Therapists in Matthews, NC

Photo of Frank Marazzo, Lic Clinical Mental Health Counselor Associate in Matthews, NC
Frank Marazzo
Lic Clinical Mental Health Counselor Associate, LCMHC-A
Verified Verified
1 Endorsed
Matthews, NC 28105  (Online Only)
I enjoy working with people who are ready to make some necessary changes in life but are unsure of where to start. I am passionate about helping individuals find their strengths and increase their confidence in themselves. My philosophy is that we all have innate value and skills that often are overlooked, but, when fully utilized, can put us on a path to be our best and happiest selves. I use a combination of a few theories, including Cognitive Behavioral Therapy, Existential Theory, & Solution Focused.
I enjoy working with people who are ready to make some necessary changes in life but are unsure of where to start. I am passionate about helping individuals find their strengths and increase their confidence in themselves. My philosophy is that we all have innate value and skills that often are overlooked, but, when fully utilized, can put us on a path to be our best and happiest selves. I use a combination of a few theories, including Cognitive Behavioral Therapy, Existential Theory, & Solution Focused.
(980) 983-0489 View (980) 983-0489
Photo of Ashley Rawls, Marriage & Family Therapist in Matthews, NC
Ashley Rawls
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Matthews, NC 28105  (Online Only)
I work with individuals dealing with life transitions, medical related issues, mood and affective disorders, and marriage, parenting or family issues. I use a narrative and solution focused approach to collaboratively work with clients to identify successful solutions to problems and how these strengths can be implemented in future situations. I utilize empirically supported techniques that focus on the ways in which individuals think about and respond to events. These interventions allow clients to restructure their thinking, process events and modify behaviors in more adaptive ways.
I work with individuals dealing with life transitions, medical related issues, mood and affective disorders, and marriage, parenting or family issues. I use a narrative and solution focused approach to collaboratively work with clients to identify successful solutions to problems and how these strengths can be implemented in future situations. I utilize empirically supported techniques that focus on the ways in which individuals think about and respond to events. These interventions allow clients to restructure their thinking, process events and modify behaviors in more adaptive ways.
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Photo of Jennifer Leddy, Clinical Social Work/Therapist in Matthews, NC
Jennifer Leddy
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
Are you having a tough time? You are not alone. Many people are struggling right now. They are experiencing anxiety and depression. They are feeling overwhelmed, stuck and hopeless. They are having difficulty at home, school or work. They are coping with grief and loss. They are feeling unwell in their body with one or more health related issues. They can't sleep. They are unhappy in their relationships. They don't have a close friend. They are feeling isolated and disconnected. They come seeking therapy to help address a specific symptom, problem or issue. Often, they are simply seeking to feel less alone.
Are you having a tough time? You are not alone. Many people are struggling right now. They are experiencing anxiety and depression. They are feeling overwhelmed, stuck and hopeless. They are having difficulty at home, school or work. They are coping with grief and loss. They are feeling unwell in their body with one or more health related issues. They can't sleep. They are unhappy in their relationships. They don't have a close friend. They are feeling isolated and disconnected. They come seeking therapy to help address a specific symptom, problem or issue. Often, they are simply seeking to feel less alone.
(704) 550-4703 View (704) 550-4703
Photo of Sabriya K Mutize, Counselor in Matthews, NC
Sabriya K Mutize
Counselor, NCC, LCMHC, LPC
Verified Verified
Matthews, NC 28105  (Online Only)
I believe in helping people move from a place of being "stuck" to living life beyond limiting beliefs. I have the passion to serve as a motivating catalyst to help people reach their full potential. This work takes time, effort, and grace - I am willing to help walk through this journey to becoming your best self. Here, you will gain strength, and be empowered to keep moving ahead. You will learn how to maintain strong boundaries, manage anxiety, reduce stress, practice mindfulness, and become grounded.
I believe in helping people move from a place of being "stuck" to living life beyond limiting beliefs. I have the passion to serve as a motivating catalyst to help people reach their full potential. This work takes time, effort, and grace - I am willing to help walk through this journey to becoming your best self. Here, you will gain strength, and be empowered to keep moving ahead. You will learn how to maintain strong boundaries, manage anxiety, reduce stress, practice mindfulness, and become grounded.
(704) 850-6615 View (704) 850-6615
Photo of Heather VanKoughnett, Licensed Professional Counselor in Matthews, NC
Heather VanKoughnett
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
Matthews, NC 28104
My clinical work has included helping those suffering from a broad range of presentations and trauma related disorders. I have experience working in both the hospital and outpatient setting and share a specific passion for working with individuals suffering trauma related disorders. I am intensively trained in dialectical behavior therapy (DBT), level 1 trained in eye movement desensitization reprocessing (EMDR) and level 2 trained in Sensorimotor Psychotherapy. I have experience working with individuals who struggle with both over controlled and under controlled emotional states and trauma related disorders.
My clinical work has included helping those suffering from a broad range of presentations and trauma related disorders. I have experience working in both the hospital and outpatient setting and share a specific passion for working with individuals suffering trauma related disorders. I am intensively trained in dialectical behavior therapy (DBT), level 1 trained in eye movement desensitization reprocessing (EMDR) and level 2 trained in Sensorimotor Psychotherapy. I have experience working with individuals who struggle with both over controlled and under controlled emotional states and trauma related disorders.
(704) 741-3975 View (704) 741-3975
Photo of Sonja Buckles-Smith in Matthews, NC
Sonja Buckles-Smith
MA, LCMHCS
Verified Verified
2 Endorsed
Matthews, NC 28105
Waitlist for new clients
I strive to help people discover their purpose, increase self-awareness, and empower them to be the outstanding individuals they are capable of being. By discarding emotional baggage, often years of hurt, pain, guilt and shame; you can rediscover your purpose, live a more fulfilling life, and regain your natural balance.
I strive to help people discover their purpose, increase self-awareness, and empower them to be the outstanding individuals they are capable of being. By discarding emotional baggage, often years of hurt, pain, guilt and shame; you can rediscover your purpose, live a more fulfilling life, and regain your natural balance.
(704) 251-6025 View (704) 251-6025
Photo of Abdo Counseling and Consulting, PLLC, Clinical Social Work/Therapist in Matthews, NC
Abdo Counseling and Consulting, PLLC
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
3 Endorsed
Matthews, NC 28105
Perfection and anxiety can make you feel overwhelmed and out of control. The anxious feeling can make you feel constantly scattered, not having a relaxing moment. Your brain is always on go. The desire to be perfect is a struggle to reach, and not obtainable. Therapy can help your brain slow down, calm down, and stop having a escalating desire to panic. You can turn your life around and enjoy it the way you want.
Perfection and anxiety can make you feel overwhelmed and out of control. The anxious feeling can make you feel constantly scattered, not having a relaxing moment. Your brain is always on go. The desire to be perfect is a struggle to reach, and not obtainable. Therapy can help your brain slow down, calm down, and stop having a escalating desire to panic. You can turn your life around and enjoy it the way you want.
(980) 404-2251 View (980) 404-2251
Photo of Nathan Roberson, Pre-Licensed Professional in Matthews, NC
Nathan Roberson
Pre-Licensed Professional, LCMHCA, LCASA
Verified Verified
1 Endorsed
Matthews, NC 28105
It is hard to reach out for help. I applaud your willingness to be here looking for someone to help you get started. Let’s create a life that you can feel good about. Anxiety, depression, and substance use disorders are a few of the issues I can help you address. I offer a non-judgmental and supportive space so you can feel safe. We can explore the thoughts and beliefs that create the anxiety and depression that often times drive us to use substances to cope. Through understanding where you are and what got you here, you can make the changes needed to improve your life. You can ultimately create a life you can fully embrace.
It is hard to reach out for help. I applaud your willingness to be here looking for someone to help you get started. Let’s create a life that you can feel good about. Anxiety, depression, and substance use disorders are a few of the issues I can help you address. I offer a non-judgmental and supportive space so you can feel safe. We can explore the thoughts and beliefs that create the anxiety and depression that often times drive us to use substances to cope. Through understanding where you are and what got you here, you can make the changes needed to improve your life. You can ultimately create a life you can fully embrace.
(704) 741-0728 View (704) 741-0728
Photo of Nakita Brisbon, Pre-Licensed Professional in Matthews, NC
Nakita Brisbon
Pre-Licensed Professional, MA, LMFTA
Verified Verified
Matthews, NC 28105
I am currently licensed as a Marriage and Family Therapist Associate and I work with families, couples, and children through a systemic lens. My passion is to help individuals struggling with trauma, anxiety, and depression, as well as people working through obstacles that lie in the way of connecting with their full selves. I work with couples and families struggling with difficult relational issues including communication, conflict, infidelity, commitment, reconnecting, as well as processing through traumatic events, and couples in need of premarital counseling.
I am currently licensed as a Marriage and Family Therapist Associate and I work with families, couples, and children through a systemic lens. My passion is to help individuals struggling with trauma, anxiety, and depression, as well as people working through obstacles that lie in the way of connecting with their full selves. I work with couples and families struggling with difficult relational issues including communication, conflict, infidelity, commitment, reconnecting, as well as processing through traumatic events, and couples in need of premarital counseling.
(704) 270-2535 View (704) 270-2535
Photo of Kaitlyn Miller, Clinical Social Work/Therapist in Matthews, NC
Kaitlyn Miller
Clinical Social Work/Therapist, LCSWA
Verified Verified
3 Endorsed
Matthews, NC 28105
Often, people experience stress and anxiety if they believe they do not live up to others' expectations of them. It can feel extremely isolating if you think you are outside of the "normal". I believe that "normal" is subjective, and that there is no standard "normal". I enjoy working with clients who are wanting to embrace the parts of themselves that they've been conditioned to keep private. I see strength in vulnerability. I think there is so much to be said for a person who is able to acknowledge the pain that they've been through. Without doing so, it can be difficult to learn, heal, and grow.
Often, people experience stress and anxiety if they believe they do not live up to others' expectations of them. It can feel extremely isolating if you think you are outside of the "normal". I believe that "normal" is subjective, and that there is no standard "normal". I enjoy working with clients who are wanting to embrace the parts of themselves that they've been conditioned to keep private. I see strength in vulnerability. I think there is so much to be said for a person who is able to acknowledge the pain that they've been through. Without doing so, it can be difficult to learn, heal, and grow.
(980) 635-0180 View (980) 635-0180
Photo of Calm Seas Family Services, PLLC, Marriage & Family Therapist in Matthews, NC
Calm Seas Family Services, PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Matthews, NC 28105
My ideal client is someone who is dissatisfied with their current life and is ready to discuss making a change to live the life they wish to live.
My ideal client is someone who is dissatisfied with their current life and is ready to discuss making a change to live the life they wish to live.
(704) 869-2938 View (704) 869-2938
Photo of Elizabeth Cesar, LCSW Associate in Matthews, NC
Elizabeth Cesar
LCSW Associate, LCSWA
Verified Verified
Matthews, NC 28105  (Online Only)
There are times in life when you may feel you are alone. In those moments when the circumstances of life weighs you down whether emotionally, mentally, spiritually, and/or physically. You should not have to face those life challenges alone. I would like to be the one to support and work with you through those challenges. I am a believer in meeting my clients where they are presently. We will focus on accomplishing your treatment goals in a safe, empathetic, collaborative, supportive, and effective way. I will support and guide you to acknowledge and address negative beliefs, behaviors, and patterns which may be affecting your life.
There are times in life when you may feel you are alone. In those moments when the circumstances of life weighs you down whether emotionally, mentally, spiritually, and/or physically. You should not have to face those life challenges alone. I would like to be the one to support and work with you through those challenges. I am a believer in meeting my clients where they are presently. We will focus on accomplishing your treatment goals in a safe, empathetic, collaborative, supportive, and effective way. I will support and guide you to acknowledge and address negative beliefs, behaviors, and patterns which may be affecting your life.
(704) 859-2821 View (704) 859-2821
Photo of Ed Nissen, Clinical Social Work/Therapist in Matthews, NC
Ed Nissen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
7 Endorsed
Matthews, NC 28105
“For scientific discovery, give me Scott; for speed and efficiency of travel, give me Amundsen; but when you are in a hopeless situation, when you are seeing no way out, get down on your knees and pray for Shackleton.” —Sir Raymond Priestley. Ernest Shackleton, best known for his Antarctic expeditions, in which during the 1914-1916 Endurance expedition, heroically led his crew to safety after their ship was trapped and crushed by Antarctic ice, exemplifying leadership skills in navigating extreme hardships.
“For scientific discovery, give me Scott; for speed and efficiency of travel, give me Amundsen; but when you are in a hopeless situation, when you are seeing no way out, get down on your knees and pray for Shackleton.” —Sir Raymond Priestley. Ernest Shackleton, best known for his Antarctic expeditions, in which during the 1914-1916 Endurance expedition, heroically led his crew to safety after their ship was trapped and crushed by Antarctic ice, exemplifying leadership skills in navigating extreme hardships.
(704) 766-8640 View (704) 766-8640
Photo of Karen E Hooper, Psychologist in Matthews, NC
Karen E Hooper
Psychologist, PhD
Verified Verified
Matthews, NC 28105
Research has found that happiness is one of the most effective health interventions. I work with individuals, couples, and families, using a positive psychology approach that helps clients identify and build upon what they are already doing well. I can help you understand the importance of the mind/body connection, and how to utilize this to feel better. I can help you become aware of how your choices are impacting your life satisfaction and help you gain new skills and perspectives on your challenges. Feeling energetic and hopeful again is possible. I encourage you to call today.
Research has found that happiness is one of the most effective health interventions. I work with individuals, couples, and families, using a positive psychology approach that helps clients identify and build upon what they are already doing well. I can help you understand the importance of the mind/body connection, and how to utilize this to feel better. I can help you become aware of how your choices are impacting your life satisfaction and help you gain new skills and perspectives on your challenges. Feeling energetic and hopeful again is possible. I encourage you to call today.
(704) 240-5232 View (704) 240-5232
Photo of Andrea Weaver, Licensed Clinical Mental Health Counselor in Matthews, NC
Andrea Weaver
Licensed Clinical Mental Health Counselor, MA
Verified Verified
Matthews, NC 28105
Andrea received her Masters in Clinical Mental Health Counseling from the University of North Carolina at Charlotte. Andrea has experience in outpatient therapy and inpatient substance abuse treatment. Andrea works with adolescents and adults. Andrea enjoys working with clients experiencing a wide variety of issues including anxiety, mood disorders, substance use disorders, co-occurring disorders, and trauma. She uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy as her primary theoretical orientations to help clients work toward consistently living out their values no matter their life circumstances.
Andrea received her Masters in Clinical Mental Health Counseling from the University of North Carolina at Charlotte. Andrea has experience in outpatient therapy and inpatient substance abuse treatment. Andrea works with adolescents and adults. Andrea enjoys working with clients experiencing a wide variety of issues including anxiety, mood disorders, substance use disorders, co-occurring disorders, and trauma. She uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy as her primary theoretical orientations to help clients work toward consistently living out their values no matter their life circumstances.
(704) 200-9335 View (704) 200-9335
Photo of Karen Moore (Formerly Karen Pierce), Clinical Social Work/Therapist in Matthews, NC
Karen Moore (Formerly Karen Pierce)
Clinical Social Work/Therapist, LCSW, Owner
Verified Verified
Matthews, NC 28104
You've experienced a lot of success, but you're feeling discontent. Perhaps your relationship isn't working. You question whether there is something wrong with you. You've tried to change some things, but feel stuck. You're losing hope that change can happen. You're ashamed and wonder why you haven't figured it out. After all, you've managed on your own up to now; even calling your own shots. You want a trusted confidential atmosphere where you can learn to experience lasting joy again...You have a place to go; you can stop waiting.
You've experienced a lot of success, but you're feeling discontent. Perhaps your relationship isn't working. You question whether there is something wrong with you. You've tried to change some things, but feel stuck. You're losing hope that change can happen. You're ashamed and wonder why you haven't figured it out. After all, you've managed on your own up to now; even calling your own shots. You want a trusted confidential atmosphere where you can learn to experience lasting joy again...You have a place to go; you can stop waiting.
(980) 295-1296 View (980) 295-1296
Photo of Hope Again Counseling, Susan Steier, Licensed Clinical Mental Health Counselor in Matthews, NC
Hope Again Counseling, Susan Steier
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
7 Endorsed
Matthews, NC 28105
I am licensed for Telehealth in Florida. Helping couples is an extreme passion for me as it's the most important relationship in an individual's life. The ability to have a healthy, thriving marriage is my goal in working with couples. This growth is often painful and joyful but worth it! I also work with partners of sexual addiction/infidelity to aid in healing from the trauma, setting boundaries and the process of formal therapeutic disclosure (including polygraphs where desired). I also utilize Gottman interventions. For couples looking for a more intense approach, I offer a 6 hour one day intensive.
I am licensed for Telehealth in Florida. Helping couples is an extreme passion for me as it's the most important relationship in an individual's life. The ability to have a healthy, thriving marriage is my goal in working with couples. This growth is often painful and joyful but worth it! I also work with partners of sexual addiction/infidelity to aid in healing from the trauma, setting boundaries and the process of formal therapeutic disclosure (including polygraphs where desired). I also utilize Gottman interventions. For couples looking for a more intense approach, I offer a 6 hour one day intensive.
(704) 703-7509 View (704) 703-7509
Photo of Jenna Lane, LCMHC Associate in Matthews, NC
Jenna Lane
LCMHC Associate, LCMHCA, NCC
Verified Verified
1 Endorsed
Matthews, NC 28105
I aim to create a space that is safe and accepting for all. I have experience in working with anxiety, depression, trauma, and relationship issues. Additionally, I specialize in working with children and adolescents who may be struggling with ADHD, behavioral issues, relational conflicts, stress, and more.
I aim to create a space that is safe and accepting for all. I have experience in working with anxiety, depression, trauma, and relationship issues. Additionally, I specialize in working with children and adolescents who may be struggling with ADHD, behavioral issues, relational conflicts, stress, and more.
(704) 459-4131 View (704) 459-4131
Photo of Chelsie Ciminelli, Clinical Social Work/Therapist in Matthews, NC
Chelsie Ciminelli
Clinical Social Work/Therapist, LMSW, LCSW-A
Verified Verified
2 Endorsed
Matthews, NC 28105
It’s okay to ask for what you need. This is something I need to remind myself of on a daily basis. So many of us focus intently on making sure everyone else is taken care of and we completely abandon ourselves and ignore our own needs. This leaves us feeling exhausted, depleted, and quite frankly, resentful because we think to ourselves “why isn’t anyone taking care of me?” I teach my clients what a healthy relationship looks like because if this wasn’t modeled to you at some point throughout your life, no one can expect you to know what it means.
It’s okay to ask for what you need. This is something I need to remind myself of on a daily basis. So many of us focus intently on making sure everyone else is taken care of and we completely abandon ourselves and ignore our own needs. This leaves us feeling exhausted, depleted, and quite frankly, resentful because we think to ourselves “why isn’t anyone taking care of me?” I teach my clients what a healthy relationship looks like because if this wasn’t modeled to you at some point throughout your life, no one can expect you to know what it means.
(980) 243-4918 View (980) 243-4918
Photo of Kristan Graham Seaford, Licensed Professional Counselor in Matthews, NC
Kristan Graham Seaford
Licensed Professional Counselor, MaEd, LCMHC
Verified Verified
1 Endorsed
Matthews, NC 28105
Oftentimes life doesn't turn out the way we had planned. Still other times, the plans we made aren't what we thought they'd be at all!! During these times, we could all use a bit of help, sometimes even professional help. That's where I come in. I have the privilege of working with individuals, couples, and families from the tween years through late adulthood— during times of transition, sadness, strife and downright crisis.
Oftentimes life doesn't turn out the way we had planned. Still other times, the plans we made aren't what we thought they'd be at all!! During these times, we could all use a bit of help, sometimes even professional help. That's where I come in. I have the privilege of working with individuals, couples, and families from the tween years through late adulthood— during times of transition, sadness, strife and downright crisis.
(704) 810-2306 View (704) 810-2306

How does your Therapist compare?

Number of Therapists in Matthews, NC

300+

Average cost per session

$135

Therapists in Matthews, NC who prioritize treating:

95% Anxiety
90% Depression
74% Self Esteem
73% Coping Skills
69% Relationship Issues
65% Trauma and PTSD
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
74% Aetna
63% UnitedHealthcare UHC | UBH

How Therapists in Matthews, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Matthews?

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.