Therapists in Cary, NC

Photo of Dr. Lori C. Thomas, Psychologist, JD, PhD
Dr. Lori C. Thomas
Psychologist, JD, PhD
Cary, NC 27513
Waitlist for new clients
I provide children and teens with therapy services to deal with anxiety struggles, depression, identity issues, body image, general worries, disordered eating, poor self-esteem, and feeling socially awkward. I believe in developing a unique connection with each child-building strong, therapeutic relationships that foster change and help kids cope with developmental issues, mental health concerns, and behavioral challenges.
I provide children and teens with therapy services to deal with anxiety struggles, depression, identity issues, body image, general worries, disordered eating, poor self-esteem, and feeling socially awkward. I believe in developing a unique connection with each child-building strong, therapeutic relationships that foster change and help kids cope with developmental issues, mental health concerns, and behavioral challenges.
(919) 646-5859 View (919) 646-5859
Photo of Neil Evan Resnick - Neil Evan Resnick LMFT , Marriage & Family Therapist, LMFT, MA, LC
Neil Evan Resnick LMFT
Marriage & Family Therapist, LMFT, MA, LC
Cary, NC 27513
I’m a licensed therapist & life coach dedicated to helping individuals and couples grow, heal, and live with more purpose and joy. I believe therapy is a powerful path to change—whether you're struggling with anxiety, navigating relationship challenges, dealing with life transitions, or working on self-worth. My approach is warm, collaborative, and grounded in empathy. I want you to feel seen, heard, and truly understood. I also bring years of research experience as an instructor in the Clinical Psychology Department at San Diego State University, and I integrate evidence-based approaches to support meaningful and lasting change.
I’m a licensed therapist & life coach dedicated to helping individuals and couples grow, heal, and live with more purpose and joy. I believe therapy is a powerful path to change—whether you're struggling with anxiety, navigating relationship challenges, dealing with life transitions, or working on self-worth. My approach is warm, collaborative, and grounded in empathy. I want you to feel seen, heard, and truly understood. I also bring years of research experience as an instructor in the Clinical Psychology Department at San Diego State University, and I integrate evidence-based approaches to support meaningful and lasting change.
(919) 928-7544 View (919) 928-7544
Photo of Maximillian Matthews, Pre-Licensed Professional, Intern
Maximillian Matthews
Pre-Licensed Professional, Intern
2 Endorsed
Cary, NC 27511
I work with LGBTQ+ individuals, BIPOC individuals, young adults, and adults who are navigating concerns related to anxiety, depression, grief, burnout, and identity-related stress. I also support clients who are exploring sexuality and gender identity expression or coping with the emotional impact of oppression and life transitions. My work is grounded in providing affirming, culturally responsive care that honors each client’s lived experience.
I work with LGBTQ+ individuals, BIPOC individuals, young adults, and adults who are navigating concerns related to anxiety, depression, grief, burnout, and identity-related stress. I also support clients who are exploring sexuality and gender identity expression or coping with the emotional impact of oppression and life transitions. My work is grounded in providing affirming, culturally responsive care that honors each client’s lived experience.
(984) 273-8812 View (984) 273-8812
Photo of Christine Northrup, Clinical Social Work/Therapist, MSW, LCSW
Christine Northrup
Clinical Social Work/Therapist, MSW, LCSW
3 Endorsed
Cary, NC 27511
I am currently accepting new clients interested in exploring barriers to sex and intimacy in their lives. I value the innate wisdom of each individual as the guiding force of our work together. I work through a liberatory, anti-oppressive, HAES framework and am trained in and enjoy serving diverse populations. I specialize in concerns related to sex and intimacy and help individuals and couples in these areas. I also specialize in trauma, eating disorders and the intersection of attachment and sensory processing issues. I participate in ongoing training and am passionate about providing therapy for LGBTQIA+ community.
I am currently accepting new clients interested in exploring barriers to sex and intimacy in their lives. I value the innate wisdom of each individual as the guiding force of our work together. I work through a liberatory, anti-oppressive, HAES framework and am trained in and enjoy serving diverse populations. I specialize in concerns related to sex and intimacy and help individuals and couples in these areas. I also specialize in trauma, eating disorders and the intersection of attachment and sensory processing issues. I participate in ongoing training and am passionate about providing therapy for LGBTQIA+ community.
(984) 234-5595 View (984) 234-5595
Photo of Amanda Morris - Willow Creek Counseling Associates, Clinical Social Work/Therapist, LCSW, RPT
Willow Creek Counseling Associates
Clinical Social Work/Therapist, LCSW, RPT
Cary, NC 27518
Do you feel overwhelmed, anxious, or stuck in patterns that don’t serve you? You’re not alone—and healing is possible. At Willow Creek Counseling, we help children, teens, and adults find calm, clarity, and confidence. Whether you’re navigating anxiety, depression, or relationship challenges, our goal is to help you feel more balanced and connected. Together, we’ll build the tools you need to manage life’s stressors, strengthen relationships, and rediscover joy in your everyday life.
Do you feel overwhelmed, anxious, or stuck in patterns that don’t serve you? You’re not alone—and healing is possible. At Willow Creek Counseling, we help children, teens, and adults find calm, clarity, and confidence. Whether you’re navigating anxiety, depression, or relationship challenges, our goal is to help you feel more balanced and connected. Together, we’ll build the tools you need to manage life’s stressors, strengthen relationships, and rediscover joy in your everyday life.
(919) 694-4229 View (919) 694-4229
Photo of Jem Powell, Psychologist, PsyD, HSP-P, MA
Jem Powell
Psychologist, PsyD, HSP-P, MA
Online Only
Not accepting new clients
1/29/26 Jem believes that people want a life full of joy, challenge and deep connection with their loved ones and larger community. Unfortunately, many of us desire those qualities of life-but have trouble accessing them in the moment. Dr. Jem will encourage you to explore your joy and help you navigate challenge areas where you struggle to connect. The goal of her therapeutic approach is to increase your choice, recognize systemic and personal barriers, and, ultimately, create a path to a life full of resonance and enthusiasm. Jem strives for a practice that finds humor in life and helps clients ask themselves difficult questions.
1/29/26 Jem believes that people want a life full of joy, challenge and deep connection with their loved ones and larger community. Unfortunately, many of us desire those qualities of life-but have trouble accessing them in the moment. Dr. Jem will encourage you to explore your joy and help you navigate challenge areas where you struggle to connect. The goal of her therapeutic approach is to increase your choice, recognize systemic and personal barriers, and, ultimately, create a path to a life full of resonance and enthusiasm. Jem strives for a practice that finds humor in life and helps clients ask themselves difficult questions.
(919) 391-7631 View (919) 391-7631
Photo of Kristin A Krippa, Psychological Associate, MA, LPA, HSP-PA
Kristin A Krippa
Psychological Associate, MA, LPA, HSP-PA
7 Endorsed
Cary, NC 27518
Accepting new clients. Are you a parent with a child whose behavior is out of control? Is your tween or teen suffering from depression, anxiety, or irritable moods? Are you worried about their self-harm thoughts and behaviors? Are your problems more than you can manage on your own? Do you feel like you have tried everything and nothing has worked? Has your child or teen been resistant to therapy in the past? Are arguments and disagreements a daily occurrence? Does it feel like something needs to give before you give out? Would you like more enjoyment out of your life? You deserve happiness; Live a life worth living!
Accepting new clients. Are you a parent with a child whose behavior is out of control? Is your tween or teen suffering from depression, anxiety, or irritable moods? Are you worried about their self-harm thoughts and behaviors? Are your problems more than you can manage on your own? Do you feel like you have tried everything and nothing has worked? Has your child or teen been resistant to therapy in the past? Are arguments and disagreements a daily occurrence? Does it feel like something needs to give before you give out? Would you like more enjoyment out of your life? You deserve happiness; Live a life worth living!
(919) 432-5341 View (919) 432-5341
Photo of Nicole Pinna, Clinical Social Work/Therapist, MSW, LSCW
Nicole Pinna
Clinical Social Work/Therapist, MSW, LSCW
Cary, NC 27518
Nicole Pinna, LCSW, offers a compassionate and client-centered approach to therapy, helping individuals in North Carolina navigate life’s challenges with empowerment and acceptance. With a focus on embracing vulnerability, Nicole supports clients in overcoming intrusive thoughts, negative patterns, and limiting beliefs. Nicole is especially passionate about supporting clients through significant life transitions. She has extensive experience working with those navigating later life stages, health-related psychological concerns, and midlife transitions.
Nicole Pinna, LCSW, offers a compassionate and client-centered approach to therapy, helping individuals in North Carolina navigate life’s challenges with empowerment and acceptance. With a focus on embracing vulnerability, Nicole supports clients in overcoming intrusive thoughts, negative patterns, and limiting beliefs. Nicole is especially passionate about supporting clients through significant life transitions. She has extensive experience working with those navigating later life stages, health-related psychological concerns, and midlife transitions.
(984) 273-2111 View (984) 273-2111
Photo of Erin Lewis, Counselor, MS, LCMHC, NARM MA
Erin Lewis
Counselor, MS, LCMHC, NARM MA
3 Endorsed
Cary, NC 27513
Feel free to reach out. Erin believes that all people need connection with others to be able to thrive, she likes to do this with a bit of humor. She operates from a multicultural and existential perspective, and strives to create an honest, empathetic, non-judgmental, and safe therapeutic environment. As an LCMHC-QS & NARM Master Therapist, Erin has been trained in a wide array of modalities to help clients heal. Erin believes that every person is unique. Erin tailors the treatment modality to what the client best responds to. She believes in the long-standing research that supports treatments in mind-body/somatic therapy
Feel free to reach out. Erin believes that all people need connection with others to be able to thrive, she likes to do this with a bit of humor. She operates from a multicultural and existential perspective, and strives to create an honest, empathetic, non-judgmental, and safe therapeutic environment. As an LCMHC-QS & NARM Master Therapist, Erin has been trained in a wide array of modalities to help clients heal. Erin believes that every person is unique. Erin tailors the treatment modality to what the client best responds to. She believes in the long-standing research that supports treatments in mind-body/somatic therapy
(919) 343-0485 View (919) 343-0485
Photo of Gabrielle Brooks, Marriage & Family Therapist, MS, LMFT
Gabrielle Brooks
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Cary, NC 27511
Evening and Saturday appointment options ( 10am-7pm) . Welcome! My name is Gabrielle Brooks. I gladly welcome the opportunity to work with you on the struggles you are facing in life. I work from a collaborative and strength-based perspective. I will help you rediscover the best version of yourself. I have experience working with families, couples, and individuals of all ages. I want to ensure that we are a great fit so I provide a free 30-minute consultation.
Evening and Saturday appointment options ( 10am-7pm) . Welcome! My name is Gabrielle Brooks. I gladly welcome the opportunity to work with you on the struggles you are facing in life. I work from a collaborative and strength-based perspective. I will help you rediscover the best version of yourself. I have experience working with families, couples, and individuals of all ages. I want to ensure that we are a great fit so I provide a free 30-minute consultation.
(984) 205-9192 View (984) 205-9192
Photo of Emily Moore, Licensed Clinical Mental Health Counselor, MA, LCMHC
Emily Moore
Licensed Clinical Mental Health Counselor, MA, LCMHC
Cary, NC 27513
Sometimes life feels harder than we can handle on our own. We can feel stuck, unsure how to navigate our emotions or relationships. Many of my clients face challenges such as anxiety, life transitions like infertility or loss , and relationship struggles that leave them feeling disconnected - from themselves or from others. They often wonder why the coping strategies that once helped them no longer seem to work. My practice is centered on helping individuals reconnect with themselves and build healthier, more fulfilling relationships.
Sometimes life feels harder than we can handle on our own. We can feel stuck, unsure how to navigate our emotions or relationships. Many of my clients face challenges such as anxiety, life transitions like infertility or loss , and relationship struggles that leave them feeling disconnected - from themselves or from others. They often wonder why the coping strategies that once helped them no longer seem to work. My practice is centered on helping individuals reconnect with themselves and build healthier, more fulfilling relationships.
(919) 343-5186 View (919) 343-5186
Photo of Jessica Ricks, Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Jessica Ricks
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Cary, NC 27511
Are you feeling overwhelmed, disconnected, or stuck in relationship or behavior patterns that no longer serve you? You might be an adult navigating relationship struggles, anxiety, self-doubt, or impulsive behaviors—or a teen or young adult feeling pressure, perfectionism, or uncertainty about who you are and where you’re headed. If you want more than quick fixes and are seeking understanding, emotional safety, stronger boundaries, and real change, you’re in the right place. Together, we can explore patterns with curiosity and compassion and build a life that feels more connected and authentic.
Are you feeling overwhelmed, disconnected, or stuck in relationship or behavior patterns that no longer serve you? You might be an adult navigating relationship struggles, anxiety, self-doubt, or impulsive behaviors—or a teen or young adult feeling pressure, perfectionism, or uncertainty about who you are and where you’re headed. If you want more than quick fixes and are seeking understanding, emotional safety, stronger boundaries, and real change, you’re in the right place. Together, we can explore patterns with curiosity and compassion and build a life that feels more connected and authentic.
(919) 372-3898 View (919) 372-3898
Photo of Hannah Yamouti, Licensed Clinical Mental Health Counselor, LCMHC
Hannah Yamouti
Licensed Clinical Mental Health Counselor, LCMHC
Online Only
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children (ages 8-17) and young adults (18 years and over) who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children (ages 8-17) and young adults (18 years and over) who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
(984) 384-4329 View (984) 384-4329
Photo of Erin Towle-Silva, Psychologist, PsyD
Erin Towle-Silva
Psychologist, PsyD
Cary, NC 27511
Welcome! Deciding to seek professional help and support can be a difficult but courageous choice to make. Psychotherapy can be an opportunity to begin the process of healing from emotional pain, develop effective tools, and change patterns of behavior leading to more satisfying relationships and a more fulfilling life. I provide a safe, empathic, and supportive environment where we work as a team to understand the difficulties and challenges you are facing and to develop effective solutions to overcoming these obstacles.
Welcome! Deciding to seek professional help and support can be a difficult but courageous choice to make. Psychotherapy can be an opportunity to begin the process of healing from emotional pain, develop effective tools, and change patterns of behavior leading to more satisfying relationships and a more fulfilling life. I provide a safe, empathic, and supportive environment where we work as a team to understand the difficulties and challenges you are facing and to develop effective solutions to overcoming these obstacles.
(919) 694-6626 View (919) 694-6626
Photo of Mallori Thompson, Licensed Clinical Mental Health Counselor, MA, LCMHC, FT
Mallori Thompson
Licensed Clinical Mental Health Counselor, MA, LCMHC, FT
Cary, NC 27518
My approach to working with any client or couple is to offer a space to share their story in a way that is authentic and honest. Through this sharing, we collaborate to find reliable pathways to change that mirror the client's or couple's values and beliefs.
My approach to working with any client or couple is to offer a space to share their story in a way that is authentic and honest. Through this sharing, we collaborate to find reliable pathways to change that mirror the client's or couple's values and beliefs.
(919) 642-4395 View (919) 642-4395
Photo of Karen Walters, Clinical Social Work/Therapist, LCSW, LCAS
Karen Walters
Clinical Social Work/Therapist, LCSW, LCAS
2 Endorsed
Cary, NC 27518
Not accepting new clients
Are you grappling with challenges in your relationships? Dealing with chronic anxiety, depression, or an overpowering inner critic? Perhaps you often feel dissatisfied, uneasy, and completely drained. You might even be experiencing physical symptoms, sleep disturbances, intrusive thoughts, or pervasive worry that seem to dominate your daily life. Together, we will collaboratively explore and identify the barriers that are hindering you from achieving the fulfilling life you desire most.
Are you grappling with challenges in your relationships? Dealing with chronic anxiety, depression, or an overpowering inner critic? Perhaps you often feel dissatisfied, uneasy, and completely drained. You might even be experiencing physical symptoms, sleep disturbances, intrusive thoughts, or pervasive worry that seem to dominate your daily life. Together, we will collaboratively explore and identify the barriers that are hindering you from achieving the fulfilling life you desire most.
(919) 695-9967 View (919) 695-9967
Photo of Amy Kline, Counselor, MS, LCMHC
Amy Kline
Counselor, MS, LCMHC
Online Only
Your mental health matters and proactively making it a priority is critical in today's world. If you are finding this to be challenging, or if you're feeling overwhelmed or stuck, reaching out for help is a great (and brave) decision. My top priority is to help clients feel safe, seen and understood from the very beginning. I believe that therapy should be a collaborative process, built around your goals and needs. I'll create and hold space for you to explore yourself, to identify what is holding you back or impacting your mental health, and to ultimately find a pathway to a healthier and happier version of yourself.
Your mental health matters and proactively making it a priority is critical in today's world. If you are finding this to be challenging, or if you're feeling overwhelmed or stuck, reaching out for help is a great (and brave) decision. My top priority is to help clients feel safe, seen and understood from the very beginning. I believe that therapy should be a collaborative process, built around your goals and needs. I'll create and hold space for you to explore yourself, to identify what is holding you back or impacting your mental health, and to ultimately find a pathway to a healthier and happier version of yourself.
(984) 203-9860 View (984) 203-9860
Photo of Cathryn Mainville, Licensed Professional Counselor, MSEd, LCMHC
Cathryn Mainville
Licensed Professional Counselor, MSEd, LCMHC
2 Endorsed
Cary, NC 27511
At Harbor Counseling and Consulting, we are committed to the importance of mental health. Our mission is to assist you in navigating life's difficulties by offering a safe haven where you can discover peace, clarity, and the tools needed to progress toward healing and personal growth. We look forward to working with you.
At Harbor Counseling and Consulting, we are committed to the importance of mental health. Our mission is to assist you in navigating life's difficulties by offering a safe haven where you can discover peace, clarity, and the tools needed to progress toward healing and personal growth. We look forward to working with you.
(984) 342-3760 View (984) 342-3760
Photo of Lisa Wilsey, LCSW Associate, LCSWA
Lisa Wilsey
LCSW Associate, LCSWA
1 Endorsed
Cary, NC 27511
Mental health care is not a one-size-fits-all experience. I work with individuals who have diverse backgrounds and struggle with various traumatic events, grief, and mood related difficulties such as anxiety, depression, and more. During our initial session we will dive as deep as you would like and work together to discuss various resources, and create a plan to address your specific needs. During our work together, I'll hope to challenge you, empower you to challenge yourself, all while going at your pace.
Mental health care is not a one-size-fits-all experience. I work with individuals who have diverse backgrounds and struggle with various traumatic events, grief, and mood related difficulties such as anxiety, depression, and more. During our initial session we will dive as deep as you would like and work together to discuss various resources, and create a plan to address your specific needs. During our work together, I'll hope to challenge you, empower you to challenge yourself, all while going at your pace.
(984) 600-3221 View (984) 600-3221
Photo of Sara Rabinowitz, Clinical Social Work/Therapist, LCSW
Sara Rabinowitz
Clinical Social Work/Therapist, LCSW
Cary, NC 27519
I am a Licensed Clinical Social Worker with over 20 years of experience working with neurodiverse and neurotypical individuals and their families, across the lifespan. I have a passion for working with children, adolescents and young adults. I work with trauma, anxiety, social difficulties, emotional regulation, grief and loss and navigating life transitions and challenges. I draw from an eclectic blend of therapies in my practice, including Solutions Focused, CBT, Play Therapy, Narrative Therapy and Mindfulness, believing that no one therapeutic tool fits everyone.
I am a Licensed Clinical Social Worker with over 20 years of experience working with neurodiverse and neurotypical individuals and their families, across the lifespan. I have a passion for working with children, adolescents and young adults. I work with trauma, anxiety, social difficulties, emotional regulation, grief and loss and navigating life transitions and challenges. I draw from an eclectic blend of therapies in my practice, including Solutions Focused, CBT, Play Therapy, Narrative Therapy and Mindfulness, believing that no one therapeutic tool fits everyone.
(984) 353-2806 View (984) 353-2806

See more therapy options for Cary

How does your Therapist compare?

Number of Therapists in Cary, NC

1,000+

Average cost per session

$150

Therapists in Cary, NC who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
87% Depression
76% Self Esteem
75% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

92% Aetna
89% BlueCross and BlueShield
59% Cigna and Evernorth

How Therapists in Cary, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cary?

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.