Therapists in Silver Spring, MD

Photo of Cynthia Kohler - Thriveworks Counseling & Psychiatry Silver Spring, Licensed Professional Counselor
Thriveworks Counseling & Psychiatry Silver Spring
Licensed Professional Counselor
Verified Verified
Silver Spring, MD 20902
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(240) 332-1779 View (240) 332-1779
Photo of Phranci Williams, MA, LCPC, EMDR, Licensed Professional Counselor
Phranci Williams
Licensed Professional Counselor, MA, LCPC, EMDR
Verified Verified
1 Endorsed
Online Only
Are you ready to break free from the past and step into a life that feels vibrant and fulfilling? If you’re tired of letting past traumas—especially sexual trauma—hold you back from feeling deeply connected and truly satisfied, you’re not alone. As a trauma therapist, I specialize in helping people heal and gain clarity through EMDR therapy. Whether you’re single, in a relationship, or somewhere in between, I’m here to help you cultivate a healthy life with meaningful, fulfilling relationships.
Are you ready to break free from the past and step into a life that feels vibrant and fulfilling? If you’re tired of letting past traumas—especially sexual trauma—hold you back from feeling deeply connected and truly satisfied, you’re not alone. As a trauma therapist, I specialize in helping people heal and gain clarity through EMDR therapy. Whether you’re single, in a relationship, or somewhere in between, I’m here to help you cultivate a healthy life with meaningful, fulfilling relationships.
(240) 802-7316 View (240) 802-7316
Photo of Jennifer Barnett
Jennifer Barnett
Licensed Clinical Professional Counselor
Verified Verified
Online Only
My passion is to assist individuals with improving their lives by providing a safe, non-judgmental atmosphere for growth, self-reflection/insight building, processing trauma/managing related triggers, building strategies to improve relationships with self and others, building skills to decrease depressive/anxious/obsessive thoughts and compete with stress, while also building hope, resiliency and motivation.
My passion is to assist individuals with improving their lives by providing a safe, non-judgmental atmosphere for growth, self-reflection/insight building, processing trauma/managing related triggers, building strategies to improve relationships with self and others, building skills to decrease depressive/anxious/obsessive thoughts and compete with stress, while also building hope, resiliency and motivation.
(240) 363-1835 View (240) 363-1835
Photo of Jim Presant - ADHD & Cognitive Therapy , LCSWC, Clinical Social Work/Therapist
ADHD & Cognitive Therapy
Clinical Social Work/Therapist, LCSWC
Verified Verified
Online Only
ADHD Treatment Specialist and goal-oriented Cognitive Therapist. I've helped hundreds of Adults with ADHD cope better with procrastination, prioritizing, disorganization, staying focused, etc. ... I'm not a passive listener. Together we clarify your goals, then work together to achieve them. We agree each week on new behaviors to practice between sessions, so progress continues throughout the week. ... My Cognitive Therapy expertise helps us achieve short-term and long term results more quickly, with anxiety, depression, insomnia, relationship & career issues - and also communication, assertiveness, and decision making.
ADHD Treatment Specialist and goal-oriented Cognitive Therapist. I've helped hundreds of Adults with ADHD cope better with procrastination, prioritizing, disorganization, staying focused, etc. ... I'm not a passive listener. Together we clarify your goals, then work together to achieve them. We agree each week on new behaviors to practice between sessions, so progress continues throughout the week. ... My Cognitive Therapy expertise helps us achieve short-term and long term results more quickly, with anxiety, depression, insomnia, relationship & career issues - and also communication, assertiveness, and decision making.
(240) 332-0649 View (240) 332-0649
Photo of Amber Latimore | Mind Body Art Therapy, MA, LGPC
Amber Latimore | Mind Body Art Therapy
MA, LGPC
Verified Verified
2 Endorsed
Online Only
My name is Amber Latimore. I am a Licensed Graduate Professional Counselor and a published author. I have experience working in education as a special education teacher and working in the private sector as a behavior consultant for families with children on the spectrum. My most recent experience is working in the mental health field with individuals with mood, anxiety and trauma disorders at all ages. I have a master’s in psychology and I am a certified autism specialist and trauma-informed therapy.
My name is Amber Latimore. I am a Licensed Graduate Professional Counselor and a published author. I have experience working in education as a special education teacher and working in the private sector as a behavior consultant for families with children on the spectrum. My most recent experience is working in the mental health field with individuals with mood, anxiety and trauma disorders at all ages. I have a master’s in psychology and I am a certified autism specialist and trauma-informed therapy.
(240) 589-5615 View (240) 589-5615
Photo of Carlisle Greaves, Clinical Social Work/Therapist
Carlisle Greaves
Clinical Social Work/Therapist
Verified Verified
Online Only
Feeling confused? Down? Foggy? Have you tried everything on your own, and don't know what to do anymore? We all have struggles that we can't manage on our own. I can help you to manage and comfort your pain. You are not alone. I am a Licensed Clinical Social Worker with 16 years of experience working with children, adolescence, and adults with a wide range of difficulties including significant behavioral issues, mood disorders, autism spectrum disorders, marital issues, anger management, personality disorders, schizophrenia, thought disorders, depression, and anxiety.
Feeling confused? Down? Foggy? Have you tried everything on your own, and don't know what to do anymore? We all have struggles that we can't manage on our own. I can help you to manage and comfort your pain. You are not alone. I am a Licensed Clinical Social Worker with 16 years of experience working with children, adolescence, and adults with a wide range of difficulties including significant behavioral issues, mood disorders, autism spectrum disorders, marital issues, anger management, personality disorders, schizophrenia, thought disorders, depression, and anxiety.
(443) 940-5324 View (443) 940-5324
Photo of Tranesh Christie-Nance, LCPC
Tranesh Christie-Nance
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Silver Spring, MD 20910
Through my education, research, and training as a therapist, I have learned and experimented with many therapeutic techniques to support my clients. As a result, I have adapted several techniques from cognitive behavioral therapy (CBT) to change unhelpful ways of thinking, feeling, and behaving; dialectical behavior therapy (DBT) to support clients with understanding and accepting their emotions, and learning to manage them; and mindfulness to help you increase awareness through meditation and relaxation.
Through my education, research, and training as a therapist, I have learned and experimented with many therapeutic techniques to support my clients. As a result, I have adapted several techniques from cognitive behavioral therapy (CBT) to change unhelpful ways of thinking, feeling, and behaving; dialectical behavior therapy (DBT) to support clients with understanding and accepting their emotions, and learning to manage them; and mindfulness to help you increase awareness through meditation and relaxation.
(240) 240-6306 View (240) 240-6306
Photo of Elliott Conklin, PsyD, Psychologist
Elliott Conklin
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
I am the Executive Director of the Kingsbury Wellness & Learning Group, a nonprofit serving families in the DC metropolitan area. I work with clients who are hitting a wall with frustration and discouragement. I help them cope with immense stress and responsibility, navigate difficult life changes, engage with their families, and recover a sense of purpose. For young people, this typically means developing greater independence and feeling more secure as their responsibilities expand. For adult clients, it often means reflecting on the direction of their lives to develop a better understanding of what to accept and what to change.
I am the Executive Director of the Kingsbury Wellness & Learning Group, a nonprofit serving families in the DC metropolitan area. I work with clients who are hitting a wall with frustration and discouragement. I help them cope with immense stress and responsibility, navigate difficult life changes, engage with their families, and recover a sense of purpose. For young people, this typically means developing greater independence and feeling more secure as their responsibilities expand. For adult clients, it often means reflecting on the direction of their lives to develop a better understanding of what to accept and what to change.
(301) 719-5872 View (301) 719-5872
Photo of Emma Lash, MS, LMFT, Marriage & Family Therapist
Emma Lash
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Online Only
I specialize in working with individual adults and couples who are dealing with a variety of life-stressors and who are looking to make changes in their relationship with themselves and with others.
I specialize in working with individual adults and couples who are dealing with a variety of life-stressors and who are looking to make changes in their relationship with themselves and with others.
(301) 259-3393 View (301) 259-3393
Photo of Ronnie Biemans, MA, LCPC
Ronnie Biemans
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
2 Endorsed
Silver Spring, MD 20910
My approach is particularly suited to those individuals who are struggling with emotional distress and anxiety, school difficulties and overwork. Students, caregivers, new parents, pregnant or postpartum women, infertile couples, parents of children with special needs, and those dealing with chronic illness have found my approach very helpful. Join with me to restore and renew your emotional health. Together we will explore your strengths and challenges and develop a plan just right for you, with strategies proven to ensure stress and anxiety reduction, mood regulation, improved sleep, fulfilling relationships and balanced living.
My approach is particularly suited to those individuals who are struggling with emotional distress and anxiety, school difficulties and overwork. Students, caregivers, new parents, pregnant or postpartum women, infertile couples, parents of children with special needs, and those dealing with chronic illness have found my approach very helpful. Join with me to restore and renew your emotional health. Together we will explore your strengths and challenges and develop a plan just right for you, with strategies proven to ensure stress and anxiety reduction, mood regulation, improved sleep, fulfilling relationships and balanced living.
(240) 772-5451 View (240) 772-5451
Photo of Obella M Obbo, MS, Psychological Associate
Obella M Obbo
Psychological Associate, MS
Verified Verified
3 Endorsed
Silver Spring, MD 20901
Not accepting new clients
I have experience offering trauma-informed therapeutic services for survivors and alleged perpetrators. And I have offered counsel to many emerging adults struggling with fundamental childhood pain related to their upbringing and connected their experiences of racism, their ethnic origins, sexual orientation, gender identity, neurodivergence, and the many other multi-dimensional ways we can identify and be made to feel othered. As I understand trauma can be relational, as so should be healing. So where you may find value in intimate partner, familial, or group healing, I am happy to meet you and other willing participants there.
I have experience offering trauma-informed therapeutic services for survivors and alleged perpetrators. And I have offered counsel to many emerging adults struggling with fundamental childhood pain related to their upbringing and connected their experiences of racism, their ethnic origins, sexual orientation, gender identity, neurodivergence, and the many other multi-dimensional ways we can identify and be made to feel othered. As I understand trauma can be relational, as so should be healing. So where you may find value in intimate partner, familial, or group healing, I am happy to meet you and other willing participants there.
(301) 781-5698 View (301) 781-5698
Photo of Grace Olivieri, LCSW-C, Clinical Social Work/Therapist
Grace Olivieri
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
Bilingual Therapist - It is my belief that people possess inner wisdom and strength, allowing them to identify solutions for their lives. However, sometimes trauma, stress, and other issues may get in the way of coping with life's demands. As challenges arise, so does the need for support. As a therapist, I am deeply committed to empowering individuals to strengthen their connections with themselves and others.
Bilingual Therapist - It is my belief that people possess inner wisdom and strength, allowing them to identify solutions for their lives. However, sometimes trauma, stress, and other issues may get in the way of coping with life's demands. As challenges arise, so does the need for support. As a therapist, I am deeply committed to empowering individuals to strengthen their connections with themselves and others.
(240) 570-8905 View (240) 570-8905
Photo of Jasmine Gambino, LCSW-C, Clinical Social Work/Therapist
Jasmine Gambino
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Online Only
My goal as a therapist is to inspire hope and change by providing a safe, supportive and nonjudgmental environment to build a therapeutic relationship that allows for courageous “self-study”. With understanding self comes clarity, and relief, which in turn creates the opportunity to cultivate new healthy ways to think, feel, and react. By working collaboratively, you will uncover, understand, and overcome challenges including loneliness, guilt, shame, fear, grief, and self-doubt.
My goal as a therapist is to inspire hope and change by providing a safe, supportive and nonjudgmental environment to build a therapeutic relationship that allows for courageous “self-study”. With understanding self comes clarity, and relief, which in turn creates the opportunity to cultivate new healthy ways to think, feel, and react. By working collaboratively, you will uncover, understand, and overcome challenges including loneliness, guilt, shame, fear, grief, and self-doubt.
(240) 647-5146 View (240) 647-5146
Photo of Krystal Stanley - Re-New Psychological Services, PhD, Psychologist
Re-New Psychological Services
Psychologist, PhD
Verified Verified
3 Endorsed
Online Only
At Re-New Psychological we are of the belief that you're doing the best you can with the tools that you have. We work to help you identify your strengths and your successes and identify areas of growth. Rather than highlighting pathology in your life, we help you develop new tools to overcome any roadblocks you have encountered. We bring clinical expertise to our work with you, but regard you as the expert on your life. You can expect that our work with you will be collaborative and goal-focused.
At Re-New Psychological we are of the belief that you're doing the best you can with the tools that you have. We work to help you identify your strengths and your successes and identify areas of growth. Rather than highlighting pathology in your life, we help you develop new tools to overcome any roadblocks you have encountered. We bring clinical expertise to our work with you, but regard you as the expert on your life. You can expect that our work with you will be collaborative and goal-focused.
(202) 688-3813 View (202) 688-3813
Photo of Susan B Diamond, LICSW, LCSW-C, LCSW, Clinical Social Work/Therapist
Susan B Diamond
Clinical Social Work/Therapist, LICSW, LCSW-C, LCSW
Verified Verified
Online Only
Psychotherapy provides us an opportunity to learn about our feelings, thoughts, behaviors, and how to develop healthier coping skills. In our work together, I will offer you strategies to enhance your primary relationships, friendships, and work-life balance. The goal is to help you develop a greater awareness of yourself, and to have more options for relating to the world. If you are depressed, anxious, having marital conflicts, or in the midst of a life transition, psychotherapy can help you. I have over 30 years of experience providing individual and couples therapy to adults.
Psychotherapy provides us an opportunity to learn about our feelings, thoughts, behaviors, and how to develop healthier coping skills. In our work together, I will offer you strategies to enhance your primary relationships, friendships, and work-life balance. The goal is to help you develop a greater awareness of yourself, and to have more options for relating to the world. If you are depressed, anxious, having marital conflicts, or in the midst of a life transition, psychotherapy can help you. I have over 30 years of experience providing individual and couples therapy to adults.
(202) 670-1969 View (202) 670-1969
Photo of Ann E Haman, LCSW-C, MSW, MA, Clinical Social Work/Therapist
Ann E Haman
Clinical Social Work/Therapist, LCSW-C, MSW, MA
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Not accepting new clients
You have decided that something in your life needs to change: perhaps chronic stress or emotional pain, confusing behaviors or needs in your child, or your way of dealing with ongoing family issues. Therapy is a collaborative process in which I facilitate these changes. I have significant experience with issues around giftedness and its social-emotional challenges, anxiety, trauma, attachment, and adoption. I treat all clients with respect, interest, and openness. I am a relaxed, approachable person who feels privileged to work at a job I love with children and adults who teach and inspire me with their courage.
You have decided that something in your life needs to change: perhaps chronic stress or emotional pain, confusing behaviors or needs in your child, or your way of dealing with ongoing family issues. Therapy is a collaborative process in which I facilitate these changes. I have significant experience with issues around giftedness and its social-emotional challenges, anxiety, trauma, attachment, and adoption. I treat all clients with respect, interest, and openness. I am a relaxed, approachable person who feels privileged to work at a job I love with children and adults who teach and inspire me with their courage.
(301) 852-7631 View (301) 852-7631
Photo of Chris Farley, MS, LCPC, Counselor
Chris Farley
Counselor, MS, LCPC
Verified Verified
7 Endorsed
Online Only
Waitlist for new clients
I am Chris Farley, though not the former Saturday Night Live comedian famous for saying you could end up "living in a van down by the river." I still think I'm funny, but I'm actually a therapist trained in Rational Emotive Behavior Therapy (REBT) with 20+ years of experience working with adults, teens & families. In recent years, I have begun focusing more on using gaming and nerd culture to connect with and help clients feel accepted, developing Dungeons & Dragons Social Skills/Therapy Groups for adults and teens. If you are interested in learning more about how gaming can be used in therapy, give me a call or shoot me an email.
I am Chris Farley, though not the former Saturday Night Live comedian famous for saying you could end up "living in a van down by the river." I still think I'm funny, but I'm actually a therapist trained in Rational Emotive Behavior Therapy (REBT) with 20+ years of experience working with adults, teens & families. In recent years, I have begun focusing more on using gaming and nerd culture to connect with and help clients feel accepted, developing Dungeons & Dragons Social Skills/Therapy Groups for adults and teens. If you are interested in learning more about how gaming can be used in therapy, give me a call or shoot me an email.
(202) 688-0865 View (202) 688-0865
Photo of Lj Pelham, Marriage & Family Therapist Intern
Lj Pelham
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Life's journey can present us with unexpected challenges, leaving us feeling adrift at times. Whether you're grappling with personal hurdles, exploring questions of faith, or navigating the complexities of aging, rest assured that you're not alone. As a therapist, I offer a supportive space where you can explore, heal, and grow. Drawing from my experiences as a stepmom and mediator, I understand the intricacies of family dynamics and relationship struggles. Together, we'll acknowledge your experiences, validate your feelings, and embark on a journey towards deeper connections, self-acceptance, and lasting love.
Life's journey can present us with unexpected challenges, leaving us feeling adrift at times. Whether you're grappling with personal hurdles, exploring questions of faith, or navigating the complexities of aging, rest assured that you're not alone. As a therapist, I offer a supportive space where you can explore, heal, and grow. Drawing from my experiences as a stepmom and mediator, I understand the intricacies of family dynamics and relationship struggles. Together, we'll acknowledge your experiences, validate your feelings, and embark on a journey towards deeper connections, self-acceptance, and lasting love.
(240) 213-2783 View (240) 213-2783
Photo of Dennis O'Brien, LCSWC, Clinical Social Work/Therapist
Dennis O'Brien
Clinical Social Work/Therapist, LCSWC
Verified Verified
1 Endorsed
Silver Spring, MD 20910
I am best described as a general practitioner for young adult and adult men and women's issues such as anxiety, stress, depression and mood difficulties, either ongoing or brought on by situational factors such as work place problems, family and couples issues, illness, accident, death in the family or other unforeseen life changes. I see young adult males with depression, anxiety, relationship, substance abuse or alcohol problems.
I am best described as a general practitioner for young adult and adult men and women's issues such as anxiety, stress, depression and mood difficulties, either ongoing or brought on by situational factors such as work place problems, family and couples issues, illness, accident, death in the family or other unforeseen life changes. I see young adult males with depression, anxiety, relationship, substance abuse or alcohol problems.
(301) 608-3764 View (301) 608-3764
A Village Wellness Center
Drug & Alcohol Counselor, CADC/S
Verified Verified
Silver Spring, MD 20910
Welcome! I’m Joy Smith, a dedicated Addictions Counselor and Supervisor with extensive experience in behavioral health. My professional journey has been driven by a passion for helping individuals overcome addiction and achieve lasting recovery. I believe in a holistic approach to treatment, tailored to meet the unique needs of each client. At AVWC our goal is to provide a supportive and compassionate environment where clients feel empowered to make positive changes.
Welcome! I’m Joy Smith, a dedicated Addictions Counselor and Supervisor with extensive experience in behavioral health. My professional journey has been driven by a passion for helping individuals overcome addiction and achieve lasting recovery. I believe in a holistic approach to treatment, tailored to meet the unique needs of each client. At AVWC our goal is to provide a supportive and compassionate environment where clients feel empowered to make positive changes.
(240) 816-4584 View (240) 816-4584
1
...

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:

94% Anxiety
88% Depression
73% Relationship Issues
71% Self Esteem
68% Stress
67% Coping Skills
64% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

73% Cigna and Evernorth
63% BlueCross and BlueShield
61% Aetna

How Therapists in Silver Spring, MD see their clients

53% Online Only
47% 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.