Therapists in Honolulu, HI

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Photo of Kelly Devine-Hope, Clinical Social Work/Therapist, LCSW
Kelly Devine-Hope
Clinical Social Work/Therapist, LCSW
Honolulu, HI 96816
If you’re a professional, executive, or athlete carrying a lot of responsibility, therapy can feel like just one more thing to manage. I work with people who are intellectually curious, thoughtful, and used to functioning at a high level—but who need a place to slow down, think clearly, and get real support. Clients often tell me they appreciate my direct, grounded style and the ability to receive care that fits into real life. If you’re looking for therapy that is thoughtful, discreet, and designed for people with demanding lives, I may be a good fit. I offer both concierge therapy and sports psychology services.
If you’re a professional, executive, or athlete carrying a lot of responsibility, therapy can feel like just one more thing to manage. I work with people who are intellectually curious, thoughtful, and used to functioning at a high level—but who need a place to slow down, think clearly, and get real support. Clients often tell me they appreciate my direct, grounded style and the ability to receive care that fits into real life. If you’re looking for therapy that is thoughtful, discreet, and designed for people with demanding lives, I may be a good fit. I offer both concierge therapy and sports psychology services.
(808) 755-1474 View (808) 755-1474
Photo of Dr. Lisa Herring, Counselor, EdD, LMHC, LPC, NCC
Dr. Lisa Herring
Counselor, EdD, LMHC, LPC, NCC
Online Only
Accepting New Clients. Night and weekend appointment(s) available. Dr Herring was born in the Philippines and was raised on the North Shore of Oahu. It is her true belief that, with support, we are capable of creating the change that we wish to see in our lives. It takes courage to seek help during life's difficult moments. If you are feeling lost, confused, neglected, or overwhelmed with stress, addiction, loss/grief, trauma or fear of the unknown, it is my role is to walk along with you in this journey to guide and navigate through life stressors, reprocess distressing experiences, and increase self-awareness.
Accepting New Clients. Night and weekend appointment(s) available. Dr Herring was born in the Philippines and was raised on the North Shore of Oahu. It is her true belief that, with support, we are capable of creating the change that we wish to see in our lives. It takes courage to seek help during life's difficult moments. If you are feeling lost, confused, neglected, or overwhelmed with stress, addiction, loss/grief, trauma or fear of the unknown, it is my role is to walk along with you in this journey to guide and navigate through life stressors, reprocess distressing experiences, and increase self-awareness.
(808) 435-5648 View (808) 435-5648
Photo of Keith D Pedro, Psychologist, PsyD, MA
Keith D Pedro
Psychologist, PsyD, MA
Honolulu, HI 96813
Waitlist for new clients
Offering integrated psychotherapy that is tailored to each patient's unique needs. Psychotherapy treatment may include behavioral, emotion-oriented, cognitive-oriented, and relaxation techniques that may be used as an adjunct in the treatment with patients that have been diagnosed with tension headaches, depression, life changes and transitions, relationship challenges, and symptom management. Services will be provided individually and can include family psychoeducation, individual and/or couples therapy. Couples counseling will be exposed to Gottman Techniques.
Offering integrated psychotherapy that is tailored to each patient's unique needs. Psychotherapy treatment may include behavioral, emotion-oriented, cognitive-oriented, and relaxation techniques that may be used as an adjunct in the treatment with patients that have been diagnosed with tension headaches, depression, life changes and transitions, relationship challenges, and symptom management. Services will be provided individually and can include family psychoeducation, individual and/or couples therapy. Couples counseling will be exposed to Gottman Techniques.
(808) 670-1864 View (808) 670-1864
Photo of Shion Pritchard, Counselor, LMHC, NCC
Shion Pritchard
Counselor, LMHC, NCC
2 Endorsed
Online Only
I believe in the transformative power of therapy to bring about positive change and cultivate well-being. My focus extends to addressing emerging adulthood themes, including identity exploration, relationship dynamics, and the unique challenges posed by career and life goals.
I believe in the transformative power of therapy to bring about positive change and cultivate well-being. My focus extends to addressing emerging adulthood themes, including identity exploration, relationship dynamics, and the unique challenges posed by career and life goals.
(808) 736-4856 View (808) 736-4856
Photo of John S Chock, Counselor, MSCP, LMHC, CSAC, NCC
John S Chock
Counselor, MSCP, LMHC, CSAC, NCC
2 Endorsed
Honolulu, HI 96813
Looking for a new begining? Do you want a clear view of your abundant future? If you’re tired of not getting call backs, we are now taking in office and online appointments at our Bishop Street office in downtown Honolulu. Start therapy as early as today. Call today for more information and how we can help. We take Quest and most major insurance. Updated 1/14/2026.
Looking for a new begining? Do you want a clear view of your abundant future? If you’re tired of not getting call backs, we are now taking in office and online appointments at our Bishop Street office in downtown Honolulu. Start therapy as early as today. Call today for more information and how we can help. We take Quest and most major insurance. Updated 1/14/2026.
(808) 201-5567 View (808) 201-5567
Photo of Amber M Vinson, Marriage & Family Therapist, LMFT
Amber M Vinson
Marriage & Family Therapist, LMFT
Honolulu, HI 96813
I currently offer psychotherapy for individuals and welcome those in the LGBT community. I provide an environment that is supportive and non-judgmental. In individual therapy, I work with you to help build the foundation you need for a more satisfying relationship with yourself and others. Often times we feel misunderstood or not seen. I strive to provide a safe space for an individual to feel both heard and seen.
I currently offer psychotherapy for individuals and welcome those in the LGBT community. I provide an environment that is supportive and non-judgmental. In individual therapy, I work with you to help build the foundation you need for a more satisfying relationship with yourself and others. Often times we feel misunderstood or not seen. I strive to provide a safe space for an individual to feel both heard and seen.
(808) 207-7737 View (808) 207-7737
Photo of Marymay Hardy, Counselor, NCC, LMHC
Marymay Hardy
Counselor, NCC, LMHC
Online Only
I am a licensed mental health counselor who provides individual therapy for those who struggle with anxiety, trauma, relationship issues, and other life challenges. I understand that no single approach is right for every individual, and I do my best to tailor sessions to my client's needs. During sessions, I use an insight-oriented approach to help my clients better understand themselves. I am trained in CBT, motivational interviewing, and EMDR.
I am a licensed mental health counselor who provides individual therapy for those who struggle with anxiety, trauma, relationship issues, and other life challenges. I understand that no single approach is right for every individual, and I do my best to tailor sessions to my client's needs. During sessions, I use an insight-oriented approach to help my clients better understand themselves. I am trained in CBT, motivational interviewing, and EMDR.
(808) 289-9432 View (808) 289-9432
Photo of Joni A Fujii, Marriage & Family Therapist, MA, LMFT
Joni A Fujii
Marriage & Family Therapist, MA, LMFT
8 Endorsed
Honolulu, HI 96813
THANKS FOR YOUR INTEREST, AT THIS TIME I'M NOT TAKING SELF-REFERRALS. I believe therapy is about authentic relationship. A genuine connection. A "corrective" relationship, balancing empathy, attunement, and validation of experience with compassionate confrontation. I come from a place of wanting the best for you and wanting to help you reach your potential. Engaging in therapy can mean stretching, digging, looking at hard things. It's not always easy to jump in. But therapy itself can be a "corrective experience" where someone is coming alongside you as a witness to your pain, your story, someone who really wants to understand you.
THANKS FOR YOUR INTEREST, AT THIS TIME I'M NOT TAKING SELF-REFERRALS. I believe therapy is about authentic relationship. A genuine connection. A "corrective" relationship, balancing empathy, attunement, and validation of experience with compassionate confrontation. I come from a place of wanting the best for you and wanting to help you reach your potential. Engaging in therapy can mean stretching, digging, looking at hard things. It's not always easy to jump in. But therapy itself can be a "corrective experience" where someone is coming alongside you as a witness to your pain, your story, someone who really wants to understand you.
(808) 518-3842 View (808) 518-3842
Photo of Erika Warner, Clinical Social Work/Therapist, LCSW, CSAC
Erika Warner
Clinical Social Work/Therapist, LCSW, CSAC
Honolulu, HI 96815
Not accepting new clients
Are you overwhelmed, constantly comparing yourself and feeling like you don’t measure up? Anxiety and depression symptoms are common today, especially in women. I work with women individually and with their children ages 0-5, if needed. As an Infant Mental Health Clinician our work together we will reflect on your earliest experiences and relationships to find thought, feeling and behavior patterns that could be impacting you in your relationships today. If you and your child have experienced loss, separation or other big experiences together, I can work with both of you to reestablish safety and secure attachment.
Are you overwhelmed, constantly comparing yourself and feeling like you don’t measure up? Anxiety and depression symptoms are common today, especially in women. I work with women individually and with their children ages 0-5, if needed. As an Infant Mental Health Clinician our work together we will reflect on your earliest experiences and relationships to find thought, feeling and behavior patterns that could be impacting you in your relationships today. If you and your child have experienced loss, separation or other big experiences together, I can work with both of you to reestablish safety and secure attachment.
(808) 201-0672 View (808) 201-0672
Photo of Kelsey Fujinaka, Psychologist, PsyD
Kelsey Fujinaka
Psychologist, PsyD
1 Endorsed
Honolulu, HI 96825
My approach to therapy is collaborative and tailored to the client I am working with. I create a safe space for individuals of all ages looking to work through life stressors, depression, anxiety, and trauma (life changes, past history of abuse or neglect, grief/loss). I also work with families who may be struggling with behavior management issues (tantrums, emotion dysregulation in young children).
My approach to therapy is collaborative and tailored to the client I am working with. I create a safe space for individuals of all ages looking to work through life stressors, depression, anxiety, and trauma (life changes, past history of abuse or neglect, grief/loss). I also work with families who may be struggling with behavior management issues (tantrums, emotion dysregulation in young children).
(808) 645-4067 View (808) 645-4067
Photo of Stephen A Reynolds - Proactive Solutions LLC, Psychologist, PsyD
Proactive Solutions LLC
Psychologist, PsyD
Online Only
Do you struggle with depressing thoughts or feel overwhelmed and unable to resolve anxiety, self-doubt or difficult memories? Do you find it difficult to thrive and feel satisfied in family, peer, academic, professional or romantic relationships? Do you struggle with managing focus, or your emotions - feeling they are too powerful or too muted? I believe strongly in your ability to overcome or adapt to these challenges and as a clinical psychologist have tools to help you build resilience and discover your own inner resources.
Do you struggle with depressing thoughts or feel overwhelmed and unable to resolve anxiety, self-doubt or difficult memories? Do you find it difficult to thrive and feel satisfied in family, peer, academic, professional or romantic relationships? Do you struggle with managing focus, or your emotions - feeling they are too powerful or too muted? I believe strongly in your ability to overcome or adapt to these challenges and as a clinical psychologist have tools to help you build resilience and discover your own inner resources.
(808) 736-0681 View (808) 736-0681
Photo of Shanna Hadar, Licensed Mental Health Counselor, LMHC, NCC
Shanna Hadar
Licensed Mental Health Counselor, LMHC, NCC
Online Only
The most important choice we’ll ever make in our lives is choosing ourselves. To love ourselves enough to dedicate time and energy toward healing, growing and transforming. This affects all areas of our lives and all of those within it. Hi, I’m Shanna and I am grateful you are here. My approach to therapy trusts in your innate ability to heal. I recognize your pain and suffering, and my hope is that together we can lean into your resilience, build your capacity and help you to realize the resources for healing that already lie within you. Helping you ultimately, to rediscover your most authentic self.
The most important choice we’ll ever make in our lives is choosing ourselves. To love ourselves enough to dedicate time and energy toward healing, growing and transforming. This affects all areas of our lives and all of those within it. Hi, I’m Shanna and I am grateful you are here. My approach to therapy trusts in your innate ability to heal. I recognize your pain and suffering, and my hope is that together we can lean into your resilience, build your capacity and help you to realize the resources for healing that already lie within you. Helping you ultimately, to rediscover your most authentic self.
(808) 493-1671 View (808) 493-1671
Photo of Culten Arroyo, Clinical Social Work/Therapist, LCSW
Culten Arroyo
Clinical Social Work/Therapist, LCSW
Online Only
My name is Culten Arroyo, and I am a Licensed Clinical Social Worker and Certified Substance Abuse Counselor born and raised in Oahu, Hawaii. I enjoy working with adults of all ages, especially young adults. I specialize in assisting individuals with depression, anxiety, bipolar disorder, stress management, alcohol/substance abuse, and life transitions. My Approach to Therapy varies based on the needs and preferences of each individual I work with. I primarily use Cognitive Behavioral Therapy (CBT) while incorporating Mindfulness-Based Stress Reduction (MBSR), and Dialectical Behavioral Therapy (DBT).
My name is Culten Arroyo, and I am a Licensed Clinical Social Worker and Certified Substance Abuse Counselor born and raised in Oahu, Hawaii. I enjoy working with adults of all ages, especially young adults. I specialize in assisting individuals with depression, anxiety, bipolar disorder, stress management, alcohol/substance abuse, and life transitions. My Approach to Therapy varies based on the needs and preferences of each individual I work with. I primarily use Cognitive Behavioral Therapy (CBT) while incorporating Mindfulness-Based Stress Reduction (MBSR), and Dialectical Behavioral Therapy (DBT).
(808) 435-5103 View (808) 435-5103
Photo of Sangeetha Nair, Marriage & Family Therapist, LMFT
Sangeetha Nair
Marriage & Family Therapist, LMFT
Honolulu, HI 96816
I believe therapy is a gift you give yourself. Until we have the skills to identify our needs, learn to communicate those needs effectively, and give permission to nurture ourselves, we are not fully liberated to love and take care of one another. You can give yourself the gift of therapy. Allow yourself to sit, pause, feel, think, process, and simply be. I believe you have all the resources within you to navigate whatever terrain you have found yourself in life, and it would be my honor to accompany you in your journey to self-discovery.
I believe therapy is a gift you give yourself. Until we have the skills to identify our needs, learn to communicate those needs effectively, and give permission to nurture ourselves, we are not fully liberated to love and take care of one another. You can give yourself the gift of therapy. Allow yourself to sit, pause, feel, think, process, and simply be. I believe you have all the resources within you to navigate whatever terrain you have found yourself in life, and it would be my honor to accompany you in your journey to self-discovery.
(808) 707-7423 View (808) 707-7423
Photo of Jacqueline Montero, Counselor, LMHC
Jacqueline Montero
Counselor, LMHC
1 Endorsed
Honolulu, HI 96817
Are you or your child feeling stuck, overwhelmed, or weighed down by the impacts of trauma, anxiety, or life’s challenges? You may be searching for a safe space to feel heard, understood, and supported. I specialize in creating a compassionate environment where we can work together to explore your experiences, build resilience, and achieve lasting change. Whether through empowering tools like Cognitive Behavioral Therapy or fostering motivation to grow, I’m here to help you or your child move toward healing, balance, and renewed hope. Let’s begin this journey together.
Are you or your child feeling stuck, overwhelmed, or weighed down by the impacts of trauma, anxiety, or life’s challenges? You may be searching for a safe space to feel heard, understood, and supported. I specialize in creating a compassionate environment where we can work together to explore your experiences, build resilience, and achieve lasting change. Whether through empowering tools like Cognitive Behavioral Therapy or fostering motivation to grow, I’m here to help you or your child move toward healing, balance, and renewed hope. Let’s begin this journey together.
(808) 755-3655 View (808) 755-3655
Photo of William Chum - Dr. William Chum LMHC - Woodside Mental Health, Counselor, LMHC, DBH
Dr. William Chum LMHC - Woodside Mental Health
Counselor, LMHC, DBH
1 Endorsed
Honolulu, HI 96813
Aloha, how are you? I'm Dr. William Chum and I am a licensed mental health counselor. My therapy work starts with making space for who you are and how you show up in your world. Using a range of evidence-based therapy techniques including cognitive-behavioral therapy (CBT), interpersonal therapy, and psychodynamic therapy, I help my patients learn about themselves, explore the issues that have led to emotional distress, and teach healthy tools to manage the situations at hand. My therapy involves exploring your past, present, and future challenges and building a healthy toolbox to handle all of life's challenges
Aloha, how are you? I'm Dr. William Chum and I am a licensed mental health counselor. My therapy work starts with making space for who you are and how you show up in your world. Using a range of evidence-based therapy techniques including cognitive-behavioral therapy (CBT), interpersonal therapy, and psychodynamic therapy, I help my patients learn about themselves, explore the issues that have led to emotional distress, and teach healthy tools to manage the situations at hand. My therapy involves exploring your past, present, and future challenges and building a healthy toolbox to handle all of life's challenges
(808) 204-4726 View (808) 204-4726
Photo of Carrie Lambert, Clinical Social Work/Therapist, LCSW
Carrie Lambert
Clinical Social Work/Therapist, LCSW
Online Only
It takes a great deal of strength and courage to begin a therapeutic relationship. My goal is to support you in living your most meaningful life. I hold a safe and compassionate space where you will develop coping skills, self confidence, and a sense of empowerment when working on your areas of concern. You will learn to manage stress, improve interpersonal communication, learn about and implement self-care and boundaries.
It takes a great deal of strength and courage to begin a therapeutic relationship. My goal is to support you in living your most meaningful life. I hold a safe and compassionate space where you will develop coping skills, self confidence, and a sense of empowerment when working on your areas of concern. You will learn to manage stress, improve interpersonal communication, learn about and implement self-care and boundaries.
(808) 556-6241 View (808) 556-6241
Photo of Kimberlee Kunichika, Psychologist, PsyD
Kimberlee Kunichika
Psychologist, PsyD
1 Endorsed
Honolulu, HI 96821
Currently accepting a limited number of clients. Therapy can be helpful in providing support for those who are seeking guidance. Whether you are faced with significant life changes, relationship issues, everyday stressors, or parenting issues, you will not face these challenges alone. I use a collaborative, emotion-focused, and integrative approach to working with clients and families, and find this to be most effective. Currently, I offer limited in-person sessions and primarily telehealth for those who prefer this method of service. You can contact me directly at (808) 208-2783 to set up an initial appointment.
Currently accepting a limited number of clients. Therapy can be helpful in providing support for those who are seeking guidance. Whether you are faced with significant life changes, relationship issues, everyday stressors, or parenting issues, you will not face these challenges alone. I use a collaborative, emotion-focused, and integrative approach to working with clients and families, and find this to be most effective. Currently, I offer limited in-person sessions and primarily telehealth for those who prefer this method of service. You can contact me directly at (808) 208-2783 to set up an initial appointment.
(808) 725-2989 View (808) 725-2989
Photo of Coren Kajioka, Psychologist, PsyD
Coren Kajioka
Psychologist, PsyD
1 Endorsed
Online Only
Waitlist for new clients
"Dr. Kajioka is a reputable member among a team of clinical psychologists at Hawaii Counseling and Wellness Center. His openness, warmth, and approachability brings a level of richness and diversity to his work with individuals of all ages, cultural backgrounds, and personal values. He has received clinical training in working with children, adolescents, adults, couples, and families who are coping with the following: Loss, Trauma, Abuse, Depression, Divorce/Separation, Anxiety, Social Difficulties with Peers, Challenging and Oppositional Behaviors, Family Conflict, Attention Deficit Hyperactivity Disorder (ADHD), Academic School Issues, Autism, Learning Disorders, and Developmental Delays."
"Dr. Kajioka is a reputable member among a team of clinical psychologists at Hawaii Counseling and Wellness Center. His openness, warmth, and approachability brings a level of richness and diversity to his work with individuals of all ages, cultural backgrounds, and personal values. He has received clinical training in working with children, adolescents, adults, couples, and families who are coping with the following: Loss, Trauma, Abuse, Depression, Divorce/Separation, Anxiety, Social Difficulties with Peers, Challenging and Oppositional Behaviors, Family Conflict, Attention Deficit Hyperactivity Disorder (ADHD), Academic School Issues, Autism, Learning Disorders, and Developmental Delays."
(808) 518-3408 View (808) 518-3408
Photo of Tolly Amaxopoulos, Psychologist, PsyD
Tolly Amaxopoulos
Psychologist, PsyD
1 Endorsed
Honolulu, HI 96814
We offer psychological and neuropsychological evaluations for children, adolescents, and adults to assess attention, learning, emotional well-being, and cognitive functioning-including advanced brain mapping. Evening, Saturday & Sunday appointments available only; some geographic restrictions apply.
We offer psychological and neuropsychological evaluations for children, adolescents, and adults to assess attention, learning, emotional well-being, and cognitive functioning-including advanced brain mapping. Evening, Saturday & Sunday appointments available only; some geographic restrictions apply.
(808) 201-5735 View (808) 201-5735

See more therapy options for Honolulu

How does your Therapist compare?

Number of Therapists in Honolulu, HI

900+

Average cost per session

$150

Therapists in Honolulu, HI who prioritize treating:

91% Anxiety
82% Depression
78% Relationship Issues
75% Self Esteem
69% Stress
68% Trauma and PTSD
60% Grief

Average years in practice

13 Years

Top 3 insurances accepted

66% Hawaii Medical Services Association
48% University Health Alliance
47% Hawaii Medical Assurance Association

How Therapists in Honolulu, HI see their clients

59% Online Only
41% In Person and Online

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Honolulu?

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.