Therapists in Wilmington, NC

Photo of Catherine Swartzwelder Pittman, MEd, LPC, CPC, LCMHC, Licensed Professional Counselor
Catherine Swartzwelder Pittman
Licensed Professional Counselor, MEd, LPC, CPC, LCMHC
Verified Verified
Wilmington, NC 28403
Animal Assisted Therapy. NOW Accepting Adults! I practice Child Centered play therapy with children and adolescents. I have worked with this population for over 20 years. I am also a Parenting coordinator and coach for high conflict divorce cases throughout the New Hanover County court system. I offer divorced couples counseling, and I am now seeing adult patients as well.
Animal Assisted Therapy. NOW Accepting Adults! I practice Child Centered play therapy with children and adolescents. I have worked with this population for over 20 years. I am also a Parenting coordinator and coach for high conflict divorce cases throughout the New Hanover County court system. I offer divorced couples counseling, and I am now seeing adult patients as well.
(910) 262-2362 View (910) 262-2362
Photo of Kimberly S Adams, PsyD, ABPP-CN, Psychologist
Kimberly S Adams
Psychologist, PsyD, ABPP-CN
Verified Verified
1 Endorsed
Wilmington, NC 28401
I am a board certified clinical neuropsychologist practicing in a private practice setting. My practice is primarily neuropsychological testing of patients presenting with memory disorders, dementia, traumatic brain injury, stroke, and mood disorders. I also complete psychological evaluations for ADHD, learning disorders, and behavioral disorders.
I am a board certified clinical neuropsychologist practicing in a private practice setting. My practice is primarily neuropsychological testing of patients presenting with memory disorders, dementia, traumatic brain injury, stroke, and mood disorders. I also complete psychological evaluations for ADHD, learning disorders, and behavioral disorders.
(910) 817-0931 View (910) 817-0931
Photo of Kerri Leonard, MSW, LCSW, Clinical Social Work/Therapist
Kerri Leonard
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Wilmington, NC 28403
Currently accepting new clients!- - I offer therapy that is collaborative and person centered, providing real life strategies, tools and resources to help you reach your goals. I am passionate about working with clients facing challenges related to depression, anxiety, trauma, stress management and life transitions. My goal is to help clients grow, heal and develop a better understanding of themselves in a comfortable and supportive space.
Currently accepting new clients!- - I offer therapy that is collaborative and person centered, providing real life strategies, tools and resources to help you reach your goals. I am passionate about working with clients facing challenges related to depression, anxiety, trauma, stress management and life transitions. My goal is to help clients grow, heal and develop a better understanding of themselves in a comfortable and supportive space.
(910) 537-2067 View (910) 537-2067
Photo of Dr. Robin Winters, LCMHC, Ph D, Licensed Professional Counselor
Dr. Robin Winters
Licensed Professional Counselor, LCMHC, Ph D
Verified Verified
Wilmington, NC 28401  (Online Only)
Anxiety and depression can be overwhelming and interfere with reaching your highest potential. It’s incredibly uncomfortable to feel your heart and mind race or to have shortness of breath. You worry about when a panic attack will happen again and the worry makes matters even worse. You just want to slow your mind down and quit thinking. Your relationships and work performance may be suffering as you lie in bed dwelling on the past or worrying about the future. You've tried everything to control your thoughts and feelings but can't.
Anxiety and depression can be overwhelming and interfere with reaching your highest potential. It’s incredibly uncomfortable to feel your heart and mind race or to have shortness of breath. You worry about when a panic attack will happen again and the worry makes matters even worse. You just want to slow your mind down and quit thinking. Your relationships and work performance may be suffering as you lie in bed dwelling on the past or worrying about the future. You've tried everything to control your thoughts and feelings but can't.
(844) 445-7375 View (844) 445-7375
Photo of Dani Fazio, LCSW, Clinical Social Work/Therapist
Dani Fazio
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wilmington, NC 28401
Welcome to my practice! My primary focus is treating adults struggling with trauma. Traumatic experiences can cause individuals to relive past experiences. It can keep clients believing past narratives or trying to control future circumstances. I understand the struggle of outgrowing your trauma intellectually but when a trigger happens you still feel like that hurt inner child. Biologically, childhood trauma causes your brain to be wired differently depending on the stage of development when the trauma occurred. In treatment you will learn the why’s, how to find safety, and acceptance of all parts of yourself to heal as you are.
Welcome to my practice! My primary focus is treating adults struggling with trauma. Traumatic experiences can cause individuals to relive past experiences. It can keep clients believing past narratives or trying to control future circumstances. I understand the struggle of outgrowing your trauma intellectually but when a trigger happens you still feel like that hurt inner child. Biologically, childhood trauma causes your brain to be wired differently depending on the stage of development when the trauma occurred. In treatment you will learn the why’s, how to find safety, and acceptance of all parts of yourself to heal as you are.
(910) 974-8963 View (910) 974-8963
Photo of Michelle Walker - Salt and Cypress Counseling PLLC, Clinical Social Work/Therapist
Salt and Cypress Counseling PLLC
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
Wilmington, NC 28403
We are a group of down-to-Earth therapists, offering therapy and counseling services in Wilmington, NC. Our clients can choose to participate in therapy virtually, in our mid-town office, or outdoors. We understand that playing in the dirt isn't everyone's cup of tea, and that is ok! Our approach always considers the client's unique needs and therapeutic goals. We are able to offer clients individual therapy, couples counseling, family therapy, and group therapy. Have more questions about our services? Check out the website or reach out today to find out more.
We are a group of down-to-Earth therapists, offering therapy and counseling services in Wilmington, NC. Our clients can choose to participate in therapy virtually, in our mid-town office, or outdoors. We understand that playing in the dirt isn't everyone's cup of tea, and that is ok! Our approach always considers the client's unique needs and therapeutic goals. We are able to offer clients individual therapy, couples counseling, family therapy, and group therapy. Have more questions about our services? Check out the website or reach out today to find out more.
(910) 698-8549 View (910) 698-8549
Photo of Dr. Leah Shavalier, PsyD, Psychologist
Dr. Leah Shavalier
Psychologist, PsyD
Verified Verified
2 Endorsed
Wilmington, NC 28403
“I’ll figure it out on my own” you say to yourself as you X out of this page again. But it’s getting harder to do it all, to be everything for everyone, to find quiet moments in your busy days and mind. If this sounds like you, please consider giving therapy a try. In our sessions, we can explore where you learned you had to “do it all,” find out what you think is holding you back, push through perfectionism, resolve difficult or traumatic experiences, and learn to set boundaries so you can live your life on your terms. Along the way you’ll learn more about your needs and values and leave behind what is not serving you.
“I’ll figure it out on my own” you say to yourself as you X out of this page again. But it’s getting harder to do it all, to be everything for everyone, to find quiet moments in your busy days and mind. If this sounds like you, please consider giving therapy a try. In our sessions, we can explore where you learned you had to “do it all,” find out what you think is holding you back, push through perfectionism, resolve difficult or traumatic experiences, and learn to set boundaries so you can live your life on your terms. Along the way you’ll learn more about your needs and values and leave behind what is not serving you.
(910) 565-8882 View (910) 565-8882
Photo of Jennifer G. Walker, MSW, LCSW, Clinical Social Work/Therapist
Jennifer G. Walker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Wilmington, NC 28403
Hello! I’m Jennifer Walker, a Licensed Clinical Social Worker with a passion for guiding individuals and families through life's challenges. I bring 30 years of experience across various settings to my practice. My work in nonprofits, child advocacy, juvenile crime prevention, and social services demonstrate my compassion and commitment to improving the lives of those in our community. Whether you are seeking support for yourself, your child, or your family, I offer a safe and compassionate space to explore your goals and work towards growth and healing. I will work in partnership with you to provide the tools and support you need.
Hello! I’m Jennifer Walker, a Licensed Clinical Social Worker with a passion for guiding individuals and families through life's challenges. I bring 30 years of experience across various settings to my practice. My work in nonprofits, child advocacy, juvenile crime prevention, and social services demonstrate my compassion and commitment to improving the lives of those in our community. Whether you are seeking support for yourself, your child, or your family, I offer a safe and compassionate space to explore your goals and work towards growth and healing. I will work in partnership with you to provide the tools and support you need.
(910) 469-1645 x311 View (910) 469-1645 x311
Photo of Emily Swank, LCSW, Clinical Social Work/Therapist
Emily Swank
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wilmington, NC 28403
Hi! I'm glad you found my page. Whether you define your present need as big or small, I am here to help you and look forward to taking this journey with you. Together we can work to develop or rebuild the skills necessary to improve or cope with life's present stressors. Before we dive in, I spend the first sessions really getting to know you and uncovering what you hope to gain by coming to therapy. We will take the next steps at your pace in a safe, empathetic space.
Hi! I'm glad you found my page. Whether you define your present need as big or small, I am here to help you and look forward to taking this journey with you. Together we can work to develop or rebuild the skills necessary to improve or cope with life's present stressors. Before we dive in, I spend the first sessions really getting to know you and uncovering what you hope to gain by coming to therapy. We will take the next steps at your pace in a safe, empathetic space.
(910) 507-1847 View (910) 507-1847
Photo of Kimberly Selsky, MHC
Kimberly Selsky
Licensed Clinical Mental Health Counselor, MHC
Verified Verified
Wilmington, NC 28403
Hi! Thank you for visiting my page. I am a Licensed Professional Counselor and have been in the mental health field for almost fifteen years. I enjoy helping people and would like to help you reach your goals. I believe that the most important thing in therapy is the relationship between the client and his/her therapist.
Hi! Thank you for visiting my page. I am a Licensed Professional Counselor and have been in the mental health field for almost fifteen years. I enjoy helping people and would like to help you reach your goals. I believe that the most important thing in therapy is the relationship between the client and his/her therapist.
(910) 386-0137 View (910) 386-0137
Photo of Samantha McCall Wiggins, LMFT, Marriage & Family Therapist
Samantha McCall Wiggins
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Wilmington, NC 28405
Is your relationship not living up to its fullest potential? Are you having trouble connecting with your partner? You’re not failing. A relationship isn’t a failure because you’re having trouble connecting. You’re just simply having a difficult time understanding one another. The truth is that we won’t always understand each other, as we each have our own distinct personalities, wants, needs, and desires. Relationships, intimate and familial, are such beautiful and powerful things, but they also come with a lot of stress. It is my ultimate goal to help you, help you and yours.
Is your relationship not living up to its fullest potential? Are you having trouble connecting with your partner? You’re not failing. A relationship isn’t a failure because you’re having trouble connecting. You’re just simply having a difficult time understanding one another. The truth is that we won’t always understand each other, as we each have our own distinct personalities, wants, needs, and desires. Relationships, intimate and familial, are such beautiful and powerful things, but they also come with a lot of stress. It is my ultimate goal to help you, help you and yours.
(919) 551-6936 View (919) 551-6936
Photo of Brittanie Smith, LCSW, CCTP-II, Clinical Social Work/Therapist
Brittanie Smith
Clinical Social Work/Therapist, LCSW, CCTP-II
Verified Verified
1 Endorsed
Wilmington, NC 28403
Waitlist for new clients
Brittanie uses a client-centered approach, tailoring therapy to the specific needs of each individual. She views therapy as a collaborative process between therapist and client that is established by providing a nonjudgmental supportive environment for clients to explore thoughts, feelings, and beliefs, and take steps towards making positive change.
Brittanie uses a client-centered approach, tailoring therapy to the specific needs of each individual. She views therapy as a collaborative process between therapist and client that is established by providing a nonjudgmental supportive environment for clients to explore thoughts, feelings, and beliefs, and take steps towards making positive change.
(910) 769-9691 View (910) 769-9691
Photo of Kelly Moran, MA, LCMHC-S, LCMHC
Kelly Moran
Lic Clinical Mental Health Counselor Supervisor, MA, LCMHC-S, LCMHC
Verified Verified
1 Endorsed
Wilmington, NC 28403  (Online Only)
Hi there! I specialize in supporting new moms, adults who suffer from anxiety of all kinds, and couples. My passion lies in providing couples therapy for premarital counseling. I believe knowing yourself deeply leads to finding your person. I guide adults in taking their relationship to the next level by tackling all things couple-y from guided discussions about finances to even thinking ahead about family planning and parenting for the first time. By addressing potential challenges early on and equipping couples with practical tools and insights, I support couples in building a long lasting partnership.
Hi there! I specialize in supporting new moms, adults who suffer from anxiety of all kinds, and couples. My passion lies in providing couples therapy for premarital counseling. I believe knowing yourself deeply leads to finding your person. I guide adults in taking their relationship to the next level by tackling all things couple-y from guided discussions about finances to even thinking ahead about family planning and parenting for the first time. By addressing potential challenges early on and equipping couples with practical tools and insights, I support couples in building a long lasting partnership.
(910) 838-2833 View (910) 838-2833
Photo of Bethany Tennant, MS, LCMHC
Bethany Tennant
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
12 Endorsed
Wilmington, NC 28403
Not accepting new clients
Our lives are made up of a variety of experiences, some creating a lasting impact in one way or another. Working collaboratively in therapy can assist in uncovering and focusing on the positive components of our lives, as well as processing events or negative memories that impede our functioning. I specialize in working with young adults who have difficulty managing anxiety, struggle with self esteem and are dealing with life transitions. I offer Christian counseling, am LGBTQ+ allied, and am a sex-positive therapist.
Our lives are made up of a variety of experiences, some creating a lasting impact in one way or another. Working collaboratively in therapy can assist in uncovering and focusing on the positive components of our lives, as well as processing events or negative memories that impede our functioning. I specialize in working with young adults who have difficulty managing anxiety, struggle with self esteem and are dealing with life transitions. I offer Christian counseling, am LGBTQ+ allied, and am a sex-positive therapist.
View
Photo of Lauren Averitt, MA, LCMHC, Counselor
Lauren Averitt
Counselor, MA, LCMHC
Verified Verified
3 Endorsed
Wilmington, NC 28401  (Online Only)
*For a quicker response, text 910-610-3199* I really enjoy working with young adults develop skills to manage anxiety and help build self-esteem. I have a passion for trauma work and welcome clients experiencing related difficulties. There are ways to enjoy the journey and I'd love to help you with this.
*For a quicker response, text 910-610-3199* I really enjoy working with young adults develop skills to manage anxiety and help build self-esteem. I have a passion for trauma work and welcome clients experiencing related difficulties. There are ways to enjoy the journey and I'd love to help you with this.
(910) 446-1163 View (910) 446-1163
Photo of Elisabeth Troy, MSW, LCSW, LCASA, Clinical Social Work/Therapist
Elisabeth Troy
Clinical Social Work/Therapist, MSW, LCSW, LCASA
Verified Verified
Wilmington, NC 28401
There are a lot of therapeutic modalities out there! My approach is to cater to what you need. I like to take time to get to know each of my clients and gain an understanding of what your needs are. I view my approach as collaborative, person centered and goal oriented. I have experience working with children, teenagers and adults. My specialties include using dialectical behavioral therapy (DBT) to gain understanding and coping with intense emotions. I am also certified in providing eye movement desensitization and reprocessing (EMDR) therapy. This type of modality can help in processing experiences that might be holding you back!
There are a lot of therapeutic modalities out there! My approach is to cater to what you need. I like to take time to get to know each of my clients and gain an understanding of what your needs are. I view my approach as collaborative, person centered and goal oriented. I have experience working with children, teenagers and adults. My specialties include using dialectical behavioral therapy (DBT) to gain understanding and coping with intense emotions. I am also certified in providing eye movement desensitization and reprocessing (EMDR) therapy. This type of modality can help in processing experiences that might be holding you back!
(910) 858-8663 x3007 View (910) 858-8663 x3007
Photo of Kelly Casparius, MA, LPC, NCC, Licensed Professional Counselor
Kelly Casparius
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Wilmington, NC 28403
ACCEPTING NEW CLIENTS I am here to help you! My goal is to help you and your family be happier and healthier. I work with children ages 3 and up as well as adults! If you are dealing with depression, anxiety, Post Traumatic Stress, or just overwhelmed with life I am here to listen and help you learn to cope more effectively! When working with children I believe that they communicate through play. Children experience so many feelings and emotions that they cannot verbally express and play is a valuable tool! I can also be found on Talkspace if you prefer text and video messaging therapy! https://www.talkspace.com/room/kellycasparius
ACCEPTING NEW CLIENTS I am here to help you! My goal is to help you and your family be happier and healthier. I work with children ages 3 and up as well as adults! If you are dealing with depression, anxiety, Post Traumatic Stress, or just overwhelmed with life I am here to listen and help you learn to cope more effectively! When working with children I believe that they communicate through play. Children experience so many feelings and emotions that they cannot verbally express and play is a valuable tool! I can also be found on Talkspace if you prefer text and video messaging therapy! https://www.talkspace.com/room/kellycasparius
(910) 773-1877 View (910) 773-1877
Photo of Mackenzie Pereira, LCMHCA, NCC, MAEd
Mackenzie Pereira
Lic Clinical Mental Health Counselor Associate, LCMHCA, NCC, MAEd
Verified Verified
Wilmington, NC 28403
Not accepting new clients
While life’s challenges are inevitable, our suffering doesn’t have to be. I am here to empower you to take on these challenges with confidence! I work with teens, & young adults struggling with stress, anxiety, life transitions, emotional regulation, familial issues, ADHD, & more. My experience as a former school counselor provides a unique perspective of the daily struggles of today’s youth and I am passionate about helping families work together to set their teens up for success. I also enjoy working with young adults as they begin to figure out who they are while transitioning into a more independent individual.
While life’s challenges are inevitable, our suffering doesn’t have to be. I am here to empower you to take on these challenges with confidence! I work with teens, & young adults struggling with stress, anxiety, life transitions, emotional regulation, familial issues, ADHD, & more. My experience as a former school counselor provides a unique perspective of the daily struggles of today’s youth and I am passionate about helping families work together to set their teens up for success. I also enjoy working with young adults as they begin to figure out who they are while transitioning into a more independent individual.
(910) 901-8607 View (910) 901-8607
Photo of Amanda Pugh, LCMHC, LCAS, Drug & Alcohol Counselor
Amanda Pugh
Drug & Alcohol Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Wilmington, NC 28405
Are you feeling stuck in unhealthy thinking patterns? Not able to meet your goals because of self-sabotaging behaviors? I am a Licensed Clinical Mental Health Counselor who would love to be a part of your journey of healing. I have experience and enjoy working with clients who are having issues with anxiety, depressive thinking cycles, family conflicts, interpersonal relationships and substance abuse issues. My counseling style is person-centered and solution focused. The needs of my clients are continually assessed through the therapeutic process.
Are you feeling stuck in unhealthy thinking patterns? Not able to meet your goals because of self-sabotaging behaviors? I am a Licensed Clinical Mental Health Counselor who would love to be a part of your journey of healing. I have experience and enjoy working with clients who are having issues with anxiety, depressive thinking cycles, family conflicts, interpersonal relationships and substance abuse issues. My counseling style is person-centered and solution focused. The needs of my clients are continually assessed through the therapeutic process.
(910) 634-3247 View (910) 634-3247
Photo of Katie Windham, MS, LCMHC, NCC, Licensed Professional Counselor
Katie Windham
Licensed Professional Counselor, MS, LCMHC, NCC
Verified Verified
Wilmington, NC 28403
Times of difficulty and uncertainty can increase stress, anxiety, depression, addictive behaviors, and can place added strain on relationships. The therapeutic process can help you develop a sense of calming, clarity, flexibility, and resilience. Help is available. You can begin to heal and restore balance in your life. I can provide support and resources for you to develop self-awareness, coping skills, effective communication skills, and healthy boundaries.
Times of difficulty and uncertainty can increase stress, anxiety, depression, addictive behaviors, and can place added strain on relationships. The therapeutic process can help you develop a sense of calming, clarity, flexibility, and resilience. Help is available. You can begin to heal and restore balance in your life. I can provide support and resources for you to develop self-awareness, coping skills, effective communication skills, and healthy boundaries.
(910) 427-5540 View (910) 427-5540
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How does your Therapist compare?

Number of Therapists in Wilmington, NC

700+

Average cost per session

$125

Therapists in Wilmington, NC who prioritize treating:

92% Anxiety
86% Depression
80% Self Esteem
76% Relationship Issues
74% Stress
72% Trauma and PTSD
72% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
78% Aetna
59% UnitedHealthcare UHC | UBH

How Therapists in Wilmington, NC see their clients

71% In Person and Online
29% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Wilmington?

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.