Therapists in Jamestown, NC

Photo of Heather Seals, MA, LCMHCA, Counselor
Heather Seals
Counselor, MA, LCMHCA
Verified Verified
1 Endorsed
Online Only
Hello! I’m Heather, and it is my profound privilege to walk alongside those who take the step to embark on their own journey toward wellbeing. We all have struggles in this life, whether they originate from short-term stressors like college exams, or from longer term issues stemming from farther back in our pasts, such as traumas from childhood. Admitting that we are struggling takes courage and vulnerability. I seek to honor this by providing a warm, compassionate, nonjudgmental space for my clients.
Hello! I’m Heather, and it is my profound privilege to walk alongside those who take the step to embark on their own journey toward wellbeing. We all have struggles in this life, whether they originate from short-term stressors like college exams, or from longer term issues stemming from farther back in our pasts, such as traumas from childhood. Admitting that we are struggling takes courage and vulnerability. I seek to honor this by providing a warm, compassionate, nonjudgmental space for my clients.
(336) 537-5243 View (336) 537-5243
Photo of Ava Williams - Piedmont Counseling & Development, LCMHA, Counselor
Piedmont Counseling & Development
Counselor, LCMHA
Verified Verified
1 Endorsed
Jamestown, NC 27282
Navigating life’s ever changing course can be daunting at times. Your thoughts and concerns truly matter. Having support to help guide you through, puts you at an advantage to better handle what challenges you might be facing. As a therapist, I can assist you with anxiety, depression, transitioning, emotional challenges, relationship/marital challenges and refreshers, adolescent concerns, parenting & family dynamics, identity discovery and so much more. I do so by fostering authenticity, a positive, safe and nonjudgmental atmosphere. You will have my undivided attention in order to provide you with the best opportunity to process.
Navigating life’s ever changing course can be daunting at times. Your thoughts and concerns truly matter. Having support to help guide you through, puts you at an advantage to better handle what challenges you might be facing. As a therapist, I can assist you with anxiety, depression, transitioning, emotional challenges, relationship/marital challenges and refreshers, adolescent concerns, parenting & family dynamics, identity discovery and so much more. I do so by fostering authenticity, a positive, safe and nonjudgmental atmosphere. You will have my undivided attention in order to provide you with the best opportunity to process.
(336) 901-3912 View (336) 901-3912
Photo of Casey West, LCMHC, MA
Casey West
Licensed Clinical Mental Health Counselor, LCMHC, MA
Verified Verified
1 Endorsed
Jamestown, NC 27282
Waitlist for new clients
Do any of these sound familiar: "it will always be this way" "you will never heal" "you are wrong/broken/damaged/not good enough"? So often we believe the lies we've heard, which leaves us feeling like our pain and brokenness define us. We can easily feel "stuck" in parts of our story; as though we are unable to move forward. My work focuses on processing and challenging the negative thoughts that have become the lens through which we view ourselves and the world around us, along with developing healthy new patterns for living.
Do any of these sound familiar: "it will always be this way" "you will never heal" "you are wrong/broken/damaged/not good enough"? So often we believe the lies we've heard, which leaves us feeling like our pain and brokenness define us. We can easily feel "stuck" in parts of our story; as though we are unable to move forward. My work focuses on processing and challenging the negative thoughts that have become the lens through which we view ourselves and the world around us, along with developing healthy new patterns for living.
(336) 347-1911 View (336) 347-1911
Photo of Caitlin M Smith, MSW, LCSW-A, Clinical Social Work/Therapist
Caitlin M Smith
Clinical Social Work/Therapist, MSW, LCSW-A
Verified Verified
1 Endorsed
Jamestown, NC 27282
Waitlist for new clients
Hello! My name is Caitlin and I am a Licensed Clinical Social Worker Associate. I believe my clients are the experts of their own lives and it is my passion to empower them to create a life in which they thrive.
Hello! My name is Caitlin and I am a Licensed Clinical Social Worker Associate. I believe my clients are the experts of their own lives and it is my passion to empower them to create a life in which they thrive.
(336) 593-7359 View (336) 593-7359
Photo of Britta Marie Starke, LCSW, LCAS, CCS, Clinical Social Work/Therapist
Britta Marie Starke
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
Jamestown, NC 27282
Welcome and congratulations on choosing to embark on a different journey!! I have spent 25 yrs getting to know people of all ages: 6 - 80 years young. I find my passion lies with ages 17 and older. There seems to be a common struggle with finding a sense of meaning and purpose, or the loss of such, while juggling the demands of school, career, relationships and society. The more we lose ourselves, along the way, the more we lose the ability to cope with challenges in a healthy way. I believe in walking along side individuals in the exploration of what is missing or maybe not yet found! Are you ready to get started?
Welcome and congratulations on choosing to embark on a different journey!! I have spent 25 yrs getting to know people of all ages: 6 - 80 years young. I find my passion lies with ages 17 and older. There seems to be a common struggle with finding a sense of meaning and purpose, or the loss of such, while juggling the demands of school, career, relationships and society. The more we lose ourselves, along the way, the more we lose the ability to cope with challenges in a healthy way. I believe in walking along side individuals in the exploration of what is missing or maybe not yet found! Are you ready to get started?
(984) 237-3053 View (984) 237-3053
Photo of Jodi Herring
Jodi Herring
Licensed Clinical Mental Health Counselor
Verified Verified
Jamestown, NC 27282
Purpose, balance, and learning how to find some contentment in a world that is one "hot mess" is what we're all in need of on various levels. I'm here to help you find "your" truth.
Purpose, balance, and learning how to find some contentment in a world that is one "hot mess" is what we're all in need of on various levels. I'm here to help you find "your" truth.
(336) 502-7809 View (336) 502-7809
Photo of Monique T. Crutchfield - Piedmont Counseling & Development Services, PLLC, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Piedmont Counseling & Development Services, PLLC
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Jamestown, NC 27282
I have had the opportunity to assist people in obtaining their personal goals since 1994.
I have had the opportunity to assist people in obtaining their personal goals since 1994.
(336) 814-9941 View (336) 814-9941
Photo of Dr. Rebecca Levy, PhD, LMFT, Marriage & Family Therapist
Dr. Rebecca Levy
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Jamestown, NC 27282
We all deserve a safe space to understand and take care of our health. Many times a new physical diagnosis is given and treated but a big part of your health is forgotten, your mental health. My approach to your health is holistically. Physical health diagnoses can impact how we feel and interact. We forget that our brain lives inside of our body and to heal we must think about the entire body. Using this lens, I work with those struggling with a new physical diagnosis, mood disorders, trauma, life transitions and family distress. I have also worked with various healthcare workers in navigating burnout and healthcare challenges.
We all deserve a safe space to understand and take care of our health. Many times a new physical diagnosis is given and treated but a big part of your health is forgotten, your mental health. My approach to your health is holistically. Physical health diagnoses can impact how we feel and interact. We forget that our brain lives inside of our body and to heal we must think about the entire body. Using this lens, I work with those struggling with a new physical diagnosis, mood disorders, trauma, life transitions and family distress. I have also worked with various healthcare workers in navigating burnout and healthcare challenges.
(336) 742-1958 View (336) 742-1958
Photo of Will Krause, MA, LCMHC, NCC, Licensed Professional Counselor
Will Krause
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
8 Endorsed
Online Only
I am often asked why I chose to be a therapist. My answer is always the same. I understand what it feels like to go through something difficult, new, and challenging alone. Therapy is my passion and serving as a guide/supportive presence to help clients reach their goals is my sole purpose in treatment. I believe that every client is an expert regarding their life experiences. Therefore, therapy is a collaborative effort, so I am always open to feedback from clients in order to provide the best service for each individual.
I am often asked why I chose to be a therapist. My answer is always the same. I understand what it feels like to go through something difficult, new, and challenging alone. Therapy is my passion and serving as a guide/supportive presence to help clients reach their goals is my sole purpose in treatment. I believe that every client is an expert regarding their life experiences. Therefore, therapy is a collaborative effort, so I am always open to feedback from clients in order to provide the best service for each individual.
(336) 750-6791 View (336) 750-6791
Photo of Ken Pataky, MS, LCMHC, EMDR-C, CIMHP, CLC/CHC
Ken Pataky
Licensed Clinical Mental Health Counselor, MS, LCMHC, EMDR-C, CIMHP, CLC/CHC
Verified Verified
2 Endorsed
Jamestown, NC 27282
Congratulations for taking a positive step to move forward with your life! Are you courageous, ready for change, tired of the same problems keeping you from happiness and need support about where to go from here? Are you struggling with anxiety, unresolved trauma/grief, depression, negative thoughts, sleeplessness, meaninglessness? Are you finding yourself in dead-end relationships or jobs? Do you struggle with chronic pain or other chronic health issues that you just can't resolve? Have you tried working with others who haven't helped? As a holistic psychotherapist, life & health coach, I can provide an effective alternative.
Congratulations for taking a positive step to move forward with your life! Are you courageous, ready for change, tired of the same problems keeping you from happiness and need support about where to go from here? Are you struggling with anxiety, unresolved trauma/grief, depression, negative thoughts, sleeplessness, meaninglessness? Are you finding yourself in dead-end relationships or jobs? Do you struggle with chronic pain or other chronic health issues that you just can't resolve? Have you tried working with others who haven't helped? As a holistic psychotherapist, life & health coach, I can provide an effective alternative.
(336) 554-7429 View (336) 554-7429
Photo of Sonya Williams, MSW, LCSW, Clinical Social Work/Therapist
Sonya Williams
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Jamestown, NC 27282
Accepting new clients! I believe in a person-centered approach to therapy to help you in finding balance and peace when life becomes overwhelming. I am a Licensed Clinical Social Worker in Jamestown. I specialize in mood disorders, trauma, family, and childhood issues. My approach is collaborative and person-centered, as I believe each client is the expert of his/her life and much more than their illness. I believe in fostering people's innate resiliency through evidence-based practice. I work with all ages and with a variety of populations. I'm also fluent in Russian. Clinical supervision for LCSWAs offered at $100 per hour.
Accepting new clients! I believe in a person-centered approach to therapy to help you in finding balance and peace when life becomes overwhelming. I am a Licensed Clinical Social Worker in Jamestown. I specialize in mood disorders, trauma, family, and childhood issues. My approach is collaborative and person-centered, as I believe each client is the expert of his/her life and much more than their illness. I believe in fostering people's innate resiliency through evidence-based practice. I work with all ages and with a variety of populations. I'm also fluent in Russian. Clinical supervision for LCSWAs offered at $100 per hour.
(336) 792-5993 View (336) 792-5993
Photo of Dr. Emily Moran, PhD, MSW, LCSWA, Clinical Social Work/Therapist
Dr. Emily Moran
Clinical Social Work/Therapist, PhD, MSW, LCSWA
Verified Verified
Jamestown, NC 27282
“The thing that is really hard, and really amazing is giving up on being perfect and beginning the work of becoming yourself.” –A. Quindlen. Taking care of others, putting their needs first is exhausting. Fear of failure keeps you from chasing your dreams. You feel stuck. You hope to heal from the past, becoming empowered to create a more fulfilling life. “You may feel very secure in the pond that you are in, but if you never venture out of it, you will never know that there is such a thing as an ocean, a sea. Holding onto something that is good for you now, may be the very reason why you don't have something better.” -C. JoyBell C.
“The thing that is really hard, and really amazing is giving up on being perfect and beginning the work of becoming yourself.” –A. Quindlen. Taking care of others, putting their needs first is exhausting. Fear of failure keeps you from chasing your dreams. You feel stuck. You hope to heal from the past, becoming empowered to create a more fulfilling life. “You may feel very secure in the pond that you are in, but if you never venture out of it, you will never know that there is such a thing as an ocean, a sea. Holding onto something that is good for you now, may be the very reason why you don't have something better.” -C. JoyBell C.
(336) 438-2774 View (336) 438-2774
Photo of Sarah C Morris, MA, LMFT, Marriage & Family Therapist
Sarah C Morris
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Jamestown, NC 27282
All are welcome to discover new ways to feel secure and look for possibilities. Whether you are healing from trauma, in pain, facing conflicts, seeking connection with your best self, your faith, or your motivation, you deserve joy. You may need help for yourself or in a relationship with a concern that’s new or one you’ve held since childhood or worked through before. I offer an understanding perspective from someone with over a decade of professional experience supporting people through change. I'm ready to help you or your family access your strengths, heal, and feel safe to love and grow.
All are welcome to discover new ways to feel secure and look for possibilities. Whether you are healing from trauma, in pain, facing conflicts, seeking connection with your best self, your faith, or your motivation, you deserve joy. You may need help for yourself or in a relationship with a concern that’s new or one you’ve held since childhood or worked through before. I offer an understanding perspective from someone with over a decade of professional experience supporting people through change. I'm ready to help you or your family access your strengths, heal, and feel safe to love and grow.
(336) 361-1732 View (336) 361-1732
Photo of Alyse Pait, MS, LCMHC, CRC, Licensed Professional Counselor
Alyse Pait
Licensed Professional Counselor, MS, LCMHC, CRC
Verified Verified
3 Endorsed
Jamestown, NC 27282
Taking the step to start therapy can be difficult and filled with mixed emotions; everybody deserves the best chance in the game of life.I'm here to help you play the cards you've been dealt-just with a little more intention and strategy. I am a LCMHC, CRC, and a facilitator for MHFA. My years of experience providing individual, child/couple/family, and completing various psychological assessments allows me to keep my focus on my client, their needs, and the ebbs and flows of life. It is my hope to help the person's life become more manageable, instead of life managing the person.
Taking the step to start therapy can be difficult and filled with mixed emotions; everybody deserves the best chance in the game of life.I'm here to help you play the cards you've been dealt-just with a little more intention and strategy. I am a LCMHC, CRC, and a facilitator for MHFA. My years of experience providing individual, child/couple/family, and completing various psychological assessments allows me to keep my focus on my client, their needs, and the ebbs and flows of life. It is my hope to help the person's life become more manageable, instead of life managing the person.
(336) 895-1797 View (336) 895-1797
Photo of Shiniqua Harris, MSW, LCSW, Clinical Social Work/Therapist
Shiniqua Harris
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Jamestown, NC 27282
**ACCEPTING NEW CLIENTS**Life has a way of being hard, confusing and ever-changing and we aren't just trying to navigate it, we are trying to thrive. Hi There! If you are feeling stuck in difficult life transitions or parenthood is challenging, Let's connect! I empower WOMEN and PARENTS to GROW and THRIVE through CHANGE and PARENTHOOD. If you're facing what feels like a dark time in your life or parenthood. Let me help you find your Light! Light may symbolize something different for everyone, yet it all circles back to an idea of reflecting hope, power, prosperity, life.
**ACCEPTING NEW CLIENTS**Life has a way of being hard, confusing and ever-changing and we aren't just trying to navigate it, we are trying to thrive. Hi There! If you are feeling stuck in difficult life transitions or parenthood is challenging, Let's connect! I empower WOMEN and PARENTS to GROW and THRIVE through CHANGE and PARENTHOOD. If you're facing what feels like a dark time in your life or parenthood. Let me help you find your Light! Light may symbolize something different for everyone, yet it all circles back to an idea of reflecting hope, power, prosperity, life.
(336) 962-6554 View (336) 962-6554
Photo of Hannah Cox - Triad Child & Family Counseling, PLLC, LCMHC
Triad Child & Family Counseling, PLLC
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Jamestown, NC 27282
Triad Child & Family Counseling, PLLC is a specialty practice dedicated to providing counseling and consultative services to children, adolescents and their families. We are focused on the family. Childhood and adolescence is time of tremendous growth and change, with a multitude of opportunities to learn. Often times during development, children and teens need support adapting and navigating through life's struggles in order to maintain a healthy path.
Triad Child & Family Counseling, PLLC is a specialty practice dedicated to providing counseling and consultative services to children, adolescents and their families. We are focused on the family. Childhood and adolescence is time of tremendous growth and change, with a multitude of opportunities to learn. Often times during development, children and teens need support adapting and navigating through life's struggles in order to maintain a healthy path.
(336) 792-3346 View (336) 792-3346
Photo of Virginia Lickel Allison, MEd, LCMHC, Counselor
Virginia Lickel Allison
Counselor, MEd, LCMHC
Verified Verified
Jamestown, NC 27282
"I am passionate about working with people who want to come into alignment with who they truly are and awaken to what they have always desired. I am a positive focused, solution oriented counselor using a variety of techniques ranging from traditional counseling to leading-edge vibrational medicine. I specialize in working with people who sincerely want to create change and discover a new way to live life.
"I am passionate about working with people who want to come into alignment with who they truly are and awaken to what they have always desired. I am a positive focused, solution oriented counselor using a variety of techniques ranging from traditional counseling to leading-edge vibrational medicine. I specialize in working with people who sincerely want to create change and discover a new way to live life.
(336) 773-9960 View (336) 773-9960
Photo of Karla Townsend - Karla Townsend -Counseling Services, LCMHCS, , Licensed Professional Counselor
Karla Townsend -Counseling Services
Licensed Professional Counselor, LCMHCS
Verified Verified
1 Endorsed
Jamestown, NC 27282
I provide counseling to adults, teens, children, and families who are warmly welcomed and active participants in therapy at my office. Counseling at this office offers creative avenues for self expression as well as more formal assessments for treatment planning. Acceptance Therapy, including Trauma Focused ACT, and Cognitive Behavioral Therapy/CBT are integral to my counseling approach. In addition, I have a specific expertise in the treatment of Eating Disorders, ADHD and OCD. I am licensed to provide counseling services in North Carolina, Indiana and Missouri.
I provide counseling to adults, teens, children, and families who are warmly welcomed and active participants in therapy at my office. Counseling at this office offers creative avenues for self expression as well as more formal assessments for treatment planning. Acceptance Therapy, including Trauma Focused ACT, and Cognitive Behavioral Therapy/CBT are integral to my counseling approach. In addition, I have a specific expertise in the treatment of Eating Disorders, ADHD and OCD. I am licensed to provide counseling services in North Carolina, Indiana and Missouri.
(336) 281-6636 View (336) 281-6636
Photo of Allyson Haskins Shields, MA, LCMHC, Licensed Professional Counselor
Allyson Haskins Shields
Licensed Professional Counselor, MA, LCMHC
Verified Verified
Online Only
As a Counselor I seek to guide, encourage and assist individuals through difficult or uncertain times in their lives. Learning how to navigate through relationships to feel more connected to ourselves and to others can seem daunting. Clients should expect there to be freedom and openness in a safe environment. It is my desire that those who enter into the counseling relationship should also find keys to understanding themselves and skills to cope with the various issues that may bring them there. Counseling is a helping relationship. It is a place where trust and mutual respect abide.
As a Counselor I seek to guide, encourage and assist individuals through difficult or uncertain times in their lives. Learning how to navigate through relationships to feel more connected to ourselves and to others can seem daunting. Clients should expect there to be freedom and openness in a safe environment. It is my desire that those who enter into the counseling relationship should also find keys to understanding themselves and skills to cope with the various issues that may bring them there. Counseling is a helping relationship. It is a place where trust and mutual respect abide.
(336) 895-1310 View (336) 895-1310
Photo of Molly McDonald-Stone, MA, LCMHC-A, Counselor
Molly McDonald-Stone
Counselor, MA, LCMHC-A
Verified Verified
1 Endorsed
Jamestown, NC 27282
This is not about mental illness. This is not about diagnosis or treatment. This is about learning to listen and how to be heard. We will learn how to assert your needs and understand your partners. Communication is everything. Learning who you are as a couple and how you interact can generate the deepest connection and comfort. We identify vicious cycles, we look for patterns, and we see what impact each individual's contributions are having.
This is not about mental illness. This is not about diagnosis or treatment. This is about learning to listen and how to be heard. We will learn how to assert your needs and understand your partners. Communication is everything. Learning who you are as a couple and how you interact can generate the deepest connection and comfort. We identify vicious cycles, we look for patterns, and we see what impact each individual's contributions are having.
(336) 396-1753 View (336) 396-1753
1

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How does your Therapist compare?

Number of Therapists in Jamestown, NC

30+

Average cost per session

$135

Therapists in Jamestown, NC who prioritize treating:

91% Anxiety
88% Depression
84% Self Esteem
78% Relationship Issues
78% Coping Skills
72% Trauma and PTSD
69% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
92% Aetna
77% UnitedHealthcare UHC | UBH

How Therapists in Jamestown, NC see their clients

79% In Person and Online
21% Online Only

Gender breakdown

94% Female
6% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Jamestown?

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.