Therapists in Tampa, FL

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Photo of Jessica Watson, LCSW, Clinical Social Work/Therapist
Jessica Watson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Tampa, FL 33606
Your future depends on what you do in the present. No one knows you, better than you, so I will work with you to develop your therapy goals. Together, we will identify patterns of thinking and feeling that may keep you stuck. Therapy can help to improve your confidence, communication, and emotional regulation. I specialize in anxiety, attachment, and adoption (Adoption-Competent Therapist) with a strong background in trauma. I work comfortably with teens, adults, and couples. I use a client-centered approach in therapy that utilizes a variety of techniques. I am an experienced Accelerated Resolution Therapist.
Your future depends on what you do in the present. No one knows you, better than you, so I will work with you to develop your therapy goals. Together, we will identify patterns of thinking and feeling that may keep you stuck. Therapy can help to improve your confidence, communication, and emotional regulation. I specialize in anxiety, attachment, and adoption (Adoption-Competent Therapist) with a strong background in trauma. I work comfortably with teens, adults, and couples. I use a client-centered approach in therapy that utilizes a variety of techniques. I am an experienced Accelerated Resolution Therapist.
(813) 213-4117 View (813) 213-4117
Photo of Joe Tabone, MSW, LCSW, Clinical Social Work/Therapist
Joe Tabone
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Tampa, FL 33607
At some point, everyone experiences a season in their life where they feel like they are not moving forward. I acknowledge the courage it takes to seek a more fulfilling and happier life and commend you for your choice in reaching for it. My practice is client centered, client driven and is highly individualized. Areas of expertise include depression, anxiety, substance use and those who struggle with motivation and self-esteem. My approach to emotional health and well-being includes strategies and exercises rooted in positive psychology.
At some point, everyone experiences a season in their life where they feel like they are not moving forward. I acknowledge the courage it takes to seek a more fulfilling and happier life and commend you for your choice in reaching for it. My practice is client centered, client driven and is highly individualized. Areas of expertise include depression, anxiety, substance use and those who struggle with motivation and self-esteem. My approach to emotional health and well-being includes strategies and exercises rooted in positive psychology.
(813) 212-9692 View (813) 212-9692
Photo of Hannah Smith, Pre-Licensed Professional
Hannah Smith
Pre-Licensed Professional
Verified Verified
1 Endorsed
Tampa, FL 33612
In the world of mental health, trust is more than a word; it's the foundation of healing and growth. I embrace the privilege of guiding individuals through life's complex challenges. With an integrative approach tailored to each unique soul, my mission goes beyond therapy; it's a pursuit of transformation, grounded in empathy and a profound belief in human potential.
In the world of mental health, trust is more than a word; it's the foundation of healing and growth. I embrace the privilege of guiding individuals through life's complex challenges. With an integrative approach tailored to each unique soul, my mission goes beyond therapy; it's a pursuit of transformation, grounded in empathy and a profound belief in human potential.
(813) 308-0598 View (813) 308-0598
Photo of Dr. Mary Perleoni, PhD, LMHC, NCC, Counselor
Dr. Mary Perleoni
Counselor, PhD, LMHC, NCC
Verified Verified
Tampa, FL 33609
It Begins Within (www.ibwhc.com) provides counseling services to Individuals, Couples and Families in the Tampa Bay area. Life can be hard. It Begins Within exists to help you heal from a painful past, cope with a difficult present, and instill hope for the future. You don’t need to wait until your life is falling apart to receive help. Everyone needs therapy at any given season of their life. Seeking outside help does not mean you’re weak. In fact, it proves your courage and commitment to living life to the fullest
It Begins Within (www.ibwhc.com) provides counseling services to Individuals, Couples and Families in the Tampa Bay area. Life can be hard. It Begins Within exists to help you heal from a painful past, cope with a difficult present, and instill hope for the future. You don’t need to wait until your life is falling apart to receive help. Everyone needs therapy at any given season of their life. Seeking outside help does not mean you’re weak. In fact, it proves your courage and commitment to living life to the fullest
(813) 538-0385 View (813) 538-0385
Photo of Shauna Kelly, MA, RMHCI, CWCM, Pre-Licensed Professional
Shauna Kelly
Pre-Licensed Professional, MA, RMHCI, CWCM
Verified Verified
Tampa, FL 33607  (Online Only)
You are always only one decision away from a completely different life! I take an individualized approach and utilize evidenced based techniques that are optimal for your personal goals, individual needs, and situation. My goal is to be able to provide a safe environment for you to be able to explore and understand yourself and your needs more optimally. I am here to support you in navigating through your most personal and difficult phases of life, whatever that looks like for you today!
You are always only one decision away from a completely different life! I take an individualized approach and utilize evidenced based techniques that are optimal for your personal goals, individual needs, and situation. My goal is to be able to provide a safe environment for you to be able to explore and understand yourself and your needs more optimally. I am here to support you in navigating through your most personal and difficult phases of life, whatever that looks like for you today!
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Photo of Theresa Brown, LMHC, Counselor
Theresa Brown
Counselor, LMHC
Verified Verified
Tampa, FL 33602
Do you want to make a change and are tired of the same old things in your life? Are you dealing with a life transition or low self-esteem? Do you want to know how to navigate new waters, build up your confidence, and care for yourself along the way? Do you want to reduce anxiety and worry to live a life of joy? You may want to get better sleep and not feel sad all the time. By acquiring coping skills and increasing self-esteem, you will live a happier life and better manage stress.
Do you want to make a change and are tired of the same old things in your life? Are you dealing with a life transition or low self-esteem? Do you want to know how to navigate new waters, build up your confidence, and care for yourself along the way? Do you want to reduce anxiety and worry to live a life of joy? You may want to get better sleep and not feel sad all the time. By acquiring coping skills and increasing self-esteem, you will live a happier life and better manage stress.
(813) 214-6870 View (813) 214-6870
Photo of Brittney McCoy, LMHC, Counselor
Brittney McCoy
Counselor, LMHC
Verified Verified
Tampa, FL 33609  (Online Only)
I incorporate Cognitive Behavior Therapy most in my therapy sessions, but I also make it feel like a simple conversation so that people can relax and feel more comfortable speaking with me. I have been working as a therapist for over nine years and am thankful to continue to help those navigate through life!
I incorporate Cognitive Behavior Therapy most in my therapy sessions, but I also make it feel like a simple conversation so that people can relax and feel more comfortable speaking with me. I have been working as a therapist for over nine years and am thankful to continue to help those navigate through life!
(305) 419-2318 View (305) 419-2318
Photo of Casey Nobile, LCSW, Clinical Social Work/Therapist
Casey Nobile
Clinical Social Work/Therapist, LCSW
Verified Verified
Tampa, FL 33602  (Online Only)
Are you feeling overwhelmed with anxiety, depression, or struggling to navigate life's challenges? I'm here to help. My name is Casey Nobile, a Licensed Clinical Social Worker operating in Florida, Nevada, Minnesota, South Carolina, and Wyoming. I passionately approach therapy with a commitment to create a safe, welcoming, and comfortable environment for you to be authentically yourself. I'm here to help you unearth the issues you'd like to address and create impactful solutions that enhance your life quality. (problems: 453)
Are you feeling overwhelmed with anxiety, depression, or struggling to navigate life's challenges? I'm here to help. My name is Casey Nobile, a Licensed Clinical Social Worker operating in Florida, Nevada, Minnesota, South Carolina, and Wyoming. I passionately approach therapy with a commitment to create a safe, welcoming, and comfortable environment for you to be authentically yourself. I'm here to help you unearth the issues you'd like to address and create impactful solutions that enhance your life quality. (problems: 453)
(813) 723-3178 View (813) 723-3178
Photo of Vanessa Latorre, LCSW, Clinical Social Work/Therapist
Vanessa Latorre
Clinical Social Work/Therapist, LCSW
Verified Verified
Tampa, FL 33610
My name is Vanessa Latorre and I'm a Licensed Clinical Social Worker. I feel most comfortable treating pre-teens and adults, and have experience working with issues such as addiction, aging, anger management, anxiety, and coping skills. I currently work via telehealth. My approach to therapy is based on evidenced based methods such as Cognitive Behavioral Therapy (CBT), Solution Focused Therapy, Mindfulness Based Stress Reduction (MBSR), Motivational Enhancement Therapy (MET) and Dialectical Behavior Therapy (DBT). I believe that effective therapeutic interventions start with a genuine human connection.
My name is Vanessa Latorre and I'm a Licensed Clinical Social Worker. I feel most comfortable treating pre-teens and adults, and have experience working with issues such as addiction, aging, anger management, anxiety, and coping skills. I currently work via telehealth. My approach to therapy is based on evidenced based methods such as Cognitive Behavioral Therapy (CBT), Solution Focused Therapy, Mindfulness Based Stress Reduction (MBSR), Motivational Enhancement Therapy (MET) and Dialectical Behavior Therapy (DBT). I believe that effective therapeutic interventions start with a genuine human connection.
(305) 680-1789 View (305) 680-1789
Photo of Candace Fraser, LMHC, Licensed Professional Counselor
Candace Fraser
Licensed Professional Counselor, LMHC
Verified Verified
2 Endorsed
Tampa, FL 33610  (Online Only)
Accepting New Clients! Are you suffering with intrusive thoughts, anger, anxiety, past abuse or trauma? Do you feel misunderstood or that you don't fit in? Let me help you learn the tools needed to improve your overall quality of life and live your most authentic self. I specialize in helping people through life transitions, relationship challenges, trauma and more! Using evidence based modalities in sessions; you can be assured of my approach of being discrete, non-judgmental, and compassionate. My goal is not to 'fix' you, but instead provide you with tools to reach your maximum healing.
Accepting New Clients! Are you suffering with intrusive thoughts, anger, anxiety, past abuse or trauma? Do you feel misunderstood or that you don't fit in? Let me help you learn the tools needed to improve your overall quality of life and live your most authentic self. I specialize in helping people through life transitions, relationship challenges, trauma and more! Using evidence based modalities in sessions; you can be assured of my approach of being discrete, non-judgmental, and compassionate. My goal is not to 'fix' you, but instead provide you with tools to reach your maximum healing.
(813) 640-4646 View (813) 640-4646
Photo of Panayiota Paula Fitzpatrick, LMHC
Panayiota Paula Fitzpatrick
Licensed Mental Health Counselor, LMHC
Verified Verified
Tampa, FL 33602
As a school counselor and therapist for the past 20 years, I have worked with people struggling in one or many areas of their lives. This includes people going through loss, divorce, grief, anxiety, depression, attentional or organizational difficulties, lack of motivation, childhood trauma, and lack of confidence. I value and support every person I work with and find that people who experience the most success in therapy put in the work and effort in and outside of therapy sessions. That being said, healing happens at a different pace for everyone, and I'm here to meet each person where they're on the journey.
As a school counselor and therapist for the past 20 years, I have worked with people struggling in one or many areas of their lives. This includes people going through loss, divorce, grief, anxiety, depression, attentional or organizational difficulties, lack of motivation, childhood trauma, and lack of confidence. I value and support every person I work with and find that people who experience the most success in therapy put in the work and effort in and outside of therapy sessions. That being said, healing happens at a different pace for everyone, and I'm here to meet each person where they're on the journey.
(813) 706-4191 View (813) 706-4191
Photo of Raylon M Wilson, LCSW, CCTP, Clinical Social Work/Therapist
Raylon M Wilson
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
2 Endorsed
Tampa, FL 33606
Change is inevitable. Growth is optional. - John C Maxwell
Change is inevitable. Growth is optional. - John C Maxwell
(813) 419-6285 View (813) 419-6285
Photo of Tamara Lopusina, LMHC, Counselor
Tamara Lopusina
Counselor, LMHC
Verified Verified
Tampa, FL 33602  (Online Only)
Looking for help to understand yourself better and manage your emotional struggles? I'm here to assist you. I start by learning about your life, your perspectives, and your culture. Our sessions are interactive, and I encourage you to find your own solutions. I help clients understand their own needs, manage tough emotions, and view themselves positively. I believe in a holistic approach and emphasize the interconnectedness of mind and body. I also work with clients to understand how past events influence their present and how to make positive changes for a fulfilling life.
Looking for help to understand yourself better and manage your emotional struggles? I'm here to assist you. I start by learning about your life, your perspectives, and your culture. Our sessions are interactive, and I encourage you to find your own solutions. I help clients understand their own needs, manage tough emotions, and view themselves positively. I believe in a holistic approach and emphasize the interconnectedness of mind and body. I also work with clients to understand how past events influence their present and how to make positive changes for a fulfilling life.
(813) 945-9346 View (813) 945-9346
Photo of Nina Dhaliwal, LPCC, NCC, Counselor
Nina Dhaliwal
Counselor, LPCC, NCC
Verified Verified
Tampa, FL 33607  (Online Only)
You've been taking care of others for as long as you can remember. You’ve always sacrificed your own well-being to help those around you. A friend broke up with her partner, so you’re the shoulder to cry on. There was a problem with a client at work, so you fixed it. Your husband and kids rely on you for everything from getting dressed to eating meals. “As long as everyone else is happy,” you tell yourself, “Then I’m fine.” But you’re not fine. You’ve completely lost touch with yourself and don’t have the time or energy to find your way back. You’re filled with guilt whenever you try to take a moment for yourself. It feels hopeless.
You've been taking care of others for as long as you can remember. You’ve always sacrificed your own well-being to help those around you. A friend broke up with her partner, so you’re the shoulder to cry on. There was a problem with a client at work, so you fixed it. Your husband and kids rely on you for everything from getting dressed to eating meals. “As long as everyone else is happy,” you tell yourself, “Then I’m fine.” But you’re not fine. You’ve completely lost touch with yourself and don’t have the time or energy to find your way back. You’re filled with guilt whenever you try to take a moment for yourself. It feels hopeless.
(813) 819-5138 View (813) 819-5138
Photo of Erin Stevens - Anxiety & OCD Treatment Services, PhD, Psychologist
Anxiety & OCD Treatment Services
Psychologist, PhD
Verified Verified
1 Endorsed
Tampa, FL 33602
Anxiety & OCD Treatment Services is a specialty clinic that strives to provide high-quality, evidence-based treatment for those who are suffering from anxiety and OCD, and who otherwise may not have access to specialized therapy services. We work with children, adolescents, and adults, offering both individual and parent-based therapy.
Anxiety & OCD Treatment Services is a specialty clinic that strives to provide high-quality, evidence-based treatment for those who are suffering from anxiety and OCD, and who otherwise may not have access to specialized therapy services. We work with children, adolescents, and adults, offering both individual and parent-based therapy.
(727) 761-1343 View (727) 761-1343
Photo of Dan Agliata, PhD, Psychologist
Dan Agliata
Psychologist, PhD
Verified Verified
Tampa, FL 33613
I provide individual, marital, and group therapy with specifically designed treatment plans to address the unique treatment needs and situation of each individual. I provide psychological testing and assessments for a variety of needs. I have extensive experience in military and veteran psychology. I obtained specific training in working with combat related trauma and military specific situations while serving in the US Air Force and while employed at the Dept. of Veterans Affairs. I have extensive training and experience in working with active military, veterans, and civilians with anxiety, adjustment difficulties and depression. I am trained in evidence based treatments.
I provide individual, marital, and group therapy with specifically designed treatment plans to address the unique treatment needs and situation of each individual. I provide psychological testing and assessments for a variety of needs. I have extensive experience in military and veteran psychology. I obtained specific training in working with combat related trauma and military specific situations while serving in the US Air Force and while employed at the Dept. of Veterans Affairs. I have extensive training and experience in working with active military, veterans, and civilians with anxiety, adjustment difficulties and depression. I am trained in evidence based treatments.
(813) 579-6566 View (813) 579-6566
Photo of April Y Jones, LMFT-QS, CCTP, CCATP, Marriage & Family Therapist
April Y Jones
Marriage & Family Therapist, LMFT-QS, CCTP, CCATP
Verified Verified
5 Endorsed
Tampa, FL 33629  (Online Only)
Life can be unpredictable, demanding, full of adjustments and trials. Regardless of the life challenges you may be facing there is always hope. Hope gives us the strength and desire to change, grow, and become whole again once we've faced those difficult challenges. I believe each individual is unique and holds the keys to his/her own healing. Yet, sometimes we may need someone to work beside us to recognize what we already know and to help us to begin the steps necessary to achieve change.
Life can be unpredictable, demanding, full of adjustments and trials. Regardless of the life challenges you may be facing there is always hope. Hope gives us the strength and desire to change, grow, and become whole again once we've faced those difficult challenges. I believe each individual is unique and holds the keys to his/her own healing. Yet, sometimes we may need someone to work beside us to recognize what we already know and to help us to begin the steps necessary to achieve change.
(850) 583-2601 View (850) 583-2601
Photo of Kyleen Papadakis - SOHO Children's Counseling , LMHC, NCC, Licensed Professional Counselor
SOHO Children's Counseling
Licensed Professional Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Tampa, FL 33629
Not accepting new clients
I am passionate about providing developmentally appropriate, evidence-based therapy to children, teens, and young adults so they can move toward their vision of happiness. There is no one-size-fits-all model to meet a client’s needs, however, by utilizing a variety of approaches, including play therapy, a client’s world can oftentimes be accessed. Therapy can help with overcoming past trauma, creating healthy coping mechanisms, improving relationships, and much more. Therapy is a team approach and parents are involved to varying degrees based on the age of client.
I am passionate about providing developmentally appropriate, evidence-based therapy to children, teens, and young adults so they can move toward their vision of happiness. There is no one-size-fits-all model to meet a client’s needs, however, by utilizing a variety of approaches, including play therapy, a client’s world can oftentimes be accessed. Therapy can help with overcoming past trauma, creating healthy coping mechanisms, improving relationships, and much more. Therapy is a team approach and parents are involved to varying degrees based on the age of client.
(813) 491-7625 View (813) 491-7625
Photo of Nicole Whitley, LCSW, GC-C, Clinical Social Work/Therapist
Nicole Whitley
Clinical Social Work/Therapist, LCSW, GC-C
Verified Verified
Tampa, FL 33613
Grief can be looked upon as a "club" that one enters involuntarily, yet becomes a life long member. Often time, one "thinks" they have processed losing a loved one, however, during our sessions we will uncover you have not. Grief is also not limited to losing a loved one by death but also going through a separation/divorce, loss of a home or income, or loss of normalcy (as so many of us experienced through the pandemic). My ideal client is one that finds themselves "stuck," "numb", "on auto-pilot", one who finds themselves often irritable, angry, sad or in despair. Let's finally take the steps needed to process your grief and heal
Grief can be looked upon as a "club" that one enters involuntarily, yet becomes a life long member. Often time, one "thinks" they have processed losing a loved one, however, during our sessions we will uncover you have not. Grief is also not limited to losing a loved one by death but also going through a separation/divorce, loss of a home or income, or loss of normalcy (as so many of us experienced through the pandemic). My ideal client is one that finds themselves "stuck," "numb", "on auto-pilot", one who finds themselves often irritable, angry, sad or in despair. Let's finally take the steps needed to process your grief and heal
(813) 790-5809 View (813) 790-5809
Photo of Dr. Sarah Edelman, PsyD, Psychologist
Dr. Sarah Edelman
Psychologist, PsyD
Verified Verified
Tampa, FL 33626  (Online Only)
Are you struggling to connect with others? Are you feeling like something is off and you just can't quite put your finger on it? Have you had too many curveballs recently? If you're experiencing any of these questions or feelings, therapy can be an asset to help you regain control and confidence in your day-to-day life. At Paradigm Shift Behavioral Health, I strive to establish tailored and curated care for your specific concerns in a safe, nonjudgmental space. Whether you're feeling increased stress, struggling in relationships, depressed, anxious, or any other mental health concern, I'm here to walk with you through it.
Are you struggling to connect with others? Are you feeling like something is off and you just can't quite put your finger on it? Have you had too many curveballs recently? If you're experiencing any of these questions or feelings, therapy can be an asset to help you regain control and confidence in your day-to-day life. At Paradigm Shift Behavioral Health, I strive to establish tailored and curated care for your specific concerns in a safe, nonjudgmental space. Whether you're feeling increased stress, struggling in relationships, depressed, anxious, or any other mental health concern, I'm here to walk with you through it.
(813) 851-2575 View (813) 851-2575
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How does your Therapist compare?

Number of Therapists in Tampa, FL

2,000+

Average cost per session

$130

Therapists in Tampa, FL who prioritize treating:

93% Anxiety
87% Depression
75% Self Esteem
73% Coping Skills
69% Stress
68% Relationship Issues
68% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
79% UnitedHealthcare UHC | UBH
78% Cigna and Evernorth

How Therapists in Tampa, FL see their clients

51% In Person and Online
49% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tampa?

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.