling, beliefs and behaviors impacting client lives in the here and now.
I provide mental health counseling services to individuals and families impacted by mental health and life challenges often generated by the complexities of our modern world. These challenges include depression, anxiety ,adults working through childhood sexual abuse traumas, work/life balance and other life challenges. My mission is to help clients help themselves, adapt to the process of change, transition and recovery by engaging in a Client Centered Therapeutic Process. This process is meant to encourage client self awareness, acknowledgement of personal value, exploration of thoughts, feeling, beliefs and behaviors impacting client lives in the here and now.
(302) 786-0738 x302 View (302) 786-0738 x302
Photo of Aligned Counseling LLC, Mental Health Counselor in Wilmington, DE
Aligned Counseling LLC
Mental Health Counselor, MEd, NCC, LPCMH
Verified
Wilmington, DE 19810  (Online Only)
I work with women who are considering or approaching major life transitions or milestones. Those who are smart and ambitious and tend towards perfectionism which leaves them questioning themselves and experiencing stress and worry. Those who are entering a new decade, deciding to switch careers, contemplating marriage and/or parenthood, all the while navigating daily stressors and everyday lives. I work with individuals who are looking to be kinder to themselves and figure out what they really want.
I work with women who are considering or approaching major life transitions or milestones. Those who are smart and ambitious and tend towards perfectionism which leaves them questioning themselves and experiencing stress and worry. Those who are entering a new decade, deciding to switch careers, contemplating marriage and/or parenthood, all the while navigating daily stressors and everyday lives. I work with individuals who are looking to be kinder to themselves and figure out what they really want.
(302) 715-0074 View (302) 715-0074
Photo of Growing Edges Counseling, Licensed Professional Counselor in Wilmington, DE
Growing Edges Counseling
Licensed Professional Counselor, PhD, LPCMH, NCC
Verified
Wilmington, DE 19808
Not accepting new clients
Whether your goal is to reduce symptoms of depression, anxiety, or stress; learn new ways to manage interpersonal conflict; or work toward personal growth and healing, Growing Edges Counseling can help you succeed. We are Clinical Pastoral Counselors who support our clients in mastering new skills and gaining new insights to help them move beyond limiting beliefs and behavior. Our clients are valued for their unique strengths, concerns, needs, and personalities. Therapy is provided in a safe, nurturing, non-judgmental environment where you can comfortably express yourself and work toward achieving your particular version of success.
Whether your goal is to reduce symptoms of depression, anxiety, or stress; learn new ways to manage interpersonal conflict; or work toward personal growth and healing, Growing Edges Counseling can help you succeed. We are Clinical Pastoral Counselors who support our clients in mastering new skills and gaining new insights to help them move beyond limiting beliefs and behavior. Our clients are valued for their unique strengths, concerns, needs, and personalities. Therapy is provided in a safe, nurturing, non-judgmental environment where you can comfortably express yourself and work toward achieving your particular version of success.
(302) 613-0891 View (302) 613-0891
Photo of Danielle S Epting, Counselor in Wilmington, DE
Danielle S Epting
Counselor, LPCMH, NCC
Verified
Wilmington, DE 19808
Waitlist for new clients
I am a master’s level mental health professional. I earned my MA in Clinical Mental Health Counseling from the Chicago School of Professional Psychology. As a person-centered clinician, my goal is to develop a strong therapeutic relationship in order to help my clients identify their strengths and create attainable goals. I approach counseling with an eclectic view, utilizing multiple approaches based on the needs of my clients.
I am a master’s level mental health professional. I earned my MA in Clinical Mental Health Counseling from the Chicago School of Professional Psychology. As a person-centered clinician, my goal is to develop a strong therapeutic relationship in order to help my clients identify their strengths and create attainable goals. I approach counseling with an eclectic view, utilizing multiple approaches based on the needs of my clients.
(302) 246-7406 View (302) 246-7406
Photo of Amy Lake, Licensed Professional Counselor in Wilmington, DE
Amy Lake
Licensed Professional Counselor, LPC
Verified
Wilmington, DE 19801
Amy Lake is a Licensed Professional Counselor of Mental Health (LPCMH) in the state of Delaware as well as a Licensed Clinical Professional Counselor in the state of Maryland. Amy has 12 years of experience providing individual and family therapy to children, adolescents, and adults dealing with anxiety, depression, trauma, grief and loss, life transitions, relationship conflicts, and substance abuse. She has experience working in both outpatient and inpatient settings.
Amy Lake is a Licensed Professional Counselor of Mental Health (LPCMH) in the state of Delaware as well as a Licensed Clinical Professional Counselor in the state of Maryland. Amy has 12 years of experience providing individual and family therapy to children, adolescents, and adults dealing with anxiety, depression, trauma, grief and loss, life transitions, relationship conflicts, and substance abuse. She has experience working in both outpatient and inpatient settings.
(302) 587-8879 View (302) 587-8879
Photo of Nan F Schiowitz, Psychologist in Wilmington, DE
Nan F Schiowitz
Psychologist, PhD
Verified
Wilmington, DE 19803
Guiding my work is the belief that life is precious, and that learning to live more fully in the present relieves suffering. I will work with you confidentially. I will expertly help you manage extreme stress, discover strengths, and change patterns getting in the way of health and happiness. I work actively and collaboratively, and am eager to help adults struggling with a whole range of problems including: anxiety, depression, low self-esteem and confidence, abuse and trauma, relationship issues, separation/divorce, personality issues, severe illness, and substance abuse.
Guiding my work is the belief that life is precious, and that learning to live more fully in the present relieves suffering. I will work with you confidentially. I will expertly help you manage extreme stress, discover strengths, and change patterns getting in the way of health and happiness. I work actively and collaboratively, and am eager to help adults struggling with a whole range of problems including: anxiety, depression, low self-esteem and confidence, abuse and trauma, relationship issues, separation/divorce, personality issues, severe illness, and substance abuse.
(302) 407-0918 x2 View (302) 407-0918 x2
Photo of Kirsten Teklits, Clinical Social Work/Therapist in Wilmington, DE
Kirsten Teklits
Clinical Social Work/Therapist, LCSW
Verified
Wilmington, DE 19806
Does fear or worry consume your time, keep you awake at night and prevent you from living the life you desire? Are you feeling tired, sad and hopeless about the future? Are you having distressing feelings such as guilt, anger or shame? If this describes you, I can help. I provide research-based treatment that teaches you the skills needed to solve your problems and feel better. It is my privilege to help people overcome obstacles, alleviate their pain and find joy and peace in their life.
Does fear or worry consume your time, keep you awake at night and prevent you from living the life you desire? Are you feeling tired, sad and hopeless about the future? Are you having distressing feelings such as guilt, anger or shame? If this describes you, I can help. I provide research-based treatment that teaches you the skills needed to solve your problems and feel better. It is my privilege to help people overcome obstacles, alleviate their pain and find joy and peace in their life.
(302) 527-6117 View (302) 527-6117
Photo of Olivia J. Hylton in Wilmington, DE
Olivia J. Hylton
MS, LPCMH, NCC, CCLC, CADC
Verified
Wilmington, DE 19810
Are you seeking a therapist that provides you a safe environment to be vulnerable, heard, identify your personal strengths, and develop healthy coping strategies to navigate life’s challenges? My therapeutic approach is warm, empathetic, non-judgmental and integrative to assist you in meeting your therapeutic and personal goals. I believe that healing and growth is nurtured by being attentive to all aspects of the mind, body, and spirit to assist you in developing holistic wellness while establishing healthy patterns that will benefit you wherever life may take you!
Are you seeking a therapist that provides you a safe environment to be vulnerable, heard, identify your personal strengths, and develop healthy coping strategies to navigate life’s challenges? My therapeutic approach is warm, empathetic, non-judgmental and integrative to assist you in meeting your therapeutic and personal goals. I believe that healing and growth is nurtured by being attentive to all aspects of the mind, body, and spirit to assist you in developing holistic wellness while establishing healthy patterns that will benefit you wherever life may take you!
(302) 587-8808 x3 View (302) 587-8808 x3
Photo of Helen Turkel, Clinical Social Work/Therapist in Wilmington, DE
Helen Turkel
Clinical Social Work/Therapist, MSS, LCSW
Verified
Wilmington, DE 19806
I am committed to helping my clients become the best version of themselves. I work to create a space in which my clients feel at ease exploring life’s challenges and finding effective ways of addressing them. I support my clients in recognizing and building upon their strengths in order to foster resilience, growth, and a deeper understanding of themselves.
I am committed to helping my clients become the best version of themselves. I work to create a space in which my clients feel at ease exploring life’s challenges and finding effective ways of addressing them. I support my clients in recognizing and building upon their strengths in order to foster resilience, growth, and a deeper understanding of themselves.
(302) 565-2282 View (302) 565-2282
Photo of Jessica Williams, Clinical Social Work/Therapist in Wilmington, DE
Jessica Williams
Clinical Social Work/Therapist, MSS, LCSW, CT
Verified
1 Endorsed
Wilmington, DE 19808
Do you find yourself wondering if you fit into the world around you? Do you often find yourself reflecting on the way you view relationships or what's important in life and feeling...weird? out of place? different? So many of my clients feel this way. It can be so difficult to figure out who you really are in a world that is constantly trying to tell you WHO to be and HOW to be that person. It can also cause challenges in acknowledging and accepting your emotions and sharing those with others. If you're looking to find the "you-est" version of you, I'm here to help.
Do you find yourself wondering if you fit into the world around you? Do you often find yourself reflecting on the way you view relationships or what's important in life and feeling...weird? out of place? different? So many of my clients feel this way. It can be so difficult to figure out who you really are in a world that is constantly trying to tell you WHO to be and HOW to be that person. It can also cause challenges in acknowledging and accepting your emotions and sharing those with others. If you're looking to find the "you-est" version of you, I'm here to help.
(302) 205-1211 View (302) 205-1211
Photo of Danielle Stevenson, Licensed Professional Counselor in Wilmington, DE
Danielle Stevenson
Licensed Professional Counselor, LPCMH
Verified
1 Endorsed
Wilmington, DE 19804
Choosing to begin counseling services is a very important decision that can be quite overwhelming. Throughout our lives we face many challenges some of which require extra support. Therapy can help you to improve your quality of life and learn to reconnect with yourself and the world. I work collaboratively with my clients to support their goals for treatment.
Choosing to begin counseling services is a very important decision that can be quite overwhelming. Throughout our lives we face many challenges some of which require extra support. Therapy can help you to improve your quality of life and learn to reconnect with yourself and the world. I work collaboratively with my clients to support their goals for treatment.
(302) 415-3145 View (302) 415-3145
Photo of Terry Ramsey, Clinical Social Work/Therapist in Wilmington, DE
Terry Ramsey
Clinical Social Work/Therapist, MSW, LCSW
Verified
Wilmington, DE 19809
I specialize in treating individuals going through life transitions, which can lead to strained relationships, anxiety, and depression. New partner? New baby? New job? Empty-nester? Major life change? Life can be hard. Let me help. Sometimes early experiences influence the way we deal with life's challenges, how we feel about ourselves, and how we relate to others. You may struggle to let your guard down around others, which leaves you feeling isolated and alone. Confusing feelings of grief, shame, guilt, sadness, even fear sometimes emerge around these major life changes. We can end up feeling very stuck and unsure of what to do.
I specialize in treating individuals going through life transitions, which can lead to strained relationships, anxiety, and depression. New partner? New baby? New job? Empty-nester? Major life change? Life can be hard. Let me help. Sometimes early experiences influence the way we deal with life's challenges, how we feel about ourselves, and how we relate to others. You may struggle to let your guard down around others, which leaves you feeling isolated and alone. Confusing feelings of grief, shame, guilt, sadness, even fear sometimes emerge around these major life changes. We can end up feeling very stuck and unsure of what to do.
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Photo of Brigida Rodriguez Counseling ServicesCorporation, Licensed Professional Counselor in Wilmington, DE
Brigida Rodriguez Counseling ServicesCorporation
Licensed Professional Counselor, LPCMH, MEd, School, Counsel
Verified
1 Endorsed
Wilmington, DE 19808
As a solution-focused therapist, I aim to help you uncover your true potential and lead a life worth celebrating. While we can't change difficult situations of the past, we can work together to understand better and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may hold you back from experiencing a more fulfilling and meaningful life. I look forward to working with you to achieve your goals. Please call or email me for an individual, couples, or family therapy consultation today.
As a solution-focused therapist, I aim to help you uncover your true potential and lead a life worth celebrating. While we can't change difficult situations of the past, we can work together to understand better and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may hold you back from experiencing a more fulfilling and meaningful life. I look forward to working with you to achieve your goals. Please call or email me for an individual, couples, or family therapy consultation today.
(302) 721-6872 View (302) 721-6872
Photo of Sheila Walker, Clinical Social Work/Therapist in Wilmington, DE
Sheila Walker
Clinical Social Work/Therapist, LCSW, CADA
Verified
Wilmington, DE 19810
Addiction and interested in Suboxone/ Subutex depressed in need of medication, have anxiety or have PTSD and your interested in medical marijuana, whichever it is, Congratulations to you for looking to take steps toward freedom from what you want to conquer. I believe that everyone has the ability to transform their life for good. I have over 25 years of experience helping others to improve their lives. My approach is individualized, and I have successfully treated adolescents and adults.
Addiction and interested in Suboxone/ Subutex depressed in need of medication, have anxiety or have PTSD and your interested in medical marijuana, whichever it is, Congratulations to you for looking to take steps toward freedom from what you want to conquer. I believe that everyone has the ability to transform their life for good. I have over 25 years of experience helping others to improve their lives. My approach is individualized, and I have successfully treated adolescents and adults.
(302) 317-2523 View (302) 317-2523
Photo of Allison Krauss Randall, Clinical Social Work/Therapist in Wilmington, DE
Allison Krauss Randall
Clinical Social Work/Therapist, LCSW
Verified
Wilmington, DE 19810  (Online Only)
Welcome! My name is Allison Krauss Randall and I am a licensed clinical social worker with over 25 years of experience providing counseling services to women, men and children who have experienced trauma, loss and stress in their relationships and their lives. I am trauma informed and trained in evidence based practices such as EMDR and have trained over 200 therapists nationally regarding the impact of trauma on our attachments and our relationships throughout our life span.
Welcome! My name is Allison Krauss Randall and I am a licensed clinical social worker with over 25 years of experience providing counseling services to women, men and children who have experienced trauma, loss and stress in their relationships and their lives. I am trauma informed and trained in evidence based practices such as EMDR and have trained over 200 therapists nationally regarding the impact of trauma on our attachments and our relationships throughout our life span.
(302) 775-9137 View (302) 775-9137
Photo of Melissa Huber, Clinical Social Work/Therapist in Wilmington, DE
Melissa Huber
Clinical Social Work/Therapist, LCSW
Verified
Wilmington, DE 19803
Someone once said "this is not the dress rehearsal for the next life". This statement describes the philosophy of my practice. Using therapeutic techniques tailored to your personality and goals in counseling, my role is to help you make the most of your strengths and abilities so that you live life to it's fullest. This is a collaborative relationship in which we work together to eliminate those obstacles that cause you depression, anxiety and other symptoms that make life more of a struggle than a joy
Someone once said "this is not the dress rehearsal for the next life". This statement describes the philosophy of my practice. Using therapeutic techniques tailored to your personality and goals in counseling, my role is to help you make the most of your strengths and abilities so that you live life to it's fullest. This is a collaborative relationship in which we work together to eliminate those obstacles that cause you depression, anxiety and other symptoms that make life more of a struggle than a joy
(302) 367-6220 View (302) 367-6220

See more therapy options for Wilmington

How does your Therapist compare?

Number of Therapists in Wilmington, DE

500+

Average cost per session

$140

Therapists in Wilmington, DE who prioritize treating:

91% Anxiety
87% Depression
72% Relationship Issues
72% Self Esteem
69% Coping Skills
64% Grief
64% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
72% Aetna
70% Highmark

How Therapists in Wilmington, DE see their clients

66% In Person and Online
34% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Wilmington?

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.