Therapists in Silver Spring, MD

Photo of Dr. Pamela Atueyi, Licensed Clinical Professional Counselor, PsyD, LCPC, LCADC
Dr. Pamela Atueyi
Licensed Clinical Professional Counselor, PsyD, LCPC, LCADC
1 Endorsed
Silver Spring, MD 20904
Are you feeling overwhelmed by anxiety during pregnancy? Struggling to adjust to life after birth? Grieving a miscarriage and unsure how to move forward? Motherhood is one of life’s most profound experiences, but it can also bring unexpected emotional challenges. If you find yourself feeling anxious, isolated, or unsure of how to cope, you are not alone—and you don’t have to navigate this journey by yourself.
Are you feeling overwhelmed by anxiety during pregnancy? Struggling to adjust to life after birth? Grieving a miscarriage and unsure how to move forward? Motherhood is one of life’s most profound experiences, but it can also bring unexpected emotional challenges. If you find yourself feeling anxious, isolated, or unsure of how to cope, you are not alone—and you don’t have to navigate this journey by yourself.
(301) 417-5066 View (301) 417-5066
Photo of Kimberley Ince, Counselor, LGPC
Kimberley Ince
Counselor, LGPC
1 Endorsed
Silver Spring, MD 20912
Being seen, heard and validated by a trustworthy person is the first step of telling your story. My primary focus is to create a safe space so that therapy can be a positive experience for you. Identifying and celebrating the beautiful, joyous parts of your story while acknowledging and processing the ugly, unpleasant parts is the challenging work. Therapy is a team effort requiring patience and consistency. Part of my commitment to you is to encourage patience with yourself as you embark on this journey. I feel privileged to be used as an agent of change and being trusted with the vulnerable parts of your life.
Being seen, heard and validated by a trustworthy person is the first step of telling your story. My primary focus is to create a safe space so that therapy can be a positive experience for you. Identifying and celebrating the beautiful, joyous parts of your story while acknowledging and processing the ugly, unpleasant parts is the challenging work. Therapy is a team effort requiring patience and consistency. Part of my commitment to you is to encourage patience with yourself as you embark on this journey. I feel privileged to be used as an agent of change and being trusted with the vulnerable parts of your life.
(240) 663-8870 View (240) 663-8870
Photo of Ashley Rodriguez, Clinical Social Work/Therapist
Ashley Rodriguez
Clinical Social Work/Therapist
Online Only
Ashley is a clinical social worker with over 20 years of education, training, and experience in mental health working with clients who struggle with emotional and behavioral control, intrusive thoughts, and problematic relationships. She has two masters degrees in forensic psychology and social work as well as independent licenses to practice in both Michigan (LMSW) and Maryland (LCSW-C). She focuses on a whole-person, individualized approach to therapy focusing on client's strengths and personal goals.
Ashley is a clinical social worker with over 20 years of education, training, and experience in mental health working with clients who struggle with emotional and behavioral control, intrusive thoughts, and problematic relationships. She has two masters degrees in forensic psychology and social work as well as independent licenses to practice in both Michigan (LMSW) and Maryland (LCSW-C). She focuses on a whole-person, individualized approach to therapy focusing on client's strengths and personal goals.
(443) 781-8552 View (443) 781-8552
Photo of Catherine Olczak, Clinical Social Work/Therapist
Catherine Olczak
Clinical Social Work/Therapist
Online Only
Hello, I'm Catherine. I obtained my MSW from the State University of New York at Buffalo, and for over 21 years, I have been dedicated to helping adults navigate their mental health journeys in outpatient settings. My experience spans a variety of therapeutic strategies aimed at assisting clients in coping with uncomfortable mental health symptoms and life transitions. I believe that the human connection is what brings people to therapy, and the therapeutic relationship has the potential to be one of trust, safety, and acceptance. It is essential to offer results-oriented therapeutic strategies to help you reach your goals.
Hello, I'm Catherine. I obtained my MSW from the State University of New York at Buffalo, and for over 21 years, I have been dedicated to helping adults navigate their mental health journeys in outpatient settings. My experience spans a variety of therapeutic strategies aimed at assisting clients in coping with uncomfortable mental health symptoms and life transitions. I believe that the human connection is what brings people to therapy, and the therapeutic relationship has the potential to be one of trust, safety, and acceptance. It is essential to offer results-oriented therapeutic strategies to help you reach your goals.
(301) 507-1505 View (301) 507-1505
Photo of Amy Zimmerman, Licensed Professional Counselor, LGMFT, LGPC, LPMT, MT-BC
Amy Zimmerman
Licensed Professional Counselor, LGMFT, LGPC, LPMT, MT-BC
Online Only
With a client-centered and trauma-informed approach, Amy fosters compassion while working with individuals, couples, and families across all age groups. Amy is deeply committed to enhancing relationships, guiding clients from discord and distress to connection and emotional security. With a background in Music Therapy, Amy also integrates mediums like music, art, and imagery to empower clients to articulate and navigate complex emotions. Whether confronting challenges like relationship issues, depression, anxiety, neurodiversity, or trauma, Amy offers support, guidance, and empathy on the path to healing and transformation.
With a client-centered and trauma-informed approach, Amy fosters compassion while working with individuals, couples, and families across all age groups. Amy is deeply committed to enhancing relationships, guiding clients from discord and distress to connection and emotional security. With a background in Music Therapy, Amy also integrates mediums like music, art, and imagery to empower clients to articulate and navigate complex emotions. Whether confronting challenges like relationship issues, depression, anxiety, neurodiversity, or trauma, Amy offers support, guidance, and empathy on the path to healing and transformation.
(240) 883-5386 View (240) 883-5386
Photo of Dr. Shelley Viginia Savage - Dr Savage PsyD LLC, Psychologist, PsyD, RPCV
Dr Savage PsyD LLC
Psychologist, PsyD, RPCV
Online Only
Waitlist for new clients
Life is a journey. At any moment, we can face struggles in our relationships, work, health and wellbeing; or witness these struggles in loved ones. During such times, we may feel unequipped, lost, and alone. I work with individuals - adolescents and adults - struggling with issues of adjustment, anxiety, depression, grief, health, identity, relationships, trauma, and work-school/life balance. Additionally, I help diverse clients navigate issues related to intersectionality, culture-shock, and identity.
Life is a journey. At any moment, we can face struggles in our relationships, work, health and wellbeing; or witness these struggles in loved ones. During such times, we may feel unequipped, lost, and alone. I work with individuals - adolescents and adults - struggling with issues of adjustment, anxiety, depression, grief, health, identity, relationships, trauma, and work-school/life balance. Additionally, I help diverse clients navigate issues related to intersectionality, culture-shock, and identity.
(240) 226-1656 View (240) 226-1656
Photo of Denetra Gary, Clinical Social Work/Therapist
Denetra Gary
Clinical Social Work/Therapist
Online Only
Hello, I'm Denetra, a Licensed Clinical Social Worker in Maryland, Indiana, and North Carolina. With a Christian-based approach, I bring thirteen years of experience in social work and mental health counseling to help you navigate life's challenges. My practice, Complement & Complete, is a virtual mental health service designed to help you overcome the emotional roots that cause emotional, physical, and spiritual pain. I use a variety of treatment modalities, including Cognitive Behavioral Therapy, Talk Therapy, Conflict Theory, Solution-Focused Model, and Task-Centered Model.
Hello, I'm Denetra, a Licensed Clinical Social Worker in Maryland, Indiana, and North Carolina. With a Christian-based approach, I bring thirteen years of experience in social work and mental health counseling to help you navigate life's challenges. My practice, Complement & Complete, is a virtual mental health service designed to help you overcome the emotional roots that cause emotional, physical, and spiritual pain. I use a variety of treatment modalities, including Cognitive Behavioral Therapy, Talk Therapy, Conflict Theory, Solution-Focused Model, and Task-Centered Model.
(301) 215-3728 View (301) 215-3728
Photo of Sarah M. Matthews, Psychologist, PsyD
Sarah M. Matthews
Psychologist, PsyD
Silver Spring, MD 20910
Waitlist for new clients
I am a clinical psychologist with The Kingsbury Wellness & Learning Group, a nonprofit organization providing exceptional psychological services to children and adults. I specialize in the treatment of children, adolescents and young adults struggling with behavioral, emotional regulation, and social challenges. I provide psychotherapy and consultation to help individuals and families navigate anxiety, Autism Spectrum Disorder, mood disorders, ADHD, school and learning problems, and behavioral concerns. I value parental engagement and work closely with parents/caregivers in the process of child treatment.
I am a clinical psychologist with The Kingsbury Wellness & Learning Group, a nonprofit organization providing exceptional psychological services to children and adults. I specialize in the treatment of children, adolescents and young adults struggling with behavioral, emotional regulation, and social challenges. I provide psychotherapy and consultation to help individuals and families navigate anxiety, Autism Spectrum Disorder, mood disorders, ADHD, school and learning problems, and behavioral concerns. I value parental engagement and work closely with parents/caregivers in the process of child treatment.
(301) 273-7452 View (301) 273-7452
Photo of Elizabeth Perwin, Clinical Social Work/Therapist, LCSW-C
Elizabeth Perwin
Clinical Social Work/Therapist, LCSW-C
Silver Spring, MD 20910
I connect deeply and empathically with my clients, and challenge them towards greater self-awareness that leads to happiness and peace of mind internally and within relationships. Individuals and couples inevitably reach periods of frustration and conflict that signal the need for change. Whether these problems are grounded in past loss or current misfortune, outside intervention can offer immediate relief. I specialize in treating mood disorders, couples in gridlock, and adult children with a legacy of trauma, neglect or codependency. Working with adults and couples, I approach difficulties compassionately and non-pathologically. Psychotherapy helps restore emotional balance and well-being.
I connect deeply and empathically with my clients, and challenge them towards greater self-awareness that leads to happiness and peace of mind internally and within relationships. Individuals and couples inevitably reach periods of frustration and conflict that signal the need for change. Whether these problems are grounded in past loss or current misfortune, outside intervention can offer immediate relief. I specialize in treating mood disorders, couples in gridlock, and adult children with a legacy of trauma, neglect or codependency. Working with adults and couples, I approach difficulties compassionately and non-pathologically. Psychotherapy helps restore emotional balance and well-being.
(301) 852-6000 View (301) 852-6000
Photo of Laurie Mombay, Licensed Clinical Professional Counselor
Laurie Mombay
Licensed Clinical Professional Counselor
Online Only
Hello, I'm Laurie. Have you struggled with making sense of your story and wonder how to move forward with your life as it is today? As a Licensed Clinical Professional Counselor in Maryland with 20 years of experience, I have had the privilege of listening to people's stories with compassion, kindness, and support. I enjoy helping my clients gain understanding into how their past impacts the present and then use that insight to move toward a better future by choosing healthier thoughts, emotions, and behaviors.
Hello, I'm Laurie. Have you struggled with making sense of your story and wonder how to move forward with your life as it is today? As a Licensed Clinical Professional Counselor in Maryland with 20 years of experience, I have had the privilege of listening to people's stories with compassion, kindness, and support. I enjoy helping my clients gain understanding into how their past impacts the present and then use that insight to move toward a better future by choosing healthier thoughts, emotions, and behaviors.
(301) 610-3961 View (301) 610-3961
Photo of Martha Chica, Licensed Clinical Professional Counselor, LCPC
Martha Chica
Licensed Clinical Professional Counselor, LCPC
Online Only
My approach is collaborative and fluid. I weave in the different modalities into conversation-style sessions based on what is the best fit for your goals and needs. I use a trauma framework whether you have experienced trauma or not. This allows me to guide you to dive deep into the root of the problem to gain a better understanding of yourself. You will then fill your toolbox with coping skills to help you through your healing process.
My approach is collaborative and fluid. I weave in the different modalities into conversation-style sessions based on what is the best fit for your goals and needs. I use a trauma framework whether you have experienced trauma or not. This allows me to guide you to dive deep into the root of the problem to gain a better understanding of yourself. You will then fill your toolbox with coping skills to help you through your healing process.
(240) 627-2072 View (240) 627-2072
Photo of Kenzie Waechter, Counselor, LGPC
Kenzie Waechter
Counselor, LGPC
1 Endorsed
Silver Spring, MD 20910
Life can feel overwhelming—especially when you’re trying to navigate identity, relationships, trauma, or major life transitions. I work with individual clients of all backgrounds, with a special focus on supporting LGBTQ2+ individuals and those connected to military life. Clients often describe me as creative, straightforward, and deeply committed—I’m here to walk with you through the hard stuff and help you reconnect with your own wisdom, strength, and sense of self.
Life can feel overwhelming—especially when you’re trying to navigate identity, relationships, trauma, or major life transitions. I work with individual clients of all backgrounds, with a special focus on supporting LGBTQ2+ individuals and those connected to military life. Clients often describe me as creative, straightforward, and deeply committed—I’m here to walk with you through the hard stuff and help you reconnect with your own wisdom, strength, and sense of self.
(240) 589-5144 View (240) 589-5144
Photo of Mackenna Persing, Clinical Social Work/Therapist, LCSW
Mackenna Persing
Clinical Social Work/Therapist, LCSW
Online Only
My name is Mackenna Persing, and I am a Licensed Clinical Social Worker (LCSW-C) based in Baltimore, Maryland and working with clients statewide via telehealth. I primarily work with adults and emerging adults. My specialties are anxiety, depression, relationship issues, life transitions, perinatal mental health, and infertility challenges. I employ a person-centered, supportive approach and utilize cognitive behavioral therapy in my work with clients.
My name is Mackenna Persing, and I am a Licensed Clinical Social Worker (LCSW-C) based in Baltimore, Maryland and working with clients statewide via telehealth. I primarily work with adults and emerging adults. My specialties are anxiety, depression, relationship issues, life transitions, perinatal mental health, and infertility challenges. I employ a person-centered, supportive approach and utilize cognitive behavioral therapy in my work with clients.
(667) 247-9678 View (667) 247-9678
Photo of Rashid Jalloh, Clinical Social Work/Therapist, LCSW-C
Rashid Jalloh
Clinical Social Work/Therapist, LCSW-C
Online Only
In our first session clients can expect to meet a warm, open and non-judgmental person on the other side that will listen to their expectations and give an honest assessment of whether I am best positioned to partner with them in their journey to manage, cope and find solutions.
In our first session clients can expect to meet a warm, open and non-judgmental person on the other side that will listen to their expectations and give an honest assessment of whether I am best positioned to partner with them in their journey to manage, cope and find solutions.
(301) 250-1409 View (301) 250-1409
Photo of Shannon Jordan - iHeal Wellness Therapy and Consulting, LLC, Clinical Social Work/Therapist, PhD, LCSW-C, LICSW
iHeal Wellness Therapy and Consulting, LLC
Clinical Social Work/Therapist, PhD, LCSW-C, LICSW
Silver Spring, MD 20910
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
(240) 641-1845 View (240) 641-1845
Photo of Dr. JoAnna Ubiwa, Psychologist, PsyD, LCPC
Dr. JoAnna Ubiwa
Psychologist, PsyD, LCPC
2 Endorsed
Silver Spring, MD 20910
Ready to Transform Your Life? Explore “The Catalyst to Thrive.” I’m Dr. JoAnna Ubiwa, and I’m here to be your catalyst for positive change. When you start your therapeutic journey with me, one goal is for you to see a transformative shift within yourself—where you can truly flourish, thrive, and prosper in every aspect of your life.
Ready to Transform Your Life? Explore “The Catalyst to Thrive.” I’m Dr. JoAnna Ubiwa, and I’m here to be your catalyst for positive change. When you start your therapeutic journey with me, one goal is for you to see a transformative shift within yourself—where you can truly flourish, thrive, and prosper in every aspect of your life.
(240) 802-7322 View (240) 802-7322
Photo of Jeannette Mwangacucu - M Mental Health and Wellness Plus, Clinical Social Work/Therapist, LCSW-C, LICSW, PHD NP, MLSW
M Mental Health and Wellness Plus
Clinical Social Work/Therapist, LCSW-C, LICSW, PHD NP, MLSW
Silver Spring, MD 20904
We believe in the inseparable aspects of mental wellness and healthy lifestyle changes, as each complements the other. We offer a blend of therapeutic services aimed at integrating mental health techniques with lifestyle changes. We work with children with behavioral issues. We also work with parents of children with behavioral problems to provide additional support and resources for the parents. Our program offers medication management. We have worked with clients with PTSD, and relational issues.
We believe in the inseparable aspects of mental wellness and healthy lifestyle changes, as each complements the other. We offer a blend of therapeutic services aimed at integrating mental health techniques with lifestyle changes. We work with children with behavioral issues. We also work with parents of children with behavioral problems to provide additional support and resources for the parents. Our program offers medication management. We have worked with clients with PTSD, and relational issues.
(301) 918-5349 View (301) 918-5349
Photo of Sonja Williams, Marriage & Family Therapist, LCMFT, MDiv
Sonja Williams
Marriage & Family Therapist, LCMFT, MDiv
1 Endorsed
Silver Spring, MD 20910
Are you feeling stuck in a painful situation and worried that things wont get better? Are negative patterns repeating in your life and relationships? Well, you're not alone. With the right help, you can turn things around. I am the Director of Sonja Williams and Associates. For over 20 years, I have been helping people overcome impossible situations and heal broken relationships. Our team provides therapy, coaching, and Christian Counseling to individuals, couples, youth, and families. Visit us in Silver Spring (across from Metro), Largo (across from Metro), or in our Olney-Clarksville location. Parking is free. Your tomorrow can begin today!
Are you feeling stuck in a painful situation and worried that things wont get better? Are negative patterns repeating in your life and relationships? Well, you're not alone. With the right help, you can turn things around. I am the Director of Sonja Williams and Associates. For over 20 years, I have been helping people overcome impossible situations and heal broken relationships. Our team provides therapy, coaching, and Christian Counseling to individuals, couples, youth, and families. Visit us in Silver Spring (across from Metro), Largo (across from Metro), or in our Olney-Clarksville location. Parking is free. Your tomorrow can begin today!
(301) 979-7747 View (301) 979-7747
Photo of Saryn Levy, Psychologist, PhD
Saryn Levy
Psychologist, PhD
1 Endorsed
Silver Spring, MD 20910
Individuals frequently find themselves feeling stuck: in seemingly repeating patterns, with symptoms of anxiety and depression, or with pain from the past. Whether you are struggling in your connection with yourself and others, in your relationship with food and your body, or in your processing of past trauma and hurt, I believe that a warm and collaborative therapeutic relationship can facilitate healing, growth, and change. I frequently utilize EMDR as a catalyst for these meaningful changes.
Individuals frequently find themselves feeling stuck: in seemingly repeating patterns, with symptoms of anxiety and depression, or with pain from the past. Whether you are struggling in your connection with yourself and others, in your relationship with food and your body, or in your processing of past trauma and hurt, I believe that a warm and collaborative therapeutic relationship can facilitate healing, growth, and change. I frequently utilize EMDR as a catalyst for these meaningful changes.
(410) 237-0772 View (410) 237-0772
Photo of Anne Kim, Clinical Social Work/Therapist, LCSW-C
Anne Kim
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Online Only
I have experience working with clients ages from 5 to 105. I have worked at elementary school working with children, middle school & high school working with teens, university students working with young adults, community mental health centers working with adults, and a hospice setting working with mostly elders, providing individual, couples, family, group-therapy including bereavement counseling. I have enjoyed working with clients at every human development stages and learn to respect every one of my clients in the process of supporting them.
I have experience working with clients ages from 5 to 105. I have worked at elementary school working with children, middle school & high school working with teens, university students working with young adults, community mental health centers working with adults, and a hospice setting working with mostly elders, providing individual, couples, family, group-therapy including bereavement counseling. I have enjoyed working with clients at every human development stages and learn to respect every one of my clients in the process of supporting them.
(301) 284-3491 View (301) 284-3491

See more therapy options for Silver Spring

How does your Therapist compare?

Number of Therapists in Silver Spring, MD

1,000+

Average cost per session

$160

Therapists in Silver Spring, MD who prioritize treating:

93% Anxiety
89% Depression
70% Relationship Issues
69% Coping Skills
68% Self Esteem
68% Stress
62% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

80% Cigna and Evernorth
73% Aetna
63% UnitedHealthcare UHC | UBH

How Therapists in Silver Spring, MD see their clients

62% Online Only
38% In Person and Online

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Silver Spring?

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.