Therapists in Carolina Beach, NC

Photo of Loralie Grigas, Clinical Social Work/Therapist, MSW, LCSW, LCAS
Loralie Grigas
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Online Only
Accepting new tele-therapy only. Change is possible! I believe in the resilient spirit of every individual and their ability to heal and to make change happen. I use a client-centered approach that focuses on finding creative solutions to the issues that you want to address.
Accepting new tele-therapy only. Change is possible! I believe in the resilient spirit of every individual and their ability to heal and to make change happen. I use a client-centered approach that focuses on finding creative solutions to the issues that you want to address.
(910) 208-4917 View (910) 208-4917
Photo of Dr. Luann Helms, Psychologist, PhD, LP, HSP-P, PSYPACT
Dr. Luann Helms
Psychologist, PhD, LP, HSP-P, PSYPACT
5 Endorsed
Online Only
Hello. If you want to improve your overall mental health, well-being, and relationships, increase self-awareness, confidence, stress/anxiety management and other coping skills, I would like to support you and help you achieve your goals. Over the last 20 years, I have had the privilege of providing therapy to individuals with a variety of issues, strengths, growth areas, and personalities. You are the expert on your life, and I am an expert in looking for patterns and teaching coping strategies. My private practice is on Friday nights and Saturdays. I can provide teletherapy to individuals in 42 states (listed on my website).
Hello. If you want to improve your overall mental health, well-being, and relationships, increase self-awareness, confidence, stress/anxiety management and other coping skills, I would like to support you and help you achieve your goals. Over the last 20 years, I have had the privilege of providing therapy to individuals with a variety of issues, strengths, growth areas, and personalities. You are the expert on your life, and I am an expert in looking for patterns and teaching coping strategies. My private practice is on Friday nights and Saturdays. I can provide teletherapy to individuals in 42 states (listed on my website).
(910) 981-1545 View (910) 981-1545
Photo of Liza M. Shaw, Marriage & Family Therapist, MA, LMFT, ACHT
Liza M. Shaw
Marriage & Family Therapist, MA, LMFT, ACHT
1 Endorsed
Carolina Beach, NC 28428
I consider it my personal mission to reduce the divorce rate in the United States, 1 couple at a time. But preventing divorce will only be succesful if, in place of unfulfilling or chronically dysfunctional marriages, couples develop truly thriving marriages & deeply fulfilling relationships. Even in the most hopeless-seeming cases, couples can heal the damage from the past and move forward in a healthier way. Not all marriages can be saved, but when couples do the work to heal the past, their future can be happier, no matter what the outcome for the relationship.
I consider it my personal mission to reduce the divorce rate in the United States, 1 couple at a time. But preventing divorce will only be succesful if, in place of unfulfilling or chronically dysfunctional marriages, couples develop truly thriving marriages & deeply fulfilling relationships. Even in the most hopeless-seeming cases, couples can heal the damage from the past and move forward in a healthier way. Not all marriages can be saved, but when couples do the work to heal the past, their future can be happier, no matter what the outcome for the relationship.
(828) 202-3074 View (828) 202-3074
Photo of Amanda Parmley, Licensed Professional Counselor, MA, LCMHC
Amanda Parmley
Licensed Professional Counselor, MA, LCMHC
1 Endorsed
Carolina Beach, NC 28428
You want to accept & love yourself, but deep down you feel stuck in a cycle of anxiety & self-criticism. You’re tired of being your own worst critic. You beat yourself up for mistakes that you wouldn’t think twice about if someone else made them. You’re able to extend compassion to others, why is it so hard to extend compassion to yourself? You lie awake in bed worrying, haunted by your inner-critic, thinking about the past, and wondering why you can’t seem to break free from patterns that are holding you back. You know that the past is in the past; however, you can’t seem to move forward & truly live in the present.
You want to accept & love yourself, but deep down you feel stuck in a cycle of anxiety & self-criticism. You’re tired of being your own worst critic. You beat yourself up for mistakes that you wouldn’t think twice about if someone else made them. You’re able to extend compassion to others, why is it so hard to extend compassion to yourself? You lie awake in bed worrying, haunted by your inner-critic, thinking about the past, and wondering why you can’t seem to break free from patterns that are holding you back. You know that the past is in the past; however, you can’t seem to move forward & truly live in the present.
(980) 223-3987 View (980) 223-3987
Photo of Corey Andolfi, Marriage & Family Therapist, MA, LMFT, NBCCH
Corey Andolfi
Marriage & Family Therapist, MA, LMFT, NBCCH
4 Endorsed
Carolina Beach, NC 28428
I am a Licensed Marriage and Family Therapist and National Board Certified Clinical Hypnotherapist. I also have training in Brainspotting (An alternative to EMDR - Eye Movement Desensitization and Reprocessing), the Emotional Freedom Technique (EFT or Tapping), Quantum Flow Breathwork Method, and the art of playing the singing bowls.
I am a Licensed Marriage and Family Therapist and National Board Certified Clinical Hypnotherapist. I also have training in Brainspotting (An alternative to EMDR - Eye Movement Desensitization and Reprocessing), the Emotional Freedom Technique (EFT or Tapping), Quantum Flow Breathwork Method, and the art of playing the singing bowls.
(910) 684-5041 View (910) 684-5041
Photo of Eddie Jackson, Licensed Clinical Mental Health Counselor, LCMHC, NCC
Eddie Jackson
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Carolina Beach, NC 28428
Waitlist for new clients
I have over 20 years experience working with child, adolescent, teen, adult, and family mental health in the Wilmington area. I am the co-founder of Learning Perspectives, Inc. and have worked as a private/school therapist for many years. My strength based approach focuses on self awareness, solutions, and relationship building. Through our relationship you will gain new perspectives on life's challenges and learn new ways to view and cope with these challenges.
I have over 20 years experience working with child, adolescent, teen, adult, and family mental health in the Wilmington area. I am the co-founder of Learning Perspectives, Inc. and have worked as a private/school therapist for many years. My strength based approach focuses on self awareness, solutions, and relationship building. Through our relationship you will gain new perspectives on life's challenges and learn new ways to view and cope with these challenges.
(910) 909-4649 View (910) 909-4649
Photo of Jessica Manning, Clinical Social Work/Therapist, MSW, LCSW, LCAS
Jessica Manning
Clinical Social Work/Therapist, MSW, LCSW, LCAS
1 Endorsed
Carolina Beach, NC 28428
I believe that all people are capable of making changes in their lives, and to be invited into that process as a therapist is an honor for me. My philosophy is that therapy is a partnership that is rooted in trust. My job is not to give advice, but to help you in exploring and finding the answers that are already intrinsically within you. I have worked in a variety of clinical settings, including substance abuse treatment facilities, as a behavioral health consultant at a primary care practice, and as the program director for an integrated dual diagnosis program.
I believe that all people are capable of making changes in their lives, and to be invited into that process as a therapist is an honor for me. My philosophy is that therapy is a partnership that is rooted in trust. My job is not to give advice, but to help you in exploring and finding the answers that are already intrinsically within you. I have worked in a variety of clinical settings, including substance abuse treatment facilities, as a behavioral health consultant at a primary care practice, and as the program director for an integrated dual diagnosis program.
(910) 684-4199 View (910) 684-4199
Photo of Brittany B Greer, Counselor, LCMHC, CRC, MS
Brittany B Greer
Counselor, LCMHC, CRC, MS
Carolina Beach, NC 28428
You’re caught in another thought loop. You try to stop and think about something, anything else. But the harder you fight it, the more stuck you get. You’re lost in endless hypothetical scenarios. What if I lose my job? What if this pain in my side is actually something more serious? You’ve begun to second-guess every decision. Your confidence is at an all-time low. The people in your life have noticed that something is wrong. You don’t know how to tell them that you’re suffocating under the weight of constant fear. That you’re almost ready to give up. You need to make a change, but you don’t know how. It all feels so hopeless.
You’re caught in another thought loop. You try to stop and think about something, anything else. But the harder you fight it, the more stuck you get. You’re lost in endless hypothetical scenarios. What if I lose my job? What if this pain in my side is actually something more serious? You’ve begun to second-guess every decision. Your confidence is at an all-time low. The people in your life have noticed that something is wrong. You don’t know how to tell them that you’re suffocating under the weight of constant fear. That you’re almost ready to give up. You need to make a change, but you don’t know how. It all feels so hopeless.
(910) 507-7076 View (910) 507-7076
Photo of Tina Marie Cooke, Counselor, LCMHC, LPC, LCADC, ACS
Tina Marie Cooke
Counselor, LCMHC, LPC, LCADC, ACS
4 Endorsed
Serves Area
Life can be challenging sometimes. When we have people, we trust to support us, we can learn and grow through those tough times. For you, I’ll strive to be that safe person, and my job is to guide and help you when you need it the most. My therapy style is based on creating genuine, caring connections with my clients. My goal is to help you gain a sense of empowerment and increased confidence in your ability to handle future life stressors. Ready to make an appointment? Although you can call the office, I have made appointment scheduling easy via my website.
Life can be challenging sometimes. When we have people, we trust to support us, we can learn and grow through those tough times. For you, I’ll strive to be that safe person, and my job is to guide and help you when you need it the most. My therapy style is based on creating genuine, caring connections with my clients. My goal is to help you gain a sense of empowerment and increased confidence in your ability to handle future life stressors. Ready to make an appointment? Although you can call the office, I have made appointment scheduling easy via my website.
(910) 665-7466 View (910) 665-7466
Photo of Brittany Patterson, Clinical Social Work/Therapist, LCSW
Brittany Patterson
Clinical Social Work/Therapist, LCSW
4 Endorsed
Serves Area
Waitlist for new clients
"The world breaks everyone, but some are strong at the broken places." -Ernest Hemingway. We all encounter challenges from time to time that seem to break us but with support we can strengthen the broken places to become whole again. If you are facing challenges in life with PTSD, depression, anxiety, relationship challenges or parenting needs I will help come alongside you to find the strength to heal and become whole again. I work with individuals of all ages (0-adult) as well as families. I take a holistic client centered approach to therapy.
"The world breaks everyone, but some are strong at the broken places." -Ernest Hemingway. We all encounter challenges from time to time that seem to break us but with support we can strengthen the broken places to become whole again. If you are facing challenges in life with PTSD, depression, anxiety, relationship challenges or parenting needs I will help come alongside you to find the strength to heal and become whole again. I work with individuals of all ages (0-adult) as well as families. I take a holistic client centered approach to therapy.
(910) 405-8825 View (910) 405-8825
Photo of Isadora Girardi, Licensed Clinical Mental Health Counselor, LCMHC, NCC
Isadora Girardi
Licensed Clinical Mental Health Counselor, LCMHC, NCC
3 Endorsed
Serves Area
Have you been dealing with anxious feelings brought on by current stressors, trauma, family/relationship issues, or just because? I know that it can be difficult to seek help, especially if you have never done it before. Maybe you have spoken with a friend about the things that have been going on, but you still feel the same. This is where I come in. My goal is to walk alongside you, providing you with guidance and empathy. If you have been feeling overwhelmed, anxious, stressed, exhausted, and/or dealing with traumatic events, I'm here to help. It doesn't have to stay this way, and it can get better!
Have you been dealing with anxious feelings brought on by current stressors, trauma, family/relationship issues, or just because? I know that it can be difficult to seek help, especially if you have never done it before. Maybe you have spoken with a friend about the things that have been going on, but you still feel the same. This is where I come in. My goal is to walk alongside you, providing you with guidance and empathy. If you have been feeling overwhelmed, anxious, stressed, exhausted, and/or dealing with traumatic events, I'm here to help. It doesn't have to stay this way, and it can get better!
(910) 541-8793 View (910) 541-8793
Photo of Sarah Rose Dotzler, Lic Clinical Mental Health Counselor Associate, LCMHCA
Sarah Rose Dotzler
Lic Clinical Mental Health Counselor Associate, LCMHCA
3 Endorsed
Serves Area
Accepting NEW Clients. I specialize in working with individuals 18yo+ who are struggling with anxiety, grief & loss, trauma, depression, acute and chronic stress, sports performance and relationship challenges. Specifically, I work with individuals facing current or past relationship abuse and those wanting to form healthy, safe, and loving attachments. My work focuses on self esteem, confidence, self forgiveness, and generating hope towards the future. For those experiencing self harm, we will work together to understand your pain in a non-judgmental way. I am also extremely passionate about supporting the LGBTQIA+ community.
Accepting NEW Clients. I specialize in working with individuals 18yo+ who are struggling with anxiety, grief & loss, trauma, depression, acute and chronic stress, sports performance and relationship challenges. Specifically, I work with individuals facing current or past relationship abuse and those wanting to form healthy, safe, and loving attachments. My work focuses on self esteem, confidence, self forgiveness, and generating hope towards the future. For those experiencing self harm, we will work together to understand your pain in a non-judgmental way. I am also extremely passionate about supporting the LGBTQIA+ community.
(910) 601-9524 View (910) 601-9524
Photo of Lauren Stephenson, Clinical Social Work/Therapist, LCSW
Lauren Stephenson
Clinical Social Work/Therapist, LCSW
Online Only
Not accepting new clients
We all experience difficult times in our lives where we could use extra support from a nonbiased party. Every day life can become stressful and hard to manage. Working together to develop healthier ways to navigate the world it can lead to better relationships with ourselves and those around us. I would like to assist you with living the life that you truly want to live.
We all experience difficult times in our lives where we could use extra support from a nonbiased party. Every day life can become stressful and hard to manage. Working together to develop healthier ways to navigate the world it can lead to better relationships with ourselves and those around us. I would like to assist you with living the life that you truly want to live.
(910) 386-0987 View (910) 386-0987
Photo of Erin Rae Farmer, Counselor, LCMHCA
Erin Rae Farmer
Counselor, LCMHCA
1 Endorsed
Serves Area
Congratulations on starting the journey to find a therapist! I know this can be overwhelming, but I'm happy you're here. I’m a licensed counselor located in Wilmington, NC and I work with teens, adults, and families struggling with a wide variety of issues. Everyone has something going on, and I welcome whatever and however you want to show up in this space. My goal is simply to have people leave treatment better than they came in, and however we get there will look different for everyone. I always consider it an honor to be even a small part of someone’s healing journey, and I’d be honored to meet with you!
Congratulations on starting the journey to find a therapist! I know this can be overwhelming, but I'm happy you're here. I’m a licensed counselor located in Wilmington, NC and I work with teens, adults, and families struggling with a wide variety of issues. Everyone has something going on, and I welcome whatever and however you want to show up in this space. My goal is simply to have people leave treatment better than they came in, and however we get there will look different for everyone. I always consider it an honor to be even a small part of someone’s healing journey, and I’d be honored to meet with you!
(910) 996-3355 View (910) 996-3355
Photo of Roxanne Toussaint, M Ed, BCBA, LBA
Roxanne Toussaint
Verified Verified
Serves Area
The Marsh Autism Services LLC is a small ABA therapy practice serving people with autism spectrum disorder and other developmental disabilities ages 1-18 in the New Hanover County area in NC. Services settings include in-home and community. I can help your child with the following: -Communication (spoken language, use of AAC device, PECS, ASL) -Adaptive, self-help, and pre-vocational skills -Imaginary and relational play -Social connections -Disruptive, destructive, and unsafe behaviors
The Marsh Autism Services LLC is a small ABA therapy practice serving people with autism spectrum disorder and other developmental disabilities ages 1-18 in the New Hanover County area in NC. Services settings include in-home and community. I can help your child with the following: -Communication (spoken language, use of AAC device, PECS, ASL) -Adaptive, self-help, and pre-vocational skills -Imaginary and relational play -Social connections -Disruptive, destructive, and unsafe behaviors
(910) 469-1865 View (910) 469-1865
Photo of Hannah Parham, Clinical Social Work/Therapist, LCSWA
Hannah Parham
Clinical Social Work/Therapist, LCSWA
2 Endorsed
Serves Area
I work with individuals who are navigating anxiety, big life changes, and the often overwhelming challenges of chronic illness and pain. I have a special heart for supporting women’s health, including those living with endometriosis and pelvic pain. I know these struggles are never just physical. They can touch every part of your life, from your emotions to your relationships and your sense of self.
I work with individuals who are navigating anxiety, big life changes, and the often overwhelming challenges of chronic illness and pain. I have a special heart for supporting women’s health, including those living with endometriosis and pelvic pain. I know these struggles are never just physical. They can touch every part of your life, from your emotions to your relationships and your sense of self.
(910) 812-5869 View (910) 812-5869
Photo of Andrea Muro, Clinical Social Work/Therapist, MSW, LCSW
Andrea Muro
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
Not accepting new clients
I am a Licensed Clinical Social Worker and Psychotherapist who received a master's degree from New York University's School of Social Work. I have 18 years of extensive experience working with a range of mental health issues including Anxiety Disorders, Depression, Bipolar Disorder and PTSD. As a Therapist my goal is to offer guidance and support in the process of healing and to help you develop the freedom to take the risk of saying more, feeling more, and investing more in yourself and your relationships.
I am a Licensed Clinical Social Worker and Psychotherapist who received a master's degree from New York University's School of Social Work. I have 18 years of extensive experience working with a range of mental health issues including Anxiety Disorders, Depression, Bipolar Disorder and PTSD. As a Therapist my goal is to offer guidance and support in the process of healing and to help you develop the freedom to take the risk of saying more, feeling more, and investing more in yourself and your relationships.
(910) 817-6841 View (910) 817-6841
Photo of Heather Fleuriet, Psychological Associate, MA, LPA
Heather Fleuriet
Psychological Associate, MA, LPA
Serves Area
Heather Fleuriet, MA, LPA is a Licensed Psychological Associate who received her Master’s in Psychology from University of North Carolina Wilmington. Heather’s background and experience includes working with children and adolescents in the community-based and in home settings; working with college students on a university campus; as well as working with adults in an outpatient setting. Although Heather treats a variety of psychological problems, she is trained in EMDR and specializes in working with individuals with trauma.
Heather Fleuriet, MA, LPA is a Licensed Psychological Associate who received her Master’s in Psychology from University of North Carolina Wilmington. Heather’s background and experience includes working with children and adolescents in the community-based and in home settings; working with college students on a university campus; as well as working with adults in an outpatient setting. Although Heather treats a variety of psychological problems, she is trained in EMDR and specializes in working with individuals with trauma.
(910) 543-8764 View (910) 543-8764
Photo of Greg Scott, Clinical Social Work/Therapist, LCSW
Greg Scott
Clinical Social Work/Therapist, LCSW
2 Endorsed
Serves Area
What I feel I have to offer people is a helpful relationship based on acceptance and safety. My hope is always that together within this supportive relationship you can feel free to explore your thoughts, feelings, strengths, challenges and choices. I've found that understanding and accepting where we are gives us a strong foundation to sustain positive change. In over 30 years of professional experience, I've never worked with a person whose conditions/situations did not make sense, once these experiences have been understood.
What I feel I have to offer people is a helpful relationship based on acceptance and safety. My hope is always that together within this supportive relationship you can feel free to explore your thoughts, feelings, strengths, challenges and choices. I've found that understanding and accepting where we are gives us a strong foundation to sustain positive change. In over 30 years of professional experience, I've never worked with a person whose conditions/situations did not make sense, once these experiences have been understood.
(910) 479-4660 View (910) 479-4660
Photo of Dr. Leah Shavalier, Psychologist, PsyD
Dr. Leah Shavalier
Psychologist, PsyD
2 Endorsed
Serves Area
Not accepting new clients
Hi, I’m Leah. If you’re overwhelmed, burned out, or constantly juggling the demands of life, you’re not alone—and you don’t have to keep doing it all on your own. I like to work with people who look like they have it all together on the outside but who feel stuck, anxious, or exhausted on the inside. My clients are often high-achievers, perfectionists, people-pleasers, and trauma survivors who are tired of running on empty. Therapy with me is warm, collaborative, and real—no stuffy jargon, no judgment. Just a space to slow down, feel seen, and start untangling the things that are getting in your way.
Hi, I’m Leah. If you’re overwhelmed, burned out, or constantly juggling the demands of life, you’re not alone—and you don’t have to keep doing it all on your own. I like to work with people who look like they have it all together on the outside but who feel stuck, anxious, or exhausted on the inside. My clients are often high-achievers, perfectionists, people-pleasers, and trauma survivors who are tired of running on empty. Therapy with me is warm, collaborative, and real—no stuffy jargon, no judgment. Just a space to slow down, feel seen, and start untangling the things that are getting in your way.
(910) 565-8882 View (910) 565-8882

See more therapy options for Carolina Beach

How does your Therapist compare?

Number of Therapists in Carolina Beach, NC

30+

Average cost per session

$125

Therapists in Carolina Beach, NC who prioritize treating:

87% Relationship Issues
87% Anxiety
87% Self Esteem
81% Depression
77% Trauma and PTSD
74% Stress
71% Grief

Average years in practice

14 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
89% Aetna
57% UnitedHealthcare UHC | UBH

How Therapists in Carolina Beach, NC see their clients

81% In Person and Online
19% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Carolina Beach?

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.