Therapists in Pineville, NC

Photo of Megan Gourd, Clinical Social Work/Therapist, LCSWA
Megan Gourd
Clinical Social Work/Therapist, LCSWA
Pineville, NC 28134
My name is Megan Gourd, and I am a Licensed Clinical Social Worker Associate dedicated to helping individuals and families navigate challenges and move toward healing and connection. Specializing in supporting children, adolescents, and family systems, I create a warm, nonjudgmental space where clients feel heard, seen, and empowered. Whether you're dealing with anxiety, trauma, grief, relationship struggles, or just feeling stuck, I am here to facilitate growth and encourage lasting life changes.
My name is Megan Gourd, and I am a Licensed Clinical Social Worker Associate dedicated to helping individuals and families navigate challenges and move toward healing and connection. Specializing in supporting children, adolescents, and family systems, I create a warm, nonjudgmental space where clients feel heard, seen, and empowered. Whether you're dealing with anxiety, trauma, grief, relationship struggles, or just feeling stuck, I am here to facilitate growth and encourage lasting life changes.
(980) 982-3108 View (980) 982-3108
Photo of Paige Grove, Marriage & Family Therapist, MA, LMFT
Paige Grove
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Pineville, NC 28134
My clients come to me saying "I am so overwhelmed all the time", "I don't know why these feelings keep coming up", "there is just so much going on right now and I don't even know where to start". If any of these sound familiar, you’re not alone. Many of the people I work with come to therapy feeling overwhelmed, discouraged, or unsure how to move forward. My role is to create a safe and supportive space where you can sort through these challenges, gain clarity, and build tools that truly fit your life.
My clients come to me saying "I am so overwhelmed all the time", "I don't know why these feelings keep coming up", "there is just so much going on right now and I don't even know where to start". If any of these sound familiar, you’re not alone. Many of the people I work with come to therapy feeling overwhelmed, discouraged, or unsure how to move forward. My role is to create a safe and supportive space where you can sort through these challenges, gain clarity, and build tools that truly fit your life.
(980) 990-3586 View (980) 990-3586
Photo of Darius Hampton, Lic Clinical Mental Health Counselor Associate, LCMCHA
Darius Hampton
Lic Clinical Mental Health Counselor Associate, LCMCHA
2 Endorsed
Pineville, NC 28134
Do you ever feel like no one is listening to you or people skip over what you have to share? It's upsetting, exhausting, and makes you feel unheard. You may also feel stuck, frustrated, lost, or overwhelmed. Seeking out help will always be welcomed in my office. I can assure you that you will always be heard when you come into my space. As a Counselor, I operate from a Person-Centered approach. This means I will have a safe, non-judgemental, warm, and empathetic environment for us to work in. It's vital to me to be present with you and work with you on your journey to be a better you.
Do you ever feel like no one is listening to you or people skip over what you have to share? It's upsetting, exhausting, and makes you feel unheard. You may also feel stuck, frustrated, lost, or overwhelmed. Seeking out help will always be welcomed in my office. I can assure you that you will always be heard when you come into my space. As a Counselor, I operate from a Person-Centered approach. This means I will have a safe, non-judgemental, warm, and empathetic environment for us to work in. It's vital to me to be present with you and work with you on your journey to be a better you.
(704) 585-8846 View (704) 585-8846
Photo of Kryshia Reis, Marriage & Family Therapist Associate, MA, LMFTA
Kryshia Reis
Marriage & Family Therapist Associate, MA, LMFTA
3 Endorsed
Pineville, NC 28134
Sometimes we get stuck in a difficult chapter of our life, or it feels like we’ve lost our place. Facing stress, anxiety, burnout, or relationship struggles can make your story feel overwhelming. I work with individuals ages 10 and up, couples, and families navigating these challenges. You are the author of your story, and therapy with me is a place to find that inner light to get through the hard chapters. I honor your identity, autonomy, and resilience, and together we can begin to shape the next chapter with clarity and hope that reflect you and your goals.
Sometimes we get stuck in a difficult chapter of our life, or it feels like we’ve lost our place. Facing stress, anxiety, burnout, or relationship struggles can make your story feel overwhelming. I work with individuals ages 10 and up, couples, and families navigating these challenges. You are the author of your story, and therapy with me is a place to find that inner light to get through the hard chapters. I honor your identity, autonomy, and resilience, and together we can begin to shape the next chapter with clarity and hope that reflect you and your goals.
(980) 350-9653 View (980) 350-9653
Photo of Hannah Albertson, Counselor, LCMHCA
Hannah Albertson
Counselor, LCMHCA
6 Endorsed
Pineville, NC 28134
Whether you overanalyze everything, feel things deeply, or get overwhelmed easily, it can feel exhausting trying to manage it all on your own. You might feel caught in cycles of overthinking or people-pleasing, navigating complicated family dynamics, struggling in relationships, moving through major life transitions, or carrying past wounds that still show up today. Maybe you’ve done some reflecting on your own, but still find yourself repeating the same patterns in relationships or questioning yourself.
Whether you overanalyze everything, feel things deeply, or get overwhelmed easily, it can feel exhausting trying to manage it all on your own. You might feel caught in cycles of overthinking or people-pleasing, navigating complicated family dynamics, struggling in relationships, moving through major life transitions, or carrying past wounds that still show up today. Maybe you’ve done some reflecting on your own, but still find yourself repeating the same patterns in relationships or questioning yourself.
(980) 463-9879 View (980) 463-9879
Photo of Patrick R. Young, PhD, CMPC
Patrick R. Young
Verified Verified
Pineville, NC 28134
Mental skills are the foundation of high performance. They allow individuals to stay composed under pressure, maintain focus, and consistently perform at their best. Whether you’re leading a team, competing on the field, or performing on stage, mastering these skills is essential to achieving excellence and supporting overall well-being.
Mental skills are the foundation of high performance. They allow individuals to stay composed under pressure, maintain focus, and consistently perform at their best. Whether you’re leading a team, competing on the field, or performing on stage, mastering these skills is essential to achieving excellence and supporting overall well-being.
(704) 765-4452 View (704) 765-4452
Photo of Elizabeth Hance Floryanzia, Clinical Social Work/Therapist, MSW, LCSW, LISW
Elizabeth Hance Floryanzia
Clinical Social Work/Therapist, MSW, LCSW, LISW
4 Endorsed
Pineville, NC 28134
Adjusting to life changes? Feeling lost? Feel like no one understands you? Feel like you don’t know where to start? Start by taking the first step of reaching out to a therapist. Hello! My name is Elizabeth Hance and I am the owner and clinician for EnHance Counseling and Consulting. I am a licensed clinical social worker/psychotherapist with a psychology degree from Winthrop University in SC and a masters in clinical social work at UNC-Charlotte. Over the last 12 years I have worked in multiple settings including inpatient care, emergency services, group setting, family therapy, and individual sessions .
Adjusting to life changes? Feeling lost? Feel like no one understands you? Feel like you don’t know where to start? Start by taking the first step of reaching out to a therapist. Hello! My name is Elizabeth Hance and I am the owner and clinician for EnHance Counseling and Consulting. I am a licensed clinical social worker/psychotherapist with a psychology degree from Winthrop University in SC and a masters in clinical social work at UNC-Charlotte. Over the last 12 years I have worked in multiple settings including inpatient care, emergency services, group setting, family therapy, and individual sessions .
(980) 449-6491 View (980) 449-6491
Photo of Kerri Pastor, Clinical Social Work/Therapist, LCSW
Kerri Pastor
Clinical Social Work/Therapist, LCSW
Online Only
Does your child have a chronic illness? Have they endured pain, hospital stays, surgeries, or other difficult treatments? Your child may be experiencing difficulty coping, difficulty with school or social situations, poor body image, anxiety and depression. Your child has a variety of emotional, social, cognitive, behavioral, and physical health needs to consider. Please know that seeking help for their mental health does not mean something is wrong with them. It provides added strength to help them achieve everyday goals while managing their illness.
Does your child have a chronic illness? Have they endured pain, hospital stays, surgeries, or other difficult treatments? Your child may be experiencing difficulty coping, difficulty with school or social situations, poor body image, anxiety and depression. Your child has a variety of emotional, social, cognitive, behavioral, and physical health needs to consider. Please know that seeking help for their mental health does not mean something is wrong with them. It provides added strength to help them achieve everyday goals while managing their illness.
(980) 449-3859 View (980) 449-3859
Photo of Bianca Romero Kooi, Clinical Social Work/Therapist, LCSWA
Bianca Romero Kooi
Clinical Social Work/Therapist, LCSWA
Pineville, NC 28134
Bianca works with adults and teens with a variety of needs including trauma, anxiety, depression and more. She has worked extensively with women who are struggling with "managing it all" and balancing work, family and self. Bianca works often with couples, families in a state of transition, parents who need guidance and tools to manage shifts in parenting needs and those who are restructuring their family systems or looking for a new way to function.
Bianca works with adults and teens with a variety of needs including trauma, anxiety, depression and more. She has worked extensively with women who are struggling with "managing it all" and balancing work, family and self. Bianca works often with couples, families in a state of transition, parents who need guidance and tools to manage shifts in parenting needs and those who are restructuring their family systems or looking for a new way to function.
(980) 374-4336 View (980) 374-4336
Photo of Mike Long, Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC
Mike Long
Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC
Pineville, NC 28134
Is your drinking or drug use out of control? Has your depression or anxiety reached a point where you can't function? Then you may be a candidate for residential treatment and Promises Behavioral Health is here to help you. We have seven facilities across the country, offering the best in residential treatment for many conditions. Patients come to one of our welcoming locations and usually stay for an average of 3-4 weeks. While there, patients receive individual and group counseling, as well as participating in therapeutic recreational activities. We also have psychiatric staff at each facility to monitor medications.
Is your drinking or drug use out of control? Has your depression or anxiety reached a point where you can't function? Then you may be a candidate for residential treatment and Promises Behavioral Health is here to help you. We have seven facilities across the country, offering the best in residential treatment for many conditions. Patients come to one of our welcoming locations and usually stay for an average of 3-4 weeks. While there, patients receive individual and group counseling, as well as participating in therapeutic recreational activities. We also have psychiatric staff at each facility to monitor medications.
(803) 594-4854 View (803) 594-4854
Photo of Keli Solomon, Licensed Clinical Mental Health Counselor Associate, M.S., LCMHCA
Keli Solomon
Licensed Clinical Mental Health Counselor Associate, M.S., LCMHCA
1 Endorsed
Pineville, NC 28134
I work with adults who are tired of carrying everything alone. Many are the people others depend on. They show up for work, support family and friends, and keep moving forward even when they feel overwhelmed inside. From the outside, they often appear capable and successful, but privately struggle with anxiety, trauma, burnout, self doubt, relationship challenges, or emotional exhaustion. Together, we work to understand the patterns keeping them stuck, build healthier ways of coping, and create meaningful, lasting change.
I work with adults who are tired of carrying everything alone. Many are the people others depend on. They show up for work, support family and friends, and keep moving forward even when they feel overwhelmed inside. From the outside, they often appear capable and successful, but privately struggle with anxiety, trauma, burnout, self doubt, relationship challenges, or emotional exhaustion. Together, we work to understand the patterns keeping them stuck, build healthier ways of coping, and create meaningful, lasting change.
(980) 332-2285 View (980) 332-2285
Photo of Daniel Richard Swiger, Marriage & Family Therapist, MA, LMFT
Daniel Richard Swiger
Marriage & Family Therapist, MA, LMFT
4 Endorsed
Pineville, NC 28134
I practice the Bowenian Theory which helps people grow their individual selves and their ability to connect with others. I believe growing within yourself along with bettering relationships is a recipe for success in therapy. I enjoy working with couples, families, and individuals struggling but not limited to trauma, depression, anxiety,
I practice the Bowenian Theory which helps people grow their individual selves and their ability to connect with others. I believe growing within yourself along with bettering relationships is a recipe for success in therapy. I enjoy working with couples, families, and individuals struggling but not limited to trauma, depression, anxiety,
(704) 850-5999 View (704) 850-5999
Photo of Kim Dupuis - Still Point Wellness Company, Licensed Professional Counselor, LCMHCS
Still Point Wellness Company
Licensed Professional Counselor, LCMHCS
3 Endorsed
Pineville, NC 28134
Have you been feeling more worried and overwhelmed than usual? Are racing thoughts stealing your peace? Do you lack fulfillment with personal or career endeavors and desire to be more connected and authentic in your relationships? These experiences and feelings are common for so many and I admire your motivation to seek change. I am here to help you feel more empowered and motivated to move towards your future with confidence and excitement.
Have you been feeling more worried and overwhelmed than usual? Are racing thoughts stealing your peace? Do you lack fulfillment with personal or career endeavors and desire to be more connected and authentic in your relationships? These experiences and feelings are common for so many and I admire your motivation to seek change. I am here to help you feel more empowered and motivated to move towards your future with confidence and excitement.
(980) 243-4647 View (980) 243-4647
Photo of Jaye Gause, Pre-Licensed Professional, MA, LCMHCA
Jaye Gause
Pre-Licensed Professional, MA, LCMHCA
1 Endorsed
Pineville, NC 28134
Reaching out for support takes courage. Many individuals and couples come to therapy feeling overwhelmed, misunderstood, or stuck in patterns they don’t know how to change. I approach counseling with both compassion and practical tools. As a Clinical Mental Health Counselor Associate, I help clients understand how their experiences, relationships, and emotional patterns shape the way they feel, think and respond to life’s challenges. Whether navigating anxiety, life transitions, relationship struggles, trauma, or the stress of having to hold everything together, therapy can become a place where clarity and healing can begin.
Reaching out for support takes courage. Many individuals and couples come to therapy feeling overwhelmed, misunderstood, or stuck in patterns they don’t know how to change. I approach counseling with both compassion and practical tools. As a Clinical Mental Health Counselor Associate, I help clients understand how their experiences, relationships, and emotional patterns shape the way they feel, think and respond to life’s challenges. Whether navigating anxiety, life transitions, relationship struggles, trauma, or the stress of having to hold everything together, therapy can become a place where clarity and healing can begin.
(980) 478-8241 View (980) 478-8241
Photo of Dori C Luke, Clinical Social Work/Therapist, MSW, LCSW, SEP
Dori C Luke
Clinical Social Work/Therapist, MSW, LCSW, SEP
2 Endorsed
Pineville, NC 28134
Hi, I strive to offer compassionate and attuned care while always hoping to make others feel safe and seen. I’m a graduate of UNC-Chapel Hill with 25+years experience as a licensed psychotherapist and have trained in multiple modalities (see below). I work with adults, teenagers, and couples who are looking to feel more connected with themselves & others and who may want support in overcoming any trauma, stuckness, or get a better understanding of their reactions to certain situations. I offer a non-judgmental perspective in discussing all topics. Please ask about my sliding fee & I would be delighted to talk with you further.
Hi, I strive to offer compassionate and attuned care while always hoping to make others feel safe and seen. I’m a graduate of UNC-Chapel Hill with 25+years experience as a licensed psychotherapist and have trained in multiple modalities (see below). I work with adults, teenagers, and couples who are looking to feel more connected with themselves & others and who may want support in overcoming any trauma, stuckness, or get a better understanding of their reactions to certain situations. I offer a non-judgmental perspective in discussing all topics. Please ask about my sliding fee & I would be delighted to talk with you further.
(980) 575-1067 View (980) 575-1067
Photo of Elizabeth Hance, Clinical Social Work/Therapist, LCSW, LISW
Elizabeth Hance
Clinical Social Work/Therapist, LCSW, LISW
1 Endorsed
Pineville, NC 28134
Adjusting to life changes? Feeling lost? Feel like no one understands you? Feel like you don’t know where to start? Start by taking the first step of reaching out to a therapist. Hello! My name is Elizabeth Hance and I am the owner and clinician for EnHance Counseling and Consulting. I am a licensed clinical social worker/psychotherapist with a psychology degree from Winthrop University in SC and a masters in clinical social work at UNC-Charlotte. Over the last 12 years I have worked in multiple settings including inpatient care, emergency services, group setting, family therapy, and individual sessions .
Adjusting to life changes? Feeling lost? Feel like no one understands you? Feel like you don’t know where to start? Start by taking the first step of reaching out to a therapist. Hello! My name is Elizabeth Hance and I am the owner and clinician for EnHance Counseling and Consulting. I am a licensed clinical social worker/psychotherapist with a psychology degree from Winthrop University in SC and a masters in clinical social work at UNC-Charlotte. Over the last 12 years I have worked in multiple settings including inpatient care, emergency services, group setting, family therapy, and individual sessions .
(980) 261-3840 View (980) 261-3840
Photo of Emmaline Simpson, LCSW Associate, MSW
Emmaline Simpson
LCSW Associate, MSW
1 Endorsed
Pineville, NC 28134
Hi, I'm Em (she/they). I enjoy working with clients who who are dealing with anxiety, neurodivergence, disordered eating issues, and LGBTQ+ issues. I work with adults, teens and couples. I have experience working with clients who are dealing with interpersonal relationships, communication/boundary issues and finding their identities. I do not work with children aged 12 or younger.
Hi, I'm Em (she/they). I enjoy working with clients who who are dealing with anxiety, neurodivergence, disordered eating issues, and LGBTQ+ issues. I work with adults, teens and couples. I have experience working with clients who are dealing with interpersonal relationships, communication/boundary issues and finding their identities. I do not work with children aged 12 or younger.
(704) 440-5812 View (704) 440-5812
Photo of Desiree Ashwell McMillan, Clinical Social Work/Therapist, LISW-CP, LCSW, MSW, BS
Desiree Ashwell McMillan
Clinical Social Work/Therapist, LISW-CP, LCSW, MSW, BS
Pineville, NC 28134
I'm here to help you navigate the complexities of your mental health journey with a practical and down-to-earth approach. My primary focus is on cognitive-behavioral therapy, although I do integrate techniques from other evidence-based therapies including psychodynamic, and reality-based therapies, especially for grief and anxiety. Picture me as your understanding guide, ready to cut through the noise and assist you in neutralizing the obstructions in your path. In our sessions, we won't just be talking; we'll be actively working together to shift those unhelpful thought patterns and behaviors that may be hindering you.
I'm here to help you navigate the complexities of your mental health journey with a practical and down-to-earth approach. My primary focus is on cognitive-behavioral therapy, although I do integrate techniques from other evidence-based therapies including psychodynamic, and reality-based therapies, especially for grief and anxiety. Picture me as your understanding guide, ready to cut through the noise and assist you in neutralizing the obstructions in your path. In our sessions, we won't just be talking; we'll be actively working together to shift those unhelpful thought patterns and behaviors that may be hindering you.
(803) 913-6697 View (803) 913-6697
Photo of Hunter Adams - Blossom Wellness, Marriage & Family Therapist, LMFT
Blossom Wellness
Marriage & Family Therapist, LMFT
4 Endorsed
Pineville, NC 28134
We know that life can be challenging, and seeking support is a courageous and empowering step. At Blossom, we provide compassionate, personalized mental health care in a space that’s safe, affirming, and free of judgment. Whether you're navigating anxiety, life transitions, identity questions, or simply looking for clarity and growth, our team is here to walk alongside you. We offer a range of therapy services tailored to your unique needs and experiences. Our approach is collaborative, culturally aware, and rooted in respect for who you are and where you’re coming from. Healing doesn’t have to look one specific way.
We know that life can be challenging, and seeking support is a courageous and empowering step. At Blossom, we provide compassionate, personalized mental health care in a space that’s safe, affirming, and free of judgment. Whether you're navigating anxiety, life transitions, identity questions, or simply looking for clarity and growth, our team is here to walk alongside you. We offer a range of therapy services tailored to your unique needs and experiences. Our approach is collaborative, culturally aware, and rooted in respect for who you are and where you’re coming from. Healing doesn’t have to look one specific way.
(980) 409-3838 View (980) 409-3838
Photo of Gretchen Hunter - Child & Family Development, Psychologist, PhD
Child & Family Development
Psychologist, PhD
Pineville, NC 28134
C&FD psychologists are experienced diagnosticians and practitioners. Our counselors provide a range of services including play therapy, Cognitive Behavioral Therapy, and parent coaching. We specialize in children, adolescents, young adults, and parents. Common concerns include emotion regulation and behavioral problems, anxiety, ADHD, and ASD.
C&FD psychologists are experienced diagnosticians and practitioners. Our counselors provide a range of services including play therapy, Cognitive Behavioral Therapy, and parent coaching. We specialize in children, adolescents, young adults, and parents. Common concerns include emotion regulation and behavioral problems, anxiety, ADHD, and ASD.
(704) 541-9080 View (704) 541-9080

See more therapy options for Pineville

How does your Therapist compare?

Number of Therapists in Pineville, NC

80+

Average cost per session

$136

Therapists in Pineville, NC who prioritize treating:

95% Anxiety
95% Social Anxiety
95% Health Anxiety
95% Driving Anxiety
91% Depression
72% Self Esteem
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

91% Aetna
90% BlueCross and BlueShield
61% Cigna and Evernorth

How Therapists in Pineville, NC see their clients

76% In Person and Online
24% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Pineville?

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.