Therapists in Baltimore, MD

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Photo of Lara Chase Wrigley in Baltimore, MD
Lara Chase Wrigley
PsyD, MS
Verified Verified
1 Endorsed
Baltimore, MD 21209
After working for over 30 years with individuals across all stages of the life span, I have come to believe that we are all wired for health in our relationships with self and others. In keeping with this premise, I employ a collaborative therapeutic style marked by warmth, empathy and respect. My therapeutic approach draws heavily from attachment theory, interpersonal neurobiology, emotion focused therapy, somatic work and mindfulness. This integration combines current psychological knowledge and techniques with ancient wisdom in order to support clients as they move more fully into health.
After working for over 30 years with individuals across all stages of the life span, I have come to believe that we are all wired for health in our relationships with self and others. In keeping with this premise, I employ a collaborative therapeutic style marked by warmth, empathy and respect. My therapeutic approach draws heavily from attachment theory, interpersonal neurobiology, emotion focused therapy, somatic work and mindfulness. This integration combines current psychological knowledge and techniques with ancient wisdom in order to support clients as they move more fully into health.
(410) 305-9483 View (410) 305-9483
Photo of Emma Kupferman, Clinical Social Work/Therapist in Baltimore, MD
Emma Kupferman
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
Baltimore, MD 21210
In therapy we will identify what kind of sexual/intimate life you most want and the barriers you are experiencing in having that sexual/intimate life. Sometimes that means exploring past experiences, sometimes it means talking about desires or about your body in new ways. I will create a safe space for you to share about body positivity, exploration of ethical non-monogamy, challenges with sexual desires, and gender identity. Now offering Clinical Social Work Supervision to licensees in MD and DC.
In therapy we will identify what kind of sexual/intimate life you most want and the barriers you are experiencing in having that sexual/intimate life. Sometimes that means exploring past experiences, sometimes it means talking about desires or about your body in new ways. I will create a safe space for you to share about body positivity, exploration of ethical non-monogamy, challenges with sexual desires, and gender identity. Now offering Clinical Social Work Supervision to licensees in MD and DC.
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Photo of Elana Dorfman, Clinical Social Work/Therapist in Baltimore, MD
Elana Dorfman
Clinical Social Work/Therapist, LCSW
Verified Verified
Baltimore, MD 21215  (Online Only)
Do you feel like there is something missing in your relationships? Are you feeling depressed, anxious, lonely, or angry? Are you struggling to understand why you behave and think a certain way? My philosophy is that positive relationships are the most important aspect to a healthy and fulfilling life. My greatest goal is to help others develop themselves so that they can more easily connect with others and reach a high level of satisfaction in their lives.
Do you feel like there is something missing in your relationships? Are you feeling depressed, anxious, lonely, or angry? Are you struggling to understand why you behave and think a certain way? My philosophy is that positive relationships are the most important aspect to a healthy and fulfilling life. My greatest goal is to help others develop themselves so that they can more easily connect with others and reach a high level of satisfaction in their lives.
(410) 346-5587 View (410) 346-5587
Photo of Chelsea Moreau, Counselor in Baltimore, MD
Chelsea Moreau
Counselor, LCPC, NCC
Verified Verified
3 Endorsed
Baltimore, MD 21214  (Online Only)
Not accepting new clients
Whether you’re coming to therapy for the first time or returning for one of life’s many reasons, my goal for each client is to gain a better sense of themselves so that they can meaningfully engage in their lives. I believe that the best predictor of successful outcomes is an environment that fosters growth through inclusivity, support, and openness.
Whether you’re coming to therapy for the first time or returning for one of life’s many reasons, my goal for each client is to gain a better sense of themselves so that they can meaningfully engage in their lives. I believe that the best predictor of successful outcomes is an environment that fosters growth through inclusivity, support, and openness.
(410) 346-9400 View (410) 346-9400
Photo of Lindsey Cheatham, Licensed Clinical Professional Counselor in Baltimore, MD
Lindsey Cheatham
Licensed Clinical Professional Counselor, LCPC
Verified Verified
2 Endorsed
Baltimore, MD 21218  (Online Only)
Hello & welcome! I’m so glad you are here. I am a queer-identified therapist who is passionate about supporting queer, trans, & gender-diverse youth, adolescents, adults, & families. The majority of clients I see are either in the LGBTQIA+ community or are questioning or exploring parts of their sexual and/or gender-based identities. I help folks who experience depression, anxiety, grief, & trauma process past experiences and make sense of their world. I teach folks coping skills in order to regulate mood, gain self-compassion, radically accept hard truths, and set boundaries in order to build a more aligned life for themselves.
Hello & welcome! I’m so glad you are here. I am a queer-identified therapist who is passionate about supporting queer, trans, & gender-diverse youth, adolescents, adults, & families. The majority of clients I see are either in the LGBTQIA+ community or are questioning or exploring parts of their sexual and/or gender-based identities. I help folks who experience depression, anxiety, grief, & trauma process past experiences and make sense of their world. I teach folks coping skills in order to regulate mood, gain self-compassion, radically accept hard truths, and set boundaries in order to build a more aligned life for themselves.
(443) 963-3569 View (443) 963-3569
Photo of Anthony Estreet, Clinical Social Work/Therapist in Baltimore, MD
Anthony Estreet
Clinical Social Work/Therapist, PhD, LCSW-C, LCADC
Verified Verified
Baltimore, MD 21212
Hello and thank you for stopping past my page. I hope that we are able to begin working together to identify areas of concern and find appropriate solutions. I am a client centered therapist which means that the client is leading the process of change and is the expert on what is going on in their life. The ideal client would be someone who is interested in identifying and working towards their goals. Finding a good match with a therapist is an important decision. I look forward to working with you through your process.
Hello and thank you for stopping past my page. I hope that we are able to begin working together to identify areas of concern and find appropriate solutions. I am a client centered therapist which means that the client is leading the process of change and is the expert on what is going on in their life. The ideal client would be someone who is interested in identifying and working towards their goals. Finding a good match with a therapist is an important decision. I look forward to working with you through your process.
(410) 782-3376 View (410) 782-3376
Photo of Dara Gervais, Licensed Clinical Professional Counselor in Baltimore, MD
Dara Gervais
Licensed Clinical Professional Counselor, LCPAT, LCPC
Verified Verified
4 Endorsed
Baltimore, MD 21213  (Online Only)
NOW OFFERING TELETHERAPY. Therapeutic art making, facilitated by a licensed art therapist (me!), can help you to explore feelings, resolve conflicts, work through difficult behaviors and addictions, reduce anxiety, improve mood, and increase self-esteem. Art therapy is a treatment of choice for individuals who have experienced trauma. I am a licensed art therapist and counselor, as well as a sand tray therapist, who works with adolescents and adults who are experiencing the effects of trauma and many other emotional difficulties. In addition, I am now incorporating EMDR into my practice.
NOW OFFERING TELETHERAPY. Therapeutic art making, facilitated by a licensed art therapist (me!), can help you to explore feelings, resolve conflicts, work through difficult behaviors and addictions, reduce anxiety, improve mood, and increase self-esteem. Art therapy is a treatment of choice for individuals who have experienced trauma. I am a licensed art therapist and counselor, as well as a sand tray therapist, who works with adolescents and adults who are experiencing the effects of trauma and many other emotional difficulties. In addition, I am now incorporating EMDR into my practice.
(410) 734-3707 View (410) 734-3707
Photo of Jamal Hailey, Psychological Associate in Baltimore, MD
Jamal Hailey
Psychological Associate, PhD
Verified Verified
Baltimore, MD 21218
At times we can all feel overwhelmed, and especially right now. Maybe you’re starting to feel a little disconnected from the people around you. Or maybe you just aren’t feeling like your old self. You feel it’s time for a change, but don’t know where to start. Dealing with stress, on top of everything else, can leave anyone feeling overwhelmed, invisible, and out of control. Let’s work together using the existing tools within yourself to help you start feeling whole again.
At times we can all feel overwhelmed, and especially right now. Maybe you’re starting to feel a little disconnected from the people around you. Or maybe you just aren’t feeling like your old self. You feel it’s time for a change, but don’t know where to start. Dealing with stress, on top of everything else, can leave anyone feeling overwhelmed, invisible, and out of control. Let’s work together using the existing tools within yourself to help you start feeling whole again.
(443) 232-1887 View (443) 232-1887
Photo of Nature Heals, LLC, Clinical Social Work/Therapist in Baltimore, MD
Nature Heals, LLC
Clinical Social Work/Therapist
Verified Verified
Baltimore, MD 21217
Are you feeling stuck in an area of your life and struggling to regain your footing? Life is ever changing, and it helps to have added support while we navigate life's changing nature. Nature Heals, LLC assists women in navigating grief, loss, and other significant life transitions while inviting the healing power of nature into your process. Affordable sessions are virtual or outdoors and may include walk and talks, day hiking, intentional backpacking, wellness retreats, and much more!
Are you feeling stuck in an area of your life and struggling to regain your footing? Life is ever changing, and it helps to have added support while we navigate life's changing nature. Nature Heals, LLC assists women in navigating grief, loss, and other significant life transitions while inviting the healing power of nature into your process. Affordable sessions are virtual or outdoors and may include walk and talks, day hiking, intentional backpacking, wellness retreats, and much more!
(410) 914-1494 View (410) 914-1494
Photo of Andrew James, Marriage & Family Therapist in Baltimore, MD
Andrew James
Marriage & Family Therapist, LCFMT
Verified Verified
Baltimore, MD 21218  (Online Only)
As a clinically Licensed Marriage and Family Therapist (LMFT) I offer a multifaceted therapeutic expertise and a perspective that supports and encourages the inclusion of diverse ethnic and cultural backgrounds, as well as gender identity and sexual orientation. My professional experience includes providing culturally-informed psychotherapy to individual teens and adults, couples counseling, and family work. I subscribe to a holistic approach to treatment, which I believe is most successful when all parties are actively informed and engaged in the decision-making process; as such, I take deep care to ensure your personal preferences
As a clinically Licensed Marriage and Family Therapist (LMFT) I offer a multifaceted therapeutic expertise and a perspective that supports and encourages the inclusion of diverse ethnic and cultural backgrounds, as well as gender identity and sexual orientation. My professional experience includes providing culturally-informed psychotherapy to individual teens and adults, couples counseling, and family work. I subscribe to a holistic approach to treatment, which I believe is most successful when all parties are actively informed and engaged in the decision-making process; as such, I take deep care to ensure your personal preferences
(410) 904-6590 View (410) 904-6590
Photo of Elizabeth Scott, Licensed Clinical Professional Counselor in Baltimore, MD
Elizabeth Scott
Licensed Clinical Professional Counselor, MS, NCC, LCPC
Verified Verified
3 Endorsed
Baltimore, MD 21210  (Online Only)
We all experience difficulties at some point in our lives, and we each can benefit from additional support, whether for a specific situation or in resolving a longer term issue. I believe that one of the most important elements of effective therapy is the development of a safe, trusting relationship between therapist and client. Through genuine and respectful connection, we create the environment in which true healing can occur. By promoting insight, increased awareness, and self-compassion, I will support you in living the life of value that you deserve.
We all experience difficulties at some point in our lives, and we each can benefit from additional support, whether for a specific situation or in resolving a longer term issue. I believe that one of the most important elements of effective therapy is the development of a safe, trusting relationship between therapist and client. Through genuine and respectful connection, we create the environment in which true healing can occur. By promoting insight, increased awareness, and self-compassion, I will support you in living the life of value that you deserve.
(301) 327-2055 View (301) 327-2055
Photo of Shira Baskin, Clinical Social Work/Therapist in Baltimore, MD
Shira Baskin
Clinical Social Work/Therapist, LCSW
Verified Verified
Baltimore, MD 21209
“Therapy is like being presented with two different paths, and choosing the road less taken” We are all products of our personal experiences. This is what makes each of us unique, coming into treatment with our own story. Im interested in hearing your story, helping you discover new ways to navigate your life. Each individual needs a different approach in treatment, and my goal is to individualize the process to help you reach your personal goal. It would be my privilege to work with you so we can together reach emotional wellness.
“Therapy is like being presented with two different paths, and choosing the road less taken” We are all products of our personal experiences. This is what makes each of us unique, coming into treatment with our own story. Im interested in hearing your story, helping you discover new ways to navigate your life. Each individual needs a different approach in treatment, and my goal is to individualize the process to help you reach your personal goal. It would be my privilege to work with you so we can together reach emotional wellness.
(929) 200-3719 View (929) 200-3719
Photo of Career Awakenings, Licensed Clinical Professional Counselor in Baltimore, MD
Career Awakenings
Licensed Clinical Professional Counselor, NCC, CRC, LCPC
Verified Verified
Baltimore, MD 21215
I work with: Individuals wanting to define a goal and/or change careers * Students approaching graduation or recently graduated * Men and women returning to the workforce after an absence or seeking advancement in their careers * Individuals dealing with a career/life transition or crisis * People nearing retirement or just retired * Those who want more joy, passion and fulfillment in their work and life
I work with: Individuals wanting to define a goal and/or change careers * Students approaching graduation or recently graduated * Men and women returning to the workforce after an absence or seeking advancement in their careers * Individuals dealing with a career/life transition or crisis * People nearing retirement or just retired * Those who want more joy, passion and fulfillment in their work and life
(410) 593-1434 View (410) 593-1434
Photo of Alexa Rich, Licensed Clinical Professional Counselor in Baltimore, MD
Alexa Rich
Licensed Clinical Professional Counselor, LCPC, LCADC, MAC
Verified Verified
1 Endorsed
Baltimore, MD 21204
I have extensive experience in the treatment of mental health and substance use disorders. I specialize in treating folks with co-occurring challenges, which is the experience of multiple disorders simultaneously. I enjoy working with adolescents, young adults, and adults. I rely heavily on motivational interviewing and meet people where they are with unconditional positive regard. My approach is trauma-informed, and my style is to be genuine and transparent, placing a strong emphasis on creative solutions.
I have extensive experience in the treatment of mental health and substance use disorders. I specialize in treating folks with co-occurring challenges, which is the experience of multiple disorders simultaneously. I enjoy working with adolescents, young adults, and adults. I rely heavily on motivational interviewing and meet people where they are with unconditional positive regard. My approach is trauma-informed, and my style is to be genuine and transparent, placing a strong emphasis on creative solutions.
(410) 673-4751 View (410) 673-4751
Photo of Ryan Weathers, Licensed Clinical Professional Counselor in Baltimore, MD
Ryan Weathers
Licensed Clinical Professional Counselor, LGPC
Verified Verified
Baltimore, MD 21201
Looking to assist motivated clients towards accomplishing their therapeutic goals. I love to look at therapy as a collaborative effort to help client make the changes, they would like to see in their life. It would be an honor to be an active resource in this journey for you. On this journey we can work towards healthy coping techniques and behaviors, as well as promote growth as you would define it on your own individual terms.
Looking to assist motivated clients towards accomplishing their therapeutic goals. I love to look at therapy as a collaborative effort to help client make the changes, they would like to see in their life. It would be an honor to be an active resource in this journey for you. On this journey we can work towards healthy coping techniques and behaviors, as well as promote growth as you would define it on your own individual terms.
(443) 706-8495 View (443) 706-8495
Photo of Joy Hurley, Clinical Social Work/Therapist in Baltimore, MD
Joy Hurley
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21212  (Online Only)
I’m so glad that you are here. You’ve already made the first step. My primary practice areas are anxiety and panic disorders, depression, phase of life and relationship issues, women’s issues, grief, perinatal mental health and LGBTQ issues. I work with individuals of all genders over the age of 16. However, I am most passionate about working with women and the LGBTQ population.
I’m so glad that you are here. You’ve already made the first step. My primary practice areas are anxiety and panic disorders, depression, phase of life and relationship issues, women’s issues, grief, perinatal mental health and LGBTQ issues. I work with individuals of all genders over the age of 16. However, I am most passionate about working with women and the LGBTQ population.
(410) 734-5635 View (410) 734-5635
Photo of Emily Swoveland, Clinical Social Work/Therapist in Baltimore, MD
Emily Swoveland
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21202  (Online Only)
Not accepting new clients
Do you feel stuck? Do you feel like you no longer recognize yourself? Have depression, anxiety, illness, or life stressors made it difficult to be true to yourself or live an authentic life? Through therapy, you can learn to break free of patterns that are keeping you stuck. You will learn to ride the waves of change that are an inevitable part of life. You will build your ability to recognize what can and cannot be changed, and learn to sit with difficult emotions. You will develop the skill to respond skillfully when life does not go according to plan, and will gain the confidence to create a life built around your values.
Do you feel stuck? Do you feel like you no longer recognize yourself? Have depression, anxiety, illness, or life stressors made it difficult to be true to yourself or live an authentic life? Through therapy, you can learn to break free of patterns that are keeping you stuck. You will learn to ride the waves of change that are an inevitable part of life. You will build your ability to recognize what can and cannot be changed, and learn to sit with difficult emotions. You will develop the skill to respond skillfully when life does not go according to plan, and will gain the confidence to create a life built around your values.
(443) 991-8937 View (443) 991-8937
Photo of Dr. Scherell Bryan, Licensed Professional Counselor in Baltimore, MD
Dr. Scherell Bryan
Licensed Professional Counselor, DMin, LPC-S
Verified Verified
Baltimore, MD 21214  (Online Only)
Together we will work towards healing the parts that feels broken, restoring the relationships that are damaged (with yourself, your self-esteem, your intuition, your family, and helping you fulfill your potential. Christian Counseling is also available as a solution for individuals seeking traditional mental health therapy who would prefer hearing from the prospective of a Christian.
Together we will work towards healing the parts that feels broken, restoring the relationships that are damaged (with yourself, your self-esteem, your intuition, your family, and helping you fulfill your potential. Christian Counseling is also available as a solution for individuals seeking traditional mental health therapy who would prefer hearing from the prospective of a Christian.
(860) 782-4960 View (860) 782-4960
Photo of Toni ( Adhikari) Antoinette Vlasits, Clinical Social Work/Therapist in Baltimore, MD
Toni ( Adhikari) Antoinette Vlasits
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21209
You are a unique magnificent being of Love, Peace, Joy and Light. You are whole and total...not separate from anyone or anything. It in only believing in thoughts, judgments, especially negative ones, that creates suffering, I would love to support you in: 1) learning how not to believe negative thoughts, rather observe and see through them and challenge them:2) when you do identify with them resulting in fear, pain, anger, or sadness how to directly experience them in your heart or body without story so they dissolve. 3) discover you are what you are looking for and have all the answers within and sit in the splendor of this.
You are a unique magnificent being of Love, Peace, Joy and Light. You are whole and total...not separate from anyone or anything. It in only believing in thoughts, judgments, especially negative ones, that creates suffering, I would love to support you in: 1) learning how not to believe negative thoughts, rather observe and see through them and challenge them:2) when you do identify with them resulting in fear, pain, anger, or sadness how to directly experience them in your heart or body without story so they dissolve. 3) discover you are what you are looking for and have all the answers within and sit in the splendor of this.
(410) 304-6202 View (410) 304-6202
Photo of Randi Schwartz, Psychologist in Baltimore, MD
Randi Schwartz
Psychologist, PhD
Verified Verified
1 Endorsed
Baltimore, MD 21201
Not accepting new clients
Dr. Schwartz has devoted her psychotherapy practice to working with adults who are confronting challenging life issues, including those related to relationships, parenting, employment, trauma and loss. While she has extensive training and experience in a range of approaches, including psychodynamic psychotherapy, Cognitive Behavioral Therapy (CBT), and trauma informed therapy. She recognizes that psychotherapy is most effective when it embraces the unique challenges faced by individuals. She is flexible in her approach and is guided at all times by what would be the most effective treatment in light of specific needs.
Dr. Schwartz has devoted her psychotherapy practice to working with adults who are confronting challenging life issues, including those related to relationships, parenting, employment, trauma and loss. While she has extensive training and experience in a range of approaches, including psychodynamic psychotherapy, Cognitive Behavioral Therapy (CBT), and trauma informed therapy. She recognizes that psychotherapy is most effective when it embraces the unique challenges faced by individuals. She is flexible in her approach and is guided at all times by what would be the most effective treatment in light of specific needs.
(443) 956-2208 View (443) 956-2208

How does your Therapist compare?

Number of Therapists in Baltimore, MD

1,000+

Average cost per session

$150

Therapists in Baltimore, MD who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
73% Relationship Issues
69% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

70% BlueCross and BlueShield
68% Cigna and Evernorth
68% CareFirst

How Therapists in Baltimore, MD see their clients

51% Online Only
49% In Person and Online

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Baltimore?

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.