Therapists in Monroeville, PA

Photo of Samantha Lalama, Pre-Licensed Professional in Monroeville, PA
Samantha Lalama
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Monroeville, PA 15146
Have you found it difficult to live your life authentically? Have you ever felt out of place or different? You are not alone. I value an integrative approach to therapy which allows me to tailor my treatment methods to work best with each individual as no two people are the same. Focusing on a holistic point of view, I encourage self-discovery through the mind, body, relationships, spirituality, thoughts, and emotions. A large part of my work includes mindfulness-based cognitive behavioral therapy which aids in connecting thoughts and emotions to promote healthy behavior.
Have you found it difficult to live your life authentically? Have you ever felt out of place or different? You are not alone. I value an integrative approach to therapy which allows me to tailor my treatment methods to work best with each individual as no two people are the same. Focusing on a holistic point of view, I encourage self-discovery through the mind, body, relationships, spirituality, thoughts, and emotions. A large part of my work includes mindfulness-based cognitive behavioral therapy which aids in connecting thoughts and emotions to promote healthy behavior.
(412) 545-6453 View (412) 545-6453
Photo of Tomasina Boyd, Licensed Professional Counselor in Monroeville, PA
Tomasina Boyd
Licensed Professional Counselor, LPC, NCC, CCLS
Verified Verified
Monroeville, PA 15146
Not accepting new clients
There are times when we feel like we can use extra support in life. Children may feel vulnerable and need their caring adult to help them find this support. For adults, that can come in the form of reaching out to a friend. We don’t always seek support because we feel shame, are too nervous, or are worried about what others might think. Talking to someone outside of your circle, in a non-judgmental environment, can often relieve some of that stress.
There are times when we feel like we can use extra support in life. Children may feel vulnerable and need their caring adult to help them find this support. For adults, that can come in the form of reaching out to a friend. We don’t always seek support because we feel shame, are too nervous, or are worried about what others might think. Talking to someone outside of your circle, in a non-judgmental environment, can often relieve some of that stress.
(412) 413-9546 View (412) 413-9546
Photo of Larissa Johnston, Licensed Professional Counselor in Monroeville, PA
Larissa Johnston
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Monroeville, PA 15146
I am an LPC with experience providing therapy to clients with mental health problems, substance use disorders and also co-occurring disorders. My experience comes from a variety of diverse treatment settings including Shawnee Academy Residential Treatment Facility, Southwood Hospital, Southwestern Pennsylvania Human Services and Wesley Spectrum Services. I have delivered quality services across the lifespan. I am currently working with children and adults in individual, family, and couples counseling. I have addressed various issues in counseling such as bullying, anxiety, depression, and personality disorders.
I am an LPC with experience providing therapy to clients with mental health problems, substance use disorders and also co-occurring disorders. My experience comes from a variety of diverse treatment settings including Shawnee Academy Residential Treatment Facility, Southwood Hospital, Southwestern Pennsylvania Human Services and Wesley Spectrum Services. I have delivered quality services across the lifespan. I am currently working with children and adults in individual, family, and couples counseling. I have addressed various issues in counseling such as bullying, anxiety, depression, and personality disorders.
(412) 547-5738 View (412) 547-5738
Photo of Sanant Counseling & Wellness, LLC, Clinical Social Work/Therapist in Monroeville, PA
Sanant Counseling & Wellness, LLC
Clinical Social Work/Therapist, LCSW, LPC
Verified Verified
1 Endorsed
Monroeville, PA 15146
Sanant Counseling & Wellness, LLC is a Black owned, women-led private mental health practice. The owners have 36 years combined community mental health and support services experience. Sanant Counseling & Wellness LLC is a premier culturally humble, client-focused, evidenced-informed, and data-driven private practice that provides affordable counseling, holistic care and supportive services to remove barriers to accessing health and wellness care.
Sanant Counseling & Wellness, LLC is a Black owned, women-led private mental health practice. The owners have 36 years combined community mental health and support services experience. Sanant Counseling & Wellness LLC is a premier culturally humble, client-focused, evidenced-informed, and data-driven private practice that provides affordable counseling, holistic care and supportive services to remove barriers to accessing health and wellness care.
(412) 214-7120 View (412) 214-7120
Photo of Corrine Fallon, Psychologist in Monroeville, PA
Corrine Fallon
Psychologist, PsyD, NCSP
Verified Verified
1 Endorsed
Monroeville, PA 15146
I work with children, adolescents, and adults seeking therapeutic treatment and psychological evaluations. The goal of treatment is to assist the individual in actualizing their potential through a strengths-based approach to cognitive behavioral techniques. It's important that each person understands their worth and utilizes the tools learned in therapy in their daily lives. In addition to individual therapy, I am also able to offer diagnostic evaluations and psychological testing as a means to understand complex issues and formulate the most appropriate treatment plan for each individual.
I work with children, adolescents, and adults seeking therapeutic treatment and psychological evaluations. The goal of treatment is to assist the individual in actualizing their potential through a strengths-based approach to cognitive behavioral techniques. It's important that each person understands their worth and utilizes the tools learned in therapy in their daily lives. In addition to individual therapy, I am also able to offer diagnostic evaluations and psychological testing as a means to understand complex issues and formulate the most appropriate treatment plan for each individual.
(412) 991-1731 View (412) 991-1731
Photo of Margaret Christopher, Clinical Social Work/Therapist in Monroeville, PA
Margaret Christopher
Clinical Social Work/Therapist, PhD, LCSW, ACSW
Verified Verified
Monroeville, PA 15146
As a licensed clinical social worker with more than 40 years experience of working with families and individuals of all ages, I find that the most effective approach is one that is strengths-based with a strong emphasis on helping clients solve the problems that bring them to me for therapy and also on helping them develop powerful resiliency characteristics that allow for future problem-solving, conflict resolution, goal-attainment, wellness, and life satisfaction. My ideal client is one who likes to learn. Trauma survivors, in particular, do well with this approach.
As a licensed clinical social worker with more than 40 years experience of working with families and individuals of all ages, I find that the most effective approach is one that is strengths-based with a strong emphasis on helping clients solve the problems that bring them to me for therapy and also on helping them develop powerful resiliency characteristics that allow for future problem-solving, conflict resolution, goal-attainment, wellness, and life satisfaction. My ideal client is one who likes to learn. Trauma survivors, in particular, do well with this approach.
(724) 227-0660 View (724) 227-0660
Photo of Jill Fischer, Psychologist in Monroeville, PA
Jill Fischer
Psychologist, PsyD
Verified Verified
Monroeville, PA 15146
The decision to seek help from a mental health professional is not an easy one. If you've never been in therapy before, you likely have no idea what to expect, and you may worry that you'll be judged, criticized, or labeled as "crazy." If you have been to therapy before, the thought of "starting all over" with someone new can also be overwhelming, especially if your previous experiences haven't been very helpful. Whether you're a therapy veteran or a newbie, I believe I can help.
The decision to seek help from a mental health professional is not an easy one. If you've never been in therapy before, you likely have no idea what to expect, and you may worry that you'll be judged, criticized, or labeled as "crazy." If you have been to therapy before, the thought of "starting all over" with someone new can also be overwhelming, especially if your previous experiences haven't been very helpful. Whether you're a therapy veteran or a newbie, I believe I can help.
(412) 329-8964 View (412) 329-8964
Photo of Marisa Blashford, Licensed Professional Counselor in Monroeville, PA
Marisa Blashford
Licensed Professional Counselor, NCC
Verified Verified
Monroeville, PA 15146
As a pre-licensed professional I am up-to-date on therapeutic approaches and work collaboratively to support you! My ideal client is working with individuals who are looking to address concerns of anxiety, stress management, or life style changes. Looking to make changes to behaviors to improve their overall quality of life. Looking for a space to process life challenges and address them in a non-judgmental, safe environment.
As a pre-licensed professional I am up-to-date on therapeutic approaches and work collaboratively to support you! My ideal client is working with individuals who are looking to address concerns of anxiety, stress management, or life style changes. Looking to make changes to behaviors to improve their overall quality of life. Looking for a space to process life challenges and address them in a non-judgmental, safe environment.
(412) 561-9883 View (412) 561-9883
Photo of Integrity Psychological Services Llc, Psychologist in Monroeville, PA
Integrity Psychological Services Llc
Psychologist
Verified Verified
Monroeville, PA 15146
Are you feeling overwhelmed by anxiety, work or relationship issues? We are a group psychology practice in Monroeville of 20 licensed, experienced psychologists and therapists who will help you to effectively navigate through your problem. Our specialization areas include anxiety, work-related stress, couples counseling, divorce, grief and loss, transitional and career issues, trauma, depression and post-partum depression/anxiety. We work with adults, children, adolescents and couples. We specialize in cognitive behavioral therapy, exposure therapy and EMDR - all gold standard treatments for effective outcomes.
Are you feeling overwhelmed by anxiety, work or relationship issues? We are a group psychology practice in Monroeville of 20 licensed, experienced psychologists and therapists who will help you to effectively navigate through your problem. Our specialization areas include anxiety, work-related stress, couples counseling, divorce, grief and loss, transitional and career issues, trauma, depression and post-partum depression/anxiety. We work with adults, children, adolescents and couples. We specialize in cognitive behavioral therapy, exposure therapy and EMDR - all gold standard treatments for effective outcomes.
(412) 536-7258 View (412) 536-7258
Photo of Tammy Fait, Licensed Professional Counselor in Monroeville, PA
Tammy Fait
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
I am accepting new clients and couples therapy work. I am a authentic person in therapy with you. I am along with you on the path to change. Change is always frightening. Think about if you were not experiencing fear, what would you do? Who would you be if you were not ashamed or afraid or depressed? Be the change you desire in your life! Common Issues addressed in therapy: Creating healthy boundaries with relationships, communication and conflict, healing from painful and abusive relationships, identifying your own sense of self and your emotional needs, depression and anxiety.
I am accepting new clients and couples therapy work. I am a authentic person in therapy with you. I am along with you on the path to change. Change is always frightening. Think about if you were not experiencing fear, what would you do? Who would you be if you were not ashamed or afraid or depressed? Be the change you desire in your life! Common Issues addressed in therapy: Creating healthy boundaries with relationships, communication and conflict, healing from painful and abusive relationships, identifying your own sense of self and your emotional needs, depression and anxiety.
(724) 635-2527 View (724) 635-2527
Photo of Heidi McKenzie, Psychologist in Monroeville, PA
Heidi McKenzie
Psychologist, PsyD, LMFT, CHT
Verified Verified
Monroeville, PA 15146
I'm an experienced, licensed psychologist who helps people get "unstuck" from unhelpful behavior patterns. Whether you're facing a temporary, difficult life situation or struggling with more long-standing problems like depression or anxiety, I can help. My style is direct and active - I don't simply nod my head while you talk. I'll listen closely, we'll work together on the problem and I'll offer you supportive, non-judgmental and practical feedback that will help you to navigate through the issue as quickly and effectively as possible.
I'm an experienced, licensed psychologist who helps people get "unstuck" from unhelpful behavior patterns. Whether you're facing a temporary, difficult life situation or struggling with more long-standing problems like depression or anxiety, I can help. My style is direct and active - I don't simply nod my head while you talk. I'll listen closely, we'll work together on the problem and I'll offer you supportive, non-judgmental and practical feedback that will help you to navigate through the issue as quickly and effectively as possible.
(412) 567-8902 View (412) 567-8902
Photo of New Directions Mental Health Monroeville, Licensed Professional Counselor in Monroeville, PA
New Directions Mental Health Monroeville
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Monroeville area. At our Monroeville clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Monroeville area. At our Monroeville clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(412) 754-4742 View (412) 754-4742
Photo of Amanda Anderson, Licensed Professional Counselor in Monroeville, PA
Amanda Anderson
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Monroeville, PA 15146  (Online Only)
Welcome! In my practice, my clients often tell me they feel anxious, stuck, and overwhelmed by their past, present, and future. They speak about patterns of people-pleasing, impostor syndrome, social anxiety, and perfectionism after experiencing events such as childhood bullying or parental abuse. Many experience a mismatch between their thoughts and what they feel in their bodies.
Welcome! In my practice, my clients often tell me they feel anxious, stuck, and overwhelmed by their past, present, and future. They speak about patterns of people-pleasing, impostor syndrome, social anxiety, and perfectionism after experiencing events such as childhood bullying or parental abuse. Many experience a mismatch between their thoughts and what they feel in their bodies.
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Photo of Dr. Joelle Giacomo, Clinical Social Work/Therapist in Monroeville, PA
Dr. Joelle Giacomo
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
1 Endorsed
Monroeville, PA 15146  (Online Only)
Not accepting new clients
Embarking on a transformative journey, I bring Telehealth services to life through phone and video, extending my expertise to both NJ & PA. Picture a therapeutic space where mindfulness, cognitive, and somatic modalities converge to help unravel the layers of conditioned beliefs and habits that may be holding you back.
Embarking on a transformative journey, I bring Telehealth services to life through phone and video, extending my expertise to both NJ & PA. Picture a therapeutic space where mindfulness, cognitive, and somatic modalities converge to help unravel the layers of conditioned beliefs and habits that may be holding you back.
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Photo of Támara Hill, Licensed Professional Counselor in Monroeville, PA
Támara Hill
Licensed Professional Counselor, MS, NCC, CCTP, LPC
Verified Verified
Monroeville, PA 15146
Waitlist for new clients
Thank you for visiting my profile. I am passionate about the work I do with individuals and families within the home, school, and community. My counseling approach is educational and supportive. I aim to help young clients and their families utilize their resources and skills to overcome challenges. My goal in therapy is to educate throughout the process of therapy and offer support to overcome obstacles. I aim to teach long-term coping skills, build insight, motivate self-learning, and encourage independence. Thankfully, there are "tools" available to help us redirect our attention, anxieties, and strengths in appropriate ways.
Thank you for visiting my profile. I am passionate about the work I do with individuals and families within the home, school, and community. My counseling approach is educational and supportive. I aim to help young clients and their families utilize their resources and skills to overcome challenges. My goal in therapy is to educate throughout the process of therapy and offer support to overcome obstacles. I aim to teach long-term coping skills, build insight, motivate self-learning, and encourage independence. Thankfully, there are "tools" available to help us redirect our attention, anxieties, and strengths in appropriate ways.
(724) 320-1265 View (724) 320-1265
Photo of Jeff Siegrist, Licensed Professional Counselor in Monroeville, PA
Jeff Siegrist
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
I'm a Licensed Professional Counselor specializing in the treatment of adults for issues of anxiety, depression, addiction and trauma. I utilize research-backed approaches that are shown to be highly effective in resolving emotional struggles and which give you immediately usable tools to begin to move past the problem. These approaches include Cognitive Behavioral Therapy (CBT,) often thought to be the "gold standard" of treatment approaches, as well as Eye Movement Desensitization Reprocessing Therapy (EMDR,) which is an approach shown to have excellent outcomes for resolving issues of trauma and loss.
I'm a Licensed Professional Counselor specializing in the treatment of adults for issues of anxiety, depression, addiction and trauma. I utilize research-backed approaches that are shown to be highly effective in resolving emotional struggles and which give you immediately usable tools to begin to move past the problem. These approaches include Cognitive Behavioral Therapy (CBT,) often thought to be the "gold standard" of treatment approaches, as well as Eye Movement Desensitization Reprocessing Therapy (EMDR,) which is an approach shown to have excellent outcomes for resolving issues of trauma and loss.
(412) 961-8140 View (412) 961-8140
Photo of Teion Xavier Ensley-Ellerbe, Pre-Licensed Professional in Monroeville, PA
Teion Xavier Ensley-Ellerbe
Pre-Licensed Professional
Verified Verified
Monroeville, PA 15146
Teion Ensley-Ellerbe, MS is a Clinical Mental Health Counseling Professional that provides services at Calm Pittsburgh. I enjoy working with adults and adolescents to help find, or rediscover, the best version of themselves that they may have lost trying to navigate life and its challenges. I have experience in counseling clients through grief, anxiety, depression, addiction, ageing-related issues and hardships, and overall life transitions and conflict. In practice, my clinical approaches with clients are Person-Centered and Cognitive Behavioral. I am to meet the client where they are in sessions
Teion Ensley-Ellerbe, MS is a Clinical Mental Health Counseling Professional that provides services at Calm Pittsburgh. I enjoy working with adults and adolescents to help find, or rediscover, the best version of themselves that they may have lost trying to navigate life and its challenges. I have experience in counseling clients through grief, anxiety, depression, addiction, ageing-related issues and hardships, and overall life transitions and conflict. In practice, my clinical approaches with clients are Person-Centered and Cognitive Behavioral. I am to meet the client where they are in sessions
(412) 385-4934 View (412) 385-4934
Photo of Pamela Keating, Pre-Licensed Professional in Monroeville, PA
Pamela Keating
Pre-Licensed Professional, MPC
Verified Verified
2 Endorsed
Monroeville, PA 15146  (Online Only)
Waitlist for new clients
Life is hard, and for those who have experienced trauma, the hardships endured can be debilitating. These hardships can be processed and resolved through a therapeutic alliance with a skilled counselor. With focus on providing tools for affect regulation and narrative processing, clients will learn the skills necessary to move through their emotions in a safe environment and apply them in their natural environment.
Life is hard, and for those who have experienced trauma, the hardships endured can be debilitating. These hardships can be processed and resolved through a therapeutic alliance with a skilled counselor. With focus on providing tools for affect regulation and narrative processing, clients will learn the skills necessary to move through their emotions in a safe environment and apply them in their natural environment.
(412) 324-3380 View (412) 324-3380
Photo of Louis Lamanna, Pre-Licensed Professional in Monroeville, PA
Louis Lamanna
Pre-Licensed Professional, MHC
Verified Verified
Monroeville, PA 15146
I love working with individuals of all ages from varied and diverse backgrounds. I enjoy supporting people who are adjusting to new life circumstances, looking to gain a deeper understanding of their relationships with others, or wanting to increase their sense of meaning and purpose in life. Together, we will honor the struggle bringing you to therapy while holding the possibility for real, long lasting transformation.
I love working with individuals of all ages from varied and diverse backgrounds. I enjoy supporting people who are adjusting to new life circumstances, looking to gain a deeper understanding of their relationships with others, or wanting to increase their sense of meaning and purpose in life. Together, we will honor the struggle bringing you to therapy while holding the possibility for real, long lasting transformation.
(412) 923-0557 View (412) 923-0557
Photo of Liz Bittner, Pre-Licensed Professional in Monroeville, PA
Liz Bittner
Pre-Licensed Professional, MS, NCC
Verified Verified
Monroeville, PA 15146
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
(724) 604-5520 View (724) 604-5520

How does your Therapist compare?

Number of Therapists in Monroeville, PA

100+

Average cost per session

$120

Therapists in Monroeville, PA who prioritize treating:

97% Anxiety
94% Depression
81% Relationship Issues
81% Coping Skills
78% Self Esteem
72% Stress
71% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

84% Highmark
80% University of Pittsburgh Medical Center
70% Aetna

How Therapists in Monroeville, PA see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Monroeville?

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.