Therapists in Winston Salem, NC

Alexa Henson
Counselor, MS, NCC, LCMHC
2 Endorsed
Online Only
As an LGBTQIA2S+ affirming therapist, I am comfortable working with individuals from diverse cultures, lifestyles, and religious/spiritual beliefs. Therapy can help you discover inner resources that align with your values and goals, and open you to a new way of being, bringing balance to your life. Together, we can navigate and explore what works best for YOU. As part of your healing process, I will meet you with compassion and acceptance, offering a restorative, supportive, and non-judgmental environment, allowing you to explore any obstacles or difficulties that you are facing.
As an LGBTQIA2S+ affirming therapist, I am comfortable working with individuals from diverse cultures, lifestyles, and religious/spiritual beliefs. Therapy can help you discover inner resources that align with your values and goals, and open you to a new way of being, bringing balance to your life. Together, we can navigate and explore what works best for YOU. As part of your healing process, I will meet you with compassion and acceptance, offering a restorative, supportive, and non-judgmental environment, allowing you to explore any obstacles or difficulties that you are facing.
(336) 360-6942 View (336) 360-6942
Tonya Moore
Licensed Clinical Mental Health Counselor Supervis, NCC, LCMHCS, BCPCC, CCTP
1 Endorsed
Winston Salem, NC 27106
There are times when there is the feeling that all hope is gone. I believe that God has a plan for your life, plans to prosper you and not to harm you, plans to give you hope and a future...and will bring you back from captivity. My goal is simple: to help my clients discover that "plan", gain insight, make changes, and grow in God's grace. I am here to assist you in your journey back to wholeness: mentally, emotionally, relationally, and/or spiritually. Whether you're trying to restore a broken marriage, mend family relationships, pick up the pieces or seeking a fresh start, hope and healing awaits you.
There are times when there is the feeling that all hope is gone. I believe that God has a plan for your life, plans to prosper you and not to harm you, plans to give you hope and a future...and will bring you back from captivity. My goal is simple: to help my clients discover that "plan", gain insight, make changes, and grow in God's grace. I am here to assist you in your journey back to wholeness: mentally, emotionally, relationally, and/or spiritually. Whether you're trying to restore a broken marriage, mend family relationships, pick up the pieces or seeking a fresh start, hope and healing awaits you.
(336) 223-5183 View (336) 223-5183
Emily Wroblewski
Clinical Social Work/Therapist, MSW, LISW
3 Endorsed
Online Only
Many Christians deal with mental health concern and are often told to just pray harder or have more faith... Dealing with a mental health concern is real and in now way a sign of little faith! In a session with me, we work together to use the faith you already have and clinical tools to navigate anxiety, depression, trauma, and life challenges. At Redeemed Therapy, I help adults 18+ find peace, clarity, and healing through trauma-informed, biblically grounded therapy. You don’t have to carry it alone! Let’s walk this journey together with grace, truth, and practical tools for lasting change.
Many Christians deal with mental health concern and are often told to just pray harder or have more faith... Dealing with a mental health concern is real and in now way a sign of little faith! In a session with me, we work together to use the faith you already have and clinical tools to navigate anxiety, depression, trauma, and life challenges. At Redeemed Therapy, I help adults 18+ find peace, clarity, and healing through trauma-informed, biblically grounded therapy. You don’t have to carry it alone! Let’s walk this journey together with grace, truth, and practical tools for lasting change.
(336) 739-5036 View (336) 739-5036
Restoring and Rebuilding Counseling Services, PLLC
Licensed Clinical Mental Health Counselor, MS
Online Only
I am licensed in North Carolina with 8 years of professional work experience. I am a nationally certified Trauma Focused Behavioral therapist. I am also a National Certified I have experience in helping clients with stress and anxiety, trauma and abuse, parenting issues, & anger management. I also provide Dialectical Behavior Therapy. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
I am licensed in North Carolina with 8 years of professional work experience. I am a nationally certified Trauma Focused Behavioral therapist. I am also a National Certified I have experience in helping clients with stress and anxiety, trauma and abuse, parenting issues, & anger management. I also provide Dialectical Behavior Therapy. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
(336) 729-8694 View (336) 729-8694
Dr. George Stoupas
Licensed Professional Counselor, PhD, LCMHC, LMFT, MCAP
3 Endorsed
Winston Salem, NC 27106
I help couples heal and deepen their relationships. Lots of of things can cause conflict and leave us feeling helpless to stop it. Issues like addiction, infidelity, parenting disagreements, money, and past trauma can cause hurt and push people apart. Our relationships are supposed to be refuges of safety and security; we expect to be able to count on one another. When we get stuck and can't connect with our partners, it threatens us to our very core. We feel trapped, hurt, scared, angry, and confused. The more we fight, the further we get from where we want to be. I want you to know it's not over yet.
I help couples heal and deepen their relationships. Lots of of things can cause conflict and leave us feeling helpless to stop it. Issues like addiction, infidelity, parenting disagreements, money, and past trauma can cause hurt and push people apart. Our relationships are supposed to be refuges of safety and security; we expect to be able to count on one another. When we get stuck and can't connect with our partners, it threatens us to our very core. We feel trapped, hurt, scared, angry, and confused. The more we fight, the further we get from where we want to be. I want you to know it's not over yet.
(336) 850-9859 View (336) 850-9859
Maggie Cameron Cahill
Clinical Social Work/Therapist, LCSW, LICSW
1 Endorsed
Winston Salem, NC 27101
Not accepting new clients
Therapy can be a space to navigate many challenges while also celebrating growth. I am a Licensed Clinical Social Worker providing psychotherapy to children, adolescents, young adults, adults, and parents. My work focuses on collaboratively navigating anxiety, depression, and social and relational challenges. Additionally, I support people through their various life transitions and identity development. I also offer parent guidance and am trained in the Circle of Security Parenting (COSP) program. In an open and accepting space, I work with individuals and couples to identify and achieve their treatment goals.
Therapy can be a space to navigate many challenges while also celebrating growth. I am a Licensed Clinical Social Worker providing psychotherapy to children, adolescents, young adults, adults, and parents. My work focuses on collaboratively navigating anxiety, depression, and social and relational challenges. Additionally, I support people through their various life transitions and identity development. I also offer parent guidance and am trained in the Circle of Security Parenting (COSP) program. In an open and accepting space, I work with individuals and couples to identify and achieve their treatment goals.
(336) 962-2506 View (336) 962-2506
Jasmine Henderson Lambeth
Lic Clinical Mental Health Counselor Associate, LCMHCA
Winston Salem, NC 27127
I'm a Licensed Clinical Mental Health Counselor Associate who works with Autistic children, teens, adults and their families at ABC of NC Child Development Center. I have worked with Autistic Children and Teens as an RBT; Registered Behavior Technician; for 7 years. I have experience working with school aged students and adults who have struggled with anxiety, depression, bullying, adjustment disorders, etc.
I'm a Licensed Clinical Mental Health Counselor Associate who works with Autistic children, teens, adults and their families at ABC of NC Child Development Center. I have worked with Autistic Children and Teens as an RBT; Registered Behavior Technician; for 7 years. I have experience working with school aged students and adults who have struggled with anxiety, depression, bullying, adjustment disorders, etc.
(336) 396-5944 View (336) 396-5944
Adrienne Reich
Licensed Professional Counselor, MA, LCMHC, LCAS
Winston Salem, NC 27101
Life can have difficult and challenging seasons. My goal as a counselor is to build a relationship with my clients that is based on respect and trust as well as to provide a safe, non-judgmental place for you to process through any of life’s challenges. I use evidence-based techniques such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and solution-focused therapy to help you reach your goals and determine any steps that need to be taken for you to be the best version of yourself that you can be.
Life can have difficult and challenging seasons. My goal as a counselor is to build a relationship with my clients that is based on respect and trust as well as to provide a safe, non-judgmental place for you to process through any of life’s challenges. I use evidence-based techniques such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and solution-focused therapy to help you reach your goals and determine any steps that need to be taken for you to be the best version of yourself that you can be.
(336) 939-0712 View (336) 939-0712
McKenzie Wilson
Clinical Social Work/Therapist, LCSW
Online Only
Not feeling heard, not knowing the next step or not being where you thought you'd be at this part of your life is hard. Like really hard. My clients bring to sessions struggles with setting boundaries & people pleasing, feeling heard by those in their lives, wrapping their mind around a major life change like the end of a relationship/figuring out what life looks like post-retirement or just highly anxious or depressed. They need a space where they can be truly heard, process what's holding them back and connect with what will make them feel fulfilled and connected to the version of themselves they want to be.
Not feeling heard, not knowing the next step or not being where you thought you'd be at this part of your life is hard. Like really hard. My clients bring to sessions struggles with setting boundaries & people pleasing, feeling heard by those in their lives, wrapping their mind around a major life change like the end of a relationship/figuring out what life looks like post-retirement or just highly anxious or depressed. They need a space where they can be truly heard, process what's holding them back and connect with what will make them feel fulfilled and connected to the version of themselves they want to be.
(336) 297-6906 View (336) 297-6906
Tabitha Giaquinto
Clinical Social Work/Therapist, LCSW, CTP
1 Endorsed
Winston Salem, NC 27106
Hi there! My name is Tabitha Giaquinto, my pronouns are she/her/hers, and I am a Licensed Clinical Social Worker in Florida, Delaware & North Carolina. I know finding a good match in a therapist can be difficult, especially if the idea of being vulnerable with someone brings a sense of discomfort. In my work with clients, I strive to provide unconditional positive support, a safe & inclusive environment for all, and individualized care for everyone I work with. I understand what it’s like to be on the couch of a therapist’s office and not know where to start, which gifts me the ability to understand & empathize with the uncertainty.
Hi there! My name is Tabitha Giaquinto, my pronouns are she/her/hers, and I am a Licensed Clinical Social Worker in Florida, Delaware & North Carolina. I know finding a good match in a therapist can be difficult, especially if the idea of being vulnerable with someone brings a sense of discomfort. In my work with clients, I strive to provide unconditional positive support, a safe & inclusive environment for all, and individualized care for everyone I work with. I understand what it’s like to be on the couch of a therapist’s office and not know where to start, which gifts me the ability to understand & empathize with the uncertainty.
(772) 247-5189 View (772) 247-5189
Laura Folds
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Welcome to Hygge Counseling. "Hygge," a Danish concept centered on comfort, warmth, and a sense of safety, reflects the environment I strive to create. My goal is for every client to feel supported, at ease, and secure within the therapeutic relationship. My practice focuses primarily on mood disorders, including depression, anxiety, and bipolar disorder. I also support clients navigating life transitions, grief, trauma, aging-related concerns, low self-esteem, and a general desire to improve overall wellbeing. I work with clients from diverse religious, cultural and sexual orientation backgrounds and affirm LGBTQ+ identities.
Welcome to Hygge Counseling. "Hygge," a Danish concept centered on comfort, warmth, and a sense of safety, reflects the environment I strive to create. My goal is for every client to feel supported, at ease, and secure within the therapeutic relationship. My practice focuses primarily on mood disorders, including depression, anxiety, and bipolar disorder. I also support clients navigating life transitions, grief, trauma, aging-related concerns, low self-esteem, and a general desire to improve overall wellbeing. I work with clients from diverse religious, cultural and sexual orientation backgrounds and affirm LGBTQ+ identities.
(336) 800-2759 View (336) 800-2759
Matthew Hall
Counselor, LCMHCA
1 Endorsed
Winston Salem, NC 27103
I understand the importance of telling a person's story. I desire to help individuals tell positive and encouraging life stories. I strive to help clients move through personal struggles by utilizing evidence-based therapeutic approaches. These approaches support learning new thought processes and behaviors and can help create a more meaningful, purposeful, and joyful life. I work to help clients navigate stress, life transitions, and relationship strains. I also enjoy teaching DBT skills on the individual level and helping clients learn to be more mindful and productive in daily functioning.
I understand the importance of telling a person's story. I desire to help individuals tell positive and encouraging life stories. I strive to help clients move through personal struggles by utilizing evidence-based therapeutic approaches. These approaches support learning new thought processes and behaviors and can help create a more meaningful, purposeful, and joyful life. I work to help clients navigate stress, life transitions, and relationship strains. I also enjoy teaching DBT skills on the individual level and helping clients learn to be more mindful and productive in daily functioning.
(336) 892-8094 View (336) 892-8094
David Stefan Bathory
Psychologist, PsyD
1 Endorsed
Winston Salem, NC 27106
Not accepting new clients
I am a Psychologist/Neuropsychologist who specializes in trauma and neurodiversity. I offer individual individualized psychotherapy, designed to meet your needs using different best practice models of therapy. My practice specialties in working with children and adults; Complex Trauma, Autism, ADHD & Rare Neuropsychological Disorders. I help people across the world to find ways to work together and will help you to move forward in your journey.
I am a Psychologist/Neuropsychologist who specializes in trauma and neurodiversity. I offer individual individualized psychotherapy, designed to meet your needs using different best practice models of therapy. My practice specialties in working with children and adults; Complex Trauma, Autism, ADHD & Rare Neuropsychological Disorders. I help people across the world to find ways to work together and will help you to move forward in your journey.
(908) 444-1524 View (908) 444-1524
Sarah Carver
Licensed Clinical Mental Health Counselor, MDiv, MA, LCMHC, NCC
2 Endorsed
Online Only
Therapy and counseling move at the speed of trust. I believe this phrase captures the core of the therapeutic relationship: meeting clients where they are and moving at their pace. I will listen non-judgmentally and compassionately to what is said and not said by my clients. I provide a safe and welcoming space that fosters trust, where clients feel accepted, heard, understood, and respected. In this collaborative and supportive environment, we can work together to achieve your goals while processing emotions, thoughts, behaviors, and experiences.
Therapy and counseling move at the speed of trust. I believe this phrase captures the core of the therapeutic relationship: meeting clients where they are and moving at their pace. I will listen non-judgmentally and compassionately to what is said and not said by my clients. I provide a safe and welcoming space that fosters trust, where clients feel accepted, heard, understood, and respected. In this collaborative and supportive environment, we can work together to achieve your goals while processing emotions, thoughts, behaviors, and experiences.
(336) 203-9421 View (336) 203-9421
Valera Counseling Services, PLLC
Licensed Clinical Mental Health Counselor, PhD, LCMHC, CCMHC, CTF-CBT, SOTP
Winston Salem, NC 27103
Whether you are trying to overcome sudden life changes or dealing with a mental health condition, get in touch with Valera Counseling Services, PLLC. We provide counseling sessions in a supportive environment that fosters empowerment and independence and inspires you to reach your full potential. Our goal is to help you live your life in a functional and independent manner. We are committed to providing clients worldwide with quality counseling and therapy services at our two offices. Contact us in our office in Winston-Salem or Greensboro, North Carolina for an appointment. Hablamos Español. Servimos a Nuestra Comunidad Latina!
Whether you are trying to overcome sudden life changes or dealing with a mental health condition, get in touch with Valera Counseling Services, PLLC. We provide counseling sessions in a supportive environment that fosters empowerment and independence and inspires you to reach your full potential. Our goal is to help you live your life in a functional and independent manner. We are committed to providing clients worldwide with quality counseling and therapy services at our two offices. Contact us in our office in Winston-Salem or Greensboro, North Carolina for an appointment. Hablamos Español. Servimos a Nuestra Comunidad Latina!
(336) 396-7585 View (336) 396-7585
Andrew P Smiler
Psychological Associate, PhD, MA
2 Endorsed
Winston Salem, NC 27106
I specialize in working with males age 15 and older (including seniors). The issues I typically address are anger-acting out-not following rules, depression, ADD/ADHD, relationship problems, gender issues, "nice guy syndrome", and sexual performance issues. With teens and young adults, I often focus on being responsible, positive and negative consequences of behavior, learning how to manage stress, developing healthy relationships, and charting a path forward. I also work with male abuse survivors, addressing many of the issues listed above as well as boundary issues and developing a healthier sense of self.
I specialize in working with males age 15 and older (including seniors). The issues I typically address are anger-acting out-not following rules, depression, ADD/ADHD, relationship problems, gender issues, "nice guy syndrome", and sexual performance issues. With teens and young adults, I often focus on being responsible, positive and negative consequences of behavior, learning how to manage stress, developing healthy relationships, and charting a path forward. I also work with male abuse survivors, addressing many of the issues listed above as well as boundary issues and developing a healthier sense of self.
(336) 525-7092 View (336) 525-7092
Jenna Snyder
Licensed Clinical Mental Health Counselor, LCMHC, LPC
2 Endorsed
Online Only
Are you tired of always being the one holding it all together? You’re the helper — the nurse, counselor, first responder, caregiver, ministry worker, special needs parent. You’ve spent your life being the strong one. Tired, overworked, and overspent. Always the one who will “just handle it.” You need your person too. I help helpers understand what secondary trauma, complex trauma, and CPTSD actually do to a person, process it at the root level using EMDR and trauma-focused approaches, and rebuild a sustainable relationship with their calling. If any of this resonates, I’d love to be your person. Reaching out is the first step.
Are you tired of always being the one holding it all together? You’re the helper — the nurse, counselor, first responder, caregiver, ministry worker, special needs parent. You’ve spent your life being the strong one. Tired, overworked, and overspent. Always the one who will “just handle it.” You need your person too. I help helpers understand what secondary trauma, complex trauma, and CPTSD actually do to a person, process it at the root level using EMDR and trauma-focused approaches, and rebuild a sustainable relationship with their calling. If any of this resonates, I’d love to be your person. Reaching out is the first step.
(843) 733-5074 View (843) 733-5074
Jessie Tucker Mitchell
Licensed Clinical Mental Health Counselor, LCMHC, CEDS, NCC
3 Endorsed
Online Only
As a Certified Eating Disorders Specialist (CEDS) through IAEDP, I specialize in eating disorders and body image concerns. I also work with clients struggling with OCD, PTSD, and anxiety. Many clients come to me feeling trapped by intrusive thoughts, persistent worry, or a difficult relationship with food and their body. Together, we’ll create a supportive space to understand what’s happening beneath the surface, loosen the grip of perfectionism and anxiety, and move toward healing, freedom, and deeper connection. For clients who desire it, I love to integrate Christian counseling.
As a Certified Eating Disorders Specialist (CEDS) through IAEDP, I specialize in eating disorders and body image concerns. I also work with clients struggling with OCD, PTSD, and anxiety. Many clients come to me feeling trapped by intrusive thoughts, persistent worry, or a difficult relationship with food and their body. Together, we’ll create a supportive space to understand what’s happening beneath the surface, loosen the grip of perfectionism and anxiety, and move toward healing, freedom, and deeper connection. For clients who desire it, I love to integrate Christian counseling.
(336) 203-2947 View (336) 203-2947
Charity Patton
Licensed Clinical Social Worker Associate, MSW, RN, LCSWA
Winston Salem, NC 27103
Taking the first step toward therapy takes courage. If you are feeling overwhelmed, anxious, stuck, or uncertain, you are not alone. I provide a warm, supportive, and nonjudgmental space where individuals, teens, and families can feel safe to explore challenges, build on their strengths, and move toward healing. With more than 30 years of healthcare experience as a Registered Nurse and Licensed Clinical Social Worker Associate, I offer a compassionate, holistic approach grounded in evidence-based care.
Taking the first step toward therapy takes courage. If you are feeling overwhelmed, anxious, stuck, or uncertain, you are not alone. I provide a warm, supportive, and nonjudgmental space where individuals, teens, and families can feel safe to explore challenges, build on their strengths, and move toward healing. With more than 30 years of healthcare experience as a Registered Nurse and Licensed Clinical Social Worker Associate, I offer a compassionate, holistic approach grounded in evidence-based care.
(336) 948-8729 View (336) 948-8729
Leslie Gura
Counselor, MA, LCMHC, NCC, CCTP
Winston Salem, NC 27103
Are you stuck with a narrative you didn't count on? It may be causing emotional or physical pain, weariness and hopelessness. But your present narrative is only one point-in-time piece of your story.
Are you stuck with a narrative you didn't count on? It may be causing emotional or physical pain, weariness and hopelessness. But your present narrative is only one point-in-time piece of your story.
(336) 281-6703 View (336) 281-6703

See more therapy options for Winston Salem

How does your Therapist compare?

Number of Therapists in Winston Salem, NC

700+

Average cost per session

$150

Therapists in Winston Salem, NC who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
87% Depression
75% Self Esteem
73% Stress

Average years in practice

9 Years

Top 3 insurances accepted

94% Aetna
91% BlueCross and BlueShield
53% Cigna and Evernorth

How Therapists in Winston Salem, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Winston Salem?

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.