Therapists in Charlotte, NC

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Photo of Paul M. Ewing, Licensed Professional Counselor, MS, LCMHC
Paul M. Ewing
Licensed Professional Counselor, MS, LCMHC
3 Endorsed
Charlotte, NC 28262
Thank you for considering me as your therapist. I have over 8 years as a licensed clinical mental health counselor, with more than 18 years working in various capacities in the mental health field.
Thank you for considering me as your therapist. I have over 8 years as a licensed clinical mental health counselor, with more than 18 years working in various capacities in the mental health field.
(704) 538-4268 View (704) 538-4268
Photo of Jarrett Evans, Licensed Clinical Mental Health Counselor, LCMHC
Jarrett Evans
Licensed Clinical Mental Health Counselor, LCMHC
Online Only
Peace Peace, My name is Jarrett, Have you been feeling a little down lately? Anxious, frustrated, and/or depressed about a current or past situation? As if you’ve lost sight of the person, you are or want to be. As we grow through life, we can expect challenges and changes. However, our perspective of those situations can dictate our emotional or behavioral responses. Let's begin to move forward, step by step. Let's partner together. First, we will build a trusting therapeutic relationship, then I will cultivate a safe space of understanding, healing, and growth, through evidence-based practices in hopes of you becoming the best.
Peace Peace, My name is Jarrett, Have you been feeling a little down lately? Anxious, frustrated, and/or depressed about a current or past situation? As if you’ve lost sight of the person, you are or want to be. As we grow through life, we can expect challenges and changes. However, our perspective of those situations can dictate our emotional or behavioral responses. Let's begin to move forward, step by step. Let's partner together. First, we will build a trusting therapeutic relationship, then I will cultivate a safe space of understanding, healing, and growth, through evidence-based practices in hopes of you becoming the best.
(704) 270-3632 View (704) 270-3632
Photo of Jessica McCall, Marriage & Family Therapist, MS, LMFT-S, CSAT, CPTT, EMDR
Jessica McCall
Marriage & Family Therapist, MS, LMFT-S, CSAT, CPTT, EMDR
15 Endorsed
Charlotte, NC 28210
I'm a Licensed Marriage & Family Therapist Supervisor (LMFT-S), Certified Sex Addiction Therapist (CSAT), Certified Partner Trauma Therapist (CPTT), and trauma therapist (EMDR) at The Haven. I walk with clients through emotional healing, addiction recovery, and relationship repair. I help individuals and couples struggling with infidelity, betrayal, trust, intimacy, sex, process addictions, communication, and complex or attachment-oriented trauma. I am also Certified to work with premarital couples as a Prepare/Enrich Facilitator and I am trained in Discernment Counseling to help couples considering divorce.
I'm a Licensed Marriage & Family Therapist Supervisor (LMFT-S), Certified Sex Addiction Therapist (CSAT), Certified Partner Trauma Therapist (CPTT), and trauma therapist (EMDR) at The Haven. I walk with clients through emotional healing, addiction recovery, and relationship repair. I help individuals and couples struggling with infidelity, betrayal, trust, intimacy, sex, process addictions, communication, and complex or attachment-oriented trauma. I am also Certified to work with premarital couples as a Prepare/Enrich Facilitator and I am trained in Discernment Counseling to help couples considering divorce.
(980) 255-5335 View (980) 255-5335
Photo of Christeen Badie, LCSW Associate, LCSWA, LGSW, PMP
Christeen Badie
LCSW Associate, LCSWA, LGSW, PMP
Online Only
You are the "perfect" immigrant or person of color, who did what was expected: You earned the degree, advanced at work, built a business, or made it to college; yet, you still feel unhappy, angry, confused, or demoralized. You may feel caught between cultures or like you don’t fully belong. You’re also living amid ongoing political violence impacting people who look like you. Your distress is not a mental disorder, but a human response to colonization, trauma, attempted genocide, and ongoing violence. Your nervous system is responding to what it’s witnessing, and you want clarity, grounding, and space to feel peace.
You are the "perfect" immigrant or person of color, who did what was expected: You earned the degree, advanced at work, built a business, or made it to college; yet, you still feel unhappy, angry, confused, or demoralized. You may feel caught between cultures or like you don’t fully belong. You’re also living amid ongoing political violence impacting people who look like you. Your distress is not a mental disorder, but a human response to colonization, trauma, attempted genocide, and ongoing violence. Your nervous system is responding to what it’s witnessing, and you want clarity, grounding, and space to feel peace.
(704) 981-4149 View (704) 981-4149
Photo of Carmen Davis - Innovations Counseling and Consulting Services, Licensed Professional Counselor, PhD, LCMHCS
Innovations Counseling and Consulting Services
Licensed Professional Counselor, PhD, LCMHCS
1 Endorsed
Charlotte, NC 28262
Hi my name is Dr. Carmen Davis and I am the owner and operator of Innovations Counseling and Consulting Services. I provide outpatient professional counseling services to everyday people who just needs a little help! I believe that going to counseling is the healthiest act that anyone can give themselves or a loved one who may be struggling with emotional problems such as depression, anxiety, family problems, behavioral problems, transition problems, trauma and PTSD, parenting challenges and more.
Hi my name is Dr. Carmen Davis and I am the owner and operator of Innovations Counseling and Consulting Services. I provide outpatient professional counseling services to everyday people who just needs a little help! I believe that going to counseling is the healthiest act that anyone can give themselves or a loved one who may be struggling with emotional problems such as depression, anxiety, family problems, behavioral problems, transition problems, trauma and PTSD, parenting challenges and more.
(704) 997-3492 View (704) 997-3492
Photo of Jay Cobb, Counselor, MACC, LCMHCQS
Jay Cobb
Counselor, MACC, LCMHCQS
4 Endorsed
Charlotte, NC 28204
At Sanctuary Counseling Group, we believe in creating therapeutic relationships with our clients to promote the healing of heart, mind & soul. Life is not meant to be done in isolation. There are times when we meet challenges too difficult to face. Even if you are surrounded by family & friends, they do not necessarily know how to help. I have the experience & skills to assist as you navigate life's trials. Whether you are facing the wonders of new love, planning a marriage, facing the loss of an infant, combating addictions, or foundering to connect in a relationship, there is help. I offer you a safe place of respite and recovery.
At Sanctuary Counseling Group, we believe in creating therapeutic relationships with our clients to promote the healing of heart, mind & soul. Life is not meant to be done in isolation. There are times when we meet challenges too difficult to face. Even if you are surrounded by family & friends, they do not necessarily know how to help. I have the experience & skills to assist as you navigate life's trials. Whether you are facing the wonders of new love, planning a marriage, facing the loss of an infant, combating addictions, or foundering to connect in a relationship, there is help. I offer you a safe place of respite and recovery.
(704) 464-3947 View (704) 464-3947
Photo of Shakeyla Boulware, Licensed Clinical Mental Health Counselor, MA, LPC
Shakeyla Boulware
Licensed Clinical Mental Health Counselor, MA, LPC
3 Endorsed
Online Only
Are you tired of feeling overwhelmed, emotionally numb, or uninterested in the things you once enjoyed? Is your mind racing so much that it disrupts your sleep or makes it hard to focus? Maybe you feel persistently sad, disconnected from your emotions, or trapped in negative thoughts about yourself. I work with people who experience these challenges—helping them uncover their strengths, break free from old habits, and rediscover a sense of happiness.
Are you tired of feeling overwhelmed, emotionally numb, or uninterested in the things you once enjoyed? Is your mind racing so much that it disrupts your sleep or makes it hard to focus? Maybe you feel persistently sad, disconnected from your emotions, or trapped in negative thoughts about yourself. I work with people who experience these challenges—helping them uncover their strengths, break free from old habits, and rediscover a sense of happiness.
(704) 741-1439 View (704) 741-1439
Photo of Sarah Winnick, Clinical Social Work/Therapist, LCSW
Sarah Winnick
Clinical Social Work/Therapist, LCSW
Online Only
Hello! I am so happy you are here. I am a Licensed Clinical Social Worker in the state of North Carolina and Licensed Independent Social Worker in the state of South Carolina with four years of experience in the mental health field. If you are struggling with chronic stress, anxiety, self-esteem, attachment issues, relationship challenges, or LGBTQ+ related issues, I am here to help you in your healing journey.
Hello! I am so happy you are here. I am a Licensed Clinical Social Worker in the state of North Carolina and Licensed Independent Social Worker in the state of South Carolina with four years of experience in the mental health field. If you are struggling with chronic stress, anxiety, self-esteem, attachment issues, relationship challenges, or LGBTQ+ related issues, I am here to help you in your healing journey.
(980) 998-1877 View (980) 998-1877
Photo of Seugnet Marais, Marriage & Family Therapist, MA, LMFT
Seugnet Marais
Marriage & Family Therapist, MA, LMFT
Charlotte, NC 28277
I have extensive expertise in working with individuals (adults and children), couples and families. I have worked with a wide range of concerns related to behavior, trauma, life transitions, parenting, grief and loss, relationships, family conflict, migration issues and I utilize a variety of therapeutic approaches tailored to meet the specific needs of individual, couple or family. This includes a variety of models in individual therapy, family therapy and child-centered play therapy.
I have extensive expertise in working with individuals (adults and children), couples and families. I have worked with a wide range of concerns related to behavior, trauma, life transitions, parenting, grief and loss, relationships, family conflict, migration issues and I utilize a variety of therapeutic approaches tailored to meet the specific needs of individual, couple or family. This includes a variety of models in individual therapy, family therapy and child-centered play therapy.
(704) 486-5493 View (704) 486-5493
Photo of Caleigh Koppelmann, Marriage & Family Therapist, LMFT
Caleigh Koppelmann
Marriage & Family Therapist, LMFT
5 Endorsed
Online Only
Hi, I am Caleigh Koppelmann, therapist here at Bluesky Telepsych. As a trauma-informed Marriage and Family Therapist, I work collaboratively with adult clients to help them explore the patterns, relationships, and experiences that shape their lives. I earned my Master of Science in Marriage and Family Therapy at East Carolina University in 2023, and my work spans concerns such as anxiety, grief, burnout, relationship issues, self-esteem, and life transitions. I draw from approaches including EFT, IFS, attachment-based, narrative, and mindfulness therapies to support resilience, growth, and meaningful change.
Hi, I am Caleigh Koppelmann, therapist here at Bluesky Telepsych. As a trauma-informed Marriage and Family Therapist, I work collaboratively with adult clients to help them explore the patterns, relationships, and experiences that shape their lives. I earned my Master of Science in Marriage and Family Therapy at East Carolina University in 2023, and my work spans concerns such as anxiety, grief, burnout, relationship issues, self-esteem, and life transitions. I draw from approaches including EFT, IFS, attachment-based, narrative, and mindfulness therapies to support resilience, growth, and meaningful change.
(980) 400-2375 View (980) 400-2375
Photo of Karmen Robinson, Clinical Social Work/Therapist, MSW, LCSWA
Karmen Robinson
Clinical Social Work/Therapist, MSW, LCSWA
4 Endorsed
Charlotte, NC 28210
Accepting new clients. So many women carry the quiet weight of caring for everyone else while trying to hold themselves together. I understand how overwhelming that can feel and you don’t have to go through it alone. I specialize in supporting women through life’s most challenging transitions, including pregnancy, postpartum, infertility, loss and eating disorder recovery. Together, we'll navigate uncertainty, embracing the joys and challenges that come your way. I use EMDR and other trauma-informed techniques to help clients heal from past experiences, strengthen self-compassion, and feel more grounded in their bodies and lives.
Accepting new clients. So many women carry the quiet weight of caring for everyone else while trying to hold themselves together. I understand how overwhelming that can feel and you don’t have to go through it alone. I specialize in supporting women through life’s most challenging transitions, including pregnancy, postpartum, infertility, loss and eating disorder recovery. Together, we'll navigate uncertainty, embracing the joys and challenges that come your way. I use EMDR and other trauma-informed techniques to help clients heal from past experiences, strengthen self-compassion, and feel more grounded in their bodies and lives.
(704) 350-2660 View (704) 350-2660
Photo of Hayden Nielsen, Clinical Social Work/Therapist, MSW, LCSW
Hayden Nielsen
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Charlotte, NC 28227
Not accepting new clients
Hayden Nielsen (he/him) received his Licensed Clinical Social Worker Associate (LCSWA) from the North Carolina Social Work Certification and Licensure Board in 2022. Hayden has experience providing counseling to children, youth, and adults, as well as facilitating psycho-educational support groups for LGBTQIA+ youth. He is LGBTQIA+ affirming and specializes in working with the transgender community. He has worked with individuals diagnosed with mood, trauma and stressor-related, gender dysphoria, and anxiety disorders.
Hayden Nielsen (he/him) received his Licensed Clinical Social Worker Associate (LCSWA) from the North Carolina Social Work Certification and Licensure Board in 2022. Hayden has experience providing counseling to children, youth, and adults, as well as facilitating psycho-educational support groups for LGBTQIA+ youth. He is LGBTQIA+ affirming and specializes in working with the transgender community. He has worked with individuals diagnosed with mood, trauma and stressor-related, gender dysphoria, and anxiety disorders.
(704) 610-5906 View (704) 610-5906
Photo of Atyana Starkie Whitney, LCSW Associate , LCSW-A
Atyana Starkie Whitney
LCSW Associate , LCSW-A
1 Endorsed
Online Only
Let’s Restore Joy and Discover Meaning! Life transitions can be some of the most challenging and transformative experiences we face. Whether it’s a career change, a relationship shift, the loss of a loved one, or the seismic changes that come with becoming a parent, these moments force us to reevaluate who we are and where we’re headed. My goal is to provide you with practical tools and emotional support to strengthen both your family bonds and your sense of self. Together, we can work towards creating a life that is meaningful, authentic, and fulfilling.
Let’s Restore Joy and Discover Meaning! Life transitions can be some of the most challenging and transformative experiences we face. Whether it’s a career change, a relationship shift, the loss of a loved one, or the seismic changes that come with becoming a parent, these moments force us to reevaluate who we are and where we’re headed. My goal is to provide you with practical tools and emotional support to strengthen both your family bonds and your sense of self. Together, we can work towards creating a life that is meaningful, authentic, and fulfilling.
(252) 632-7984 View (252) 632-7984
Photo of Rachel Phillips Tenny, Licensed Clinical Mental Health Counselor, MA, LPCS, LCMHCS
Rachel Phillips Tenny
Licensed Clinical Mental Health Counselor, MA, LPCS, LCMHCS
1 Endorsed
Charlotte, NC 28210
You deserve to feel at home in your mind and body. I specialize in supporting women navigating eating disorders, trauma, and late-diagnosis ADHD. Those who have spent years feeling “too much,” “not enough,” or constantly trying to hold it all together. My approach is compassionate, collaborative, and based in helping you build self-trust, emotional awareness, and sustainable change. In our work together, we’ll explore the patterns that have shaped your story while creating space for healing and self-understanding. I integrate trauma-informed approaches that focus on helping you reconnect with yourself and your needs.
You deserve to feel at home in your mind and body. I specialize in supporting women navigating eating disorders, trauma, and late-diagnosis ADHD. Those who have spent years feeling “too much,” “not enough,” or constantly trying to hold it all together. My approach is compassionate, collaborative, and based in helping you build self-trust, emotional awareness, and sustainable change. In our work together, we’ll explore the patterns that have shaped your story while creating space for healing and self-understanding. I integrate trauma-informed approaches that focus on helping you reconnect with yourself and your needs.
(704) 644-0991 View (704) 644-0991
Photo of Taylor Shirkey, Psychological Associate, SSP, NCSP, LPA
Taylor Shirkey
Psychological Associate, SSP, NCSP, LPA
Charlotte, NC 28204
As a Charlotte native with years of experience in schools, university, and private practice settings, I have a passion for working with kids and teens looking for personalized, neuroaffirming, and comprehensive evaluations. I approach the evaluation and consultation process with genuine curiosity and compassion. I love helping my clients find the answers they have been searching for, facilitating connections with community resources, and helping to navigate school supports, like special education and Section 504 processes.
As a Charlotte native with years of experience in schools, university, and private practice settings, I have a passion for working with kids and teens looking for personalized, neuroaffirming, and comprehensive evaluations. I approach the evaluation and consultation process with genuine curiosity and compassion. I love helping my clients find the answers they have been searching for, facilitating connections with community resources, and helping to navigate school supports, like special education and Section 504 processes.
(704) 440-4742 View (704) 440-4742
Photo of Sara R Dore, Counselor, MA, NCC, LCMHC
Sara R Dore
Counselor, MA, NCC, LCMHC
3 Endorsed
Charlotte, NC 28227
I currently have after school/evening and weekend availability. I strive to provide a safe environment where you will feel understood, accepted, and challenged. I can help you safely process grief and trauma at your own pace, reframe those negative thoughts without shame, and regain the skills to help connect with others. I specialize in working with women, teens and children 3+.
I currently have after school/evening and weekend availability. I strive to provide a safe environment where you will feel understood, accepted, and challenged. I can help you safely process grief and trauma at your own pace, reframe those negative thoughts without shame, and regain the skills to help connect with others. I specialize in working with women, teens and children 3+.
(704) 729-7650 View (704) 729-7650
Photo of Natika Smith, Licensed Professional Counselor, LCMHC, CCTP, CCTIP
Natika Smith
Licensed Professional Counselor, LCMHC, CCTP, CCTIP
Online Only
The Therapy Lounge PLLC, is a place where families and individuals feel safe, accepted, heard, understood, and empowered. Families and individuals can find healing in divorce, broken relationships, trauma, and maintaining mental health symptoms throughout day to day challenges. It's common for us to feel the problems we face are complicated and overwhelming for anyone to understand. Please know there is a space created here to navigate through your concerns with support. My goal is to guide you to become self-sufficient using coping skills and explore the root cause of their thoughts and situations.
The Therapy Lounge PLLC, is a place where families and individuals feel safe, accepted, heard, understood, and empowered. Families and individuals can find healing in divorce, broken relationships, trauma, and maintaining mental health symptoms throughout day to day challenges. It's common for us to feel the problems we face are complicated and overwhelming for anyone to understand. Please know there is a space created here to navigate through your concerns with support. My goal is to guide you to become self-sufficient using coping skills and explore the root cause of their thoughts and situations.
(704) 879-3393 View (704) 879-3393
Photo of Emily Cannon, Clinical Social Work/Therapist, MSW, LCSW, RPT-S
Emily Cannon
Clinical Social Work/Therapist, MSW, LCSW, RPT-S
5 Endorsed
Charlotte, NC 28210
Making the decision to pursue counseling is brave- I know because I’ve done it. I believe everyone deserves a safe space where we can feel seen and heard; where we can tell our story without fear of judgement, to someone we trust and be met with deep respect, care, empathy and acceptance. I believe this process helps us find our true voice, discover or reconnect with our strengths and feel empowered to heal, grow and thrive. Life is demanding, and it can be a struggle to find a balance between all the roles we play and the people who depend on us. Sometimes we have to do so much, it’s hard to feel like we are doing anything right.
Making the decision to pursue counseling is brave- I know because I’ve done it. I believe everyone deserves a safe space where we can feel seen and heard; where we can tell our story without fear of judgement, to someone we trust and be met with deep respect, care, empathy and acceptance. I believe this process helps us find our true voice, discover or reconnect with our strengths and feel empowered to heal, grow and thrive. Life is demanding, and it can be a struggle to find a balance between all the roles we play and the people who depend on us. Sometimes we have to do so much, it’s hard to feel like we are doing anything right.
(704) 802-9068 View (704) 802-9068
Photo of Robert Brown, Clinical Social Work/Therapist, LCSW
Robert Brown
Clinical Social Work/Therapist, LCSW
Online Only
Hi there!
Hi there!
(828) 662-9537 View (828) 662-9537
Photo of Taliesha Goodwin, Marriage & Family Therapist Associate, PLMHP, LMFTA, MS
Taliesha Goodwin
Marriage & Family Therapist Associate, PLMHP, LMFTA, MS
Charlotte, NC 28215
At ChosYnn Joy LLC, JOY IS... connecting to YOUR authentic narrative, through exposing the challenge, identifying YOUR power in changing it, re-presenting yourself to those that matter, & living the life YOU choose. I offer connection to self, to life changing information, to internal resources that brings clarity, builds long lasting relief, & change.
At ChosYnn Joy LLC, JOY IS... connecting to YOUR authentic narrative, through exposing the challenge, identifying YOUR power in changing it, re-presenting yourself to those that matter, & living the life YOU choose. I offer connection to self, to life changing information, to internal resources that brings clarity, builds long lasting relief, & change.
(704) 387-5984 View (704) 387-5984

See more therapy options for Charlotte

How does your Therapist compare?

Number of Therapists in Charlotte, NC

3,000+

Average cost per session

$149

Therapists in Charlotte, NC who prioritize treating:

92% Anxiety
85% Depression
75% Self Esteem
71% Relationship Issues
70% Stress
65% Trauma and PTSD
57% Grief

Average years in practice

10 Years

Top 3 insurances accepted

91% Aetna
88% BlueCross and BlueShield
63% Cigna and Evernorth

How Therapists in Charlotte, NC see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Charlotte?

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.