Therapists in Avery County, NC

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Photo of Kelly Rodrigues, Counselor in Avery County, NC
Kelly Rodrigues
Counselor, LCMHC
Verified
Banner Elk, NC 28604
I have been working with families for over 10 years. My work has taken me from the beautiful Blue Ridge Mountains to as far as the California coast. Throughout my practice I have worked with children, adolescents and adult clients on a variety of issues including PTSD, depression, anxiety, adjustment to life changes, anger & behavior management, as well as development of parenting skills amongst others. I firmly believe that utilizing empathy, unconditional positive regard and genuineness, combined with effective coping skills is the best way to help my clients meet their goals.
I have been working with families for over 10 years. My work has taken me from the beautiful Blue Ridge Mountains to as far as the California coast. Throughout my practice I have worked with children, adolescents and adult clients on a variety of issues including PTSD, depression, anxiety, adjustment to life changes, anger & behavior management, as well as development of parenting skills amongst others. I firmly believe that utilizing empathy, unconditional positive regard and genuineness, combined with effective coping skills is the best way to help my clients meet their goals.
(828) 268-3592 View (828) 268-3592
Photo of Christine Halterman, Lic Clinical Mental Health Counselor Associate in Avery County, NC
Christine Halterman
Lic Clinical Mental Health Counselor Associate, MA, LCMHC-A, NCC
Verified
Banner Elk, NC 28604
I am a therapist that believes in change, that each individual has the ability to self-heal, but sometimes needs some support to do so. Navigating our world and lives can be hard, and you don’t have to go through it alone. My role as your therapist (or your child's) is to act as a supportive agent, where we work collaboratively to achieve the goals you set for yourself. You would be encouraged to express your own experience through activities, verbalizations, or a combination that feels best to you in a safe space. I do my best to make sure everyone who comes into my office feels accepted as themselves, with no judgement whatsoever.
I am a therapist that believes in change, that each individual has the ability to self-heal, but sometimes needs some support to do so. Navigating our world and lives can be hard, and you don’t have to go through it alone. My role as your therapist (or your child's) is to act as a supportive agent, where we work collaboratively to achieve the goals you set for yourself. You would be encouraged to express your own experience through activities, verbalizations, or a combination that feels best to you in a safe space. I do my best to make sure everyone who comes into my office feels accepted as themselves, with no judgement whatsoever.
(828) 202-7938 View (828) 202-7938
Photo of Margaret Kirk, Counselor in Avery County, NC
Margaret Kirk
Counselor, LCMHCA, NCC
Verified
2 Endorsed
Banner Elk, NC 28604
Waitlist for new clients
If you're here, it's likely that you're concerned about your child's ability to handle big feelings and life situations. Maybe you've noticed that they are spending a lot of time worrying, having trouble with friends, or perhaps are acting out at school. As a counselor, I'm here to support your child in finding their own path towards self-discovery and growth. My approach is centered on the power of play, which I believe is one of the most important tools for supporting children in their journey towards emotional well-being.
If you're here, it's likely that you're concerned about your child's ability to handle big feelings and life situations. Maybe you've noticed that they are spending a lot of time worrying, having trouble with friends, or perhaps are acting out at school. As a counselor, I'm here to support your child in finding their own path towards self-discovery and growth. My approach is centered on the power of play, which I believe is one of the most important tools for supporting children in their journey towards emotional well-being.
(828) 900-1952 View (828) 900-1952
Photo of Sophie Rudisill, Clinical Social Work/Therapist in Avery County, NC
Sophie Rudisill
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified
Banner Elk, NC 28604
Not accepting new clients
I support individuals and families who are seeking change in their lives, whether this is to find safety and strength in a time of crisis or to delve into the challenging and rewarding process of self-exploration. I have had the opportunity to work with a variety of life-challenges, including childhood trauma, sexual abuse, grief & loss, and LBTGQIA issues. I also have a passion for perinatal mental health and enjoy working with new mothers and parents who may face any number of obstacles in new parenthood, including postpartum depression and anxiety.
I support individuals and families who are seeking change in their lives, whether this is to find safety and strength in a time of crisis or to delve into the challenging and rewarding process of self-exploration. I have had the opportunity to work with a variety of life-challenges, including childhood trauma, sexual abuse, grief & loss, and LBTGQIA issues. I also have a passion for perinatal mental health and enjoy working with new mothers and parents who may face any number of obstacles in new parenthood, including postpartum depression and anxiety.
(919) 626-8762 View (919) 626-8762
Photo of Sue Vannoy, Marriage & Family Therapist in Avery County, NC
Sue Vannoy
Marriage & Family Therapist, MA, LMFT, LCAS
Verified
7 Endorsed
Newland, NC 28657
Not accepting new clients
**CURRENTLY NOT ACCEPTING NEW CLIENTS** I work with with students, adults, couples, and families looking to change the things that aren't working by identifying the patterns that are creating problems in your life. I believe we all possess the ability to change our circumstances. But life happens and sometimes we can get so tangled up in our circumstances that we can't find the way out and need a little extra guidance.
**CURRENTLY NOT ACCEPTING NEW CLIENTS** I work with with students, adults, couples, and families looking to change the things that aren't working by identifying the patterns that are creating problems in your life. I believe we all possess the ability to change our circumstances. But life happens and sometimes we can get so tangled up in our circumstances that we can't find the way out and need a little extra guidance.
(828) 559-9800 View (828) 559-9800
Photo of Jackie Belhumeur Wayne, Psychological Associate in Avery County, NC
Jackie Belhumeur Wayne
Psychological Associate, MA, LPA
Verified
Banner Elk, NC 28604
Waitlist for new clients
If college is the best four years of your life, then why do you feel like this? Stressed and alone. Surrounded by people, but struggling to connect. Wanting love, but tired of the games and swiping. Scared of the real world, and still stuck with that vape habit and yoyo diet from high school. Or maybe you were so excited for parenthood, but not for this. This is so loud and hard and nothing like the pictures online. Life transitions - my favorites being college and parenthood - can shake you up and reveal cracks you never knew were there, but they can also shake you loose from your old habits so you can grow.
If college is the best four years of your life, then why do you feel like this? Stressed and alone. Surrounded by people, but struggling to connect. Wanting love, but tired of the games and swiping. Scared of the real world, and still stuck with that vape habit and yoyo diet from high school. Or maybe you were so excited for parenthood, but not for this. This is so loud and hard and nothing like the pictures online. Life transitions - my favorites being college and parenthood - can shake you up and reveal cracks you never knew were there, but they can also shake you loose from your old habits so you can grow.
(828) 527-0164 View (828) 527-0164
Photo of Paul Joseph Daoust, Licensed Professional Counselor in Avery County, NC
Paul Joseph Daoust
Licensed Professional Counselor, NCC, LCMHCS, LCAS, CCS
Verified
1 Endorsed
Elk Park, NC 28622
I work with children, adolescents and adults of all genders and am licensed to treat both mental health and substance use disorders. My focus is on whole person care, which takes into account factors about a person's biology, psychology and social context. When a person becomes more aware of themselves and others, it can often facilitate personal growths. I offer an emotionally safe atmosphere to assist clients in processing without fear of judgement.
I work with children, adolescents and adults of all genders and am licensed to treat both mental health and substance use disorders. My focus is on whole person care, which takes into account factors about a person's biology, psychology and social context. When a person becomes more aware of themselves and others, it can often facilitate personal growths. I offer an emotionally safe atmosphere to assist clients in processing without fear of judgement.
(828) 471-4714 View (828) 471-4714
Photo of Peter A Paglen, Licensed Professional Counselor in Avery County, NC
Peter A Paglen
Licensed Professional Counselor, MA, NCC, LCMHCQS
Verified
Newland, NC 28657
Do you have something on your mind? There are times when we all have thoughts running through our minds. Thoughts related to family, friends, relationships, school, love, spirituality, money, work, or happiness. Sometimes they are memories from your past that you're unable to let go. Maybe you can't sleep, maybe you can't eat. Maybe you have lost your purpose, who you are, what you're doing or why. It could be big, or just a small thing you want to let go. These situations can slow you down and pull your life to a stop.
Do you have something on your mind? There are times when we all have thoughts running through our minds. Thoughts related to family, friends, relationships, school, love, spirituality, money, work, or happiness. Sometimes they are memories from your past that you're unable to let go. Maybe you can't sleep, maybe you can't eat. Maybe you have lost your purpose, who you are, what you're doing or why. It could be big, or just a small thing you want to let go. These situations can slow you down and pull your life to a stop.
(828) 457-8331 View (828) 457-8331
Photo of Standing Stones Therapy, Licensed Professional Counselor in Avery County, NC
Standing Stones Therapy
Licensed Professional Counselor, MA, LCMHCS
Verified
Banner Elk, NC 28604
Although we can't change difficult situations of the past, we can move toward greater self understanding and more fulfilling relationships in the present. I engage with you based on a relationship of two people coming together as equals within the safety of the therapeutic container. My focus is on interpersonal relationship, however, I include art, music, movement, play, and guided imagery as another means to connect with each other and to free the imagination for self discovery.
Although we can't change difficult situations of the past, we can move toward greater self understanding and more fulfilling relationships in the present. I engage with you based on a relationship of two people coming together as equals within the safety of the therapeutic container. My focus is on interpersonal relationship, however, I include art, music, movement, play, and guided imagery as another means to connect with each other and to free the imagination for self discovery.
(828) 303-2095 View (828) 303-2095
Photo of Jody R Gardner, Marriage & Family Therapist in Avery County, NC
Jody R Gardner
Marriage & Family Therapist, MA, LMFT
Verified
Newland, NC 28657
I am a graduate of Appalachian State University with a Master of Arts in Marriage and Family Therapy, and have been practicing for the past thirteen years. I specialize in work with individuals, couples, families and teens, and have a focus in systems theory and narrative therapy. I prefer to work in collaboration with my clients to use the expertise that they have in their own lives to help find strategies that can help them build the life that they want.
I am a graduate of Appalachian State University with a Master of Arts in Marriage and Family Therapy, and have been practicing for the past thirteen years. I specialize in work with individuals, couples, families and teens, and have a focus in systems theory and narrative therapy. I prefer to work in collaboration with my clients to use the expertise that they have in their own lives to help find strategies that can help them build the life that they want.
(828) 358-1737 View (828) 358-1737
Photo of Julia Smith, Clinical Social Work/Therapist in Avery County, NC
Julia Smith
Clinical Social Work/Therapist, LCSW
Verified
Banner Elk, NC 28604  (Online Only)
My name is Julia Smith. I am a Licensed Clinical Social Worker and full time a tele-health therapist who is dedicated to helping individuals enhance their emotional well-being. My areas of clinical expertise include, trauma, anxiety, and depression. I have a wealth of experience treating emotional and behavioral issues affecting teens, parents, and young adults. I possess specialized training in evidenced based practices including: Brainspotting Phase I & II (pursuing certification), Trauma Focused-CBT, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness, and Motivational Interviewing (MI).
My name is Julia Smith. I am a Licensed Clinical Social Worker and full time a tele-health therapist who is dedicated to helping individuals enhance their emotional well-being. My areas of clinical expertise include, trauma, anxiety, and depression. I have a wealth of experience treating emotional and behavioral issues affecting teens, parents, and young adults. I possess specialized training in evidenced based practices including: Brainspotting Phase I & II (pursuing certification), Trauma Focused-CBT, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness, and Motivational Interviewing (MI).
(919) 769-6377 View (919) 769-6377
Photo of Melissa R. Parlier, LMFT, Marriage & Family Therapist in Avery County, NC
Melissa R. Parlier, LMFT
Marriage & Family Therapist, MA, LMFT
Verified
Newland, NC 28657
Waitlist for new clients
Are you struggling with depression or anxiety? Are you having difficulty bouncing back after a traumatic experience? Are you having difficulties in a relationship? I can help! I am a licensed marriage and family therapist with over 20 years of experience providing trauma-informed services to children, adults, families, and couples. Areas of specialization include: anxiety and mood disorders, PTSD, grief and loss, child/adolescent behavior problems, adjustment and phase of life issues, and interpersonal relationship problems.
Are you struggling with depression or anxiety? Are you having difficulty bouncing back after a traumatic experience? Are you having difficulties in a relationship? I can help! I am a licensed marriage and family therapist with over 20 years of experience providing trauma-informed services to children, adults, families, and couples. Areas of specialization include: anxiety and mood disorders, PTSD, grief and loss, child/adolescent behavior problems, adjustment and phase of life issues, and interpersonal relationship problems.
(828) 394-4320 View (828) 394-4320
Photo of Better Days and Nights, PLLC, Licensed Professional Counselor in Avery County, NC
Better Days and Nights, PLLC
Licensed Professional Counselor, LCMHC, LCSW, LCMHCA, LCSWA
Verified
Newland, NC 28657
We are a group practice, we take many different insurances, and file your claims for you. Our therapists will work with you to help find understanding, a solution or a change for you or your situation. Counseling/Therapy is based on you and your situation alone. Everyone is different and everyone's situation is different, so we will create an individual plan for you and your specific concerns. There is no use of a template or generalized formula. The therapeutic formula we decide on will come from you and your concerns. The counseling experience will be unique to you and your situation.
We are a group practice, we take many different insurances, and file your claims for you. Our therapists will work with you to help find understanding, a solution or a change for you or your situation. Counseling/Therapy is based on you and your situation alone. Everyone is different and everyone's situation is different, so we will create an individual plan for you and your specific concerns. There is no use of a template or generalized formula. The therapeutic formula we decide on will come from you and your concerns. The counseling experience will be unique to you and your situation.
(828) 266-0407 View (828) 266-0407
Photo of Kate Mena, Counselor in Avery County, NC
Kate Mena
Counselor, MA, LCMHCA
Verified
Banner Elk, NC 28604
Supporting and empowering clients who are battling depression, trauma, anxiety, grief, self-esteem, relationship and interpersonal challenges is a deep passion and calling of mine. Too often, we feel like we are alone, inherently flawed or doing aspects of life wrong.
Supporting and empowering clients who are battling depression, trauma, anxiety, grief, self-esteem, relationship and interpersonal challenges is a deep passion and calling of mine. Too often, we feel like we are alone, inherently flawed or doing aspects of life wrong.
(828) 949-1696 View (828) 949-1696
Photo of Bettie McKemie Hill, Clinical Social Work/Therapist in Avery County, NC
Bettie McKemie Hill
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Linville, NC 28646
I love working with people who are taking steps to better understand themselves and how they relate to the world around them. I work with children, teens, adults and families who are looking to realize their full potential and confront challenges in doing so. I specialize in working with anxiety, depression, self-esteem, trauma, family conflict, life transitions, academic struggles, work-life balance and relationships. I love working with children and parents to support empathy building in family relationships.
I love working with people who are taking steps to better understand themselves and how they relate to the world around them. I work with children, teens, adults and families who are looking to realize their full potential and confront challenges in doing so. I specialize in working with anxiety, depression, self-esteem, trauma, family conflict, life transitions, academic struggles, work-life balance and relationships. I love working with children and parents to support empathy building in family relationships.
View
Photo of Ellie DeVere, Licensed Clinical Mental Health Counselor in Avery County, NC
Ellie DeVere
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified
1 Endorsed
Banner Elk, NC 28604
Currently accepting new clients via telehealth! Are you feeling depressed, anxious, overwhelmed, or simply stuck? Maybe your goal is to procrastinate less, to cope with feeling worried, or maybe you just want to do something differently. Part of being human is experiencing challenge, be it with mental health or life in general, and so is wanting to make a change to live to the fullest of your potential. Together, we will explore the challenges that you are experiencing and collaborate to ensure that you feel heard and are able to meaningfully meet your goals
Currently accepting new clients via telehealth! Are you feeling depressed, anxious, overwhelmed, or simply stuck? Maybe your goal is to procrastinate less, to cope with feeling worried, or maybe you just want to do something differently. Part of being human is experiencing challenge, be it with mental health or life in general, and so is wanting to make a change to live to the fullest of your potential. Together, we will explore the challenges that you are experiencing and collaborate to ensure that you feel heard and are able to meaningfully meet your goals
(828) 392-5175 View (828) 392-5175
Photo of Taylor Gabriel, Counselor in Avery County, NC
Taylor Gabriel
Counselor, MA, NCC, LCMHCA
Verified
Newland, NC 28657
I truly enjoy working with a range of clients. Some of my specialties include ADHD management, anxiety, grief, improving self-esteem, increasing self compassion, working with those wanting practical tools to apply to their life, and working with those wanting to shift out of unhealthy beliefs and patterns. I use several types a therapy to process and resolve trauma, past relationships, difficult life events, ect. I am not a couples therapist but I enjoy working on the individual level to create healthy relationships, learning communication tools, healing attachment wounds and developing secure attachments.
I truly enjoy working with a range of clients. Some of my specialties include ADHD management, anxiety, grief, improving self-esteem, increasing self compassion, working with those wanting practical tools to apply to their life, and working with those wanting to shift out of unhealthy beliefs and patterns. I use several types a therapy to process and resolve trauma, past relationships, difficult life events, ect. I am not a couples therapist but I enjoy working on the individual level to create healthy relationships, learning communication tools, healing attachment wounds and developing secure attachments.
(828) 818-8430 View (828) 818-8430
Photo of Alexandra Young, Counselor in Avery County, NC
Alexandra Young
Counselor, MA, LCMHC-A, CYT, NCC
Verified
2 Endorsed
Banner Elk, NC 28604
Carl Rogers once said, "When I accept myself just as I am, then I change." When it comes to mental health, sometimes we just need a space that allows for that; a space to be - to express, to reflect, and to release. Counseling may be that space for you or someone you know. Whether you're struggling with a current state, a past experience, or are looking for new ways to encourage your well-being and growth, I would be honored to support you.
Carl Rogers once said, "When I accept myself just as I am, then I change." When it comes to mental health, sometimes we just need a space that allows for that; a space to be - to express, to reflect, and to release. Counseling may be that space for you or someone you know. Whether you're struggling with a current state, a past experience, or are looking for new ways to encourage your well-being and growth, I would be honored to support you.
(828) 547-4119 View (828) 547-4119
Photo of Mountain Lotus Therapy Services, Licensed Professional Counselor in Avery County, NC
Mountain Lotus Therapy Services
Licensed Professional Counselor, LPC, LCAS, CSI
Verified
Newland, NC 28657
** Christian Counseling ** My professional experience has been working with adolescents, college students, adults, working on various issues, and wanting someone to help them in the journey. No one lives life without going through something that makes them question whether they can work through it on their own. This is the very place God has for us to come to him and his strength. I have personally experienced a few of these, and have been given a calling for helping others in theirs. My practice aims to shine light on the purpose we have on this earth, and walking with you to uncover the roots of why you struggle.
** Christian Counseling ** My professional experience has been working with adolescents, college students, adults, working on various issues, and wanting someone to help them in the journey. No one lives life without going through something that makes them question whether they can work through it on their own. This is the very place God has for us to come to him and his strength. I have personally experienced a few of these, and have been given a calling for helping others in theirs. My practice aims to shine light on the purpose we have on this earth, and walking with you to uncover the roots of why you struggle.
(828) 457-8757 View (828) 457-8757
Photo of Craig B McKinney, Clinical Social Work/Therapist in Avery County, NC
Craig B McKinney
Clinical Social Work/Therapist, LCSW
Verified
Newland, NC 28657
***NOW ACCEPTING NEW CLIENTS**** I am a licensed clinical social worker with 20 years in the field with experience treating a wide range of psychological issues. I have experience working with people of all ages including college students . I enjoy helping those who are experiencing anxiety, depression, and trauma. Additionally, I have enjoyed working with people experiencing the more severe symptoms of mental health so that they may live a more stable and fulfilling life. I am located in Boone NC but can offer Telehealth services to those in need anywhere in North Carolina
***NOW ACCEPTING NEW CLIENTS**** I am a licensed clinical social worker with 20 years in the field with experience treating a wide range of psychological issues. I have experience working with people of all ages including college students . I enjoy helping those who are experiencing anxiety, depression, and trauma. Additionally, I have enjoyed working with people experiencing the more severe symptoms of mental health so that they may live a more stable and fulfilling life. I am located in Boone NC but can offer Telehealth services to those in need anywhere in North Carolina
(828) 268-3692 View (828) 268-3692

See more therapy options for Avery County

How does your Therapist compare?

Number of Therapists in Avery County, NC

30+

Average cost per session

$125

Therapists in Avery County, NC who prioritize treating:

97% Anxiety
87% Depression
84% Stress
82% Coping Skills
79% Self Esteem
79% Life Transitions
71% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
64% Aetna
53% UnitedHealthcare UHC | UBH

How Therapists in Avery County, NC see their clients

90% In Person and Online
10% Online Only

Gender breakdown

70% Female
30% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Avery County?

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.