Therapists in Ann Arbor, MI

Photo of Barry Schumer, Clinical Social Work/Therapist, LMSW
Barry Schumer
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48103
I have developed an excellent 10 session couples group program (3 couples per group/90 minutes) every other week. I have helped save many marriages and relationships. Fight less, become better friends and re-ignite your sexual fire. Intimacy and love are typically the most important aspects of living a happy life. I am very skilled in treating depression, young adult identity disorder, divorce adjustment and grief. My average length of therapy is 3-6 months. Sessions are either in person or on Facetime.
I have developed an excellent 10 session couples group program (3 couples per group/90 minutes) every other week. I have helped save many marriages and relationships. Fight less, become better friends and re-ignite your sexual fire. Intimacy and love are typically the most important aspects of living a happy life. I am very skilled in treating depression, young adult identity disorder, divorce adjustment and grief. My average length of therapy is 3-6 months. Sessions are either in person or on Facetime.
(734) 444-4839 View (734) 444-4839
Photo of Michael Krstevski, Limited Licensed Psychologist, MS, LLP
Michael Krstevski
Limited Licensed Psychologist, MS, LLP
Verified Verified
3 Endorsed
Ann Arbor, MI 48103
We often seek help when we are facing setbacks in our lives that we cannot tackle alone. Sometimes these setbacks could take the form of difficulty in relationships, the workplace, or with family. Often times these difficulties are accompanied by feeling depressed, anxious, or overwhelmed with life. I can help by guiding you to a better understanding of your troubles, and gain control in your life. While working through your difficulties, you will find yourself feeling more connected, productive, and fulfilled with your life.
We often seek help when we are facing setbacks in our lives that we cannot tackle alone. Sometimes these setbacks could take the form of difficulty in relationships, the workplace, or with family. Often times these difficulties are accompanied by feeling depressed, anxious, or overwhelmed with life. I can help by guiding you to a better understanding of your troubles, and gain control in your life. While working through your difficulties, you will find yourself feeling more connected, productive, and fulfilled with your life.
(734) 275-2426 View (734) 275-2426
Photo of Felix Paulick, Clinical Social Work/Therapist, LMSW, MBA
Felix Paulick
Clinical Social Work/Therapist, LMSW, MBA
Verified Verified
3 Endorsed
Ann Arbor, MI 48103
I specialize in working with individuals and couples struggling with relationship issues, depression, anxiety, and addiction. My areas of expertise include couples therapy, men's issues, sexual issues, and parenting issues. My approach to therapy is engaging and interactive. I believe that therapy should not be hard and heavy. You can not fix a problem from the same place it came from. My motto is "light and easy." We will confront difficult situations and tackle great challenges together in a light and easy way. I aim to inspire my clients and more often than not my clients end up inspiring me.
I specialize in working with individuals and couples struggling with relationship issues, depression, anxiety, and addiction. My areas of expertise include couples therapy, men's issues, sexual issues, and parenting issues. My approach to therapy is engaging and interactive. I believe that therapy should not be hard and heavy. You can not fix a problem from the same place it came from. My motto is "light and easy." We will confront difficult situations and tackle great challenges together in a light and easy way. I aim to inspire my clients and more often than not my clients end up inspiring me.
(734) 335-1473 View (734) 335-1473
Photo of Dr. Sherri Newpol, Psychologist, PsyD, LP, HSP
Dr. Sherri Newpol
Psychologist, PsyD, LP, HSP
Verified Verified
5 Endorsed
Online Only
The most challenging step in seeking help is making the first appointment, and I understand it might be anxiety provoking. I provide individual and couples' therapy utilizing cognitive-behavioral theories within a solution-focused framework. This allows for some relief to happen quickly for depression, anxiety, panic, grief, PTSD, ADHD, OCD, care giver stress, eating disorders, substance abuse, trichotillomania, infertility, LGBTQQIAAP issues, and neuropsychological (Alzheimer's, head injury, dementias). I also complete surgery (bariatric, gender) and adoption evaluations. ACCEPTING NEW TELEHEALTH PATIENTS.
The most challenging step in seeking help is making the first appointment, and I understand it might be anxiety provoking. I provide individual and couples' therapy utilizing cognitive-behavioral theories within a solution-focused framework. This allows for some relief to happen quickly for depression, anxiety, panic, grief, PTSD, ADHD, OCD, care giver stress, eating disorders, substance abuse, trichotillomania, infertility, LGBTQQIAAP issues, and neuropsychological (Alzheimer's, head injury, dementias). I also complete surgery (bariatric, gender) and adoption evaluations. ACCEPTING NEW TELEHEALTH PATIENTS.
(734) 550-4971 View (734) 550-4971
Photo of Robin L Chaustowich, Licensed Professional Counselor, MA, LPC
Robin L Chaustowich
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
I am a 2019 graduate of Eastern Michigan University, and have a Master's in Clinical Mental Health Counseling. I also have a Master's in English Literature from Oakland University. I love collaborating with clients to find holistic and creative ways to heal, learn and grow. I use evidence based interventions to facilitate the journey towards balance, wellness and peace.
I am a 2019 graduate of Eastern Michigan University, and have a Master's in Clinical Mental Health Counseling. I also have a Master's in English Literature from Oakland University. I love collaborating with clients to find holistic and creative ways to heal, learn and grow. I use evidence based interventions to facilitate the journey towards balance, wellness and peace.
(734) 371-8462 x1 View (734) 371-8462 x1
Photo of Julie Ann Chappel, Clinical Social Work/Therapist, LMSW
Julie Ann Chappel
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48103
I welcome you to the next step in your life journey and invite you to a compassionate, safe space for personal growth. At Resilient Roots Therapy LLC I help adults of all ages navigate life's transitions and challenges. My goal is to help you uncover the strengths you have and offer tools you need to thrive, no matter where you are in your journey.
I welcome you to the next step in your life journey and invite you to a compassionate, safe space for personal growth. At Resilient Roots Therapy LLC I help adults of all ages navigate life's transitions and challenges. My goal is to help you uncover the strengths you have and offer tools you need to thrive, no matter where you are in your journey.
(734) 540-2187 View (734) 540-2187
Photo of Cassie Cleary, Clinical Social Work/Therapist, LCSW
Cassie Cleary
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! I'm Cassie Cleary, LMSW, a trauma-focused EMDR therapist specializing in PTSD, ADHD, depression, anxiety, and overcoming complex childhood trauma. My therapy style is client-centered, trusting, and supportive with the use of evidence-based practices to achieve results. EMDR, motivational interviewing, and DBT are the most common theoretical approaches I use as a therapist. I believe in trauma-focused approaches that are client centered and evidence based.
Hello! I'm Cassie Cleary, LMSW, a trauma-focused EMDR therapist specializing in PTSD, ADHD, depression, anxiety, and overcoming complex childhood trauma. My therapy style is client-centered, trusting, and supportive with the use of evidence-based practices to achieve results. EMDR, motivational interviewing, and DBT are the most common theoretical approaches I use as a therapist. I believe in trauma-focused approaches that are client centered and evidence based.
(734) 857-7858 View (734) 857-7858
Photo of Rowan Anastasia, Clinical Social Work/Therapist, LLMSW
Rowan Anastasia
Clinical Social Work/Therapist, LLMSW
Verified Verified
Ann Arbor, MI 48105
Do you ever get a cold isolated feeling when everyone around you seems to know exactly what they want to do in life or at least who they are and how to get there? That stomach-dropping loneliness that leaves you wondering if you’ll ever belong? Or maybe you know what it’s like to stare at an insurmountable mountain between you and who you want to be. So instead you put what everybody else wants and needs first, and hope no one ever asks you these questions because you don’t know what you’d be able to tell them? If so, my name is Rowan Anastasia LLMSW and I am the therapist for you.
Do you ever get a cold isolated feeling when everyone around you seems to know exactly what they want to do in life or at least who they are and how to get there? That stomach-dropping loneliness that leaves you wondering if you’ll ever belong? Or maybe you know what it’s like to stare at an insurmountable mountain between you and who you want to be. So instead you put what everybody else wants and needs first, and hope no one ever asks you these questions because you don’t know what you’d be able to tell them? If so, my name is Rowan Anastasia LLMSW and I am the therapist for you.
(734) 336-2456 View (734) 336-2456
Photo of Josie Barnard, Licensed Professional Counselor, MA, LLPC
Josie Barnard
Licensed Professional Counselor, MA, LLPC
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
Whether we are facing anxiety, depression, relationship issues, a significant life transition, debilitatingly low self-esteem, grief, or other mental health concerns, we all need people in our corner to provide empathy, compassion, and support as we seek growth and healing. I love to be one of these people in my clients' lives. I use an integrative approach that draws from various evidence-based treatments including CBT, ACT, DBT, nervous-system focused and trauma-informed theories, and more, depending on a client's needs and goals.
Whether we are facing anxiety, depression, relationship issues, a significant life transition, debilitatingly low self-esteem, grief, or other mental health concerns, we all need people in our corner to provide empathy, compassion, and support as we seek growth and healing. I love to be one of these people in my clients' lives. I use an integrative approach that draws from various evidence-based treatments including CBT, ACT, DBT, nervous-system focused and trauma-informed theories, and more, depending on a client's needs and goals.
(734) 336-1354 x15 View (734) 336-1354 x15
Photo of Yemisi Odetoyinbo, Clinical Social Work/Therapist, LMSW, IMH-E
Yemisi Odetoyinbo
Clinical Social Work/Therapist, LMSW, IMH-E
Verified Verified
Online Only
“When a baby is born, so is a mother.” My speciality focuses on the perinatal period and in the early years of parenting. When a person becomes a parent many things from their own childhood may make their way to the surface of the mind. How does that impact their thoughts, beliefs, and approach to pregnancy and parenting? Let's explore together.
“When a baby is born, so is a mother.” My speciality focuses on the perinatal period and in the early years of parenting. When a person becomes a parent many things from their own childhood may make their way to the surface of the mind. How does that impact their thoughts, beliefs, and approach to pregnancy and parenting? Let's explore together.
(734) 562-0153 View (734) 562-0153
Photo of Amber Sylvan, Psychologist, PhD
Amber Sylvan
Psychologist, PhD
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
Does it sometimes feel like you're trying to pour from an empty cup? Perhaps you have been feeling stuck, burnt out, or overwhelmed with stress. I help those who feel like they are drowning in unmanageable worry and difficult emotions learn new ways of navigating their world. I specialize in working with young adults and college students, people exploring their gender identity who need support in their transition process, and geeks of all ages who don't want to feel misunderstood by their nerdy interests. Together, we will develop new strategies to help you feel calmer and more empowered to navigate whatever life throws your way.
Does it sometimes feel like you're trying to pour from an empty cup? Perhaps you have been feeling stuck, burnt out, or overwhelmed with stress. I help those who feel like they are drowning in unmanageable worry and difficult emotions learn new ways of navigating their world. I specialize in working with young adults and college students, people exploring their gender identity who need support in their transition process, and geeks of all ages who don't want to feel misunderstood by their nerdy interests. Together, we will develop new strategies to help you feel calmer and more empowered to navigate whatever life throws your way.
(734) 215-9993 View (734) 215-9993
Photo of Carol L Osborne, Licensed Professional Counselor, MA, LPC
Carol L Osborne
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Online Only
Hi, I'm Carol and I love learning about people and supporting them in this journey of life. It's not always easy seeking support when you are feeling down or defeated. I would love to help you work through your situation and build hope into your life. Through a supportive and client-centered approach, I desire to help people adjust to life changes with resilience and strength. With a particular focus on working with military and veteran families, I understand the unique stressors and transitions that come with military life. As an educator and a therapist I bring a unique perspective in helping you discover how to thrive!
Hi, I'm Carol and I love learning about people and supporting them in this journey of life. It's not always easy seeking support when you are feeling down or defeated. I would love to help you work through your situation and build hope into your life. Through a supportive and client-centered approach, I desire to help people adjust to life changes with resilience and strength. With a particular focus on working with military and veteran families, I understand the unique stressors and transitions that come with military life. As an educator and a therapist I bring a unique perspective in helping you discover how to thrive!
(517) 995-6763 View (517) 995-6763
Photo of Rebecca Cowell, Limited Licensed Psychologist, MS, LLP, BCBA, LBA, CIRT
Rebecca Cowell
Limited Licensed Psychologist, MS, LLP, BCBA, LBA, CIRT
Verified Verified
Online Only
Are you ready to make meaningful changes in your life and achieve the goals you've been striving for? Do you want to shift your mindset, overcome negative patterns, and take control of your emotional well-being? Whether it's setting clear objectives, improving your emotional resilience, or finding greater clarity in your decisions, I can help you get there.
Are you ready to make meaningful changes in your life and achieve the goals you've been striving for? Do you want to shift your mindset, overcome negative patterns, and take control of your emotional well-being? Whether it's setting clear objectives, improving your emotional resilience, or finding greater clarity in your decisions, I can help you get there.
(734) 259-7439 View (734) 259-7439
Photo of Adria Hagg, Clinical Social Work/Therapist, LCSW, LMSW
Adria Hagg
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Online Only
Mental health issues such as anxiety, depression, ADHD, women's issues, career pressure, life transitions, stress, grief and perfectionism can feel overwhelming. Painful emotions and thoughts can lead to low self-esteem, uncertainty and loneliness. Therapy begins with a trusting connection between the client and therapist. Feeling heard, understood and supported in a non judgmental environment is important. You are not just another appointment on the schedule and I believe in developing a more personal therapeutic connection. I provide a compassionate and personalized therapeutic experience focused on healing and long-term change.
Mental health issues such as anxiety, depression, ADHD, women's issues, career pressure, life transitions, stress, grief and perfectionism can feel overwhelming. Painful emotions and thoughts can lead to low self-esteem, uncertainty and loneliness. Therapy begins with a trusting connection between the client and therapist. Feeling heard, understood and supported in a non judgmental environment is important. You are not just another appointment on the schedule and I believe in developing a more personal therapeutic connection. I provide a compassionate and personalized therapeutic experience focused on healing and long-term change.
(734) 215-9428 View (734) 215-9428
Photo of Michelle Walsh, Clinical Social Work/Therapist, LMSW
Michelle Walsh
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48105
Michelle Walsh is a Licensed Clinical Social Worker in Michigan who has been practicing since 2018. She graduated from the University of Michigan School of Social Work. Michelle believes in the foundational tenet of Dialectical Behavior Therapy that states we are all doing our best, and we can also be doing better. She allows this to lead her practice as she acknowledges the stigma related to mental health treatment, our inherent discomfort of change, and the impact our environment and genetics have on our thoughts, emotions, and behavior.
Michelle Walsh is a Licensed Clinical Social Worker in Michigan who has been practicing since 2018. She graduated from the University of Michigan School of Social Work. Michelle believes in the foundational tenet of Dialectical Behavior Therapy that states we are all doing our best, and we can also be doing better. She allows this to lead her practice as she acknowledges the stigma related to mental health treatment, our inherent discomfort of change, and the impact our environment and genetics have on our thoughts, emotions, and behavior.
(734) 280-3154 View (734) 280-3154
Photo of Kristi Cogswell-Boettcher, Licensed Professional Counselor, LPC
Kristi Cogswell-Boettcher
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I am a graduate of the University of South Carolina and have a Master's in Clinical Psychology from the Citadel. Before I went into private practice, I spent 12 years providing services to victims of domestic and sexual violence in community based agencies.
I am a graduate of the University of South Carolina and have a Master's in Clinical Psychology from the Citadel. Before I went into private practice, I spent 12 years providing services to victims of domestic and sexual violence in community based agencies.
(734) 802-1835 View (734) 802-1835
Photo of Lindsay Pietruck Bailey - Pietruck Therapy Services PLLC, Clinical Social Work/Therapist, MSW, LMSW
Pietruck Therapy Services PLLC
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
2 Endorsed
Ann Arbor, MI 48103
Pietruck Therapy Services (PTS) is a private group practice. PTS hopes to build mutual respect, trust and create a safe space with all clients. PTS has a commitment to providing culturally responsive services and strives to provide the upmost ethical practices. We are enthusiastic about working with children and families who are or have experienced trauma. We are very passionate about the work we do with children, adolescents, young adults and adults experiencing depression, anxiety, life adjustments, ADHD and those who identify as LGBTQIA+. We also have training and experience working with individuals who are on the ASD spectrum.
Pietruck Therapy Services (PTS) is a private group practice. PTS hopes to build mutual respect, trust and create a safe space with all clients. PTS has a commitment to providing culturally responsive services and strives to provide the upmost ethical practices. We are enthusiastic about working with children and families who are or have experienced trauma. We are very passionate about the work we do with children, adolescents, young adults and adults experiencing depression, anxiety, life adjustments, ADHD and those who identify as LGBTQIA+. We also have training and experience working with individuals who are on the ASD spectrum.
(734) 436-3311 View (734) 436-3311
Photo of Vanessa Bird, Licensed Professional Counselor, LPC
Vanessa Bird
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
Welcome! I am Vanessa, and I look forward to supporting you as you embark on this next chapter of your journey toward more satisfaction, sense of accomplishment and peace in your life. I enjoy supporting folks through healing and personal growth, building the best path forward, living a satisfying life. I have an extensive experience working with depression and mood disorders, stress and anxiety, loss and grief, life transitions, eating and body image issues and other concerns.
Welcome! I am Vanessa, and I look forward to supporting you as you embark on this next chapter of your journey toward more satisfaction, sense of accomplishment and peace in your life. I enjoy supporting folks through healing and personal growth, building the best path forward, living a satisfying life. I have an extensive experience working with depression and mood disorders, stress and anxiety, loss and grief, life transitions, eating and body image issues and other concerns.
(734) 251-4883 View (734) 251-4883
Photo of Dr. Megan M. Julian, Psychologist, PhD
Dr. Megan M. Julian
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
I specialize in therapy for anxiety and OCD in children, teens, and young adults; therapy and evaluations for toddlers, preschoolers, and young children; and parenting support. For young children, I offer diagnostic assessments to better understand their symptoms, development, and relationships, and to guide treatment recommendations. Therapy for young children can help them and their caregivers to improve their relationship, improve coping skills, reduce emotional outbursts or other mental health symptoms, and reduce parenting stress. I use strategies from evidence-based approaches, tailored for the needs of each family.
I specialize in therapy for anxiety and OCD in children, teens, and young adults; therapy and evaluations for toddlers, preschoolers, and young children; and parenting support. For young children, I offer diagnostic assessments to better understand their symptoms, development, and relationships, and to guide treatment recommendations. Therapy for young children can help them and their caregivers to improve their relationship, improve coping skills, reduce emotional outbursts or other mental health symptoms, and reduce parenting stress. I use strategies from evidence-based approaches, tailored for the needs of each family.
(734) 206-7153 View (734) 206-7153
Photo of Robert J Spencer - Spencer Neuropsychology, Psychologist, PhD
Spencer Neuropsychology
Psychologist, PhD
Verified Verified
Ann Arbor, MI 48108
I specialize in psychological and neuropsychological assessment. Contact me if you need a neuropsychological assessment for Traumatic Brain Injury, bariatric surgery, or ADHD/Learning Disorder accommodations. I also provide Cognitive Behavioral Therapy for Insomnia, a straightforward and effective approach for improving sleep that does not involve medications and has a proven track record of success in clinical trials.
I specialize in psychological and neuropsychological assessment. Contact me if you need a neuropsychological assessment for Traumatic Brain Injury, bariatric surgery, or ADHD/Learning Disorder accommodations. I also provide Cognitive Behavioral Therapy for Insomnia, a straightforward and effective approach for improving sleep that does not involve medications and has a proven track record of success in clinical trials.
(734) 887-1202 View (734) 887-1202
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How does your Therapist compare?

Number of Therapists in Ann Arbor, MI

1,000+

Average cost per session

$150

Therapists in Ann Arbor, MI who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
72% Relationship Issues
69% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
64% Aetna
51% Blue Care Network

How Therapists in Ann Arbor, MI see their clients

57% In Person and Online
43% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ann Arbor?

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.