Therapists in Gaston County, NC

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Photo of Alisha Begrin, Clinical Social Work/Therapist, LCSW, LISW-CP, CFRC
Alisha Begrin
Clinical Social Work/Therapist, LCSW, LISW-CP, CFRC
Verified Verified
Online Only
I love working with clients who have experienced trauma—whether it’s big t or little t—who are ready to process those events and reclaim control over their lives. It’s empowering to acknowledge the challenges we’ve faced and to leverage the skills we’ve gained from those experiences. While I have a background of working with first responders, I’m open to, and enjoy, working with adults (18+) of various backgrounds who are looking for a supportive partner in their mental wellness journey.
I love working with clients who have experienced trauma—whether it’s big t or little t—who are ready to process those events and reclaim control over their lives. It’s empowering to acknowledge the challenges we’ve faced and to leverage the skills we’ve gained from those experiences. While I have a background of working with first responders, I’m open to, and enjoy, working with adults (18+) of various backgrounds who are looking for a supportive partner in their mental wellness journey.
(980) 577-6126 View (980) 577-6126
Photo of Hannah Sanii, Clinical Social Work/Therapist, LCSW, LISW
Hannah Sanii
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
Gastonia, NC 28056
Waitlist for new clients
Counseling is a voluntary and collaborative process. This requires that you be actively involved and willing to set and work toward specific goals. Counseling is a tool that individuals can use to deal with problems in a way that is best for that individual. Your counselor cannot “fix,” “cure,” or “heal” you in any way. However, unconditional acceptance, listening and understanding, professional expertise, and honest communication can help you reach your goals to achieving a happier, healthier life!
Counseling is a voluntary and collaborative process. This requires that you be actively involved and willing to set and work toward specific goals. Counseling is a tool that individuals can use to deal with problems in a way that is best for that individual. Your counselor cannot “fix,” “cure,” or “heal” you in any way. However, unconditional acceptance, listening and understanding, professional expertise, and honest communication can help you reach your goals to achieving a happier, healthier life!
(704) 286-9135 View (704) 286-9135
Photo of Kenneth Stephenson, Licensed Professional Counselor, LPC
Kenneth Stephenson
Licensed Professional Counselor, LPC
Verified Verified
Mount Holly, NC 28120
I am a License Clinical Mental Health Counselor and believe that there is power in learning to balance our lives emotionally and spiritually. I have 25-plus years as a counselor and have been able to help clients find emotional and general life balance. I draw from primary treatment modalities of Mindfulness, Cognitive Behavioral, Dialectical Behavioral, Solution Focused, Psychodynamic and Existential Theories. Ideally, at the conclusion of counseling, a client will be able to actively deal with their internal states in a way that allows them to feel more at peace with increased self-esteem, and well-being.
I am a License Clinical Mental Health Counselor and believe that there is power in learning to balance our lives emotionally and spiritually. I have 25-plus years as a counselor and have been able to help clients find emotional and general life balance. I draw from primary treatment modalities of Mindfulness, Cognitive Behavioral, Dialectical Behavioral, Solution Focused, Psychodynamic and Existential Theories. Ideally, at the conclusion of counseling, a client will be able to actively deal with their internal states in a way that allows them to feel more at peace with increased self-esteem, and well-being.
(980) 360-2384 View (980) 360-2384
Photo of April Dawn Grimes, Clinical Social Work/Therapist, LCSWA
April Dawn Grimes
Clinical Social Work/Therapist, LCSWA
Verified Verified
Gastonia, NC 28054
Trying to juggle marriage, kids, work, home and so much more leaves very little time for yourself. Trying to balance it all when it all seems to be falling apart can be difficult. It can feel like you are being pulled in all directions. But all hope is not lost….
Trying to juggle marriage, kids, work, home and so much more leaves very little time for yourself. Trying to balance it all when it all seems to be falling apart can be difficult. It can feel like you are being pulled in all directions. But all hope is not lost….
(980) 470-6352 View (980) 470-6352
Photo of Erin Thompson, Licensed Professional Counselor, LCMHCQS, NCC, BC-TMH, CFRC
Erin Thompson
Licensed Professional Counselor, LCMHCQS, NCC, BC-TMH, CFRC
Verified Verified
Gastonia, NC 28052
I have been passionate about helping first responders, active military, and veterans since I was an adolescent. During therapy, I accept you for who you are and I appreciate and understand that everyone is unique. I provide an empathetic, understanding, and honest voice to soothe and support you through our therapy sessions. While I am working with you, I become inspired by seeing you break through barriers and grow within your progress by achieving the goals you set for yourself. It is a privilege and honor to come alongside you, as you navigate the uncertainty and pain that often comes as a result of individual lived experiences.
I have been passionate about helping first responders, active military, and veterans since I was an adolescent. During therapy, I accept you for who you are and I appreciate and understand that everyone is unique. I provide an empathetic, understanding, and honest voice to soothe and support you through our therapy sessions. While I am working with you, I become inspired by seeing you break through barriers and grow within your progress by achieving the goals you set for yourself. It is a privilege and honor to come alongside you, as you navigate the uncertainty and pain that often comes as a result of individual lived experiences.
(704) 272-2778 View (704) 272-2778
Photo of Patricia Greer, Clinical Social Work/Therapist, MSW, LCSW, LCAS
Patricia Greer
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Online Only
Feeling stressed, anxious, confused, bored, lonely, sad or down? Struggling with an addiction? I graduated with a MSW from UNC-Charlotte, and am a LCSW and LCAS. Since 2005 I have helped many clients work through these issues to empower them to improve and enjoy a better quality of life.
Feeling stressed, anxious, confused, bored, lonely, sad or down? Struggling with an addiction? I graduated with a MSW from UNC-Charlotte, and am a LCSW and LCAS. Since 2005 I have helped many clients work through these issues to empower them to improve and enjoy a better quality of life.
(980) 351-6701 View (980) 351-6701
Photo of Kim Antoinette Gray, Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Kim Antoinette Gray
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
1 Endorsed
Online Only
As a Licensed Clinical Mental Health Therapist, I enjoy working with individuals, ages 3 and up, couples and families. I have a master's degree in Conflict Studies and Dispute Resolution and am also a trained mediator, which aids in my passion for helping others reach their goals. Are you struggling to set and consistently meet your goals? Are you re-entering society, from the military or prison? Do you have periods of anxiety or sadness? Are you frustrated with your mate, family or other relationships? Let's chat about your specific needs and see how we can work together.
As a Licensed Clinical Mental Health Therapist, I enjoy working with individuals, ages 3 and up, couples and families. I have a master's degree in Conflict Studies and Dispute Resolution and am also a trained mediator, which aids in my passion for helping others reach their goals. Are you struggling to set and consistently meet your goals? Are you re-entering society, from the military or prison? Do you have periods of anxiety or sadness? Are you frustrated with your mate, family or other relationships? Let's chat about your specific needs and see how we can work together.
(704) 610-7236 View (704) 610-7236
Photo of Tanesha Rivers, Lic Clinical Mental Health Counselor Associate, LCMHC-A, LCAS-A
Tanesha Rivers
Lic Clinical Mental Health Counselor Associate, LCMHC-A, LCAS-A
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
When navigating life, you go through hardships that you tend to tuck away in order to keep moving. Sometimes you don’t feel important enough, you don’t feel heard, or sometimes you might just feel like you don’t have time to process the hand you were dealt. Trying to move on through life without processing all that life throws at you can cause you to feel stuck, to make bad decisions and cause a pea sized problem to feel as big as an elephant. I am here to let you know that there is hope! You are important. You can be heard. You can do this!
When navigating life, you go through hardships that you tend to tuck away in order to keep moving. Sometimes you don’t feel important enough, you don’t feel heard, or sometimes you might just feel like you don’t have time to process the hand you were dealt. Trying to move on through life without processing all that life throws at you can cause you to feel stuck, to make bad decisions and cause a pea sized problem to feel as big as an elephant. I am here to let you know that there is hope! You are important. You can be heard. You can do this!
(980) 385-8530 View (980) 385-8530
Photo of Poletta ' Shay' Cunningham, Clinical Social Work/Therapist, LCSW
Poletta ' Shay' Cunningham
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gastonia, NC 28054
I've practiced in mental health for more than 15 years and I still have the same passion I did when I started. I trust that part of the reason that I remain committed to this work is because I practice what I preach. I constantly have to remind myself that I can do hard things and I wake up every day manifesting my purpose. The most rewarding part of my job is watching you grow into the person you've set out to be. I pride myself on true social work values; which include integrity, ethical practices, and quality services. I have specialized certification and training in trauma and a long work history in family systems therapy.
I've practiced in mental health for more than 15 years and I still have the same passion I did when I started. I trust that part of the reason that I remain committed to this work is because I practice what I preach. I constantly have to remind myself that I can do hard things and I wake up every day manifesting my purpose. The most rewarding part of my job is watching you grow into the person you've set out to be. I pride myself on true social work values; which include integrity, ethical practices, and quality services. I have specialized certification and training in trauma and a long work history in family systems therapy.
(704) 480-3437 View (704) 480-3437
Photo of Gregory Logan, Licensed Clinical Mental Health Counselor, MEd, LCMHC
Gregory Logan
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
Online Only
Not accepting new clients
I hope to make this transition into working more on your mental health easier for you. With over five years of experience, as a licensed clinical therapist, I have the skills and resources to help aid us both in that journey.
I hope to make this transition into working more on your mental health easier for you. With over five years of experience, as a licensed clinical therapist, I have the skills and resources to help aid us both in that journey.
Photo of Hannah Clements, Counselor, MA, LCMHCA
Hannah Clements
Counselor, MA, LCMHCA
Verified Verified
1 Endorsed
Mount Holly, NC 28120
Not accepting new clients
Are you a parent seeking support for your child/teen or a woman looking for support through the ups and downs of life? As a LCMHCA and a Licensed School Counselor, I specialize in working with children, teens and women. I believe all clients have stories that deserve to be heard and the potential to overcome challenges and grow as a person. My clients are met with a safe, welcoming and supportive attitude. It is my purpose as a counselor to help my clients identify and meet their personal goals in order to better themselves and to rediscover both joy and hope.
Are you a parent seeking support for your child/teen or a woman looking for support through the ups and downs of life? As a LCMHCA and a Licensed School Counselor, I specialize in working with children, teens and women. I believe all clients have stories that deserve to be heard and the potential to overcome challenges and grow as a person. My clients are met with a safe, welcoming and supportive attitude. It is my purpose as a counselor to help my clients identify and meet their personal goals in order to better themselves and to rediscover both joy and hope.
(704) 272-2237 View (704) 272-2237
Photo of Allie Murphy, Pre-Licensed Professional, LCMHCA
Allie Murphy
Pre-Licensed Professional, LCMHCA
Verified Verified
1 Endorsed
Belmont, NC 28012
I specialize in working with adults and teens aged 14 and up who experience difficulties managing the day to day of anxiety, depression, relationships, and/or past traumatic experiences. If you feel lost, disconnected, or unfulfilled in life, or your mental health or past experiences impede your ability to function, I can help create a plan to move you forward. Because your life experiences are unique, your counseling experience should be too. I have an eclectic approach, meaning that your treatment will include a variety of tools and theories tailored to your specific strengths, preferences and circumstances.
I specialize in working with adults and teens aged 14 and up who experience difficulties managing the day to day of anxiety, depression, relationships, and/or past traumatic experiences. If you feel lost, disconnected, or unfulfilled in life, or your mental health or past experiences impede your ability to function, I can help create a plan to move you forward. Because your life experiences are unique, your counseling experience should be too. I have an eclectic approach, meaning that your treatment will include a variety of tools and theories tailored to your specific strengths, preferences and circumstances.
(980) 332-5754 View (980) 332-5754
Photo of Steven C. Land, Licensed Professional Counselor, MA, LCMHC
Steven C. Land
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Gastonia, NC 28054
I enjoy working with individuals who want to find out who they are and where they want to go. I specialize in working with people going through major life transitions, desire to have a stronger sense of identity, and asking serious questions about their view of life. Because of this, I specialize in working with those who are in the LGBTQ+ community, Gen Z and Millennials, and those impacted by major changes such as moving away from home, divorce, job changes, and more. Further, I work closely with those going through spiritual questioning, no matter their faith.
I enjoy working with individuals who want to find out who they are and where they want to go. I specialize in working with people going through major life transitions, desire to have a stronger sense of identity, and asking serious questions about their view of life. Because of this, I specialize in working with those who are in the LGBTQ+ community, Gen Z and Millennials, and those impacted by major changes such as moving away from home, divorce, job changes, and more. Further, I work closely with those going through spiritual questioning, no matter their faith.
(980) 414-8383 View (980) 414-8383
Photo of Jenny Riebesell, Clinical Social Work/Therapist, LCSW
Jenny Riebesell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gastonia, NC 28056
Waitlist for new clients
As a therapist , I have passion and experience in serving patients struggling with disordered eating, body image concerns and anxiety. I offer evening and weekend appointments to make therapy available to everyone. Making the choice to engage in counseling is one of the most courageous and empowering decisions one can make to change their life. I am inspired by the bravery of my patients and motivated to provide support for patients who are dedicated to their own personal growth. I love to make connections with my patients, while creating a safe space for individuals to feel comfortable and welcomed to express themselves.
As a therapist , I have passion and experience in serving patients struggling with disordered eating, body image concerns and anxiety. I offer evening and weekend appointments to make therapy available to everyone. Making the choice to engage in counseling is one of the most courageous and empowering decisions one can make to change their life. I am inspired by the bravery of my patients and motivated to provide support for patients who are dedicated to their own personal growth. I love to make connections with my patients, while creating a safe space for individuals to feel comfortable and welcomed to express themselves.
(704) 326-7363 View (704) 326-7363
Photo of Emily Lundy, Clinical Social Work/Therapist, MSSA, LCSW
Emily Lundy
Clinical Social Work/Therapist, MSSA, LCSW
Verified Verified
2 Endorsed
Gastonia, NC 28054
Hey there. If you’re reading this, there’s a good chance that you are currently in a season of life that has you reaching for some direction. If that’s the case, I want you to know that I admire the steps you’re taking. With that being said, please feel free to continue reading to see if I may be the right fit for you when considering your next steps.
Hey there. If you’re reading this, there’s a good chance that you are currently in a season of life that has you reaching for some direction. If that’s the case, I want you to know that I admire the steps you’re taking. With that being said, please feel free to continue reading to see if I may be the right fit for you when considering your next steps.
(704) 327-0320 View (704) 327-0320
Photo of Jennifer Reed, Licensed Clinical Mental Health Counselor, MA, LCMHCQS, NCC
Jennifer Reed
Licensed Clinical Mental Health Counselor, MA, LCMHCQS, NCC
Verified Verified
1 Endorsed
Online Only
The events that happen are not intended to be permanent, but instead are part of our journey. It is our story being written and we have the ability to choose the next chapter. The path of life can have difficult times, often with unexpected twists and turns. When this occurs, it can be beneficial to have someone walk with you through the challenging times. My clients are motivated to write their own story, to have someone support them but to work towards empowerment, self-confidence, internal peace, and ultimate healing. My clients know their past does not define them but instead empower them to be the best they can be!
The events that happen are not intended to be permanent, but instead are part of our journey. It is our story being written and we have the ability to choose the next chapter. The path of life can have difficult times, often with unexpected twists and turns. When this occurs, it can be beneficial to have someone walk with you through the challenging times. My clients are motivated to write their own story, to have someone support them but to work towards empowerment, self-confidence, internal peace, and ultimate healing. My clients know their past does not define them but instead empower them to be the best they can be!
(980) 389-8282 View (980) 389-8282
Photo of Stephanie Rauch - Rauch Mind Body Therapy, Licensed Clinical Mental Health Counselor, Stephanie Rauch, PhD, , LPC, Trager
Rauch Mind Body Therapy
Licensed Clinical Mental Health Counselor, Stephanie Rauch, PhD, , LPC, Trager
Verified Verified
1 Endorsed
Gastonia, NC 28052
You do not have to be sick to get better. I believe in paying attention to experience not what is bad or wrong. We can all learn skills to improve. My past experience as a world ranked professional tennis player gives me insight to work with high school, collegiate and professional athletes or anyone in this age. I work from a depth model, which encourages self-exploration to improve skills. The exploration helps one become conscious of long standing coping mechanisms that may no longer be as valuable as they once were. Learning what you do that blocks happiness empowers you to make choices that lead to a satisfying life.
You do not have to be sick to get better. I believe in paying attention to experience not what is bad or wrong. We can all learn skills to improve. My past experience as a world ranked professional tennis player gives me insight to work with high school, collegiate and professional athletes or anyone in this age. I work from a depth model, which encourages self-exploration to improve skills. The exploration helps one become conscious of long standing coping mechanisms that may no longer be as valuable as they once were. Learning what you do that blocks happiness empowers you to make choices that lead to a satisfying life.
(704) 869-2283 View (704) 869-2283
Jodie D Smetak
Counselor, LPC
Verified Verified
Belmont, NC 28012
I realize that seeking help takes courage, and I'm here to meet you with compassion and understanding. I offer a supportive, nonjudgmental space where we can explore what's been weighing on you and work together toward healing, insight, and meaningful change. With over 20 years of experience, I specialize in working with teens, young adults, college students, parents, and couples. Whether you are navigating anxiety, trauma, relationship challenges, life transitions, or feeling stuck in old patterns, I'm here to help you move forward with clarity and confidence.
I realize that seeking help takes courage, and I'm here to meet you with compassion and understanding. I offer a supportive, nonjudgmental space where we can explore what's been weighing on you and work together toward healing, insight, and meaningful change. With over 20 years of experience, I specialize in working with teens, young adults, college students, parents, and couples. Whether you are navigating anxiety, trauma, relationship challenges, life transitions, or feeling stuck in old patterns, I'm here to help you move forward with clarity and confidence.
(980) 399-5748 View (980) 399-5748
Photo of Sara Savino - Remedy Sense Counseling, PLLC, Licensed Professional Counselor, LCMHC, LCSW
Remedy Sense Counseling, PLLC
Licensed Professional Counselor, LCMHC, LCSW
Verified Verified
Gastonia, NC 28054
We believe that everyone deserves mental health. At times when the responsibilities of life appear to be overwhelming, and you contemplate what it is you are wanting to do, it can help to have a therapist who understands and can help you find your path. We understand what it means to struggle and how the histories of our lives can greatly impact who we are today and how we are facing our challenges. We welcome clients who desire to gain insight into who they are, move forward in the struggles they are facing and a willingness to embrace change. Visit our website for more detailed information.
We believe that everyone deserves mental health. At times when the responsibilities of life appear to be overwhelming, and you contemplate what it is you are wanting to do, it can help to have a therapist who understands and can help you find your path. We understand what it means to struggle and how the histories of our lives can greatly impact who we are today and how we are facing our challenges. We welcome clients who desire to gain insight into who they are, move forward in the struggles they are facing and a willingness to embrace change. Visit our website for more detailed information.
(704) 360-5265 View (704) 360-5265
Photo of Elizabeth Whitney, Licensed Clinical Mental Health Counselor, PhD abd, LCMHC, LCPC
Elizabeth Whitney
Licensed Clinical Mental Health Counselor, PhD abd, LCMHC, LCPC
Verified Verified
Online Only
I firmly believe that you know yourself better than anyone in this world. You live your life, feel your feelings, and encounter positive and negative consequences. Often, there is a dilemma within oneself when it comes to the idea of change. We tend to lean toward old familiar belief systems, even if those beliefs no longer offer us what we want in our lives. To change we need momentum, and sometimes we just need a little help to get us started. That is exactly what our work will touch on.
I firmly believe that you know yourself better than anyone in this world. You live your life, feel your feelings, and encounter positive and negative consequences. Often, there is a dilemma within oneself when it comes to the idea of change. We tend to lean toward old familiar belief systems, even if those beliefs no longer offer us what we want in our lives. To change we need momentum, and sometimes we just need a little help to get us started. That is exactly what our work will touch on.
(980) 983-1565 View (980) 983-1565
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How does your Therapist compare?

Number of Therapists in Gaston County, NC

200+

Average cost per session

$125

Therapists in Gaston County, NC who prioritize treating:

92% Anxiety
86% Depression
76% Coping Skills
75% Self Esteem
72% Relationship Issues
69% Trauma and PTSD
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
85% Aetna
62% Cigna and Evernorth

How Therapists in Gaston County, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Gaston 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.