Therapists in Reservoir Hill-Bolton Hill Area, Baltimore, MD

Photo of Philip Pecoraro, LCSW-C, DCSW, Clinical Social Work/Therapist
Philip Pecoraro
Clinical Social Work/Therapist, LCSW-C, DCSW
Verified Verified
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21202
Historically, I have an educational background in "person in situation" outlook. I'm a practicing psychotherapist. I believe in a collaboration process aimed at relieving emotional disturbances and suffering in our lives.I center on management and balance. Reduction or elimination of symptoms is a primary goal. Emphasis is placed on care of self leading to a contented life.
Historically, I have an educational background in "person in situation" outlook. I'm a practicing psychotherapist. I believe in a collaboration process aimed at relieving emotional disturbances and suffering in our lives.I center on management and balance. Reduction or elimination of symptoms is a primary goal. Emphasis is placed on care of self leading to a contented life.
(667) 222-3041 View (667) 222-3041
Photo of Alexia N. Smith, MS, LCPC, Counselor
Alexia N. Smith
Counselor, MS, LCPC
Verified Verified
Online Only
I'd be honored to serve as your therapist and/or mental wellness coach towards self-liberation from beliefs, systems and environments that no longer serve you. I believe in honoring your unique emotional, mental, spiritual and psychic strengths, and trust that I'll create a safe space for you to gain a more compassionate awareness of who you are today, and for you to care for the parts of you that feel judged, unworthy, traumatized and stuck. By approaching mental health in this holistic and compassionate way, you will find the unique tools and practices that will help you prioritize joy, self-care, and ultimate self-understanding.
I'd be honored to serve as your therapist and/or mental wellness coach towards self-liberation from beliefs, systems and environments that no longer serve you. I believe in honoring your unique emotional, mental, spiritual and psychic strengths, and trust that I'll create a safe space for you to gain a more compassionate awareness of who you are today, and for you to care for the parts of you that feel judged, unworthy, traumatized and stuck. By approaching mental health in this holistic and compassionate way, you will find the unique tools and practices that will help you prioritize joy, self-care, and ultimate self-understanding.
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Photo of Jessica Shepherd, MS, LCPC
Jessica Shepherd
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Life is hard, and we all deserve someone that can help us navigate our worst days and celebrate our best. My goal is to be the person I needed when I was younger. I strive to create a safe and validating environment that allows my clients to be their truest selves and to be fully heard. I believe that the most important therapeutic tool is the rapport between a therapist and their client. I work with children, adolescents, and adults. I have five years of experience providing support in community mental health settings. I work with clients experiencing trauma, anxiety, Depression, ADHD, and more.
Life is hard, and we all deserve someone that can help us navigate our worst days and celebrate our best. My goal is to be the person I needed when I was younger. I strive to create a safe and validating environment that allows my clients to be their truest selves and to be fully heard. I believe that the most important therapeutic tool is the rapport between a therapist and their client. I work with children, adolescents, and adults. I have five years of experience providing support in community mental health settings. I work with clients experiencing trauma, anxiety, Depression, ADHD, and more.
(667) 281-0894 View (667) 281-0894
Photo of Tasha N Allen, LCPC
Tasha N Allen
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21202
Thank you for choosing to begin your wellness journey with Birthstone. Here, therapy is an inviting place where every single part of you is welcome, most importantly, the parts that are uncomfortable to share. As a therapist, I am honored that you chose this process as your path to healing!
Thank you for choosing to begin your wellness journey with Birthstone. Here, therapy is an inviting place where every single part of you is welcome, most importantly, the parts that are uncomfortable to share. As a therapist, I am honored that you chose this process as your path to healing!
(667) 285-8466 View (667) 285-8466
Photo of Sydney Williams, LMSW, CTP, Clinical Social Work/Therapist
Sydney Williams
Clinical Social Work/Therapist, LMSW, CTP
Verified Verified
1 Endorsed
Online Only
Our past can teach us a lot about ourselves and how we not only see the world but also how we react to it. I’m here to help you explore those significant moments that may have set you on this path, and reframe your thinking so that you can overcome those negative thoughts and emotions that may be keeping you from being the best version of yourself you can be. Through cognitive behavior therapy and mindfulness based interventions, like guided meditation, body scanning, and breath work, I will help you create new habits that will set you on a path to becoming the person you’ve always wanted to be.
Our past can teach us a lot about ourselves and how we not only see the world but also how we react to it. I’m here to help you explore those significant moments that may have set you on this path, and reframe your thinking so that you can overcome those negative thoughts and emotions that may be keeping you from being the best version of yourself you can be. Through cognitive behavior therapy and mindfulness based interventions, like guided meditation, body scanning, and breath work, I will help you create new habits that will set you on a path to becoming the person you’ve always wanted to be.
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Photo of Kal Zeryihun, LCSW-C, Clinical Social Work/Therapist
Kal Zeryihun
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Online Only
I value working with individuals who are ready to dive into the journey of self-exploration, self awareness and emotional growth. My emphasis is on human flourishing and helping you create a life with meaning. I use a mind and body-integrated approach to treatment, such as increasing awareness of the Gut-Brain connection and incorporating Mindfulness practices along with traditional Cognitive Behavioral Therapy (CBT) to help you improve your mental wellness using all the ways your body naturally heals itself.
I value working with individuals who are ready to dive into the journey of self-exploration, self awareness and emotional growth. My emphasis is on human flourishing and helping you create a life with meaning. I use a mind and body-integrated approach to treatment, such as increasing awareness of the Gut-Brain connection and incorporating Mindfulness practices along with traditional Cognitive Behavioral Therapy (CBT) to help you improve your mental wellness using all the ways your body naturally heals itself.
(240) 513-2371 View (240) 513-2371
Photo of LaShaunna Lipscomb - Journey into Wellness, LLC, PhD, LCPC
Journey into Wellness, LLC
Licensed Clinical Professional Counselor, PhD, LCPC
Verified Verified
2 Endorsed
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21201
Most people contemplate therapy at a point where life's stressors have become so intense that talking about these things can be very difficult and even embarrassing. However, making a decision to seek therapy is an act that reflects a great deal of humility and self-love. If you or your family have been experiencing symptoms of depression, anxiety, or grief, my practice is well experienced in helping you during this healing process. Additionally, we have worked with families who were experiencing conflict due to separation, divorce, child welfare involvement, exposure to trauma, or just non-compliant/defiant behavior.
Most people contemplate therapy at a point where life's stressors have become so intense that talking about these things can be very difficult and even embarrassing. However, making a decision to seek therapy is an act that reflects a great deal of humility and self-love. If you or your family have been experiencing symptoms of depression, anxiety, or grief, my practice is well experienced in helping you during this healing process. Additionally, we have worked with families who were experiencing conflict due to separation, divorce, child welfare involvement, exposure to trauma, or just non-compliant/defiant behavior.
(518) 633-4236 View (518) 633-4236
Photo of Elena Iannacito, Pre-Licensed Professional
Elena Iannacito
Pre-Licensed Professional
Verified Verified
1 Endorsed
Online Only
Everyone deserves a space where they feel empowered, seen, and heard. We can work through those hard feelings in a safe and supportive environment. My name is Elena, I am a Master of Social Work student at Grand Canyon University. I specialize in working with children and teens. I have experience working with anxiety and depression.
Everyone deserves a space where they feel empowered, seen, and heard. We can work through those hard feelings in a safe and supportive environment. My name is Elena, I am a Master of Social Work student at Grand Canyon University. I specialize in working with children and teens. I have experience working with anxiety and depression.
(443) 234-0462 View (443) 234-0462
Photo of Katelin Fullerton, LCSW-C, Clinical Social Work/Therapist
Katelin Fullerton
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
I love helping clients to connect with their authentic selves and strengthen their relationships. I work from a framework that explores the ways that early experiences can shape current patterns of relating. My work is also guided by the understanding that many clients' difficulties are impacted by systems of oppression such as racism, transphobia, homophobia, and gender discrimination. Most importantly, this space centers on you and what you're bringing into it; I'm not here to judge, criticize, or fix you, but instead support you in learning about your own internal world.
I love helping clients to connect with their authentic selves and strengthen their relationships. I work from a framework that explores the ways that early experiences can shape current patterns of relating. My work is also guided by the understanding that many clients' difficulties are impacted by systems of oppression such as racism, transphobia, homophobia, and gender discrimination. Most importantly, this space centers on you and what you're bringing into it; I'm not here to judge, criticize, or fix you, but instead support you in learning about your own internal world.
(443) 331-9368 View (443) 331-9368
Photo of Jessica Adams - J Holistic Care Center, LCSW-C, Clinical Social Work/Therapist
J Holistic Care Center
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
Jessica Adams is licensed in Maryland with several years of work experience. She has experience in helping clients with stress, anxiety, relationship issues, family conflicts, trauma, and abuse. She works with clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out help; helping is her role.
Jessica Adams is licensed in Maryland with several years of work experience. She has experience in helping clients with stress, anxiety, relationship issues, family conflicts, trauma, and abuse. She works with clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out help; helping is her role.
(443) 201-7135 View (443) 201-7135
Photo of Dr. Anjana Muralidharan, PhD, Psychologist
Dr. Anjana Muralidharan
Psychologist, PhD
Verified Verified
Online Only
You're living in survival mode - and you're over it. Work, bills, family, relationships, systemic oppression, and trying to live with authenticity amidst it all - it's too much! You feel overwhelmed, burned out, numb, and totally alone. If this sounds like you - I assure you, you are not alone. In our chaotic and unjust world, many of us live on high alert, disconnected from our bodies, our true selves, and each other. I can help you with powerful techniques to reduce the impacts of chronic stress on the mind, body, and relationships, so you can tap into joy, connection, and balance. In short, the happy and authentic life you want!
You're living in survival mode - and you're over it. Work, bills, family, relationships, systemic oppression, and trying to live with authenticity amidst it all - it's too much! You feel overwhelmed, burned out, numb, and totally alone. If this sounds like you - I assure you, you are not alone. In our chaotic and unjust world, many of us live on high alert, disconnected from our bodies, our true selves, and each other. I can help you with powerful techniques to reduce the impacts of chronic stress on the mind, body, and relationships, so you can tap into joy, connection, and balance. In short, the happy and authentic life you want!
(667) 354-7079 View (667) 354-7079
Photo of Rae Buchanan, LGPC, Counselor
Rae Buchanan
Counselor, LGPC
Verified Verified
2 Endorsed
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21201
Oh, hey! Is trying to find a therapist causing existential dread? Is your executive functioning barely holding it together long enough for you to read ANOTHER therapist description? Look, I’ve got you! Consider me your therapist if you are: -Gay. -ADHD -Traumatized and coping with dark humor -A perfectionist with anxiety right NOW -In a relationship that is messy, sexy, or confusing AF. -Traumatized (but this time with the religious-deconstruction flavor of trauma) -An artist, performer, or in another high-demand career -Needing individual therapy (adults & teens 13+) or couples/relationship counseling (ENM/Poly affirming)
Oh, hey! Is trying to find a therapist causing existential dread? Is your executive functioning barely holding it together long enough for you to read ANOTHER therapist description? Look, I’ve got you! Consider me your therapist if you are: -Gay. -ADHD -Traumatized and coping with dark humor -A perfectionist with anxiety right NOW -In a relationship that is messy, sexy, or confusing AF. -Traumatized (but this time with the religious-deconstruction flavor of trauma) -An artist, performer, or in another high-demand career -Needing individual therapy (adults & teens 13+) or couples/relationship counseling (ENM/Poly affirming)
(443) 348-0964 View (443) 348-0964
Photo of Chana Simmonds, MSW, LCSW, Clinical Social Work/Therapist
Chana Simmonds
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21217
My ideal client (individual, couple) wants to move past or resolve issues that cause them to feel disappointed and unhappy. They want to have relationships, including sexual experiences , in which they feel connected, intimate and alive.
My ideal client (individual, couple) wants to move past or resolve issues that cause them to feel disappointed and unhappy. They want to have relationships, including sexual experiences , in which they feel connected, intimate and alive.
(551) 226-5601 View (551) 226-5601
Photo of Becca Drury, LGPC, Counselor
Becca Drury
Counselor, LGPC
Verified Verified
1 Endorsed
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21201
Not accepting new clients
I believe that healing is a collaborative journey of connection, growth, and transformation, and that every individual has the innate ability to heal and grow to live a valued and meaningful life. I am passionate about creating a safe and compassionate space where you will feel seen and valued, partnering with you to foster a deeper connection with yourself and others. Together, we will celebrate both progress and the quest for greater well-being while honoring your unique path as you build strength and resilience to move from surviving to thriving.
I believe that healing is a collaborative journey of connection, growth, and transformation, and that every individual has the innate ability to heal and grow to live a valued and meaningful life. I am passionate about creating a safe and compassionate space where you will feel seen and valued, partnering with you to foster a deeper connection with yourself and others. Together, we will celebrate both progress and the quest for greater well-being while honoring your unique path as you build strength and resilience to move from surviving to thriving.
(667) 868-0916 View (667) 868-0916
Photo of Formka Johnson - Transform Your Mind, LLC, MSW, LCSW-C, Clinical Social Work/Therapist
Transform Your Mind, LLC
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21202
No one wakes up and says, bless me with a mental illness and negative thoughts. I know, having either or can make you feel isolated, embarrassed, and alone. Having a mental illness and/or negative thoughts are not uncommon, but can be scary if you are trying to deal with it by yourself.
No one wakes up and says, bless me with a mental illness and negative thoughts. I know, having either or can make you feel isolated, embarrassed, and alone. Having a mental illness and/or negative thoughts are not uncommon, but can be scary if you are trying to deal with it by yourself.
(667) 229-0438 View (667) 229-0438
Photo of Rylee Powers, LGPC, Counselor
Rylee Powers
Counselor, LGPC
Verified Verified
2 Endorsed
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21201
I am now licensed in MD + DC! Are you feeling overwhelmed by anxiety, trauma, or the challenges of navigating today’s world? Are you searching for a supportive and affirming space to explore your past and gain meaningful insights into your life? If so, you’re in the right place. I’m a neurodivergent and queer therapist who is LGBTQIA+ affirming and passionate about creating a warm, inclusive environment for healing and growth. I work with individuals navigating anxiety, trauma, or life transitions, and I have a special focus on supporting teens (13+) with self-esteem, peer relationships, and school challenges.
I am now licensed in MD + DC! Are you feeling overwhelmed by anxiety, trauma, or the challenges of navigating today’s world? Are you searching for a supportive and affirming space to explore your past and gain meaningful insights into your life? If so, you’re in the right place. I’m a neurodivergent and queer therapist who is LGBTQIA+ affirming and passionate about creating a warm, inclusive environment for healing and growth. I work with individuals navigating anxiety, trauma, or life transitions, and I have a special focus on supporting teens (13+) with self-esteem, peer relationships, and school challenges.
(667) 249-9495 View (667) 249-9495
Photo of Brian J Hall - Dr Brian J Hall, PhD Therapy Associates , PhD , Psychologist
Dr Brian J Hall, PhD Therapy Associates 
Psychologist, PhD
Verified Verified
Online Only
As a therapist specializing in depression, anxiety, work stress, and trauma, I offer empathetic support tailored to individual needs. Through evidence-based techniques and a nonjudgmental approach, I empower clients to navigate challenges, gain insight, and develop coping strategies. With convenient online sessions, I aim to break down barriers to mental health care, providing accessible and effective support for a more fulfilling life.
As a therapist specializing in depression, anxiety, work stress, and trauma, I offer empathetic support tailored to individual needs. Through evidence-based techniques and a nonjudgmental approach, I empower clients to navigate challenges, gain insight, and develop coping strategies. With convenient online sessions, I aim to break down barriers to mental health care, providing accessible and effective support for a more fulfilling life.
(443) 339-9417 View (443) 339-9417
Photo of Matthew Figiel-Miller, LCSW-C, Clinical Social Work/Therapist
Matthew Figiel-Miller
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21201
Not all therapists are the same. I help my clients find practical solutions to the issues facing them, and together we find ways to change the patterns behind these issues. Whether depression, anxiety, or dealing with a difficult life event, the situations facing us can feel overwhelming. For over 15 years I've empowered children, families, and adults as they move toward their goals. I am experienced in school and community settings, as well as inpatient, and I enjoy working with people of all backgrounds and orientations.
Not all therapists are the same. I help my clients find practical solutions to the issues facing them, and together we find ways to change the patterns behind these issues. Whether depression, anxiety, or dealing with a difficult life event, the situations facing us can feel overwhelming. For over 15 years I've empowered children, families, and adults as they move toward their goals. I am experienced in school and community settings, as well as inpatient, and I enjoy working with people of all backgrounds and orientations.
(443) 360-3830 View (443) 360-3830
Photo of Marone Brown, PhD, NCC, NCSP
Marone Brown
Licensed Clinical Professional Counselor, PhD, NCC, NCSP
Verified Verified
Online Only
Not accepting new clients
My ideal client is a client who understands that therapy does not fix you because you are not broken. The ideal client understands that therapy helps them to uncover strengths and learn new skills that will allow them to deal with the challenges that arise in life. Therapy is an interactive process between the client and clinician. My treatment strategies are rooted in an existential approach. I do not believe in a one-size-fits all approach therefore I do not prescribe to a set of techniques and procedures, I draw techniques from a variety of therapeutic modalities to better accommodate my clients needs.
My ideal client is a client who understands that therapy does not fix you because you are not broken. The ideal client understands that therapy helps them to uncover strengths and learn new skills that will allow them to deal with the challenges that arise in life. Therapy is an interactive process between the client and clinician. My treatment strategies are rooted in an existential approach. I do not believe in a one-size-fits all approach therefore I do not prescribe to a set of techniques and procedures, I draw techniques from a variety of therapeutic modalities to better accommodate my clients needs.
(410) 929-3291 View (410) 929-3291
Photo of Rhianon Holcombe Brady, LCPC, C-DBT, CGP, CCTP, Counselor
Rhianon Holcombe Brady
Counselor, LCPC, C-DBT, CGP, CCTP
Verified Verified
Reservoir Hill-Bolton Hill Area, Baltimore, MD 21217
Are you exhausted? You might feel stuck or repeating ineffective patterns in your life. Perhaps you are tormented by sleepless nights, awful dreams, feeling on edge, an ever-present tension in your body, and waiting for the other shoe to drop. Many people who experience these symptoms blame themselves, when it is the body’s natural response to what it has experienced. Could you imagine finding some relief? You are not made out of broken material, your body has been through something that didn’t make sense.
Are you exhausted? You might feel stuck or repeating ineffective patterns in your life. Perhaps you are tormented by sleepless nights, awful dreams, feeling on edge, an ever-present tension in your body, and waiting for the other shoe to drop. Many people who experience these symptoms blame themselves, when it is the body’s natural response to what it has experienced. Could you imagine finding some relief? You are not made out of broken material, your body has been through something that didn’t make sense.
(410) 390-0306 View (410) 390-0306
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See more therapy options for Reservoir Hill-Bolton Hill Area, Baltimore

How does your Therapist compare?

Number of Therapists in Reservoir Hill-Bolton Hill Area, Baltimore, MD

70+

Average cost per session

$150

Therapists in Reservoir Hill-Bolton Hill Area, Baltimore, MD who prioritize treating:

97% Depression
93% Anxiety
79% Self Esteem
77% Relationship Issues
76% Trauma and PTSD
68% Stress
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

72% CareFirst
70% Cigna and Evernorth
68% Aetna

How Therapists in Reservoir Hill-Bolton Hill Area, Baltimore, MD see their clients

55% In Person and Online
45% Online Only

Gender breakdown

73% Female
23% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Reservoir Hill-Bolton Hill Area, 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.