Therapists in Shelby County, OH

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Photo of Amanda Lafferty, MA, LPC, LPCC, Clinical Social Work/Therapist
Amanda Lafferty
Clinical Social Work/Therapist, MA, LPC, LPCC
Verified Verified
1 Endorsed
Sidney, OH 45365
The number one “rule” we therapists follow is autonomy for our clients – you lead the sessions, make your decisions, and allow yourself to have space and time to unburden yourself. Of course, we therapists are there to assist you through this journey. Mental health therapy is a journey to explore and become self-aware of the whys of what we do. My goal is to guide you through that journey when you need assistance.
The number one “rule” we therapists follow is autonomy for our clients – you lead the sessions, make your decisions, and allow yourself to have space and time to unburden yourself. Of course, we therapists are there to assist you through this journey. Mental health therapy is a journey to explore and become self-aware of the whys of what we do. My goal is to guide you through that journey when you need assistance.
(419) 664-3466 View (419) 664-3466
Photo of Nicole L. Keller, MS, PCC-S, CHT, Counselor
Nicole L. Keller
Counselor, MS, PCC-S, CHT
Verified Verified
3 Endorsed
Russia, OH 45363
Waitlist for new clients
Current Availability is Limited. Starting therapy is a major life decision! It takes courage even though you may be scared or unsure of what to expect, you are ready to start the process of self-change. I believe in taking a holistic approach to working with each client on an individual level, focusing on their specific needs, wants and goals. I am a direct, honest and straight forward therapist. Accountability is key. I attempt to create a casual and relaxed atmosphere, that is safe, inviting, and makes you comfortable for you to share. I am trained in alternative therapies such as hypnotherapy and EMDR.
Current Availability is Limited. Starting therapy is a major life decision! It takes courage even though you may be scared or unsure of what to expect, you are ready to start the process of self-change. I believe in taking a holistic approach to working with each client on an individual level, focusing on their specific needs, wants and goals. I am a direct, honest and straight forward therapist. Accountability is key. I attempt to create a casual and relaxed atmosphere, that is safe, inviting, and makes you comfortable for you to share. I am trained in alternative therapies such as hypnotherapy and EMDR.
(419) 949-8710 View (419) 949-8710
Photo of Emily Long, LISW, MSW, Clinical Social Work/Therapist
Emily Long
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
Sidney, OH 45365  (Online Only)
Hi! My name is Emily Long and I am the founder and owner of Open Mind Counseling. I am a Licensed Independent Social Worker, and I have been working as a therapist for four years. I enjoy working with individuals age 15 and over. I enjoy working with individuals that are struggling with anxiety, depression and transitions in their life. Respect, understanding, honesty and transparency define how I counsel. I became a therapist because I have always had the belief that we are all equal. Every person deserves respect, honesty, and a safe place to be their authentic self.
Hi! My name is Emily Long and I am the founder and owner of Open Mind Counseling. I am a Licensed Independent Social Worker, and I have been working as a therapist for four years. I enjoy working with individuals age 15 and over. I enjoy working with individuals that are struggling with anxiety, depression and transitions in their life. Respect, understanding, honesty and transparency define how I counsel. I became a therapist because I have always had the belief that we are all equal. Every person deserves respect, honesty, and a safe place to be their authentic self.
(937) 632-2073 View (937) 632-2073
Photo of Rachelle Cook, LSW, Clinical Social Work/Therapist
Rachelle Cook
Clinical Social Work/Therapist, LSW
Verified Verified
Sidney, OH 45365
Waitlist for new clients
It is my goal to create a warm, safe, non-judgmental space where clients can tell their stories, gain insight into how life events have had an impact on them, and learn healthy ways of coping and walking through life. I believe it is important for an individual to find awareness of the root causes of their issues, learn to manage their emotions, and implement practical solutions into their daily lives. It is amazing to watch people find hope and healing in their lives and relationships, achieve goals, and break cycles of dysfunction. If you will trust the process and do the work, you can find peace and healing.
It is my goal to create a warm, safe, non-judgmental space where clients can tell their stories, gain insight into how life events have had an impact on them, and learn healthy ways of coping and walking through life. I believe it is important for an individual to find awareness of the root causes of their issues, learn to manage their emotions, and implement practical solutions into their daily lives. It is amazing to watch people find hope and healing in their lives and relationships, achieve goals, and break cycles of dysfunction. If you will trust the process and do the work, you can find peace and healing.
(937) 712-5169 View (937) 712-5169
Photo of undefined - WellSpace Therapeutics, MSW, LISW-S, Clinical Social Work/Therapist
WellSpace Therapeutics
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Sidney, OH 45365
Hello! My name is Amy Krites, I am the founder and owner of WellSpace Therapeutics. I am a Licensed Independent Social Worker and have been providing therapy for individuals in some capacity for over 20 years. I enjoy working with people of all ages who are struggling and need some help to work through their issues. I will provide a safe, nonjudgmental, confidential environment for people can work towards their goals in therapy. I have been a victim's advocate, worked with people aged 60+, private practice counseling, as well as a counselor for people who struggle with addiction.
Hello! My name is Amy Krites, I am the founder and owner of WellSpace Therapeutics. I am a Licensed Independent Social Worker and have been providing therapy for individuals in some capacity for over 20 years. I enjoy working with people of all ages who are struggling and need some help to work through their issues. I will provide a safe, nonjudgmental, confidential environment for people can work towards their goals in therapy. I have been a victim's advocate, worked with people aged 60+, private practice counseling, as well as a counselor for people who struggle with addiction.
(937) 897-9131 View (937) 897-9131
Photo of undefined - Journey 4 Self LLC, MSW, LISW-S, Counselor
Journey 4 Self LLC
Counselor, MSW, LISW-S
Verified Verified
1 Endorsed
Sidney, OH 45365
My name is MJ and I have spent the last 10 years in Mental Health and Social Work practice. I've worked in organizations such as Children's Services, a Behavioral Specialist for Headstart, private practice counseling and I am a retired vetran of the Air Force Security Forces.
My name is MJ and I have spent the last 10 years in Mental Health and Social Work practice. I've worked in organizations such as Children's Services, a Behavioral Specialist for Headstart, private practice counseling and I am a retired vetran of the Air Force Security Forces.
(937) 902-2183 View (937) 902-2183
Photo of undefined - Momentum Counseling and Consultation, LLC, LISW-S, LICDCCS, Clinical Social Work/Therapist
Momentum Counseling and Consultation, LLC
Clinical Social Work/Therapist, LISW-S, LICDCCS
Verified Verified
Sidney, OH 45365
Struggling with a relationship, anxiety, depression, or something else? We believe it’s never too late to be your authentic self. We can help you live a healthy, meaningful life and find the strength to grow and flourish. We know seeking help can be hard. So our counselors celebrate the courage and strength it takes to reach out for help. Most people debate seeking help for months, if not years before finding the courage to reach out. It’s OK to struggle with the stuff life throws at us. We have the experience to help you achieve your goals, overcome struggles, and live a more fulfilling and meaningful life.
Struggling with a relationship, anxiety, depression, or something else? We believe it’s never too late to be your authentic self. We can help you live a healthy, meaningful life and find the strength to grow and flourish. We know seeking help can be hard. So our counselors celebrate the courage and strength it takes to reach out for help. Most people debate seeking help for months, if not years before finding the courage to reach out. It’s OK to struggle with the stuff life throws at us. We have the experience to help you achieve your goals, overcome struggles, and live a more fulfilling and meaningful life.
(419) 518-5053 View (419) 518-5053
Photo of Laurie Lewis, LSW,  CHT, Clinical Social Work/Therapist
Laurie Lewis
Clinical Social Work/Therapist, LSW, CHT
Verified Verified
3 Endorsed
Russia, OH 45363
Let's be honest, starting the journey to self-care and therapy is a major life decision, and it can be scary. I am here to help you on that path in any way I possibly can. I am a Licensed Social Worker (LSW) that's been in the field for over 20 years and am a certified hypnotherapist. After graduating from Wright State University I went on to work as a juvenile probation officer, in a community mental health clinic, at a suicide hotline, and as a counselor. I specialize in treating adults and adolescents who are struggling with substance abuse, anxiety, depression, trauma, anger management, self-esteem, personality disorders & ADHD.
Let's be honest, starting the journey to self-care and therapy is a major life decision, and it can be scary. I am here to help you on that path in any way I possibly can. I am a Licensed Social Worker (LSW) that's been in the field for over 20 years and am a certified hypnotherapist. After graduating from Wright State University I went on to work as a juvenile probation officer, in a community mental health clinic, at a suicide hotline, and as a counselor. I specialize in treating adults and adolescents who are struggling with substance abuse, anxiety, depression, trauma, anger management, self-esteem, personality disorders & ADHD.
(419) 451-4978 View (419) 451-4978
Photo of Pamela k Mills, LISW, CHT, SAP, Clinical Social Work/Therapist
Pamela k Mills
Clinical Social Work/Therapist, LISW, CHT, SAP
Verified Verified
4 Endorsed
Botkins, OH 45306
I graduated with an MSW from St Louis University and am certified in Advanced Hypnotherapy. I also work in energy therapy and Chakra work to provide my consumers with a variety of practices that may work best for them. Currently I teach and train hypnotist and hypnotherapist allowing them to offer their clients with an expanded therapy area. My clients come first and I am willing to work with you in the therapy that best meets your needs. I am certified to do tele mental health and can bill most insurances and Medicare.
I graduated with an MSW from St Louis University and am certified in Advanced Hypnotherapy. I also work in energy therapy and Chakra work to provide my consumers with a variety of practices that may work best for them. Currently I teach and train hypnotist and hypnotherapist allowing them to offer their clients with an expanded therapy area. My clients come first and I am willing to work with you in the therapy that best meets your needs. I am certified to do tele mental health and can bill most insurances and Medicare.
(419) 987-4052 View (419) 987-4052
Photo of undefined - Center for Personal Wellness, LCPC, Counselor
Center for Personal Wellness
Counselor, LCPC
Verified Verified
Sidney, OH 45365
At times life can be overwhelming and sometimes even exhausting. During those times, we can benefit from the support of a professional to help us cope with life and its challenges. Counseling is a process of growth and self-discovery. Our goal is to help you discover and better understand yourself, gain skills to overcome obstacles and better cope with life challenges, and ultimately feel better. We provide you the space to grow in a nurturing environment.
At times life can be overwhelming and sometimes even exhausting. During those times, we can benefit from the support of a professional to help us cope with life and its challenges. Counseling is a process of growth and self-discovery. Our goal is to help you discover and better understand yourself, gain skills to overcome obstacles and better cope with life challenges, and ultimately feel better. We provide you the space to grow in a nurturing environment.
(419) 664-5466 View (419) 664-5466
Photo of Stacy Pettit, LPC, Licensed Professional Counselor
Stacy Pettit
Licensed Professional Counselor, LPC
Verified Verified
Sidney, OH 45365
Accepting New Clients with Evening Hours Available ... Are you feeling overwhelmed and burdened? Are you losing connection with your partner or family? Let me help you identify the obstacles that are keeping you from experiencing your best life. We will work collaboratively to build new skills and coping resources to better support you, your relationships, career and family. My role is to create a safe and non-judgmental environment that provides you room to discover how to build and sustain the positive and healthy life you desire.
Accepting New Clients with Evening Hours Available ... Are you feeling overwhelmed and burdened? Are you losing connection with your partner or family? Let me help you identify the obstacles that are keeping you from experiencing your best life. We will work collaboratively to build new skills and coping resources to better support you, your relationships, career and family. My role is to create a safe and non-judgmental environment that provides you room to discover how to build and sustain the positive and healthy life you desire.
(937) 358-6743 View (937) 358-6743
Photo of undefined - Brainwave Fitness
Brainwave Fitness
Verified Verified
Sidney, OH 45365
Hello my name is Kim Starrett I own a neurofeedback business which is a type of biofeedback that measures brain waves to produce a signal that can be used as feedback on brain activity to teach self-regulation. Neurofeedback is commonly utilized by using video, games or sound, with positive feedback for desired brain activity and negative feedback for brain activity that is undesirable. When you give your brain real-time information about its energy level, you can teach it to calm down or speed up, to shift more efficient. These changes will eventually carry over into your daily life.
Hello my name is Kim Starrett I own a neurofeedback business which is a type of biofeedback that measures brain waves to produce a signal that can be used as feedback on brain activity to teach self-regulation. Neurofeedback is commonly utilized by using video, games or sound, with positive feedback for desired brain activity and negative feedback for brain activity that is undesirable. When you give your brain real-time information about its energy level, you can teach it to calm down or speed up, to shift more efficient. These changes will eventually carry over into your daily life.
(937) 606-3203 View (937) 606-3203
Photo of William Gingerich, LISW, Clinical Social Work/Therapist
William Gingerich
Clinical Social Work/Therapist, LISW
Verified Verified
Sidney, OH 45365
I work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and anxiety to PTSD/trauma along with parenting support, couples counseling and more. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they’re striving for.
I work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and anxiety to PTSD/trauma along with parenting support, couples counseling and more. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they’re striving for.
(937) 633-1089 View (937) 633-1089
Photo of Victoria Martin, PCC-S, LSW
Victoria Martin
Licensed Professional Clinical Counselor, PCC-S, LSW
Verified Verified
Sidney, OH 45365
Hello! People often choose counseling when issues such as relationship conflict, mood concerns and traumatic experiences begin negatively impacting the person and they are simply not where they want to be in life. I offer supportive counseling and consultation services to individuals using techniques that best meet their unique needs. I am a Certified EMDR Therapist and have used EMDR with first responders, veterans and other individuals who have lived through high stress situations. My hope is that my services can provide the assistance needed to help the individual return to living the healthy and productive life they desire!
Hello! People often choose counseling when issues such as relationship conflict, mood concerns and traumatic experiences begin negatively impacting the person and they are simply not where they want to be in life. I offer supportive counseling and consultation services to individuals using techniques that best meet their unique needs. I am a Certified EMDR Therapist and have used EMDR with first responders, veterans and other individuals who have lived through high stress situations. My hope is that my services can provide the assistance needed to help the individual return to living the healthy and productive life they desire!
(937) 588-6311 View (937) 588-6311
Photo of Zachary Spoon, MA, LPC, Licensed Professional Counselor
Zachary Spoon
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Sidney, OH 45365
Do you feel like you are anxious, depressed, or "never good enough"? Are you experiencing frequent conflict and confusion in your relationships?Most of us desire meaningful and safe connections with significant people in our lives, but healthy relationships can be difficult to create and sustain. Let's work together to find empowered solutions and allow for empathy, understanding, and compassion. I would be honored to help you address life’s challenges and support you on the journey.
Do you feel like you are anxious, depressed, or "never good enough"? Are you experiencing frequent conflict and confusion in your relationships?Most of us desire meaningful and safe connections with significant people in our lives, but healthy relationships can be difficult to create and sustain. Let's work together to find empowered solutions and allow for empathy, understanding, and compassion. I would be honored to help you address life’s challenges and support you on the journey.
(937) 882-5081 View (937) 882-5081

Online Therapists

Photo of Dr. Stefanie Day, EdD, LPCC-S
Dr. Stefanie Day
Licensed Professional Clinical Counselor, EdD, LPCC-S
Verified Verified
2 Endorsed
Columbus, OH 43210  (Online Only)
Here’s what I know for sure: you have amazing skills, abilities, & strengths that got you through every stage of life. If you are considering counseling now it might be because you feel like you need a few more ideas, techniques, or interventions to get you where you want to be. I know you are an expert in you & I am an expert in counseling. Our partnership can make this stage of struggle & strife more manageable, allowing you to grow into the person you want to be.
Here’s what I know for sure: you have amazing skills, abilities, & strengths that got you through every stage of life. If you are considering counseling now it might be because you feel like you need a few more ideas, techniques, or interventions to get you where you want to be. I know you are an expert in you & I am an expert in counseling. Our partnership can make this stage of struggle & strife more manageable, allowing you to grow into the person you want to be.
(614) 763-6865 View (614) 763-6865
Photo of undefined - Directions Counseling & Coaching, Clinical Social Work/Therapist
Directions Counseling & Coaching
Clinical Social Work/Therapist
Verified Verified
Powell, OH 43065
Directions Counseling has a team of licensed professional therapists, professional coaches, and psychiatric mental health nurse practitioner who have developed expertise in very specific areas of treatment that they are passionate about. It has been our privilege to help couples, children, and individuals throughout Ohio overcome difficult and complex personal struggles for over 25 years. Regardless of who you choose for therapy, we recommend you select someone with extensive training and experience helping people with the area of concern you want to address. Visit us at www.directionscounseling.com to learn more about us.
Directions Counseling has a team of licensed professional therapists, professional coaches, and psychiatric mental health nurse practitioner who have developed expertise in very specific areas of treatment that they are passionate about. It has been our privilege to help couples, children, and individuals throughout Ohio overcome difficult and complex personal struggles for over 25 years. Regardless of who you choose for therapy, we recommend you select someone with extensive training and experience helping people with the area of concern you want to address. Visit us at www.directionscounseling.com to learn more about us.
(614) 888-9200 View (614) 888-9200
Photo of Ashley R. Jamison, MSW, LSW, LCDCIII, Clinical Social Work/Therapist
Ashley R. Jamison
Clinical Social Work/Therapist, MSW, LSW, LCDCIII
Verified Verified
1 Endorsed
Dayton, OH 45459  (Online Only)
Alice Walker said, "the most common way people give up their power is by thinking they don't have any." Have you given up your power? Depression and anxiety can make us believe that we don't have any power and that things are hopeless. If you struggle with your daily life, relationships, self-esteem, and adjustment to changes, therapy can be a wonderful tool to help aid in your growth and find your power. Black and brown women have a lot coming at them and it can often make you feel powerless, let's work together to work through those things that may be holding you down.
Alice Walker said, "the most common way people give up their power is by thinking they don't have any." Have you given up your power? Depression and anxiety can make us believe that we don't have any power and that things are hopeless. If you struggle with your daily life, relationships, self-esteem, and adjustment to changes, therapy can be a wonderful tool to help aid in your growth and find your power. Black and brown women have a lot coming at them and it can often make you feel powerless, let's work together to work through those things that may be holding you down.
(216) 208-7379 x2 View (216) 208-7379 x2
Photo of Tyler Pemberton, LISW, Clinical Social Work/Therapist
Tyler Pemberton
Clinical Social Work/Therapist, LISW
Verified Verified
Columbus, OH 43214
I am a LISW with a Master of Social Work from The Ohio State University. My areas of professional interest include anxiety management, ADHD/neurodivergence, life transitions, family/relationship conflict, and stress. I use the following therapeutic approaches: CBT (Cognitive Behavioral Therapy), Motivational Interviewing, Solution Focused Therapy, Culturally Sensitive Therapy, and Collaborative Problem Solving.
I am a LISW with a Master of Social Work from The Ohio State University. My areas of professional interest include anxiety management, ADHD/neurodivergence, life transitions, family/relationship conflict, and stress. I use the following therapeutic approaches: CBT (Cognitive Behavioral Therapy), Motivational Interviewing, Solution Focused Therapy, Culturally Sensitive Therapy, and Collaborative Problem Solving.
(740) 926-6750 View (740) 926-6750
Photo of Karen Jones, LPCC-S, LICDC, Counselor
Karen Jones
Counselor, LPCC-S, LICDC
Verified Verified
3 Endorsed
Sharonville, OH 45241
Life can be hard and overwhelming sometimes and can leave us unsure of where to turn for peace of mind. It's so easy to fall into a trap of feeling inadequate to face life's challenges when it seems that everyone else has it all together. If you are experiencing anxiety, depression, trauma, PTSD, substance abuse issues, codependency, mood disorders, grief, or self-esteem concerns, there is hope for you.
Life can be hard and overwhelming sometimes and can leave us unsure of where to turn for peace of mind. It's so easy to fall into a trap of feeling inadequate to face life's challenges when it seems that everyone else has it all together. If you are experiencing anxiety, depression, trauma, PTSD, substance abuse issues, codependency, mood disorders, grief, or self-esteem concerns, there is hope for you.
(513) 982-5482 View (513) 982-5482

See more therapy options for Shelby County

How does your Therapist compare?

Number of Therapists in Shelby County, OH

10+

Average cost per session

$100

Therapists in Shelby County, OH who prioritize treating:

93% Depression
93% Anxiety
87% Trauma and PTSD
80% Grief
80% Coping Skills
67% Self Esteem
67% Stress

Average years in practice

17 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
80% UnitedHealthcare UHC | UBH
70% Aetna

How Therapists in Shelby County, OH see their clients

94% In Person and Online
6% Online Only

Gender breakdown

79% Female
14% Male
7% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Shelby County?

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.