Therapists in Pittsburgh, PA

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Photo of Allison Smith, Pre-Licensed Professional in Pittsburgh, PA
Allison Smith
Pre-Licensed Professional, MA
Verified Verified
Pittsburgh, PA 15206  (Online Only)
Do you feel alone, down, overwhelmed, or stressed out? Maybe your life has taken a sudden turn in a direction you were not expecting. Or maybe you feel your relationship is not what it used to be, or possibly, you're wondering if you're stuck in an abusive dynamic. In a world filled with challenges, uncertainties, and moments of self-doubt, finding the right professional counselor to accompany you on your journey of self-discovery is crucial.
Do you feel alone, down, overwhelmed, or stressed out? Maybe your life has taken a sudden turn in a direction you were not expecting. Or maybe you feel your relationship is not what it used to be, or possibly, you're wondering if you're stuck in an abusive dynamic. In a world filled with challenges, uncertainties, and moments of self-doubt, finding the right professional counselor to accompany you on your journey of self-discovery is crucial.
(724) 399-3710 View (724) 399-3710
Photo of Maryann Owens, Psychologist in Pittsburgh, PA
Maryann Owens
Psychologist, PhD
Verified Verified
1 Endorsed
Pittsburgh, PA 15237
If you're an adult who feels overwhelmed by anxiety, weighed down by trauma, or stuck in the grip of depression, I'm here to walk alongside you. Perhaps you're battling relentless stress or you're finding that your relationships just aren't what they used to be—whatever it is, know that there's a space for you in my practice. I specialize in helping people like you manage the tough stuff: the anxiety that won't quiet down, the traumatic memories that linger, the heavy blanket of depression, and the stress that seems to color your every day.
If you're an adult who feels overwhelmed by anxiety, weighed down by trauma, or stuck in the grip of depression, I'm here to walk alongside you. Perhaps you're battling relentless stress or you're finding that your relationships just aren't what they used to be—whatever it is, know that there's a space for you in my practice. I specialize in helping people like you manage the tough stuff: the anxiety that won't quiet down, the traumatic memories that linger, the heavy blanket of depression, and the stress that seems to color your every day.
(412) 207-3813 View (412) 207-3813
Photo of Libreta Turner, Licensed Professional Counselor in Pittsburgh, PA
Libreta Turner
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15211
Waitlist for new clients
Working with children, adolescents, and adults with anxiety and OCD is where my primary focus and expertise lies. I provide evidence-based treatment with a focus on cognitive behavior therapy (CBT), incorporating elements of mindfulness and positive psychology. If you, your child, or someone you love suffers from excessive worries or struggles with habits that get in the way of living life to its fullest, I am here to help. I specialize in OCD, anxiety, Tourette's and tic disorders, body dysmorphic disorder, hair pulling and skin picking.
Working with children, adolescents, and adults with anxiety and OCD is where my primary focus and expertise lies. I provide evidence-based treatment with a focus on cognitive behavior therapy (CBT), incorporating elements of mindfulness and positive psychology. If you, your child, or someone you love suffers from excessive worries or struggles with habits that get in the way of living life to its fullest, I am here to help. I specialize in OCD, anxiety, Tourette's and tic disorders, body dysmorphic disorder, hair pulling and skin picking.
(412) 360-8621 View (412) 360-8621
Photo of Roberto Wingfield, Pre-Licensed Professional in Pittsburgh, PA
Roberto Wingfield
Pre-Licensed Professional
Verified Verified
Pittsburgh, PA 15203
My goal is to offer a safe space where you're heard and understood without judgement. With a background in trauma-informed care, I'm here to help you navigate the challenges life has thrown your way. Whether you're dealing with trauma, anxiety, stress, or identity issues, I'm here to support you. I will always partner with your goals as an individual or as a family with an active treatment approach, meeting you where you are in life.
My goal is to offer a safe space where you're heard and understood without judgement. With a background in trauma-informed care, I'm here to help you navigate the challenges life has thrown your way. Whether you're dealing with trauma, anxiety, stress, or identity issues, I'm here to support you. I will always partner with your goals as an individual or as a family with an active treatment approach, meeting you where you are in life.
(412) 753-7154 View (412) 753-7154
Photo of Intentional Simplicity LLC in Pittsburgh, PA
Intentional Simplicity LLC
MA
Verified Verified
Pittsburgh, PA 15205  (Online Only)
When we look at the discrimination and racism occurring today, it is hard to imagine the psychological and emotional toll experienced by individuals who are a part of these minority groups. Intentional Simplicity LLC creates positive change to provide BIPOC, neurodiverse, and LGBTQIA individuals a sustainable approach to their psychological stressors. From 1 on 1 virtual therapy sessions, workplace/employee wellness programs, and a great list of FREE resources, Intentional Simplicity is ready to help you take the first step into cultivating a sustainable, creative, and fulfilling approach to healing.
When we look at the discrimination and racism occurring today, it is hard to imagine the psychological and emotional toll experienced by individuals who are a part of these minority groups. Intentional Simplicity LLC creates positive change to provide BIPOC, neurodiverse, and LGBTQIA individuals a sustainable approach to their psychological stressors. From 1 on 1 virtual therapy sessions, workplace/employee wellness programs, and a great list of FREE resources, Intentional Simplicity is ready to help you take the first step into cultivating a sustainable, creative, and fulfilling approach to healing.
(412) 547-5675 View (412) 547-5675
Photo of Robin Clarke, Clinical Social Work/Therapist in Pittsburgh, PA
Robin Clarke
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15221
Waitlist for new clients
I am an EMDR certified trauma therapist and a Certified Trauma & Resilience Practitioner. I emphasize unconditional positive regard, attuned presence, teaching mind-body skills to relieve anxiety and depression, and developing safe spaces in which to heal from trauma.
I am an EMDR certified trauma therapist and a Certified Trauma & Resilience Practitioner. I emphasize unconditional positive regard, attuned presence, teaching mind-body skills to relieve anxiety and depression, and developing safe spaces in which to heal from trauma.
(412) 790-2090 View (412) 790-2090
Photo of David J Jerome, Licensed Professional Counselor in Pittsburgh, PA
David J Jerome
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15238
Therapy is a great opportunity to rediscover yourself and build a better future. I will help you to facilitate positive change, feelings of satisfaction and improve the overall quality of your life. Let’s work together to understand your needs through effective communication and take that first step towards wellness together.
Therapy is a great opportunity to rediscover yourself and build a better future. I will help you to facilitate positive change, feelings of satisfaction and improve the overall quality of your life. Let’s work together to understand your needs through effective communication and take that first step towards wellness together.
(412) 226-4319 View (412) 226-4319
Photo of Dawn Covington, Licensed Professional Counselor in Pittsburgh, PA
Dawn Covington
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
3 Endorsed
Pittsburgh, PA 15217  (Online Only)
My experience is helping individuals and families overcome emotional, mental and spiritual challenges. I will help you identify unhealthy patterns that get in the way of you having a healthy and enjoyable life. We will learn and use positive coping skills and self-awareness skills to help you have satisfaction, fulfillment, growth and to experience new ways of being. My specialties include family problems, depression, mood and anxiety disorders, problems with self-esteem, relationship difficulties, grief and loss issues, trauma/sexual abuse, work issues, life transition issues, parenting, women's issues and anger management.
My experience is helping individuals and families overcome emotional, mental and spiritual challenges. I will help you identify unhealthy patterns that get in the way of you having a healthy and enjoyable life. We will learn and use positive coping skills and self-awareness skills to help you have satisfaction, fulfillment, growth and to experience new ways of being. My specialties include family problems, depression, mood and anxiety disorders, problems with self-esteem, relationship difficulties, grief and loss issues, trauma/sexual abuse, work issues, life transition issues, parenting, women's issues and anger management.
(412) 961-8349 View (412) 961-8349
Photo of Laura Jones, Licensed Professional Counselor in Pittsburgh, PA
Laura Jones
Licensed Professional Counselor, LPC, NCC
Verified Verified
Pittsburgh, PA 15213
Not accepting new clients
I believe you have the power to create and live a life that feels fulfilling to you. I work with teenagers and young adults to create and nurture an existence that is authentic, while navigating the challenges of becoming an adult in our society.
I believe you have the power to create and live a life that feels fulfilling to you. I work with teenagers and young adults to create and nurture an existence that is authentic, while navigating the challenges of becoming an adult in our society.
(412) 858-8986 View (412) 858-8986
Photo of Elizabeth Gilmore, Licensed Professional Counselor in Pittsburgh, PA
Elizabeth Gilmore
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15222  (Online Only)
Are you feeling weighed down by the persistent grip of depression, the daily struggles of trauma, or the overwhelming burden of anxiety? You are not alone in your journey, and your unique needs deserve specialized support. Your goal is clear: to find an experienced therapist who truly comprehends your challenges and can provide the guidance you need to regain emotional well-being. Let's work together to uncover practical solutions and pave the way for a happier, more fulfilling life.
Are you feeling weighed down by the persistent grip of depression, the daily struggles of trauma, or the overwhelming burden of anxiety? You are not alone in your journey, and your unique needs deserve specialized support. Your goal is clear: to find an experienced therapist who truly comprehends your challenges and can provide the guidance you need to regain emotional well-being. Let's work together to uncover practical solutions and pave the way for a happier, more fulfilling life.
(412) 981-2066 View (412) 981-2066
Photo of Kathy Rubright @the Mindful Oasis, Clinical Social Work/Therapist in Pittsburgh, PA
Kathy Rubright @the Mindful Oasis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15236  (Online Only)
Are you feeling overwhelmed, scared or alone? Confused? Anxious? Terrified of what others may or not think of you? Are the walls closing in on you? You are not alone. We have all been there. Change is possible and attainable with the proper support, guidance, hope and most of all, healing. I am a board certified clinical licensed social worker. I earned my bachelor's degree in social work from Stonybrook University in New York State as well as a Master's in Social Work with a clinical emphasis from Adelphi University in New York State. I have been licensed in PA since 2009.
Are you feeling overwhelmed, scared or alone? Confused? Anxious? Terrified of what others may or not think of you? Are the walls closing in on you? You are not alone. We have all been there. Change is possible and attainable with the proper support, guidance, hope and most of all, healing. I am a board certified clinical licensed social worker. I earned my bachelor's degree in social work from Stonybrook University in New York State as well as a Master's in Social Work with a clinical emphasis from Adelphi University in New York State. I have been licensed in PA since 2009.
(717) 942-9797 View (717) 942-9797
Photo of Stacy Golman, Psychologist in Pittsburgh, PA
Stacy Golman
Psychologist, PsyD
Verified Verified
1 Endorsed
Pittsburgh, PA 15213  (Online Only)
I view therapy as the process of developing a better understanding of thoughts, emotions and patterns. I utilize a person-centered therapy approach to create a warm, non-judgmental atmosphere where you can feel comfortable and safe. Through the journey of self-discovery, your needs and wants from the therapy process may change. This is why I pull from different evidence-based therapy approaches to best fit with your needs at the time. I have experience working with a variety of mental health concerns. However, no two people are the same. Together we will work towards your unique goals utilizing the individual strengths you bring.
I view therapy as the process of developing a better understanding of thoughts, emotions and patterns. I utilize a person-centered therapy approach to create a warm, non-judgmental atmosphere where you can feel comfortable and safe. Through the journey of self-discovery, your needs and wants from the therapy process may change. This is why I pull from different evidence-based therapy approaches to best fit with your needs at the time. I have experience working with a variety of mental health concerns. However, no two people are the same. Together we will work towards your unique goals utilizing the individual strengths you bring.
(724) 201-3573 View (724) 201-3573
Photo of Madison Dobas, Pre-Licensed Professional in Pittsburgh, PA
Madison Dobas
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Pittsburgh, PA 15228
I am a pre-licensed, Master’s level therapist who works with adults struggling with anxiety, depression, bipolar disorder, grief, trauma, addiction, and substance use. My goal is to help clients navigate their feelings and offer a path forward to healing.
I am a pre-licensed, Master’s level therapist who works with adults struggling with anxiety, depression, bipolar disorder, grief, trauma, addiction, and substance use. My goal is to help clients navigate their feelings and offer a path forward to healing.
(412) 912-4796 View (412) 912-4796
Photo of Rebecca Sheppard, Clinical Social Work/Therapist in Pittsburgh, PA
Rebecca Sheppard
Clinical Social Work/Therapist, LSW
Verified Verified
Pittsburgh, PA 15203
I specifically enjoy working with clients experiencing anxiety/phobias, self-esteem/body image/disordered eating concerns, and stress. I would also love to work with clients experiencing sexual concerns. My ideal client is someone who comes to me with an open mind about treatment, is willing to challenge themselves, and works with me as a team to set and achieve their goals. Ideal clients will be open and honest with me, as they understand our sessions are a safe and judgment-free space. They will have patience with themselves as we explore their concerns while also being willing to make changes for their benefit.
I specifically enjoy working with clients experiencing anxiety/phobias, self-esteem/body image/disordered eating concerns, and stress. I would also love to work with clients experiencing sexual concerns. My ideal client is someone who comes to me with an open mind about treatment, is willing to challenge themselves, and works with me as a team to set and achieve their goals. Ideal clients will be open and honest with me, as they understand our sessions are a safe and judgment-free space. They will have patience with themselves as we explore their concerns while also being willing to make changes for their benefit.
(412) 516-3848 View (412) 516-3848
Photo of Marla Somova, Psychologist in Pittsburgh, PA
Marla Somova
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15213
I have over 20 years of experience working with adults (age 18+) on issues of identity, relationships, and family concerns, as well as stress, anxiety, depression, and ADHD. I have extensive experience working with college students and the particular challenges of young adulthood. I approach psychotherapy as a collaborative endeavor, and I believe that understanding the past is important in helping you make changes in the present. I look forward to helping you work towards your goals! In addition to my practice, I am an Adjunct Professor of Psychology and Counseling at Carlow University.
I have over 20 years of experience working with adults (age 18+) on issues of identity, relationships, and family concerns, as well as stress, anxiety, depression, and ADHD. I have extensive experience working with college students and the particular challenges of young adulthood. I approach psychotherapy as a collaborative endeavor, and I believe that understanding the past is important in helping you make changes in the present. I look forward to helping you work towards your goals! In addition to my practice, I am an Adjunct Professor of Psychology and Counseling at Carlow University.
(412) 567-3264 View (412) 567-3264
Photo of Erika Salazar, Licensed Professional Counselor in Pittsburgh, PA
Erika Salazar
Licensed Professional Counselor, LPC, LPCC, MA, NCC
Verified Verified
Pittsburgh, PA 15232
I believe that the most key aspect of a successful treatment is the therapeutic relationship. There must be a level of trust and comfort shared if goals are to be met. In order to help you decide if I am a good fit for you, I’ll tell you a bit about me. I have been counseling for the last four years, with experience in substance use treatment and mental health treatment. I have worked with adults, children, and teens. I particularly have worked with many issues involving: Anxiety, Depression, Trauma, ADHD, and emotional regulation issues.
I believe that the most key aspect of a successful treatment is the therapeutic relationship. There must be a level of trust and comfort shared if goals are to be met. In order to help you decide if I am a good fit for you, I’ll tell you a bit about me. I have been counseling for the last four years, with experience in substance use treatment and mental health treatment. I have worked with adults, children, and teens. I particularly have worked with many issues involving: Anxiety, Depression, Trauma, ADHD, and emotional regulation issues.
(412) 981-2678 View (412) 981-2678
Photo of Mary C Ringgold in Pittsburgh, PA
Mary C Ringgold
MS
Verified Verified
1 Endorsed
Pittsburgh, PA 15206  (Online Only)
My approach to Psychotherapy is warm, inviting, and strength based. I believe that each individual has a unique journey and story that needs to be told. My goal is to foster a safe and trusting therapeutic relationship that will allow for those individuals to tell their story in a safe and welcoming environment, without the fear or worry of being judged. I utilize Cognitive Behavioral Therapy, as well as Person Centered Therapy to incorporate an environment of humor and all around feeling of comfort, about the changes being made in one's life with each completed goal.
My approach to Psychotherapy is warm, inviting, and strength based. I believe that each individual has a unique journey and story that needs to be told. My goal is to foster a safe and trusting therapeutic relationship that will allow for those individuals to tell their story in a safe and welcoming environment, without the fear or worry of being judged. I utilize Cognitive Behavioral Therapy, as well as Person Centered Therapy to incorporate an environment of humor and all around feeling of comfort, about the changes being made in one's life with each completed goal.
(878) 217-0628 View (878) 217-0628
Photo of Suzanna Styles, Clinical Social Work/Therapist in Pittsburgh, PA
Suzanna Styles
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Pittsburgh, PA 15218
Not accepting new clients
I am a trauma-informed and somatically-oriented therapist. I can sit with you, listen to you, and walk with you in the hardest places. And with the wisdom I’ve garnered from years of experience, I can guide you towards a life that has meaning. Body, heart, mind, and soul all matter in my work. Blending the best elements from somatic psychology, mindfulness, intergenerational and trauma work, I stay current with what is cutting edge to help you heal. See my website to get more information about me and easily contact me there.
I am a trauma-informed and somatically-oriented therapist. I can sit with you, listen to you, and walk with you in the hardest places. And with the wisdom I’ve garnered from years of experience, I can guide you towards a life that has meaning. Body, heart, mind, and soul all matter in my work. Blending the best elements from somatic psychology, mindfulness, intergenerational and trauma work, I stay current with what is cutting edge to help you heal. See my website to get more information about me and easily contact me there.
(878) 645-3786 View (878) 645-3786
Photo of Barbara Thomas, Marriage & Family Therapist in Pittsburgh, PA
Barbara Thomas
Marriage & Family Therapist, LMFT
Verified Verified
Pittsburgh, PA 15232  (Online Only)
Barbara Thomas is a Licensed Marriage and Family Therapist (LMFT) who has 6 years of experience working with children, adolescents, couples, and families seeking help with depression, anxiety, relationship issues, and family/life transitions. Additionally, Barbara has experience working with autism spectrum disorder (ASD), trauma, grief and loss, and multigenerational family patterns. Barbara completed her Bachelor of Science (BS) in Psychology at Pennsylvania State University and her Master of Science (MS) in Marriage and Family Therapy at Seton Hall University.
Barbara Thomas is a Licensed Marriage and Family Therapist (LMFT) who has 6 years of experience working with children, adolescents, couples, and families seeking help with depression, anxiety, relationship issues, and family/life transitions. Additionally, Barbara has experience working with autism spectrum disorder (ASD), trauma, grief and loss, and multigenerational family patterns. Barbara completed her Bachelor of Science (BS) in Psychology at Pennsylvania State University and her Master of Science (MS) in Marriage and Family Therapy at Seton Hall University.
(412) 214-8983 View (412) 214-8983
Photo of Tina Adkins, Clinical Social Work/Therapist in Pittsburgh, PA
Tina Adkins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15237
Life is a journey and we are constantly learning about ourselves, others, and our surroundings. At times, we all need help and my goal is to support you when you are ready to seek help. I believe in meeting and starting where YOU are at in your journey. With over 9 years of experience in mental health and medical social work, my areas of expertise include: reproductive health, trauma, complex medical, grief, depression, and anxiety, amongst other areas. I am LGTBQIA+ affirming. I have worked with a variety of populations, and specializing in working with individuals 18 years and older.
Life is a journey and we are constantly learning about ourselves, others, and our surroundings. At times, we all need help and my goal is to support you when you are ready to seek help. I believe in meeting and starting where YOU are at in your journey. With over 9 years of experience in mental health and medical social work, my areas of expertise include: reproductive health, trauma, complex medical, grief, depression, and anxiety, amongst other areas. I am LGTBQIA+ affirming. I have worked with a variety of populations, and specializing in working with individuals 18 years and older.
(724) 302-5801 View (724) 302-5801

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.