Therapists in Baltimore, MD

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Photo of Josie Muñoz Nogales, Pre-Licensed Professional, MS
Josie Muñoz Nogales
Pre-Licensed Professional, MS
1 Endorsed
Baltimore, MD 21211
Hi, I’m Josie (Josefina)! I’m a graduate-level therapist passionate about creating a supportive, inclusive space where you can explore your emotions, deepen self-understanding, and move toward healing. I work with individuals navigating a range of challenges, including anxiety, depression, identity exploration, and relationship difficulties. Whether you’re feeling stuck, overwhelmed, or simply seeking greater clarity, I aim to provide a safe, nonjudgmental environment where you can feel heard and supported. Healing starts with connection, and I’d be honored to walk with you on your journey!
Hi, I’m Josie (Josefina)! I’m a graduate-level therapist passionate about creating a supportive, inclusive space where you can explore your emotions, deepen self-understanding, and move toward healing. I work with individuals navigating a range of challenges, including anxiety, depression, identity exploration, and relationship difficulties. Whether you’re feeling stuck, overwhelmed, or simply seeking greater clarity, I aim to provide a safe, nonjudgmental environment where you can feel heard and supported. Healing starts with connection, and I’d be honored to walk with you on your journey!
(410) 567-0702 View (410) 567-0702
Photo of Dr. Henry Apencha, Counselor, PhD, LCPC
Dr. Henry Apencha
Counselor, PhD, LCPC
Online Only
When people first start therapy, there are so many questions they ask themselves. It is perfectly normal to feel nervous and not know what to expect. It is terrifying to notice when you are struggling and challenging to reach out for help. Deciding to call or email asking for help is incredibly brave. It is taking a step toward the possibilities for a better life and understanding yourself better. And that takes courage. I am so glad you took the first step toward achieving your goal of living your best life. And I can do that by listening to your story.
When people first start therapy, there are so many questions they ask themselves. It is perfectly normal to feel nervous and not know what to expect. It is terrifying to notice when you are struggling and challenging to reach out for help. Deciding to call or email asking for help is incredibly brave. It is taking a step toward the possibilities for a better life and understanding yourself better. And that takes courage. I am so glad you took the first step toward achieving your goal of living your best life. And I can do that by listening to your story.
(410) 886-6283 View (410) 886-6283
Photo of Anthony Estreet, Clinical Social Work/Therapist, PhD, LCSW-C, LCADC
Anthony Estreet
Clinical Social Work/Therapist, PhD, LCSW-C, LCADC
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 Kier M Johnson- Marshall, Licensed Clinical Professional Counselor, LCPC, MS, NCC
Kier M Johnson- Marshall
Licensed Clinical Professional Counselor, LCPC, MS, NCC
Baltimore, MD 21202
I believe "Knowledge Is Power"! Knowledge of how to find and apply solutions to deal with confusion, anxiety, depression and other challenging life situations that results in feeling of helplessness or sometimes even hopelessness, is what I have found empowers change. I, your listener, co-pilgrim, and spiritual pastoral counselor am here to facilitate an opportunity for you to regain a sense of understanding self in all of your challenges which will open the doors of love, power and a sound mind!
I believe "Knowledge Is Power"! Knowledge of how to find and apply solutions to deal with confusion, anxiety, depression and other challenging life situations that results in feeling of helplessness or sometimes even hopelessness, is what I have found empowers change. I, your listener, co-pilgrim, and spiritual pastoral counselor am here to facilitate an opportunity for you to regain a sense of understanding self in all of your challenges which will open the doors of love, power and a sound mind!
(443) 213-0152 x1 View (443) 213-0152 x1
Photo of Susanna Dent, Clinical Social Work/Therapist, LCSW-C
Susanna Dent
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Baltimore, MD 21214
Therapy can help change how we feel and ultimately improve our lives. Engaging in therapy is an act of courage which can have surprisingly positive results, improving one’s mood, thoughts, feelings, actions and self-esteem. As your therapist, I will help you become aware of emotions affecting your mood, thoughts, and behaviors. How I work with you depends on what resonates with you. I weave together deep listening, along with creative artwork, trauma techniques, and behavioral approaches for an overall balance of insight and change. Together we'll explore your story and uncover hidden feelings and patterns that block fulfillment.
Therapy can help change how we feel and ultimately improve our lives. Engaging in therapy is an act of courage which can have surprisingly positive results, improving one’s mood, thoughts, feelings, actions and self-esteem. As your therapist, I will help you become aware of emotions affecting your mood, thoughts, and behaviors. How I work with you depends on what resonates with you. I weave together deep listening, along with creative artwork, trauma techniques, and behavioral approaches for an overall balance of insight and change. Together we'll explore your story and uncover hidden feelings and patterns that block fulfillment.
(443) 390-5846 View (443) 390-5846
Photo of Crystal S Parker - Resiliently You Counseling and Consultation LLC, Clinical Social Work/Therapist, LCSW-C
Resiliently You Counseling and Consultation LLC
Clinical Social Work/Therapist, LCSW-C
Online Only
Waitlist for new clients
As a clinician, I believe we all possess resilience. Clients who decide to work with me may be having difficulty navigating their spiritual journey, stress, past trauma and current trauma responses, ADHD, anger management, anxiety, depression, family relationships, grief/bereavement, life transitions, medical issues/physical health, and intimate/romantic relationships. Everything I do, I do with authenticity and thus clients must be open to being their authentic self, open to feedback and think beyond what is in front of you.
As a clinician, I believe we all possess resilience. Clients who decide to work with me may be having difficulty navigating their spiritual journey, stress, past trauma and current trauma responses, ADHD, anger management, anxiety, depression, family relationships, grief/bereavement, life transitions, medical issues/physical health, and intimate/romantic relationships. Everything I do, I do with authenticity and thus clients must be open to being their authentic self, open to feedback and think beyond what is in front of you.
(667) 843-7718 View (667) 843-7718
Photo of Robyn Stafford - Open Door Therapeutic Services, LLC, Clinical Social Work/Therapist, LCSW-C
Open Door Therapeutic Services, LLC
Clinical Social Work/Therapist, LCSW-C
Online Only
Not accepting new clients
Not accepting clients at this time. Open Door Therapeutic Services, LLC is a mental health practice committed to helping all. We specialize in providing support to individuals seeking guidance in working through complex emotions, and traumatic experiences. We provide support to those seeking to learn new techniques to cope with difficult situations, individuals focused on developing personal growth, and individuals seeking to manage their mental health needs.
Not accepting clients at this time. Open Door Therapeutic Services, LLC is a mental health practice committed to helping all. We specialize in providing support to individuals seeking guidance in working through complex emotions, and traumatic experiences. We provide support to those seeking to learn new techniques to cope with difficult situations, individuals focused on developing personal growth, and individuals seeking to manage their mental health needs.
(443) 241-9492 View (443) 241-9492
Photo of John Caruso - Maryland Center for Veteran Education and Training, Clinical Social Work/Therapist, LCSW-C
Maryland Center for Veteran Education and Training
Clinical Social Work/Therapist, LCSW-C
Baltimore, MD 21202
MCVET delivers a comprehensive continuum of care, offering mental health counseling, outpatient and intensive outpatient substance use treatment, and individualized case management. Our services extend beyond clinical support, encompassing workforce development programs and a range of wrap-around resources designed to empower both veterans and civilians on their journey toward stability and self-sufficiency. MCVET is the crossroads where recovery and opportunity begin.
MCVET delivers a comprehensive continuum of care, offering mental health counseling, outpatient and intensive outpatient substance use treatment, and individualized case management. Our services extend beyond clinical support, encompassing workforce development programs and a range of wrap-around resources designed to empower both veterans and civilians on their journey toward stability and self-sufficiency. MCVET is the crossroads where recovery and opportunity begin.
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Photo of Nadiyah Edwards, Clinical Social Work/Therapist, LMSW
Nadiyah Edwards
Clinical Social Work/Therapist, LMSW
Online Only
There can sometimes be subtle or significant difficulty internally and externally navigating wellness. Disruption in peace and wellness can look like disorganization or even excessive organization. Recognizing and coping with stressors can be difficult for some people; some have learned to cope and sometimes forget or outgrow coping skills. My approach to therapy prioritizes the mind, body, and spirit relationship. Therapy with me includes cultural and ethnic history and practices. I prioritize facilitating brave spaces to support individuals in courageous healing.
There can sometimes be subtle or significant difficulty internally and externally navigating wellness. Disruption in peace and wellness can look like disorganization or even excessive organization. Recognizing and coping with stressors can be difficult for some people; some have learned to cope and sometimes forget or outgrow coping skills. My approach to therapy prioritizes the mind, body, and spirit relationship. Therapy with me includes cultural and ethnic history and practices. I prioritize facilitating brave spaces to support individuals in courageous healing.
(443) 940-5801 View (443) 940-5801
Photo of Dr. Rebecca Silver, Psychologist, PhD
Dr. Rebecca Silver
Psychologist, PhD
Baltimore, MD 21211
Have you been feeling stressed, sad, stuck, lost and/or anxious? In therapy, we can create healing and inner peace by increasing self awareness and enhancing skills to soothe intense emotions/symptoms that accompany complex life stressors. I specialize in the areas of anxiety, infertility, parenting challenges, relationship conflict, and childhood/adult trauma. I'm a compassionate listener who will challenge problematic ways of thinking/being with intention, humor, and warmth. Together, we'll explore past experiences, process ongoing struggles, and work collaboratively to maximize your emotional wellness and personal growth.
Have you been feeling stressed, sad, stuck, lost and/or anxious? In therapy, we can create healing and inner peace by increasing self awareness and enhancing skills to soothe intense emotions/symptoms that accompany complex life stressors. I specialize in the areas of anxiety, infertility, parenting challenges, relationship conflict, and childhood/adult trauma. I'm a compassionate listener who will challenge problematic ways of thinking/being with intention, humor, and warmth. Together, we'll explore past experiences, process ongoing struggles, and work collaboratively to maximize your emotional wellness and personal growth.
(443) 231-3220 View (443) 231-3220
Photo of Helen Tracey - Empower You Therapy LLC, Counselor, LCPC, NCC
Empower You Therapy LLC
Counselor, LCPC, NCC
Online Only
My ideal client may be struggling with ADHD, emerging adulthood, identity, life transitions and career concerns that have kept them stuck. They may have anxiety and/or depression which negatively impacts the relationship with themselves and others but are wanting to feel more empowered in life. I support individuals seeking to improve and deepen the quality of the relationship to self and others.
My ideal client may be struggling with ADHD, emerging adulthood, identity, life transitions and career concerns that have kept them stuck. They may have anxiety and/or depression which negatively impacts the relationship with themselves and others but are wanting to feel more empowered in life. I support individuals seeking to improve and deepen the quality of the relationship to self and others.
(410) 346-3650 View (410) 346-3650
Photo of Sophie Nathan, Clinical Social Work/Therapist, LCSW, LCSW-C
Sophie Nathan
Clinical Social Work/Therapist, LCSW, LCSW-C
1 Endorsed
Online Only
My goal is to help you feel heard, supported and understood. Whether you are coming to therapy to set healthy boundaries with others, reframe your anxious thoughts, process your parenting, think through how internal family dynamics affect you, navigate transitions, manage neurodivergence or navigate your sexual orientation and gender identity, I'm here to support. Therapy is collaborative process where we work together. I take a direct warm relational approach to help you express yourself authentically, gain insight into your patterns, reframe negative self-talk and strengthen how you cope.
My goal is to help you feel heard, supported and understood. Whether you are coming to therapy to set healthy boundaries with others, reframe your anxious thoughts, process your parenting, think through how internal family dynamics affect you, navigate transitions, manage neurodivergence or navigate your sexual orientation and gender identity, I'm here to support. Therapy is collaborative process where we work together. I take a direct warm relational approach to help you express yourself authentically, gain insight into your patterns, reframe negative self-talk and strengthen how you cope.
(240) 873-2829 View (240) 873-2829
Photo of Jasmine Scott, Licensed Clinical Professional Counselor, LCPC, NCC
Jasmine Scott
Licensed Clinical Professional Counselor, LCPC, NCC
Online Only
Waitlist for new clients
I am an EMDR Certified Therapist passionate about helping women with vaginismus break free from the shame, loneliness, and deep suffering that this condition often causes. Through a compassionate, trauma-informed approach, I can help you build confidence, reclaim your body, and move toward pain-free, fulfilling experiences. I understand personally how guilt, fear and past experiences can contribute to pelvic floor tension, making intimacy and medical care feel not just overwhelming, but straight up impossible to achieve. If this sounds like you, please know that there is a way out and you don't have to suffer with this any longer.
I am an EMDR Certified Therapist passionate about helping women with vaginismus break free from the shame, loneliness, and deep suffering that this condition often causes. Through a compassionate, trauma-informed approach, I can help you build confidence, reclaim your body, and move toward pain-free, fulfilling experiences. I understand personally how guilt, fear and past experiences can contribute to pelvic floor tension, making intimacy and medical care feel not just overwhelming, but straight up impossible to achieve. If this sounds like you, please know that there is a way out and you don't have to suffer with this any longer.
(443) 424-6466 View (443) 424-6466
Photo of Mickayla Waldhauser, Licensed Clinical Professional Counselor, LCPC
Mickayla Waldhauser
Licensed Clinical Professional Counselor, LCPC
Online Only
Are you struggling with stress, anxiety, and irritability? Have you found it difficult to juggle all of your responsibilities? If so, you’re definitely not alone. The stress of the life has greatly impacted a lot of people recently. I work with motivated individuals who are looking for support, perspective, & helpful coping strategies for navigating ever-changing times. I will help you take steps to achieving your goals and be there to celebrate the small victories along the way. If you want to incorporate your faith and values into the counseling process, I can help with that. I also help engaged couples plan for their future.
Are you struggling with stress, anxiety, and irritability? Have you found it difficult to juggle all of your responsibilities? If so, you’re definitely not alone. The stress of the life has greatly impacted a lot of people recently. I work with motivated individuals who are looking for support, perspective, & helpful coping strategies for navigating ever-changing times. I will help you take steps to achieving your goals and be there to celebrate the small victories along the way. If you want to incorporate your faith and values into the counseling process, I can help with that. I also help engaged couples plan for their future.
(667) 220-6466 View (667) 220-6466
Photo of Diamond Greene, Marriage & Family Therapist, LCMFT
Diamond Greene
Marriage & Family Therapist, LCMFT
Online Only
My name is Diamond Greene and I am a Licensed Clinical Marriage and Family Therapist (LCMFT) and owner of The Healing Center. I am committed to helping young adults learn how to manage life’s uncertainties and transitions and the resulting depression and anxiety that may accompany these changes. In addition, the health of our relationships is essential to our well-being, so I strive to help individuals navigate challenging relationships.
My name is Diamond Greene and I am a Licensed Clinical Marriage and Family Therapist (LCMFT) and owner of The Healing Center. I am committed to helping young adults learn how to manage life’s uncertainties and transitions and the resulting depression and anxiety that may accompany these changes. In addition, the health of our relationships is essential to our well-being, so I strive to help individuals navigate challenging relationships.
(443) 726-4267 View (443) 726-4267
Photo of John Z. Windsor, Licensed Clinical Professional Counselor, LCPC
John Z. Windsor
Licensed Clinical Professional Counselor, LCPC
1 Endorsed
Baltimore, MD 21209
We could all benefit from an outside perspective during life's stressors. I am here to listen, support, and empower you on your journey to clarity and making meaning from your experiences. Seeking support is a courageous step, not a sign of weakness.  Especially during the chaos, it can certainly be painful to feel lost, overwhelmed, and unsure of where to turn whether personally, professionally, or both.  My approach co-creates a judgment-free space where you can explore your challenges, uncover your inner strengths, and gently cultivate hope and resilience.
We could all benefit from an outside perspective during life's stressors. I am here to listen, support, and empower you on your journey to clarity and making meaning from your experiences. Seeking support is a courageous step, not a sign of weakness.  Especially during the chaos, it can certainly be painful to feel lost, overwhelmed, and unsure of where to turn whether personally, professionally, or both.  My approach co-creates a judgment-free space where you can explore your challenges, uncover your inner strengths, and gently cultivate hope and resilience.
(410) 970-3280 View (410) 970-3280
Photo of Alyssa Brown, Clinical Social Work/Therapist, LMSW
Alyssa Brown
Clinical Social Work/Therapist, LMSW
1 Endorsed
Baltimore, MD 21211
Accepting new clients! Do you ever feel like no matter how hard you try, life still feels heavy? Maybe anxiety keeps you up at night, depression steals your energy, or big life changes leave you feeling lost. You may find yourself holding it all together on the outside while quietly struggling inside. If this sounds familiar, you’re not alone, and you don’t have to face it by yourself. You might be longing for a place where you don’t have to pretend you’re fine, where you can finally exhale and be heard. There is support, and there is hope. Change is possible, and it can begin with one step!
Accepting new clients! Do you ever feel like no matter how hard you try, life still feels heavy? Maybe anxiety keeps you up at night, depression steals your energy, or big life changes leave you feeling lost. You may find yourself holding it all together on the outside while quietly struggling inside. If this sounds familiar, you’re not alone, and you don’t have to face it by yourself. You might be longing for a place where you don’t have to pretend you’re fine, where you can finally exhale and be heard. There is support, and there is hope. Change is possible, and it can begin with one step!
(410) 567-0864 View (410) 567-0864
Photo of Dana Moody, Pre-Licensed Professional, MS, ADT
Dana Moody
Pre-Licensed Professional, MS, ADT
Baltimore, MD 21229
Currently accepting new clients! I provide individual and group addiction counseling for adults, with a focus on alcohol and substance use disorders. I have experience supporting court-ordered clients, individuals working on relapse prevention and those who are early in their recovery journey or returning after a setback. I understand the unique challenges that come with legal involvement, accountability and rebuilding trust with yourself and others.
Currently accepting new clients! I provide individual and group addiction counseling for adults, with a focus on alcohol and substance use disorders. I have experience supporting court-ordered clients, individuals working on relapse prevention and those who are early in their recovery journey or returning after a setback. I understand the unique challenges that come with legal involvement, accountability and rebuilding trust with yourself and others.
(443) 701-9888 View (443) 701-9888
Photo of Aerie Treska, Clinical Social Work/Therapist, MA, LMSW
Aerie Treska
Clinical Social Work/Therapist, MA, LMSW
1 Endorsed
Baltimore, MD 21212
I work with adults, young adults, teens, and couples to help nurture self-awareness, mindfulness, self-esteem, and healthy relationships.
I work with adults, young adults, teens, and couples to help nurture self-awareness, mindfulness, self-esteem, and healthy relationships.
(667) 201-6031 x121 View (667) 201-6031 x121
Photo of Angela F Noppenberger, Clinical Social Work/Therapist, LCSW-C
Angela F Noppenberger
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Baltimore, MD 21210
Not accepting new clients
Hello and welcome. I have more than 20 years of experience in psychotherapy services in a variety of settings, including schools, community health centers, and mental health centers. I use a strength-based approach, focusing on cognitive flexibility. Through my commitment and compassion I support individuals and families as they deal with challenging life experiences. I am able to work with parents and caregivers on behavioral management/modification strategies and have a thorough understanding of Individualized Education Plans and 504 Plans.
Hello and welcome. I have more than 20 years of experience in psychotherapy services in a variety of settings, including schools, community health centers, and mental health centers. I use a strength-based approach, focusing on cognitive flexibility. Through my commitment and compassion I support individuals and families as they deal with challenging life experiences. I am able to work with parents and caregivers on behavioral management/modification strategies and have a thorough understanding of Individualized Education Plans and 504 Plans.
(410) 927-5921 View (410) 927-5921

See more therapy options for Baltimore

How does your Therapist compare?

Number of Therapists in Baltimore, MD

2,000+

Average cost per session

$150

Therapists in Baltimore, MD who prioritize treating:

92% Anxiety
87% Depression
71% Self Esteem
70% Relationship Issues
69% Stress
67% Trauma and PTSD
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

76% Cigna and Evernorth
72% BlueCross and BlueShield
68% CareFirst

How Therapists in Baltimore, MD see their clients

56% Online Only
44% In Person and Online

Gender breakdown

77% Female
20% Male
3% 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.