Therapists in Birmingham, AL

Photo of Empress Tiffany Elliott, Marriage & Family Therapist in Birmingham, AL
Empress Tiffany Elliott
Marriage & Family Therapist, LMFT, AL & FL
Verified Verified
1 Endorsed
Birmingham, AL 35226  (Online Only)
Not accepting new clients
I encourage clients to use therapy to proactively develop skills in boundary setting, resilience, and healthy relationships not only as a response to personal crises. Especially those managing relationship, family, work issues, stress, cultural/racial, and medical issues
I encourage clients to use therapy to proactively develop skills in boundary setting, resilience, and healthy relationships not only as a response to personal crises. Especially those managing relationship, family, work issues, stress, cultural/racial, and medical issues
(205) 984-3378 View (205) 984-3378
Photo of Erica Wilbanks, Licensed Professional Counselor in Birmingham, AL
Erica Wilbanks
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
7 Endorsed
Birmingham, AL 35244
Are you ready for change? Austrian psychiatrist and psychotherapist, Viktor Frankl stated “When we are no longer able to change a situation, we are challenged to change ourselves”. I have built most of my work around studying trauma and the effects it has on a human. Trauma defined is an event or circumstance that is beyond a person's ability to cope properly. Many symptoms like anxiety, depression, dissociation, fatigue, and guilt follow trauma. Trauma is scary and I do not believe we were meant to do life alone. I offer to serve as someone who can collaboratively walk through the trauma with you.
Are you ready for change? Austrian psychiatrist and psychotherapist, Viktor Frankl stated “When we are no longer able to change a situation, we are challenged to change ourselves”. I have built most of my work around studying trauma and the effects it has on a human. Trauma defined is an event or circumstance that is beyond a person's ability to cope properly. Many symptoms like anxiety, depression, dissociation, fatigue, and guilt follow trauma. Trauma is scary and I do not believe we were meant to do life alone. I offer to serve as someone who can collaboratively walk through the trauma with you.
(205) 883-8517 View (205) 883-8517
Photo of Richard Fallin, Licensed Professional Counselor in Birmingham, AL
Richard Fallin
Licensed Professional Counselor, LPCS
Verified Verified
Birmingham, AL 35244
Many people believe therapy is a quick fix, or more accurately that a therapist can “fix” us or our problems. In reality, therapy is a process that can take time, but most importantly, hard work. Have you struggled with anxiety, depression, or maintaining social connections? Do you need to repair or restore your marriage? Take first steps in preparing for marriage? Learn how to connect as a family? Find a new normal after divorce? Heal from a loss? Navigate the waters of being a teenager and managing your parents and teacher's expectations? As a therapist with over 18 years of experience, I am excited to help you begin.
Many people believe therapy is a quick fix, or more accurately that a therapist can “fix” us or our problems. In reality, therapy is a process that can take time, but most importantly, hard work. Have you struggled with anxiety, depression, or maintaining social connections? Do you need to repair or restore your marriage? Take first steps in preparing for marriage? Learn how to connect as a family? Find a new normal after divorce? Heal from a loss? Navigate the waters of being a teenager and managing your parents and teacher's expectations? As a therapist with over 18 years of experience, I am excited to help you begin.
(205) 751-6905 View (205) 751-6905
Photo of Charles Jay Whetsell, Psychologist in Birmingham, AL
Charles Jay Whetsell
Psychologist, PhD
Verified Verified
Birmingham, AL 35209
My orientation is towards helping clients experience at the deepest level possible those beliefs and emotional stances which color every moment of their lives, even if unconsciously, and which give rise to the variety of circumstances and interactions of daily life. "Problems" are viewed in the context of the whole life, and seen as signs that a once-creative solution is now blocking the full expression of vitality, meaning, and one's most fundamental nature. Change is possible only on the foundation of a precise and honest experience of oneself marked by warmth and acceptance.
My orientation is towards helping clients experience at the deepest level possible those beliefs and emotional stances which color every moment of their lives, even if unconsciously, and which give rise to the variety of circumstances and interactions of daily life. "Problems" are viewed in the context of the whole life, and seen as signs that a once-creative solution is now blocking the full expression of vitality, meaning, and one's most fundamental nature. Change is possible only on the foundation of a precise and honest experience of oneself marked by warmth and acceptance.
(205) 928-8424 View (205) 928-8424
Photo of Sarah E. Ball, Clinical Social Work/Therapist in Birmingham, AL
Sarah E. Ball
Clinical Social Work/Therapist, LICSW, PIP, RPT
Verified Verified
1 Endorsed
Birmingham, AL 35223
Not accepting new clients
In our world, it is often times not acceptable to not be okay. In my practice, I hope that my clients learn to challenge that narrative. I am honored to walk with my clients into healing from their current trouble or pain. In our therapeutic relationship, you will find a safe and comfortable place to start letting hope in.
In our world, it is often times not acceptable to not be okay. In my practice, I hope that my clients learn to challenge that narrative. I am honored to walk with my clients into healing from their current trouble or pain. In our therapeutic relationship, you will find a safe and comfortable place to start letting hope in.
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Photo of David E. Myers, Psychologist in Birmingham, AL
David E. Myers
Psychologist, PhD
Verified Verified
1 Endorsed
Birmingham, AL 35205
Traumatic events or issues with family, relationship and work can lead to depression, chronic anxiety, grief and PTSD. Resultantly, the quality of life deteriorates. Psychotherapy (counseling) enables you to explore your cognitive and emotional sides. It involves connecting your past wounds and present emotions. Psychodynamic therapy enables you to go beyond managing your present emotions and go to the source. I have explored and had many diversified experiences in Spirituality which is important in terms of your present and past experiences. My holistic orientation includes heed to nutrition in all matters related to the MIND-BODY-SPIRIT connection.
Traumatic events or issues with family, relationship and work can lead to depression, chronic anxiety, grief and PTSD. Resultantly, the quality of life deteriorates. Psychotherapy (counseling) enables you to explore your cognitive and emotional sides. It involves connecting your past wounds and present emotions. Psychodynamic therapy enables you to go beyond managing your present emotions and go to the source. I have explored and had many diversified experiences in Spirituality which is important in terms of your present and past experiences. My holistic orientation includes heed to nutrition in all matters related to the MIND-BODY-SPIRIT connection.
(205) 216-5042 View (205) 216-5042
Photo of Mindgration, Clinical Social Work/Therapist in Birmingham, AL
Mindgration
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
2 Endorsed
Birmingham, AL 35206  (Online Only)
At a certain point, life gives us clues that it's time to shed inherited beliefs. These beliefs had helped us survive but no longer help us live the life we desire. If you are an adult residing in California or Alabama in this stage of life, you have landed in the right place.
At a certain point, life gives us clues that it's time to shed inherited beliefs. These beliefs had helped us survive but no longer help us live the life we desire. If you are an adult residing in California or Alabama in this stage of life, you have landed in the right place.
(510) 401-3759 View (510) 401-3759
Photo of TC Counseling & Consulting-Tammy Cauthen, Licensed Professional Counselor in Birmingham, AL
TC Counseling & Consulting-Tammy Cauthen
Licensed Professional Counselor, LPC-S, NCC, BC-TMH, ACS, CAMSII
Verified Verified
Birmingham, AL 35218
TC Counseling & Consulting Services, LLC mission is to recognize each individual and their unique personal needs. We believe taking the time to understand our clients and their concerns is important in helping achieve successful outcomes. We realize that asking for help may be difficult and one of our goals is to make the process simple as possible. We provide a keep it real environment to our clients. We have over 20 years of social work and counseling experiences. We offer supportive, non-judgmental affordable services. TC Counseling & Consulting Services, LLC believes in transforming lives and changing people.
TC Counseling & Consulting Services, LLC mission is to recognize each individual and their unique personal needs. We believe taking the time to understand our clients and their concerns is important in helping achieve successful outcomes. We realize that asking for help may be difficult and one of our goals is to make the process simple as possible. We provide a keep it real environment to our clients. We have over 20 years of social work and counseling experiences. We offer supportive, non-judgmental affordable services. TC Counseling & Consulting Services, LLC believes in transforming lives and changing people.
(205) 377-5537 View (205) 377-5537
Photo of Ebone N Collins, Counselor in Birmingham, AL
Ebone N Collins
Counselor, MS, ALC, NCC
Verified Verified
Birmingham, AL 35222
I have experience with a wide variety of children who suffer from depression, anxiety, self-esteem complications, sexual trauma, physical trauma, and bereavement. Most of my work consist of working with children and adolescents from various backgrounds, but I have experience working closely with families as well. Together we can work on identifying areas that could use the development of resiliency within yourself as well as your family in order to cope with life stressor or adversities. I am here to create a safe and positive space for you to explore, heal, and grow throughout the course of your journey.
I have experience with a wide variety of children who suffer from depression, anxiety, self-esteem complications, sexual trauma, physical trauma, and bereavement. Most of my work consist of working with children and adolescents from various backgrounds, but I have experience working closely with families as well. Together we can work on identifying areas that could use the development of resiliency within yourself as well as your family in order to cope with life stressor or adversities. I am here to create a safe and positive space for you to explore, heal, and grow throughout the course of your journey.
(205) 463-5247 View (205) 463-5247
Photo of Frannie Hartley Horn, Counselor in Birmingham, AL
Frannie Hartley Horn
Counselor, MA, ALC, JD, NCC
Verified Verified
1 Endorsed
Birmingham, AL 35205
As humans, we navigate what can feel like an unsteady and confusing world. Life can be overwhelming. We may find ourselves in places where we need to make hard choices and manage difficult situations. As a counselor, my passion is for walking with clients through challenging times by using an integrated, person-centered therapeutic approach. Our process will be based on what works best for you, using techniques that include narrative therapy, cognitive behavioral therapy and solution-focused brief therapy. I pride myself on building strong relationships based on trust as we progress through the growth and recovery process.
As humans, we navigate what can feel like an unsteady and confusing world. Life can be overwhelming. We may find ourselves in places where we need to make hard choices and manage difficult situations. As a counselor, my passion is for walking with clients through challenging times by using an integrated, person-centered therapeutic approach. Our process will be based on what works best for you, using techniques that include narrative therapy, cognitive behavioral therapy and solution-focused brief therapy. I pride myself on building strong relationships based on trust as we progress through the growth and recovery process.
(205) 270-5302 View (205) 270-5302
Photo of Stewart A Jackson, Marriage & Family Therapist in Birmingham, AL
Stewart A Jackson
Marriage & Family Therapist, LMFT, D, Min
Verified Verified
Birmingham, AL 35205
Not accepting new clients
Life is often harder than we expect. Transitions, stresses, and becoming stuck in a relationship is all a part of a normal life. If you are open to another way of thinking about your life, counseling can help. Your motivation to make changes is the path to a happier, easier and healthier life. I welcome the opportunity to work with all who want more out of life.
Life is often harder than we expect. Transitions, stresses, and becoming stuck in a relationship is all a part of a normal life. If you are open to another way of thinking about your life, counseling can help. Your motivation to make changes is the path to a happier, easier and healthier life. I welcome the opportunity to work with all who want more out of life.
(205) 201-0939 View (205) 201-0939
Photo of Storeyhouse Counseling (Johnetta Samuels), Pre-Licensed Professional in Birmingham, AL
Storeyhouse Counseling (Johnetta Samuels)
Pre-Licensed Professional, MS, ALC
Verified Verified
Birmingham, AL 35206  (Online Only)
Welcome to the first step in your journey to a healthier you. My name Is Johnetta. I am an Associate Licensed Counselor with a Masters in Community Counseling from the University of South Alabama. I also received a Bachelor of Science in Psychology while studying abroad in Europe. I am passionate about making a difference in people’s lives. I work with both individuals and families who may be struggling through difficult periods in their lives or have been setback by problems that are beyond their ability to control.
Welcome to the first step in your journey to a healthier you. My name Is Johnetta. I am an Associate Licensed Counselor with a Masters in Community Counseling from the University of South Alabama. I also received a Bachelor of Science in Psychology while studying abroad in Europe. I am passionate about making a difference in people’s lives. I work with both individuals and families who may be struggling through difficult periods in their lives or have been setback by problems that are beyond their ability to control.
(205) 782-8440 View (205) 782-8440
Photo of Grace Counseling Service, Licensed Professional Counselor in Birmingham, AL
Grace Counseling Service
Licensed Professional Counselor, LPC, MA
Verified Verified
Birmingham, AL 35223
Almost everyone finds a time in life where their issues are having a negative impact on their lives and their relationships. As a counselor my goal is to meet my clients where they are without judgement and to achieve their life goals. I work with both individuals and families as well as marriages. If you are struggling and dealing with frustration and despair there is help and hope and you do not have to deal with these issues alone. At Grace Counseling we have not only clinical experience but I understand because I have been there.
Almost everyone finds a time in life where their issues are having a negative impact on their lives and their relationships. As a counselor my goal is to meet my clients where they are without judgement and to achieve their life goals. I work with both individuals and families as well as marriages. If you are struggling and dealing with frustration and despair there is help and hope and you do not have to deal with these issues alone. At Grace Counseling we have not only clinical experience but I understand because I have been there.
(205) 910-4573 View (205) 910-4573
Photo of Monique Johnson-Hill, Licensed Professional Counselor in Birmingham, AL
Monique Johnson-Hill
Licensed Professional Counselor, EdS, LPC-S, RPT-S, CCBT, TF-CBT
Verified Verified
Birmingham, AL 35209
Mrs. Johnson-Hill is committed to supporting individuals and families through a comprehensive approach. She strongly believes that, with the appropriate resources, everyone can achieve their fullest potential and is dedicated to ensuring they receive the utmost quality of service to make that possible. Her focus is on promoting the well-being of individuals, families, and the broader community by providing education, intervention, effective treatment, and prevention.
Mrs. Johnson-Hill is committed to supporting individuals and families through a comprehensive approach. She strongly believes that, with the appropriate resources, everyone can achieve their fullest potential and is dedicated to ensuring they receive the utmost quality of service to make that possible. Her focus is on promoting the well-being of individuals, families, and the broader community by providing education, intervention, effective treatment, and prevention.
(205) 379-6240 x205 View (205) 379-6240 x205
Photo of Rebekah Laws, Licensed Professional Counselor in Birmingham, AL
Rebekah Laws
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
1 Endorsed
Birmingham, AL 35216
Not accepting new clients
Layers of grief, complicated family history, a genetic predisposition to mental illness, a traumatic experience, stressful changes -- or a combination of these things -- can be very difficult to manage or recover from by yourself. A seemingly unendurable situation or relationship can be overwhelming without support. If you've done all you know to do and you're still feeling stuck, I can help. I'd like to partner with you to find the clarity, wisdom, strength, comfort and supports you need to feel better about yourself and your relationships -- and to enjoy your life more.
Layers of grief, complicated family history, a genetic predisposition to mental illness, a traumatic experience, stressful changes -- or a combination of these things -- can be very difficult to manage or recover from by yourself. A seemingly unendurable situation or relationship can be overwhelming without support. If you've done all you know to do and you're still feeling stuck, I can help. I'd like to partner with you to find the clarity, wisdom, strength, comfort and supports you need to feel better about yourself and your relationships -- and to enjoy your life more.
(205) 291-2626 View (205) 291-2626
Photo of Mills Gorrie, Counselor in Birmingham, AL
Mills Gorrie
Counselor, ALC, NCC
Verified Verified
2 Endorsed
Birmingham, AL 35233
Are you feeling lost, stuck, or unfulfilled? Find yourself escaping into repetitive and self-defeating patterns of thought and behavior? If you are experiencing depression, anxiety, phase of life issues, problems with self-confidence or motivation, problematic alcohol or substance use, or just recognize that you may benefit from a supportive conversation with someone outside of your typical network of friends and family members, I would love to talk to you. My hope is that we can work together to help you create a life that you do not feel the need to escape from!
Are you feeling lost, stuck, or unfulfilled? Find yourself escaping into repetitive and self-defeating patterns of thought and behavior? If you are experiencing depression, anxiety, phase of life issues, problems with self-confidence or motivation, problematic alcohol or substance use, or just recognize that you may benefit from a supportive conversation with someone outside of your typical network of friends and family members, I would love to talk to you. My hope is that we can work together to help you create a life that you do not feel the need to escape from!
(205) 772-8203 View (205) 772-8203
Photo of Charles Anderson Hardin, Licensed Professional Counselor in Birmingham, AL
Charles Anderson Hardin
Licensed Professional Counselor, MEd, LPC
Verified Verified
Birmingham, AL 35223
Are you seeking a compassionate and experienced guide on your journey towards healing and personal growth? I am Charles Hardin, a Licensed Practicing Counselor who is passionate about empowering individuals to overcome life’s daily challenges. With over five years of experience as a counselor, I specialize in helping people manage complex issues such as addiction recovery, anxiety, depression, low self-esteem, relationship problems, communication, trauma and more.
Are you seeking a compassionate and experienced guide on your journey towards healing and personal growth? I am Charles Hardin, a Licensed Practicing Counselor who is passionate about empowering individuals to overcome life’s daily challenges. With over five years of experience as a counselor, I specialize in helping people manage complex issues such as addiction recovery, anxiety, depression, low self-esteem, relationship problems, communication, trauma and more.
(205) 671-2917 View (205) 671-2917
Photo of Zachary Aaron Dembo, Licensed Professional Counselor in Birmingham, AL
Zachary Aaron Dembo
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
Birmingham, AL 35223  (Online Only)
Waitlist for new clients
“Am I broken?” This is a question that many of us ask ourselves when our lives become filled with suffering. It often arises after an experience leaves us struggling to return to normal or causes chaos to become our new normal. It's something considered after comparing ourselves to the people around us, friends, family, colleagues and seeing our differences. It is something we wonder when unending worry robs our life of joy or when overwhelming sadness and mental fog obscure the possibility of anything better. In actuality we do not break and within our misery we will find the tools needed to build ourselves a life worth living.
“Am I broken?” This is a question that many of us ask ourselves when our lives become filled with suffering. It often arises after an experience leaves us struggling to return to normal or causes chaos to become our new normal. It's something considered after comparing ourselves to the people around us, friends, family, colleagues and seeing our differences. It is something we wonder when unending worry robs our life of joy or when overwhelming sadness and mental fog obscure the possibility of anything better. In actuality we do not break and within our misery we will find the tools needed to build ourselves a life worth living.
(205) 831-3921 View (205) 831-3921
Photo of Adam Calvert, Licensed Professional Counselor in Birmingham, AL
Adam Calvert
Licensed Professional Counselor, EdS, LPC-S, CSAT-S
Verified Verified
1 Endorsed
Birmingham, AL 35223
Do you struggle with thoughts of "What's wrong with me?" or "Why can't I just stop ?" Well, we can talk through those questions and look into your core beliefs that may be setting you up for failure. Sometimes we believe the lies that we heard from others through out our life. There are ways to work through the lies and find the truths you can stand on to move forward.
Do you struggle with thoughts of "What's wrong with me?" or "Why can't I just stop ?" Well, we can talk through those questions and look into your core beliefs that may be setting you up for failure. Sometimes we believe the lies that we heard from others through out our life. There are ways to work through the lies and find the truths you can stand on to move forward.
(205) 236-9945 View (205) 236-9945
Photo of Brittany Hadley, Licensed Professional Counselor in Birmingham, AL
Brittany Hadley
Licensed Professional Counselor, MEd, LPC, NCC, ECMH-E®
Verified Verified
2 Endorsed
Birmingham, AL 35226
Are you or your child struggling with feeling overwhelmed or anxious? Do you have bad days that just don't seem to go away? Maybe you feel like nobody is listening? Is your child experiencing challenges at home or school? Are you starting college and working on learning who you are as a person? Whatever you may be experiencing in life, you are not alone! Reaching out for help can be scary - I know. It is so important to me that my clients & their families feel valued, seen, & heard. I strive to create a safe & healing environment to allow my clients the ability to express themselves. I have worked with clients from age three and up.
Are you or your child struggling with feeling overwhelmed or anxious? Do you have bad days that just don't seem to go away? Maybe you feel like nobody is listening? Is your child experiencing challenges at home or school? Are you starting college and working on learning who you are as a person? Whatever you may be experiencing in life, you are not alone! Reaching out for help can be scary - I know. It is so important to me that my clients & their families feel valued, seen, & heard. I strive to create a safe & healing environment to allow my clients the ability to express themselves. I have worked with clients from age three and up.
(205) 273-5140 View (205) 273-5140

How does your Therapist compare?

Number of Therapists in Birmingham, AL

600+

Average cost per session

$136

Therapists in Birmingham, AL who prioritize treating:

92% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
76% Coping Skills
72% Stress
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
50% New Directions | Lucet
45% Cigna and Evernorth

How Therapists in Birmingham, AL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Birmingham?

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.