Therapists in Atlanta, GA

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Photo of Nakia M. Hall, MAMFT, LPC, NCC, Licensed Professional Counselor
Nakia M. Hall
Licensed Professional Counselor, MAMFT, LPC, NCC
Verified Verified
Atlanta, GA 30331  (Online Only)
My approach to counseling is to help you uncover unconscious habits that are interfering with the life you desire. My central focus is aimed at managing anxiety, depression, grief, stress, work/life balance, substance abuse, and life transitions. My services are centered around increasing self-awareness, relational healing, personal growth, and relationship changes. I believe in helping you discover what is right in your life and enabling you to tap into your inner strength and greatest potential.
My approach to counseling is to help you uncover unconscious habits that are interfering with the life you desire. My central focus is aimed at managing anxiety, depression, grief, stress, work/life balance, substance abuse, and life transitions. My services are centered around increasing self-awareness, relational healing, personal growth, and relationship changes. I believe in helping you discover what is right in your life and enabling you to tap into your inner strength and greatest potential.
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Photo of Sharon Denise Doe, MS-MFT, Pre-Licensed Professional
Sharon Denise Doe
Pre-Licensed Professional, MS-MFT
Verified Verified
Atlanta, GA 30324  (Online Only)
Have you found yourself challenged with feelings of overwhelm, anxiousness, and sadness related to life transitions? Are you experiencing difficulties in your intimate or family relationships that you wish to overcome? Ineffective communication contributes to increased conflict causing more stress and potentially negatively impacting various aspects of your life. Depression, anxiety, anger, and trauma do not have to be your norm. Strengthening interpersonal skills and finding effective methods to cope with stressors is essential to attain overall wellness and develop a fulfilling life that includes peace and empowerment.
Have you found yourself challenged with feelings of overwhelm, anxiousness, and sadness related to life transitions? Are you experiencing difficulties in your intimate or family relationships that you wish to overcome? Ineffective communication contributes to increased conflict causing more stress and potentially negatively impacting various aspects of your life. Depression, anxiety, anger, and trauma do not have to be your norm. Strengthening interpersonal skills and finding effective methods to cope with stressors is essential to attain overall wellness and develop a fulfilling life that includes peace and empowerment.
(404) 856-6630 View (404) 856-6630
Photo of Patrick Tremaglio, MFT, Pre-Licensed Professional
Patrick Tremaglio
Pre-Licensed Professional, MFT
Verified Verified
1 Endorsed
Atlanta, GA 30324
I work with adolescents, young adults, adults, families, and couples struggling with anxiety, depression, bipolar, stress, and relationship difficulties. My approach is guided by the Acceptance and Commitment Therapy (ACT) model, a third wave cognitive behavioral way of working with clients that incorporates mindfulness. I believe that the foundation to healthy functioning starts with sleep, diet, exercise, and mindfulness. I work with clients on a combination of self-compassion, changing behavioral habits, and changing cognitive habits.
I work with adolescents, young adults, adults, families, and couples struggling with anxiety, depression, bipolar, stress, and relationship difficulties. My approach is guided by the Acceptance and Commitment Therapy (ACT) model, a third wave cognitive behavioral way of working with clients that incorporates mindfulness. I believe that the foundation to healthy functioning starts with sleep, diet, exercise, and mindfulness. I work with clients on a combination of self-compassion, changing behavioral habits, and changing cognitive habits.
(404) 991-5782 View (404) 991-5782
Photo of Malaïka Gutekunst, PhD, Pre-Licensed Professional
Malaïka Gutekunst
Pre-Licensed Professional, PhD
Verified Verified
2 Endorsed
Atlanta, GA 30308
Therapy is a journey where we work towards embracing who you are and who you are becoming. I believe we heal in community and in relationships. I strive to offer you a safe space to grow in connection to yourself and others. It can be incredibly difficult when we feel that our communities and relationships are a place that contributes to us feeling stuck, confused, frustrated or hopeless. When we explore the stories, triggers, patterns, attachment styles and pains that interfere with who and how you want to be, we make space for healing and growth.
Therapy is a journey where we work towards embracing who you are and who you are becoming. I believe we heal in community and in relationships. I strive to offer you a safe space to grow in connection to yourself and others. It can be incredibly difficult when we feel that our communities and relationships are a place that contributes to us feeling stuck, confused, frustrated or hopeless. When we explore the stories, triggers, patterns, attachment styles and pains that interfere with who and how you want to be, we make space for healing and growth.
(470) 688-5535 View (470) 688-5535
Photo of Davonna Scott - Atlanta Integrative Psychiatry, MSW, Pre-Licensed Professional
Atlanta Integrative Psychiatry
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Atlanta, GA 30324
My therapeutic philosophy revolves around the belief that each individual possesses the capacity for self-discovery and personal growth. By creating a safe and supportive environment, I guide clients in exploring their inner resources and developing strategies to overcome challenges. Through a collaborative and empathetic approach, I seek to facilitate a transformative process that empowers clients to find clarity and resolve in their lives.
My therapeutic philosophy revolves around the belief that each individual possesses the capacity for self-discovery and personal growth. By creating a safe and supportive environment, I guide clients in exploring their inner resources and developing strategies to overcome challenges. Through a collaborative and empathetic approach, I seek to facilitate a transformative process that empowers clients to find clarity and resolve in their lives.
(470) 828-3348 View (470) 828-3348
Photo of Cherlisa Jackson, PhD, MA, MPH, LPC, CHES, Licensed Professional Counselor
Cherlisa Jackson
Licensed Professional Counselor, PhD, MA, MPH, LPC, CHES
Verified Verified
1 Endorsed
Atlanta, GA 30331  (Online Only)
I have served clients in psychiatric care for over 16 years, facilitated psychosexual Trauma Systems Therapy for over 9 years, led couples and family therapy for over 8 years, and have been actively working with HIV prevention and sexual health education of other sexually transmitted infections and diseases for over 8 years. I am a Doctor of Health Education and Promotion and I am exceedingly committed to sexual health, behavioral health, and mental health.
I have served clients in psychiatric care for over 16 years, facilitated psychosexual Trauma Systems Therapy for over 9 years, led couples and family therapy for over 8 years, and have been actively working with HIV prevention and sexual health education of other sexually transmitted infections and diseases for over 8 years. I am a Doctor of Health Education and Promotion and I am exceedingly committed to sexual health, behavioral health, and mental health.
(470) 798-4429 View (470) 798-4429
Photo of Jesaira Glover - The Oasis Sanctuary, MA, LPC, NCC, CPC, Licensed Professional Counselor
The Oasis Sanctuary
Licensed Professional Counselor, MA, LPC, NCC, CPC
Verified Verified
3 Endorsed
Atlanta, GA 30328
Are you currently navigating a difficult time in your life? Do you find it hard to manage change? Are you struggling to find your own voice? Do you seek validation from unhealthy sources? Can you identify healthy relational boundaries at work and home? Has work become a toxic environment? If you have answered yes to many of these questions, consider talking to someone who will create a space for you to evolve into your authentic self.
Are you currently navigating a difficult time in your life? Do you find it hard to manage change? Are you struggling to find your own voice? Do you seek validation from unhealthy sources? Can you identify healthy relational boundaries at work and home? Has work become a toxic environment? If you have answered yes to many of these questions, consider talking to someone who will create a space for you to evolve into your authentic self.
(678) 541-7947 View (678) 541-7947
Photo of Rachel Thomas, LCSW, Clinical Social Work/Therapist
Rachel Thomas
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Atlanta, GA 30309
I am a Licensed Clinical Social Worker providing therapy to individuals and couples experiencing a range of concerns including depression, anxiety, relationship challenges, life transitions, eating disorders, self-esteem and body image concerns, addiction recovery and support, gender dysphoria and gender transition support, and trauma. My priority is to create an environment that allows you to feel supported, heard, and free to express yourself fully as we work towards your goals.
I am a Licensed Clinical Social Worker providing therapy to individuals and couples experiencing a range of concerns including depression, anxiety, relationship challenges, life transitions, eating disorders, self-esteem and body image concerns, addiction recovery and support, gender dysphoria and gender transition support, and trauma. My priority is to create an environment that allows you to feel supported, heard, and free to express yourself fully as we work towards your goals.
(678) 673-3880 View (678) 673-3880
Photo of Kristie Griffin, LCSW, Clinical Social Work/Therapist
Kristie Griffin
Clinical Social Work/Therapist, LCSW
Verified Verified
Atlanta, GA 30308  (Online Only)
My name is Kristie L. Griffin, LCSW and I am an eight-year, honorably discharged Army Active Duty Veteran. I have over fifteen years of working directly with individuals who have experienced substance abuse, traumatic brain injury & chronic mental illness. I possess the knowledge, skills, abilities, and experience to provide comprehensive biopsychosocial assessments, mental health treatment plans, and counseling services to individuals, families, and groups. Most of my experience always included case management.
My name is Kristie L. Griffin, LCSW and I am an eight-year, honorably discharged Army Active Duty Veteran. I have over fifteen years of working directly with individuals who have experienced substance abuse, traumatic brain injury & chronic mental illness. I possess the knowledge, skills, abilities, and experience to provide comprehensive biopsychosocial assessments, mental health treatment plans, and counseling services to individuals, families, and groups. Most of my experience always included case management.
(470) 497-1337 View (470) 497-1337
Photo of Krystal Johnson, LPC, Licensed Professional Counselor
Krystal Johnson
Licensed Professional Counselor, LPC
Verified Verified
Atlanta, GA 30327  (Online Only)
Are you finding it hard coping with personal and mental health issues and need a caring yet intellectually sound support? Meet the therapist, a licensed clinician for over a decade who thrives in assisting individuals and families navigate these intricacies. Their approach to therapy is multifaceted, able to adapt various therapeutic modalities as the situation demands to help clients reach their goals.
Are you finding it hard coping with personal and mental health issues and need a caring yet intellectually sound support? Meet the therapist, a licensed clinician for over a decade who thrives in assisting individuals and families navigate these intricacies. Their approach to therapy is multifaceted, able to adapt various therapeutic modalities as the situation demands to help clients reach their goals.
(470) 319-5939 View (470) 319-5939
Photo of Amy Dickinson-Bush, MS, LPC, Licensed Professional Counselor
Amy Dickinson-Bush
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Atlanta, GA 30309
Have you experienced a trauma or life-changing event? Are you feeling stuck and struggling with anxiety or depression? Or are you just trying to figure out who you are or find a purpose? I am passionate about helping those who are working to find balance in their lives and those in need of finding that mind-body connection to promote health and well-being. I am experienced in working with Trauma, LGBTQ+ community, relationship and family concerns, and college students struggling to balance the demands of academics and daily living.
Have you experienced a trauma or life-changing event? Are you feeling stuck and struggling with anxiety or depression? Or are you just trying to figure out who you are or find a purpose? I am passionate about helping those who are working to find balance in their lives and those in need of finding that mind-body connection to promote health and well-being. I am experienced in working with Trauma, LGBTQ+ community, relationship and family concerns, and college students struggling to balance the demands of academics and daily living.
(770) 824-0384 View (770) 824-0384
Photo of Robert W Patterson, MEd, LMFT, LPC, Marriage & Family Therapist
Robert W Patterson
Marriage & Family Therapist, MEd, LMFT, LPC
Verified Verified
4 Endorsed
Atlanta, GA 30307
Committed love relationships are the most powerful and prized of all human healing. Yet, for many, being in a relationship can bring frustration as well as comfort, heartache as well as joy. My specialty is to help couples improve and connect through proven processes and tools developed by Dr Harville Hendrix, author of the seminal New York Times Best Seller, Getting The Love You Want: a guide for couples. As a Certified Imago Therapist and Workshop Presenter, I help couples regain the safety, compassion and energy that brought them together in the first place.
Committed love relationships are the most powerful and prized of all human healing. Yet, for many, being in a relationship can bring frustration as well as comfort, heartache as well as joy. My specialty is to help couples improve and connect through proven processes and tools developed by Dr Harville Hendrix, author of the seminal New York Times Best Seller, Getting The Love You Want: a guide for couples. As a Certified Imago Therapist and Workshop Presenter, I help couples regain the safety, compassion and energy that brought them together in the first place.
(404) 369-4887 x3 View (404) 369-4887 x3
Photo of Hammad S. N'cho, PhD, Psychologist
Hammad S. N'cho
Psychologist, PhD
Verified Verified
3 Endorsed
Atlanta, GA 30331  (Online Only)
Waitlist for new clients
Maya Angelou once wrote, “You may not control all the events that happen to you, but you can decide not to be reduced by them.” This perspective is at the core of the therapeutic process, and central to the work I do with my clients. Together, we work to better understand the challenges faced in their unique, personal journeys, and in so doing, facilitate healing and growth. I am a licensed psychologist with extensive experience in addressing such concerns as depression, anxiety, childhood and adult trauma exposure, PTSD, impaired self-worth and relationship challenges.
Maya Angelou once wrote, “You may not control all the events that happen to you, but you can decide not to be reduced by them.” This perspective is at the core of the therapeutic process, and central to the work I do with my clients. Together, we work to better understand the challenges faced in their unique, personal journeys, and in so doing, facilitate healing and growth. I am a licensed psychologist with extensive experience in addressing such concerns as depression, anxiety, childhood and adult trauma exposure, PTSD, impaired self-worth and relationship challenges.
(678) 952-2160 View (678) 952-2160
Photo of Nina Katherine Cason, LCSW, Clinical Social Work/Therapist
Nina Katherine Cason
Clinical Social Work/Therapist, LCSW
Verified Verified
Atlanta, GA 30339
Nina Cason, LCSW works with autistic individuals as well as people living with anxiety and depression. Nina also has an extensive background in helping people work through trauma and 'Little T's' (Little Traumas) issues. She often draws from a variety of approaches including Dialectical Behavioral (DBT) & Acceptance and Commitment (ACT) Therapies.
Nina Cason, LCSW works with autistic individuals as well as people living with anxiety and depression. Nina also has an extensive background in helping people work through trauma and 'Little T's' (Little Traumas) issues. She often draws from a variety of approaches including Dialectical Behavioral (DBT) & Acceptance and Commitment (ACT) Therapies.
(404) 777-4261 View (404) 777-4261
Photo of Dr. Kimberly R. Mayes, DSW, LCSW, Clinical Social Work/Therapist
Dr. Kimberly R. Mayes
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
2 Endorsed
Atlanta, GA 30309  (Online Only)
Life happens & therapy helps! Therapy is a safe space to release unwanted thoughts, feelings & emotions while gaining a new perspective & learning new skills to help you live the life you desire. It is my belief, even when you don’t feel equipped, you have everything you need to take the next step in life. During our therapy sessions, it is my goal to ensure you feel safe, supported, comfortable & confident, while implementing practical therapy modalities such as Cognitive Behavioral Therapy (CBT), Mindfulness - Based Cognitive Therapy, Narrative Therapy, Culturally Sensitive Therapy and/or Solution Focused Brief Therapy.
Life happens & therapy helps! Therapy is a safe space to release unwanted thoughts, feelings & emotions while gaining a new perspective & learning new skills to help you live the life you desire. It is my belief, even when you don’t feel equipped, you have everything you need to take the next step in life. During our therapy sessions, it is my goal to ensure you feel safe, supported, comfortable & confident, while implementing practical therapy modalities such as Cognitive Behavioral Therapy (CBT), Mindfulness - Based Cognitive Therapy, Narrative Therapy, Culturally Sensitive Therapy and/or Solution Focused Brief Therapy.
(404) 689-1496 View (404) 689-1496
Photo of Teddi Bair, MEd, MS, NCC, Pre-Licensed Professional
Teddi Bair
Pre-Licensed Professional, MEd, MS, NCC
Verified Verified
1 Endorsed
Atlanta, GA 30305
Are you feeling discouraged, powerless, or hopeless? You’ve come to the right place. I can help you find a safe haven, whether you lost it, you are trying to build it, or you feel like you never had it.
Are you feeling discouraged, powerless, or hopeless? You’ve come to the right place. I can help you find a safe haven, whether you lost it, you are trying to build it, or you feel like you never had it.
(470) 458-3159 View (470) 458-3159
Photo of Belinda Sanders-Lee, LPC, Licensed Professional Counselor
Belinda Sanders-Lee
Licensed Professional Counselor, LPC
Verified Verified
Atlanta, GA 30308
I see my role as a psychotherapist as that of the catalyst for change. I integrate therapeutic techniques to foster a safe, non-judgmental counseling environment where clients are able to do their internal work. The approaches I utilize include Person-Centered Therapy, Cognitive Behavior Therapy, and Mind/Body Awareness. My roles in life have included being an elementary and middle school educator, caregiver, spouse, parent of adult children, and most recently grandparent. I'm experienced in the dynamics of the ever-evolving family system.
I see my role as a psychotherapist as that of the catalyst for change. I integrate therapeutic techniques to foster a safe, non-judgmental counseling environment where clients are able to do their internal work. The approaches I utilize include Person-Centered Therapy, Cognitive Behavior Therapy, and Mind/Body Awareness. My roles in life have included being an elementary and middle school educator, caregiver, spouse, parent of adult children, and most recently grandparent. I'm experienced in the dynamics of the ever-evolving family system.
(470) 410-9017 View (470) 410-9017
Photo of Nicole Casey, LPC, MAMFT, NCC, Licensed Professional Counselor
Nicole Casey
Licensed Professional Counselor, LPC, MAMFT, NCC
Verified Verified
Atlanta, GA 30305
I am a Licensed Professional Counselor specializing in working with anxiety of all kinds, mood disorders, perfectionism, rumination, spiritual concerns, and life transitions. I feel honored to help clients reclaim a sense of worthiness, self-compassion, and peace in their lives. I enjoy working with clients who are motivated to identify their barriers to living a functional and enjoyable life, so that we can start working towards change together.
I am a Licensed Professional Counselor specializing in working with anxiety of all kinds, mood disorders, perfectionism, rumination, spiritual concerns, and life transitions. I feel honored to help clients reclaim a sense of worthiness, self-compassion, and peace in their lives. I enjoy working with clients who are motivated to identify their barriers to living a functional and enjoyable life, so that we can start working towards change together.
(404) 882-1513 View (404) 882-1513
Photo of Lindolyn Green, LPC, Licensed Professional Counselor
Lindolyn Green
Licensed Professional Counselor, LPC
Verified Verified
Atlanta, GA 30315
I specialized in anxiety, depression, addiction, stress, using Cognitive Behavioral Therapy, Narrative Therapy, and Expressive Therapy. My approach varies based on the client's needs. I frequently use Cognitive Behavioral Therapy this approach allows the client to identify and challenge negative thinking. During the session, the client works through exercises to explore their thoughts, feelings, and beliefs.
I specialized in anxiety, depression, addiction, stress, using Cognitive Behavioral Therapy, Narrative Therapy, and Expressive Therapy. My approach varies based on the client's needs. I frequently use Cognitive Behavioral Therapy this approach allows the client to identify and challenge negative thinking. During the session, the client works through exercises to explore their thoughts, feelings, and beliefs.
(470) 422-7916 View (470) 422-7916
Photo of Theresa Montague, LPC, NCC, Licensed Professional Counselor
Theresa Montague
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Atlanta, GA 30339  (Online Only)
Not accepting new clients
Every dark cloud has a silver lining. It might sound cliche, but it's true. There's still hope for a brighter future in spite of any present challenges. I support clients who are dealing with mental health conditions like depression or anxiety as well as those who are facing normal but difficult life situations like stress, grief/loss, relationship/family conflict, or problems at work. I’m deeply passionate about helping people who have difficulty maintaining emotional balance or need support in changing unhealthy mindsets and behaviors. I work with adults, couples, and families from all cultural backgrounds and lifestyles.
Every dark cloud has a silver lining. It might sound cliche, but it's true. There's still hope for a brighter future in spite of any present challenges. I support clients who are dealing with mental health conditions like depression or anxiety as well as those who are facing normal but difficult life situations like stress, grief/loss, relationship/family conflict, or problems at work. I’m deeply passionate about helping people who have difficulty maintaining emotional balance or need support in changing unhealthy mindsets and behaviors. I work with adults, couples, and families from all cultural backgrounds and lifestyles.
(678) 336-5538 View (678) 336-5538
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How does your Therapist compare?

Number of Therapists in Atlanta, GA

3,000+

Average cost per session

$135

Therapists in Atlanta, GA who prioritize treating:

92% Anxiety
87% Depression
68% Stress
66% Relationship Issues
66% Self Esteem
63% Trauma and PTSD
61% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

89% Aetna
80% Cigna and Evernorth
76% UnitedHealthcare UHC | UBH

How Therapists in Atlanta, GA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Atlanta?

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.