Therapists in Oriental, NC

Photo of Patricia A Toth, Licensed Clinical Mental Health Counselor, MA, LCMHC, NBCC
Patricia A Toth
Licensed Clinical Mental Health Counselor, MA, LCMHC, NBCC
1 Endorsed
Online Only
I bring a unique perspective to my counseling practice. It is a gift to be able to point my clients towards their innate inner health via three Principles (Mind, Consciousness, and Thought) that, when understood, taps into our natural wisdom and common sense. This is an inside out process that heightens awareness to bring forth new insightful thinking. This inside-out understanding, fresh in the moment, bubbles up creativity to solve problems, enhance relationships, & brings good feelings for a meaningful, satisfying life. This is an experiential, not an intellectual process that is rich, fresh, and rewarding because it is the genuine self.
I bring a unique perspective to my counseling practice. It is a gift to be able to point my clients towards their innate inner health via three Principles (Mind, Consciousness, and Thought) that, when understood, taps into our natural wisdom and common sense. This is an inside out process that heightens awareness to bring forth new insightful thinking. This inside-out understanding, fresh in the moment, bubbles up creativity to solve problems, enhance relationships, & brings good feelings for a meaningful, satisfying life. This is an experiential, not an intellectual process that is rich, fresh, and rewarding because it is the genuine self.
(252) 392-4371 View (252) 392-4371

More Therapists Nearby

Photo of Kenneth Young, Clinical Social Work/Therapist, LCSW
Kenneth Young
Clinical Social Work/Therapist, LCSW
Online Only
You've found amazing workarounds to manage the challenges in your life, possibly challenges that you just believed everyone else was trying to workaround, too. Whether it's people-pleasing, intellectualizing, isolating, or some other way of making things work, you did it. Now you're realizing that you've been short-changing yourself. Your strategies have costs. Like underlying unaddressed depression and anxiety. Those costs are starting to outweigh the benefits. You're thinking it might be time to make a change, you just don't know what or how. It's always been like this.
You've found amazing workarounds to manage the challenges in your life, possibly challenges that you just believed everyone else was trying to workaround, too. Whether it's people-pleasing, intellectualizing, isolating, or some other way of making things work, you did it. Now you're realizing that you've been short-changing yourself. Your strategies have costs. Like underlying unaddressed depression and anxiety. Those costs are starting to outweigh the benefits. You're thinking it might be time to make a change, you just don't know what or how. It's always been like this.
(984) 313-9234 View (984) 313-9234
Photo of Erica Johns, Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Erica Johns
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
1 Endorsed
Online Only
Not accepting new clients
I am not currently taking new clients. Are you feeling overwhelmed, anxious, or stuck? I specialize in supporting military families, moms, and teens facing ADHD, anger, anxiety, motherhood stress, and military life transitions. I offer a warm, judgment-free space where you can be fully yourself—and begin to move forward.
I am not currently taking new clients. Are you feeling overwhelmed, anxious, or stuck? I specialize in supporting military families, moms, and teens facing ADHD, anger, anxiety, motherhood stress, and military life transitions. I offer a warm, judgment-free space where you can be fully yourself—and begin to move forward.
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Photo of Natalie Newton Johnston, Psychologist, PhD
Natalie Newton Johnston
Psychologist, PhD
New Bern, NC 28562
Cognitive-behavioral, individualized therapy approaches. I am part of our excellent pain clinic team, but I also treat stress, anxiety and depression issues unrelated to chronic pain. Please be aware that psychologists are required to report abuse of dependent persons or minors. Please do NOT leave personal issue information in your email or voicemail as a symptom will suffice such as "grief" or "anxiety." You will be contacted by our front desk. Thank you.
Cognitive-behavioral, individualized therapy approaches. I am part of our excellent pain clinic team, but I also treat stress, anxiety and depression issues unrelated to chronic pain. Please be aware that psychologists are required to report abuse of dependent persons or minors. Please do NOT leave personal issue information in your email or voicemail as a symptom will suffice such as "grief" or "anxiety." You will be contacted by our front desk. Thank you.
(252) 713-4723 View (252) 713-4723
Photo of Shelagh Patricia Murphy, Clinical Social Work/Therapist, LCSW
Shelagh Patricia Murphy
Clinical Social Work/Therapist, LCSW
5 Endorsed
Online Only
Waitlist for new clients
As a queer therapist, I deeply appreciate working with other folks in my community. Supporting individuals in their personal evolution, assisting them in developing healthier coping mechanisms, and enhancing self-awareness and acceptance is my jam. Self compassion makes it possible to enhance connections with others and build community, and we need both right now. I have 14 years of experience providing support to individuals and families facing a broad range of challenges including depression, anxiety, medical issues, end-of-life care/hospice, recovery from abusive situations, trauma, and significant life changes.
As a queer therapist, I deeply appreciate working with other folks in my community. Supporting individuals in their personal evolution, assisting them in developing healthier coping mechanisms, and enhancing self-awareness and acceptance is my jam. Self compassion makes it possible to enhance connections with others and build community, and we need both right now. I have 14 years of experience providing support to individuals and families facing a broad range of challenges including depression, anxiety, medical issues, end-of-life care/hospice, recovery from abusive situations, trauma, and significant life changes.
(252) 424-6454 View (252) 424-6454
Photo of Janet Savia, Psychological Associate, PsyD, MSPH
Janet Savia
Psychological Associate, PsyD, MSPH
1 Endorsed
New Bern, NC 28562
Not accepting new clients
Life can be hard. No matter how healthy, smart, hardworking or successful we may be, we can find ourselves facing unexpected challenges and feeling overwhelmed or confused. I work with adults of all ages and walks of life. Some are depressed or anxious or angry or grieving. Some want to grow or understand themselves better. If you want to grow; if you are struggling; if your challenge is too complex to work through on your own; if you do not want to burden family or friends; then working with a therapist can be helpful and emotionally safe.
Life can be hard. No matter how healthy, smart, hardworking or successful we may be, we can find ourselves facing unexpected challenges and feeling overwhelmed or confused. I work with adults of all ages and walks of life. Some are depressed or anxious or angry or grieving. Some want to grow or understand themselves better. If you want to grow; if you are struggling; if your challenge is too complex to work through on your own; if you do not want to burden family or friends; then working with a therapist can be helpful and emotionally safe.
(919) 745-8441 View (919) 745-8441
Photo of Teshia Weeks Purvis, Marriage & Family Therapist, MS, LMFT
Teshia Weeks Purvis
Marriage & Family Therapist, MS, LMFT
Online Only
Accepting Telehealth Clients - Having difficulty with the people closest to you? Do you find that in spite of your best efforts to make relationships work, they just never do? Do you feel disconnected from everything and everyone around you?
Accepting Telehealth Clients - Having difficulty with the people closest to you? Do you find that in spite of your best efforts to make relationships work, they just never do? Do you feel disconnected from everything and everyone around you?
(252) 397-3744 View (252) 397-3744
Photo of Kirsten Steinfeldt, Clinical Social Work/Therapist, LMSW, LCSW
Kirsten Steinfeldt
Clinical Social Work/Therapist, LMSW, LCSW
6 Endorsed
Online Only
I have immediate telehealth openings and flexible scheduling. Don't let your location deter you from coming to therapy. Through life there are many transitions. Not all are positive and serve our well being. Depression, anxiety, grief and loss can come in many forms affecting life and our relationships. The courage you show coming to therapy is a strength and will be met with a safe and accepting environment. My goal is to take the journey of discovery together. Every person is unique. I will help you identify and untangle life's challenges with an approach that works for you to move forward and provide the tools to navigate life.
I have immediate telehealth openings and flexible scheduling. Don't let your location deter you from coming to therapy. Through life there are many transitions. Not all are positive and serve our well being. Depression, anxiety, grief and loss can come in many forms affecting life and our relationships. The courage you show coming to therapy is a strength and will be met with a safe and accepting environment. My goal is to take the journey of discovery together. Every person is unique. I will help you identify and untangle life's challenges with an approach that works for you to move forward and provide the tools to navigate life.
(248) 974-6963 View (248) 974-6963
Photo of Eleanor Curtis - Alliance Therapy, Clinical Social Work/Therapist, MSW, LCSW
Alliance Therapy
Clinical Social Work/Therapist, MSW, LCSW
New Bern, NC 28562
I am a Licensed Clinical Social Worker licensed to practice in North Carolina. My approach is trauma informed and client centered. I use elements of Solution Focused Brief Therapy, Acceptance and Commitment Therapy and Cognitive Behavior Therapy depending on you as my client and your needs. Therapy is as individual as each client and is not a one size fits all process. I've worked with adults at all life stages from young adulthood through senior citizen. I want to work with you to find the approach that works best for you and your expectations of therapy.
I am a Licensed Clinical Social Worker licensed to practice in North Carolina. My approach is trauma informed and client centered. I use elements of Solution Focused Brief Therapy, Acceptance and Commitment Therapy and Cognitive Behavior Therapy depending on you as my client and your needs. Therapy is as individual as each client and is not a one size fits all process. I've worked with adults at all life stages from young adulthood through senior citizen. I want to work with you to find the approach that works best for you and your expectations of therapy.
(252) 346-6226 View (252) 346-6226
Photo of Lileth Muench - Monarch Mental Health PLLC, Licensed Professional Counselor, MS, LMHC, LCMHC
Monarch Mental Health PLLC
Licensed Professional Counselor, MS, LMHC, LCMHC
3 Endorsed
New Bern, NC 28560
Is your child experiencing emotional difficulties, behavioral issues, social challenges, developmental or cognitive delays, family challenges, and/or finding it hard to articulate their thoughts and feelings? If so, you are not alone and I am here to help! As a dedicated and compassionate therapist, I believe in the healing power of play. Play therapy is a powerful and effective way for children to express themselves, process their emotions, and work through challenges in a safe and supportive environment. My approach to play therapy is rooted in empathy, patience, and a deep respect for each child's individuality.
Is your child experiencing emotional difficulties, behavioral issues, social challenges, developmental or cognitive delays, family challenges, and/or finding it hard to articulate their thoughts and feelings? If so, you are not alone and I am here to help! As a dedicated and compassionate therapist, I believe in the healing power of play. Play therapy is a powerful and effective way for children to express themselves, process their emotions, and work through challenges in a safe and supportive environment. My approach to play therapy is rooted in empathy, patience, and a deep respect for each child's individuality.
(252) 888-4203 View (252) 888-4203
Photo of Katharine Johnson, Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC , CAS
Katharine Johnson
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC , CAS
1 Endorsed
Online Only
Life changes can come at us fast, and we don't always have the support we need in our families and friend groups to weather the transitions. Getting a first big job, coming out, starting or ending a relationship, or learning we have an illness can rock our sense of who we are and where we belong. We all need a safe space to express our hurt and joy; my job as a counselor is to help you find that space and help you cultivate the skills to get your needs met effectively.
Life changes can come at us fast, and we don't always have the support we need in our families and friend groups to weather the transitions. Getting a first big job, coming out, starting or ending a relationship, or learning we have an illness can rock our sense of who we are and where we belong. We all need a safe space to express our hurt and joy; my job as a counselor is to help you find that space and help you cultivate the skills to get your needs met effectively.
(919) 977-0087 x23 View (919) 977-0087 x23
Photo of Kailey C Sykes, Lic Clinical Mental Health Counselor Associate, LCMHC-A
Kailey C Sykes
Lic Clinical Mental Health Counselor Associate, LCMHC-A
1 Endorsed
New Bern, NC 28562
Waitlist for new clients
Welcome to a warm and inviting space where personal growth can thrive! I’m excited to create a friendly environment where you can share your feelings and experiences openly, all while knowing you'll receive understanding and support. Here at OTFC, we’re a faith-based practice that truly values diversity and embraces individuals from all walks of life. Whether you're navigating life changes, battling anxiety or depression, or facing any other challenges, I'm here to walk alongside you on your journey toward healing and fulfillment.
Welcome to a warm and inviting space where personal growth can thrive! I’m excited to create a friendly environment where you can share your feelings and experiences openly, all while knowing you'll receive understanding and support. Here at OTFC, we’re a faith-based practice that truly values diversity and embraces individuals from all walks of life. Whether you're navigating life changes, battling anxiety or depression, or facing any other challenges, I'm here to walk alongside you on your journey toward healing and fulfillment.
(252) 899-2697 View (252) 899-2697
Photo of Suzanne Jarman, Clinical Social Work/Therapist, MSW, LCSWA
Suzanne Jarman
Clinical Social Work/Therapist, MSW, LCSWA
New Bern, NC 28562
I strive to build trust with the individuals I serve across all stages of life—children, teens, adults, and seniors. My approach is grounded in cultural humility, empowerment, and a strengths-based perspective, because I believe healing begins when people feel seen, heard, and respected.
I strive to build trust with the individuals I serve across all stages of life—children, teens, adults, and seniors. My approach is grounded in cultural humility, empowerment, and a strengths-based perspective, because I believe healing begins when people feel seen, heard, and respected.
(252) 659-5957 View (252) 659-5957
Photo of Heather C Brewer, Clinical Social Work/Therapist, LCSW
Heather C Brewer
Clinical Social Work/Therapist, LCSW
1 Endorsed
New Bern, NC 28562
I have 25 years of experience addressing health and mental health issues and am passionate about the mind/body connection. In addition to my mental health training, I have a Master's in Exercise Physiology. I assist clients in creating balance in their lives and helping them maximize their physical and emotional health. I specialize in treating depression, anxiety, trauma, binge eating disorder, coping with chronic illness, healthy lifestyle modifications. I believe my clients have the answers they need, and my role is to help them access their inner wisdom while teaching them skills to better manage their emotions.
I have 25 years of experience addressing health and mental health issues and am passionate about the mind/body connection. In addition to my mental health training, I have a Master's in Exercise Physiology. I assist clients in creating balance in their lives and helping them maximize their physical and emotional health. I specialize in treating depression, anxiety, trauma, binge eating disorder, coping with chronic illness, healthy lifestyle modifications. I believe my clients have the answers they need, and my role is to help them access their inner wisdom while teaching them skills to better manage their emotions.
(252) 377-4294 View (252) 377-4294
Photo of Greta Enriquez - Sagestone, PLLC, Licensed Clinical Mental Health Counselor, PhD, LCMHC
Sagestone, PLLC
Licensed Clinical Mental Health Counselor, PhD, LCMHC
1 Endorsed
Serves Area
At Sagestone, we respect and acknowledge the vital aspects of your life and take a "whole you" approach. We use empathy, compassion, and curiosity to better understand you and your needs. We listen. We share our experience, "know how", and provide thought-provoking, substantive, and practical process. We provide support that fosters safety, curiosity, and growth. We meet you where you are, in the here and now, allowing you to experience grounded vulnerability, presence, and acceptance, as you expand your way of being to embody inner peace, balance, and empowerment.
At Sagestone, we respect and acknowledge the vital aspects of your life and take a "whole you" approach. We use empathy, compassion, and curiosity to better understand you and your needs. We listen. We share our experience, "know how", and provide thought-provoking, substantive, and practical process. We provide support that fosters safety, curiosity, and growth. We meet you where you are, in the here and now, allowing you to experience grounded vulnerability, presence, and acceptance, as you expand your way of being to embody inner peace, balance, and empowerment.
(252) 377-4073 View (252) 377-4073
Photo of Sarah J Oneal - Real Talk Counseling Services, PLLC, Pre-Licensed Professional, MS, LCMHC-A
Real Talk Counseling Services, PLLC
Pre-Licensed Professional, MS, LCMHC-A
Morehead City, NC 28557
Waitlist for new clients
I am pursuing full licensure as a mental health counselor. I offer a place to come and sit and be yourself. Where you are, is important to me. I aim to meet you where you are in your walk of life. I have lived a lot of life and have personal experiences that drove me and inspired me to become the counselor I am today. You want freedom and peace, and it is all within you. My mission and passion is to help you find that, and to be able to give yourself permission to keep going. Don't Give up on you!
I am pursuing full licensure as a mental health counselor. I offer a place to come and sit and be yourself. Where you are, is important to me. I aim to meet you where you are in your walk of life. I have lived a lot of life and have personal experiences that drove me and inspired me to become the counselor I am today. You want freedom and peace, and it is all within you. My mission and passion is to help you find that, and to be able to give yourself permission to keep going. Don't Give up on you!
(252) 460-4526 View (252) 460-4526
Photo of Alia Grant, Clinical Social Work/Therapist, LCSW
Alia Grant
Clinical Social Work/Therapist, LCSW
New Bern, NC 28560
Life can shift in an instant. Without warning, something from your past resurfaces. You realize you want more — or something different. You’re hit with a wave of emotion you didn’t see coming. These “suddenlies” can catch you off guard — and that’s okay. Having a safe, supportive space to process these moments is not just helpful, it’s essential. Whether you’re navigating transitions, healing old wounds, or simply trying to manage the stress of daily life, the right therapeutic relationship can be transformative. It's in these intentional, grounded spaces where awareness deepens, healing takes root, and real change begins.
Life can shift in an instant. Without warning, something from your past resurfaces. You realize you want more — or something different. You’re hit with a wave of emotion you didn’t see coming. These “suddenlies” can catch you off guard — and that’s okay. Having a safe, supportive space to process these moments is not just helpful, it’s essential. Whether you’re navigating transitions, healing old wounds, or simply trying to manage the stress of daily life, the right therapeutic relationship can be transformative. It's in these intentional, grounded spaces where awareness deepens, healing takes root, and real change begins.
(252) 501-3649 View (252) 501-3649
Photo of Stephanie R Wetherington, Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS, LCMHCQS
Stephanie R Wetherington
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS, LCMHCQS
1 Endorsed
New Bern, NC 28560
The world has changed significantly over the past few years, bringing new challenges and stressors for many. If you’re feeling overwhelmed, I would love the opportunity to connect and see if I may be the right fit to support you on your personal journey. I believe that every individual is a unique blend of biological, psychological, and spiritual elements, and when these are out of balance, it can impact overall well-being. My goal is to help you restore that balance and build a fulfilling life that aligns with your values and aspirations.
The world has changed significantly over the past few years, bringing new challenges and stressors for many. If you’re feeling overwhelmed, I would love the opportunity to connect and see if I may be the right fit to support you on your personal journey. I believe that every individual is a unique blend of biological, psychological, and spiritual elements, and when these are out of balance, it can impact overall well-being. My goal is to help you restore that balance and build a fulfilling life that aligns with your values and aspirations.
(252) 299-5318 View (252) 299-5318
Photo of Dr. Dacia Terry, Marriage & Family Therapist, DMFT, LMFT
Dr. Dacia Terry
Marriage & Family Therapist, DMFT, LMFT
2 Endorsed
New Bern, NC 28562
From my experiences as a veteran, wife, daughter, mother, and a licensed marriage & family therapist, I have a great appreciation for the healing that can occur when life's difficulties are confronted and understood in the context of relationships. Research shows that more progress is made when individuals have natural supports involved in their treatment. These supports may come in the form of family members, friends, significant others, coworkers, or another professional in your life.
From my experiences as a veteran, wife, daughter, mother, and a licensed marriage & family therapist, I have a great appreciation for the healing that can occur when life's difficulties are confronted and understood in the context of relationships. Research shows that more progress is made when individuals have natural supports involved in their treatment. These supports may come in the form of family members, friends, significant others, coworkers, or another professional in your life.
(252) 525-4803 View (252) 525-4803
Photo of Andrew S. Brimhall, Marriage & Family Therapist, PhD, LMFT
Andrew S. Brimhall
Marriage & Family Therapist, PhD, LMFT
2 Endorsed
Serves Area
Finding the right therapist can be difficult and scary. Telling someone else about your feelings and needs can feel overwhelming. Because of this, it is essential you feel comfortable with your therapist. Research suggest that a good working relationship with your therapist is the most important factor in judging whether or not therapy is effective. This is the primary reason I offer a free phone consultation. Please call and ask any questions you have! I welcome the opportunity to work with you and your family and want to make sure you feel it is a good fit.
Finding the right therapist can be difficult and scary. Telling someone else about your feelings and needs can feel overwhelming. Because of this, it is essential you feel comfortable with your therapist. Research suggest that a good working relationship with your therapist is the most important factor in judging whether or not therapy is effective. This is the primary reason I offer a free phone consultation. Please call and ask any questions you have! I welcome the opportunity to work with you and your family and want to make sure you feel it is a good fit.
(252) 362-0646 View (252) 362-0646

How does your Therapist compare?

Number of Therapists in Oriental, NC

< 10

Therapists in Oriental, NC who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Chronic Pain
100% Life Coaching
100% Grief
100% Spirituality

Average years in practice

25 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Humana
100% TRICARE

How Therapists in Oriental, NC see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Oriental?

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.