Therapists in Gambrills, MD

Photo of Dr. Anjelica Jackson Todd, PsyD, Psychologist
Dr. Anjelica Jackson Todd
Psychologist, PsyD
Verified Verified
1 Endorsed
Online Only
Culturally-responsive therapy for everyone, everywhere. That’s my motto. I believe that everyone can benefit from therapy—whether you’re looking for help navigating life’s challenges, improving your relationships, confronting unhelpful habits, or pursuing personal growth. I provide therapy to children, adolescents, and adults, tailoring treatment to meet the specific needs of each client while incorporating approaches supported by research.
Culturally-responsive therapy for everyone, everywhere. That’s my motto. I believe that everyone can benefit from therapy—whether you’re looking for help navigating life’s challenges, improving your relationships, confronting unhelpful habits, or pursuing personal growth. I provide therapy to children, adolescents, and adults, tailoring treatment to meet the specific needs of each client while incorporating approaches supported by research.
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Photo of Laureen Rodgers, LCSW-C, LICSW, PMH-C, CCM, Clinical Social Work/Therapist
Laureen Rodgers
Clinical Social Work/Therapist, LCSW-C, LICSW, PMH-C, CCM
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
Are you feeling overwhelmed, anxious or disconnected from others? Maybe you are struggling with identity and a changing lifestyle while newly pregnant. Is parenthood and other life transitions causing hardship or a strain on your relationships? Sometimes we can feel overwhelmed by challenging situations and overcome by our intrusive thoughts. There is a path to feeling better, creating stronger relationships and thriving in life. My practice helps women, Moms and couples handle life transitions by offering a comfortable and understanding environment while creating a tailored approach to address your needs and wellness goals.
Are you feeling overwhelmed, anxious or disconnected from others? Maybe you are struggling with identity and a changing lifestyle while newly pregnant. Is parenthood and other life transitions causing hardship or a strain on your relationships? Sometimes we can feel overwhelmed by challenging situations and overcome by our intrusive thoughts. There is a path to feeling better, creating stronger relationships and thriving in life. My practice helps women, Moms and couples handle life transitions by offering a comfortable and understanding environment while creating a tailored approach to address your needs and wellness goals.
(240) 792-8662 View (240) 792-8662
Photo of Jess Maier, LPC, Counselor
Jess Maier
Counselor, LPC
Verified Verified
Online Only
I have provided counseling & therapy to children, adolescents, and adults in various settings including schools, group homes, residential treatment facilities, in-office, in-home and virtually. My treatment specialties and interests include mental health for women & girls, depression, anxiety, self-esteem, parenting support, pre & postnatal support, grief, trauma, adjustment, stress management, divorce/separation, and support for military families.
I have provided counseling & therapy to children, adolescents, and adults in various settings including schools, group homes, residential treatment facilities, in-office, in-home and virtually. My treatment specialties and interests include mental health for women & girls, depression, anxiety, self-esteem, parenting support, pre & postnatal support, grief, trauma, adjustment, stress management, divorce/separation, and support for military families.
(443) 241-8419 View (443) 241-8419
Photo of Michael D Cardaci - Michael Cardaci, LCPC, LLC, LCPC, Counselor
Michael Cardaci, LCPC, LLC
Counselor, LCPC
Verified Verified
Online Only
Not accepting new clients
(NOTE: New Clients Accepted in late June 2024) I am a full-time practitioner with over 25 years of experience in mental health. I am a client-focused therapist with experience serving diverse populations across ages with a broad range of challenges and disorders. I see children, adolescents, and adults for individual and family therapy (from 5-years-old to seniors). I take an eclectic approach to treatment that focuses on matching my clients' needs to our treatment approach. In this outpatient setting, we tend to draw on cognitive-behavioral, dialectical-behavioral, metaphor-narrative, social learning, and similar approaches.
(NOTE: New Clients Accepted in late June 2024) I am a full-time practitioner with over 25 years of experience in mental health. I am a client-focused therapist with experience serving diverse populations across ages with a broad range of challenges and disorders. I see children, adolescents, and adults for individual and family therapy (from 5-years-old to seniors). I take an eclectic approach to treatment that focuses on matching my clients' needs to our treatment approach. In this outpatient setting, we tend to draw on cognitive-behavioral, dialectical-behavioral, metaphor-narrative, social learning, and similar approaches.
(240) 635-9815 View (240) 635-9815
Photo of Kiersten Lipinski, LCSW-C, Clinical Social Work/Therapist
Kiersten Lipinski
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Online Only
My practice is dedicated to providing compassionate care for individuals, couples, and families facing emotional complexities of infertility and perinatal health, as well as anxiety disorders in teens and young adults. These stressors and life transitions can often make you feel as if you are losing a sense of control as the world keeps going. My goal is to help individuals work towards restoring balance of their personal well-being and build back that self empowerment and confidence.
My practice is dedicated to providing compassionate care for individuals, couples, and families facing emotional complexities of infertility and perinatal health, as well as anxiety disorders in teens and young adults. These stressors and life transitions can often make you feel as if you are losing a sense of control as the world keeps going. My goal is to help individuals work towards restoring balance of their personal well-being and build back that self empowerment and confidence.
(240) 376-3686 View (240) 376-3686
Photo of Aparna O'Connor, MSW, LCSW-C , Clinical Social Work/Therapist
Aparna O'Connor
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Online Only
You are worthy of healing, even when your inner-critic says otherwise. If you are experiencing anxiety, you know that it is much more complex than excessive worrying. Often negative self-talk, guilt, self-doubt, and fear also run rampant, making it difficult to get through your day. On the outside, your loved ones or colleagues may think you have it together, but internally you are struggling. Trying to control everything around you - while at the same time feeling out of control leaves you exhausted and on edge.
You are worthy of healing, even when your inner-critic says otherwise. If you are experiencing anxiety, you know that it is much more complex than excessive worrying. Often negative self-talk, guilt, self-doubt, and fear also run rampant, making it difficult to get through your day. On the outside, your loved ones or colleagues may think you have it together, but internally you are struggling. Trying to control everything around you - while at the same time feeling out of control leaves you exhausted and on edge.
(240) 201-2302 View (240) 201-2302
Photo of Katherine Bonincontri - Robert A Pascal Youth & Family Services, Inc., LCPC, LCSW-C, CRNP, LCADC
Robert A Pascal Youth & Family Services, Inc.
Licensed Clinical Professional Counselor, LCPC, LCSW-C, CRNP, LCADC
Verified Verified
Gambrills, MD 21054
Our Vision: Pascal Crisis Services, Inc. aspires to be a premier provider of crisis stabilization services and outpatient behavioral health services in the state of Maryland. Pascal develops and implements specialized treatment to meet the needs of various client profiles and provides these services in such a manner that social, economic, and/or demographic factors do not limit an individual's access to appropriate services. Pascal utilizes a continuum of care so that there is no "wrong door" for any individual seeking assistance.
Our Vision: Pascal Crisis Services, Inc. aspires to be a premier provider of crisis stabilization services and outpatient behavioral health services in the state of Maryland. Pascal develops and implements specialized treatment to meet the needs of various client profiles and provides these services in such a manner that social, economic, and/or demographic factors do not limit an individual's access to appropriate services. Pascal utilizes a continuum of care so that there is no "wrong door" for any individual seeking assistance.
(443) 233-1837 View (443) 233-1837
Photo of Renee Davis, PhD, Psychologist
Renee Davis
Psychologist, PhD
Verified Verified
Gambrills, MD 21054
Life is all about transitions. Perhaps one of the most challenging to navigate is the transition from childhood to adulthood. As a Licensed Clinical Psychologist, I get it and I am here to help. I have completed years of training including a doctoral internship and postdoctoral fellowship at the Kennedy Krieger Institute/Johns Hopkins University School of Medicine. I am the owner of Spark Change Wellness Center where I serve preteens, adolescents, young adults and their families. Needs that I most often treat include depression, anxiety, ADHD, parental stress, and adjustment problems.
Life is all about transitions. Perhaps one of the most challenging to navigate is the transition from childhood to adulthood. As a Licensed Clinical Psychologist, I get it and I am here to help. I have completed years of training including a doctoral internship and postdoctoral fellowship at the Kennedy Krieger Institute/Johns Hopkins University School of Medicine. I am the owner of Spark Change Wellness Center where I serve preteens, adolescents, young adults and their families. Needs that I most often treat include depression, anxiety, ADHD, parental stress, and adjustment problems.
(443) 775-3727 View (443) 775-3727
Photo of Tammy M Miller - Mirror Mental Health, PysD, Psychologist
Mirror Mental Health
Psychologist, PysD
Verified Verified
Serves Area
Mirror Mental Health is here to help you navigate the bumps, detours, and overwhelming moments that come along in life's journey. It is our team's goal to help clients identify their strengths, realize their resiliency, and help them celebrate and honor their authenticity. We work with a wide range of clients from those struggling with depression/anxiety, trauma, psychosis, relationship/family issues, or just feeling lost. At Mirror Mental Health we do not treat a diagnosis, but see a person who is suffering and help that person.
Mirror Mental Health is here to help you navigate the bumps, detours, and overwhelming moments that come along in life's journey. It is our team's goal to help clients identify their strengths, realize their resiliency, and help them celebrate and honor their authenticity. We work with a wide range of clients from those struggling with depression/anxiety, trauma, psychosis, relationship/family issues, or just feeling lost. At Mirror Mental Health we do not treat a diagnosis, but see a person who is suffering and help that person.
(667) 307-7032 View (667) 307-7032
Photo of Brittany Wong, LMSW, Clinical Social Work/Therapist
Brittany Wong
Clinical Social Work/Therapist, LMSW
Verified Verified
Serves Area
Hi! I’m Brittany (She/Her), a Licensed Master’s Social Worker with a passion for helping people feel seen, supported, and empowered. Whether you’re going through a tough time or just looking to make some positive changes, I’m here to walk alongside you. I believe everyone has strengths, even if they’re hard to see sometimes, and my goal is to help you uncover and build your inner strength.
Hi! I’m Brittany (She/Her), a Licensed Master’s Social Worker with a passion for helping people feel seen, supported, and empowered. Whether you’re going through a tough time or just looking to make some positive changes, I’m here to walk alongside you. I believe everyone has strengths, even if they’re hard to see sometimes, and my goal is to help you uncover and build your inner strength.
(443) 332-3526 View (443) 332-3526
Photo of Louis Woolard, PhD, LCSW-C, Clinical Social Work/Therapist
Louis Woolard
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
Serves Area
Louis E. Woolard, Jr. , Ph.D., LCSW-C is a licensed clinical social worker who earned his degree at Marywood University. His special interests include child, adolescent, adult, and family psychotherapy, and program development. He has extensive experience in providing mental health services to children and their families. Louis Woolard previously was Director of the Child and Youth Services Administration for the Commission on Mental Health Services for the District of Columbia, Director of a community mental health center, and Director of Residential Programs and Community Services for the New York State Office of Mental Health.
Louis E. Woolard, Jr. , Ph.D., LCSW-C is a licensed clinical social worker who earned his degree at Marywood University. His special interests include child, adolescent, adult, and family psychotherapy, and program development. He has extensive experience in providing mental health services to children and their families. Louis Woolard previously was Director of the Child and Youth Services Administration for the Commission on Mental Health Services for the District of Columbia, Director of a community mental health center, and Director of Residential Programs and Community Services for the New York State Office of Mental Health.
(410) 632-6707 View (410) 632-6707
Photo of Carla Corsey, PsyD, Psychologist
Carla Corsey
Psychologist, PsyD
Verified Verified
Serves Area
Carla Corsey, Psy. D. is a Licensed Psychologist who completed her graduate training in Clinical Psychology at Argosy University. Dr. Corsey also holds a Master's degree in Education from Bowie State University. Dr. Corsey completed her Pre-Doctoral internship at the Fifth Avenue Center for Counseling & Psychotherapy in New York, and her Post-Doctoral training at the Regional Institute for Children & Adolescents in Baltimore, MD. Dr. Corsey has experience working in a variety of clinical settings, including at Baltimore Lab School in Baltimore, MD and Washington Behavioral Medicine Associates, LLC.
Carla Corsey, Psy. D. is a Licensed Psychologist who completed her graduate training in Clinical Psychology at Argosy University. Dr. Corsey also holds a Master's degree in Education from Bowie State University. Dr. Corsey completed her Pre-Doctoral internship at the Fifth Avenue Center for Counseling & Psychotherapy in New York, and her Post-Doctoral training at the Regional Institute for Children & Adolescents in Baltimore, MD. Dr. Corsey has experience working in a variety of clinical settings, including at Baltimore Lab School in Baltimore, MD and Washington Behavioral Medicine Associates, LLC.
(410) 204-2149 View (410) 204-2149
Photo of Shawn M. Rill, BSW, MSW, LMSW, Clinical Social Work/Therapist
Shawn M. Rill
Clinical Social Work/Therapist, BSW, MSW, LMSW
Verified Verified
Online Only
Feeling overwhelmed and underestimated? ADHD doesn't have to define you. Living with ADHD can present unique challenges, from difficulties with focus and organization to struggles with impulsivity and emotional regulation. Deadlines, relationships, and daily stressors can feel like constant uphill battles, leaving you feeling misunderstood and like your potential isn't being recognized. Together, we can develop practical strategies to improve focus, manage time effectively, strengthen your relationships, and reduce stress. My approach integrates evidence-based therapies with the wisdom of Stoic philosophy.
Feeling overwhelmed and underestimated? ADHD doesn't have to define you. Living with ADHD can present unique challenges, from difficulties with focus and organization to struggles with impulsivity and emotional regulation. Deadlines, relationships, and daily stressors can feel like constant uphill battles, leaving you feeling misunderstood and like your potential isn't being recognized. Together, we can develop practical strategies to improve focus, manage time effectively, strengthen your relationships, and reduce stress. My approach integrates evidence-based therapies with the wisdom of Stoic philosophy.
(410) 847-2391 View (410) 847-2391
Photo of Michele Buchanan-Tyler, LCSW-C, Clinical Social Work/Therapist
Michele Buchanan-Tyler
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Serves Area
Michele is an individual and family therapist licensed in the District of Columbia and Maryland. She has more than 20 years of experience working as a clinical social worker with adults, teens and families with children on issues of family conflict, trauma history, school performance problems and adoption related issues. She has helped individuals, children and adolescents with emotional disorders such as depression, anxiety, PTSD, ADHD, Autism, learning disabilities, attachment issues, grief loss, and trauma.
Michele is an individual and family therapist licensed in the District of Columbia and Maryland. She has more than 20 years of experience working as a clinical social worker with adults, teens and families with children on issues of family conflict, trauma history, school performance problems and adoption related issues. She has helped individuals, children and adolescents with emotional disorders such as depression, anxiety, PTSD, ADHD, Autism, learning disabilities, attachment issues, grief loss, and trauma.
(410) 650-8817 View (410) 650-8817
Photo of Jodie Fenske, LCPC, Counselor
Jodie Fenske
Counselor, LCPC
Verified Verified
Online Only
Jodie is a Licensed Clinical Professional Counselor who has been practicing in a private practice setting for several years. She received her bachelor’s degree in Psychology from Towson University and her master’s degree in Mental Health Counseling from Nova Southeastern University. She also served 6 years in the United States Navy which included a year-long deployment overseas. In counseling, Jodie believes that congruency of the mind, body, and soul is the key to contentment. Therefore, she helps facilitate growth and healing for her clients, not only mentally and emotionally, but also physically, socially, and spiritually.
Jodie is a Licensed Clinical Professional Counselor who has been practicing in a private practice setting for several years. She received her bachelor’s degree in Psychology from Towson University and her master’s degree in Mental Health Counseling from Nova Southeastern University. She also served 6 years in the United States Navy which included a year-long deployment overseas. In counseling, Jodie believes that congruency of the mind, body, and soul is the key to contentment. Therefore, she helps facilitate growth and healing for her clients, not only mentally and emotionally, but also physically, socially, and spiritually.
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Photo of Terri Shephard, MA, LCPC, NCC, Counselor
Terri Shephard
Counselor, MA, LCPC, NCC
Verified Verified
1 Endorsed
Serves Area
Realistically, life comes with its ups and downs, mountains and valleys, and wins and losses. Therefore, my goal is to help you get through difficult life transitions with resiliency and courage! You have the ability to adapt to various circumstances and overcome challenges, and I can help you maneuver through that process.
Realistically, life comes with its ups and downs, mountains and valleys, and wins and losses. Therefore, my goal is to help you get through difficult life transitions with resiliency and courage! You have the ability to adapt to various circumstances and overcome challenges, and I can help you maneuver through that process.
(410) 914-1769 View (410) 914-1769
Photo of Theresa S Bouma, MS, LCPC
Theresa S Bouma
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Online Only
Healing and making the most out of each day is what this journey is all about.  For many people, this is done best with the help and support of others. My passion is to be present with those who are feeling like they could benefit from talking with  someone who is compassionate, consistent, and knowledgeable.
Healing and making the most out of each day is what this journey is all about.  For many people, this is done best with the help and support of others. My passion is to be present with those who are feeling like they could benefit from talking with  someone who is compassionate, consistent, and knowledgeable.
(667) 307-7066 View (667) 307-7066
Photo of Andrea Griffin, PhD, Psychologist
Andrea Griffin
Psychologist, PhD
Verified Verified
Serves Area
Andrea Griffin, PhD Andrea Griffin is a Psychologist in Maryland who has been practicing since 2006. She has a Bachelor of Arts Degree in Psychology, a Master of Science in Education Degree in Early Childhood Education, and a Doctor of Philosophy Degree in Counseling Psychology. Andrea specializes in Cognitive Behavioral Therapy and aims to help facilitate a person's deeper understanding of the origin of his or her presenting problem(s). She also provides a supportive and safe space to assist a person through relevant/appropriate strategies to reach his or her individualized goal(s).
Andrea Griffin, PhD Andrea Griffin is a Psychologist in Maryland who has been practicing since 2006. She has a Bachelor of Arts Degree in Psychology, a Master of Science in Education Degree in Early Childhood Education, and a Doctor of Philosophy Degree in Counseling Psychology. Andrea specializes in Cognitive Behavioral Therapy and aims to help facilitate a person's deeper understanding of the origin of his or her presenting problem(s). She also provides a supportive and safe space to assist a person through relevant/appropriate strategies to reach his or her individualized goal(s).
(410) 888-0447 View (410) 888-0447
Photo of Ebony Wright, PsyD, Psychologist
Ebony Wright
Psychologist, PsyD
Verified Verified
Serves Area
Ebony Wright is a Psychologist in Maryland who has been practicing since 2021. She has a Psy. D. from The Chicago School of Professional Psychology DC Campus, an M. A. in Clinical Psychology from The American School of Professional Psychology at Argosy University Northern Virginia and a B.S. in Psychology from Oakwood University. Ebony believes that taking the step to initiate therapeutic services is one to be applauded. Her services are deeply rooted in rapport building, empathy, and emphasis on the importance of collaboration between the client and herself.
Ebony Wright is a Psychologist in Maryland who has been practicing since 2021. She has a Psy. D. from The Chicago School of Professional Psychology DC Campus, an M. A. in Clinical Psychology from The American School of Professional Psychology at Argosy University Northern Virginia and a B.S. in Psychology from Oakwood University. Ebony believes that taking the step to initiate therapeutic services is one to be applauded. Her services are deeply rooted in rapport building, empathy, and emphasis on the importance of collaboration between the client and herself.
(410) 701-2323 View (410) 701-2323
Photo of Sydnie Spearman, LCPC, Counselor
Sydnie Spearman
Counselor, LCPC
Verified Verified
Online Only
Sydnie Spearman, LCPC Sydnie Spearman is a Licensed Clinical Professional Counselor in Maryland who started practicing in 2016. She has a Bachelor of Science in Psychology, Sociology, and Criminal Justice from Northern Michigan University and a Master of Arts in Forensic Psychology from The Chicago School of Professional Psychology.
Sydnie Spearman, LCPC Sydnie Spearman is a Licensed Clinical Professional Counselor in Maryland who started practicing in 2016. She has a Bachelor of Science in Psychology, Sociology, and Criminal Justice from Northern Michigan University and a Master of Arts in Forensic Psychology from The Chicago School of Professional Psychology.
(410) 973-7707 View (410) 973-7707
1

How does your Therapist compare?

Number of Therapists in Gambrills, MD

30+

Average cost per session

$152

Therapists in Gambrills, MD who prioritize treating:

86% Anxiety
80% Depression
71% Trauma and PTSD
57% Life Transitions
54% Grief
54% Bipolar Disorder
54% Self Esteem

Average years in practice

14 Years

Top 3 insurances accepted

90% CareFirst
81% BlueCross and BlueShield
81% Cigna and Evernorth

How Therapists in Gambrills, MD see their clients

72% In Person and Online
28% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Gambrills?

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.