Therapists in Philadelphia, PA

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Photo of Brooks Aylor, PhD, LCSW, Clinical Social Work/Therapist
Brooks Aylor
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
4 Endorsed
Philadelphia, PA 19119
I know what it’s like to live with anxiety, depression, trauma, and self doubt—and how therapy can help. Whether you’re facing a difficult life change, anxiety or depression, relational challenges, or feel stuck with coping strategies that no longer work, we’ll work together to start building the life you want. I’m an active, compassionate therapist who supports and challenges you. We’ll start where you are—with the goals of better understanding yourself and what you need, developing tools you can use today, and tapping into resources you have to create new possibilities.
I know what it’s like to live with anxiety, depression, trauma, and self doubt—and how therapy can help. Whether you’re facing a difficult life change, anxiety or depression, relational challenges, or feel stuck with coping strategies that no longer work, we’ll work together to start building the life you want. I’m an active, compassionate therapist who supports and challenges you. We’ll start where you are—with the goals of better understanding yourself and what you need, developing tools you can use today, and tapping into resources you have to create new possibilities.
(267) 691-0708 View (267) 691-0708
Photo of Morgan Karcher, MA, LPC, ATR-BC, Licensed Professional Counselor
Morgan Karcher
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
1 Endorsed
Philadelphia, PA 19148
Hi, I'm Morgan! I'm a Philly-based trauma focused licensed professional counselor. My expertise comes from a psychodynamic, relational therapy approach, implementing tenants of Art Therapy, Feminist Theory, Internal Family Systems Model, Trauma-Focused Cognitive Behavioral Therapy (T-F CBT), and Dialectical Behavior Therapy . I have helped individuals, families, couples from adolescence into adulthood find healing and understanding in desperate situations. I work with clients experiencing anxiety, depression, grief, trauma, PTSD, ADHD, BPD, codependency, attachment issues, body image & self-esteem.
Hi, I'm Morgan! I'm a Philly-based trauma focused licensed professional counselor. My expertise comes from a psychodynamic, relational therapy approach, implementing tenants of Art Therapy, Feminist Theory, Internal Family Systems Model, Trauma-Focused Cognitive Behavioral Therapy (T-F CBT), and Dialectical Behavior Therapy . I have helped individuals, families, couples from adolescence into adulthood find healing and understanding in desperate situations. I work with clients experiencing anxiety, depression, grief, trauma, PTSD, ADHD, BPD, codependency, attachment issues, body image & self-esteem.
(610) 822-2303 View (610) 822-2303
Photo of Michael Entrekin, MEd, LPCA
Michael Entrekin
Associate Professional Counselor, MEd, LPCA
Verified Verified
Philadelphia, PA 19103
Hi, I’m Michael, and I’m here to help! My goal is to help you change your present toward a healthier future. This might include helping you to reduce the negative thought patterns that have played like a broken record for most of your life. It may also include learning anxiety-reducing strategies, establishing routines to harness ADHD, or working through the grief accompanying a significant loss. Your struggles are not pathological and I’m happy to walk alongside you as you conquer them. My approach is person-centered within a CBT and Existential framework. Don’t hesitate to reach out, I’m here to help.
Hi, I’m Michael, and I’m here to help! My goal is to help you change your present toward a healthier future. This might include helping you to reduce the negative thought patterns that have played like a broken record for most of your life. It may also include learning anxiety-reducing strategies, establishing routines to harness ADHD, or working through the grief accompanying a significant loss. Your struggles are not pathological and I’m happy to walk alongside you as you conquer them. My approach is person-centered within a CBT and Existential framework. Don’t hesitate to reach out, I’m here to help.
(856) 925-9203 View (856) 925-9203
Photo of Danielle Sweeney, LMFT, Marriage & Family Therapist
Danielle Sweeney
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
First, let me congratulate you on taking your first steps on achieving wellness.
First, let me congratulate you on taking your first steps on achieving wellness.
(267) 573-8840 View (267) 573-8840
Photo of Courtney Bradis, LMFT, Marriage & Family Therapist
Courtney Bradis
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Online Only
I work with people struggling with general life transitions, self-esteem issues, and ADHD. Most of my clients feel "stuck" in life or feel like "bad adults" because they struggle with managing their lives/responsibilities or struggle with feeling positively about themselves. I frequently work with people navigating new phases of life who are trying to figure out the transition and how it may impact their identity. I really enjoy working with individuals and couples who are highly motivated to make change and have the desire for a deeper understanding of themselves, and their relationships, but may be unsure of where to start.
I work with people struggling with general life transitions, self-esteem issues, and ADHD. Most of my clients feel "stuck" in life or feel like "bad adults" because they struggle with managing their lives/responsibilities or struggle with feeling positively about themselves. I frequently work with people navigating new phases of life who are trying to figure out the transition and how it may impact their identity. I really enjoy working with individuals and couples who are highly motivated to make change and have the desire for a deeper understanding of themselves, and their relationships, but may be unsure of where to start.
(267) 263-7813 View (267) 263-7813
Photo of Xuewei Alex Li, LPC, MPhilEd, MSEd, Licensed Professional Counselor
Xuewei Alex Li
Licensed Professional Counselor, LPC, MPhilEd, MSEd
Verified Verified
5 Endorsed
Online Only
Do you feel the pressure to be perfect all the time? Do you tend to replay a moment from the day over and over again? Are you scared to go to sleep because of the nightmares? Do you feel that you cannot trust yourself? Do you procrastinate and struggle with focusing on tasks?. Is there always a “I should’ve …” in your head? Do you feel out of control or not “normal”? Do you sometimes wonder what you could’ve done without anxiety and past trauma? Would you like to feel "normal", confident, and calm? Would you like to be able to like yourself and be able to get things done?
Do you feel the pressure to be perfect all the time? Do you tend to replay a moment from the day over and over again? Are you scared to go to sleep because of the nightmares? Do you feel that you cannot trust yourself? Do you procrastinate and struggle with focusing on tasks?. Is there always a “I should’ve …” in your head? Do you feel out of control or not “normal”? Do you sometimes wonder what you could’ve done without anxiety and past trauma? Would you like to feel "normal", confident, and calm? Would you like to be able to like yourself and be able to get things done?
(484) 948-1714 View (484) 948-1714
Photo of Taneshia Elam-Snowden, MEd, CSP, Pre-Licensed Professional
Taneshia Elam-Snowden
Pre-Licensed Professional, MEd, CSP
Verified Verified
1 Endorsed
Online Only
I approach therapy from a systems perspective. I work with indiv/couples/fam from various cultural frameworks, especially those from black/brown communities, to manage life's stressors in context with the dynamic roles they possess in life. I believe that problems occur when an individual experiences disruptions to their norms resulting in cognitive distortions that impact their overall well-being. I work to help indiv/couples/fam process their emotions and develop healthy strategies to improve their functioning, while supporting them as they navigate the various systems in which they belong (e.g. family, career, interpersonal).
I approach therapy from a systems perspective. I work with indiv/couples/fam from various cultural frameworks, especially those from black/brown communities, to manage life's stressors in context with the dynamic roles they possess in life. I believe that problems occur when an individual experiences disruptions to their norms resulting in cognitive distortions that impact their overall well-being. I work to help indiv/couples/fam process their emotions and develop healthy strategies to improve their functioning, while supporting them as they navigate the various systems in which they belong (e.g. family, career, interpersonal).
(484) 946-4404 View (484) 946-4404
Photo of Nicole Machinski - Dr Robin Lowey & Associates Psychological Svcs, PsyD, Psychologist
Dr Robin Lowey & Associates Psychological Svcs
Psychologist, PsyD
Verified Verified
Philadelphia, PA 19103
Dr. Robin Lowey & Associates is a group psychology practice where experienced clinicians have been offering therapy and comprehensive psychological assessments in Philadelphia and the surrounding areas for over 30 years. We provide psychotherapy, medication management, and psychological evaluations. The therapists at Dr. Robin Lowey & Associates all have differing educational backgrounds and therapeutic styles, but the common theme is that we are all focused on heightening each client's overall happiness. We see the pain caused by depression, anxiety, trauma, or relationship turmoil as an opportunity for growth and change.
Dr. Robin Lowey & Associates is a group psychology practice where experienced clinicians have been offering therapy and comprehensive psychological assessments in Philadelphia and the surrounding areas for over 30 years. We provide psychotherapy, medication management, and psychological evaluations. The therapists at Dr. Robin Lowey & Associates all have differing educational backgrounds and therapeutic styles, but the common theme is that we are all focused on heightening each client's overall happiness. We see the pain caused by depression, anxiety, trauma, or relationship turmoil as an opportunity for growth and change.
(215) 839-1259 View (215) 839-1259
Photo of Brian Mullan, LPC, Licensed Professional Counselor
Brian Mullan
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Hey there! I'm Brian Mullan, a licensed professional counselor. I believe firmly in client empowerment and autonomy, and I work with individuals to overcome challenges in order to achieve their maximum possible growth. My approach is client-centered and emphasizes holistic wellness. My preferred theoretical approaches include dialectical behavior therapy (DBT), acceptance and commitment (ACT), and solution-focused therapy, utilizing a feminist and multicultural lens.
Hey there! I'm Brian Mullan, a licensed professional counselor. I believe firmly in client empowerment and autonomy, and I work with individuals to overcome challenges in order to achieve their maximum possible growth. My approach is client-centered and emphasizes holistic wellness. My preferred theoretical approaches include dialectical behavior therapy (DBT), acceptance and commitment (ACT), and solution-focused therapy, utilizing a feminist and multicultural lens.
(267) 214-7478 View (267) 214-7478
Photo of Emily A Branch - Root Creative Counseling, MFA, Pre-Licensed Professional
Root Creative Counseling
Pre-Licensed Professional, MFA
Verified Verified
1 Endorsed
Online Only
I will gently guide your exploration of awareness surrounding trauma, grieving and transitions. I enjoy working with clients seeking healing around anxiety, depression and life transitions. I aim to meet you in the "here and now" and also am interested in exploring how early attachments may be influencing your thoughts and emotions. I am also working with clients in discovering "parts" via IFS. I often will incorporate somatic exercises to promote awareness and ground our session as often we are rushing from task to task. I am currently screening adults in PA for a Childfree by Choice support group running January - March 2025
I will gently guide your exploration of awareness surrounding trauma, grieving and transitions. I enjoy working with clients seeking healing around anxiety, depression and life transitions. I aim to meet you in the "here and now" and also am interested in exploring how early attachments may be influencing your thoughts and emotions. I am also working with clients in discovering "parts" via IFS. I often will incorporate somatic exercises to promote awareness and ground our session as often we are rushing from task to task. I am currently screening adults in PA for a Childfree by Choice support group running January - March 2025
(267) 699-7457 View (267) 699-7457
Photo of Shakirah Ewell - Shakirah Ewell: young adults & women, MS, LPC, NCC, Licensed Professional Counselor
Shakirah Ewell: young adults & women
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Online Only
Book with me now by clicking on my website. In therapy, my goal is to meet the client where they are by individualizing treatment based on the needs of the client. No matter what your struggle is, we will work towards increasing your optimism, challenge unhelpful thoughts and improve overall well-being. I have a holistic approach believing that the mind, body and soul are connected.
Book with me now by clicking on my website. In therapy, my goal is to meet the client where they are by individualizing treatment based on the needs of the client. No matter what your struggle is, we will work towards increasing your optimism, challenge unhelpful thoughts and improve overall well-being. I have a holistic approach believing that the mind, body and soul are connected.
(717) 905-4154 View (717) 905-4154
Photo of Zara Khan, LPC, Licensed Professional Counselor
Zara Khan
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(267) 710-9185 View (267) 710-9185
Photo of Tiffany S. Clarke, LCSW, Clinical Social Work/Therapist
Tiffany S. Clarke
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Seeking therapy can be incredibly difficult. Many of us blindly navigate life with conflicts that we relate to the now instead of understanding our pasts. I understand the stigma placed on mental health, but also aim to work at your speed to make this a comfortable experience. During this therapeutic journey, you are making a choice to begin your true healing process with a dedicated guide. My style is person-centered and interactive, which aims to allow your authentic self to emerge.
Seeking therapy can be incredibly difficult. Many of us blindly navigate life with conflicts that we relate to the now instead of understanding our pasts. I understand the stigma placed on mental health, but also aim to work at your speed to make this a comfortable experience. During this therapeutic journey, you are making a choice to begin your true healing process with a dedicated guide. My style is person-centered and interactive, which aims to allow your authentic self to emerge.
(610) 569-0362 View (610) 569-0362
Photo of Ahyana King, MS, LPC, Licensed Professional Counselor
Ahyana King
Licensed Professional Counselor, MS, LPC
Verified Verified
Philadelphia, PA 19107
Licensed Professional Counselor specializing in serving women between the ages of 21-65 who desire informed, compassionate, creative, yet practical support to live well even as they manage trauma, sexual assault/abuse, depression, anxiety, grief, and loss, workplace or career challenges, relationships, and identity shifts and changes. I am also a certified life coach for women seeking to find sustainable strategies for cultivating a business or lifestyle that embodies authenticity, wholeheartedness, and abundance.
Licensed Professional Counselor specializing in serving women between the ages of 21-65 who desire informed, compassionate, creative, yet practical support to live well even as they manage trauma, sexual assault/abuse, depression, anxiety, grief, and loss, workplace or career challenges, relationships, and identity shifts and changes. I am also a certified life coach for women seeking to find sustainable strategies for cultivating a business or lifestyle that embodies authenticity, wholeheartedness, and abundance.
(267) 517-8577 View (267) 517-8577
Photo of Carinthia Bank, LCSW, MSW, MSc, Clinical Social Work/Therapist
Carinthia Bank
Clinical Social Work/Therapist, LCSW, MSW, MSc
Verified Verified
2 Endorsed
Online Only
Noticing a difference between what life is feeling like & how you want it to be? Perhaps you're feeling unfulfilled or struggling with changes, and curious how therapy can help. If this sounds like you, we may be a good fit. I enjoy working with many people, and I often find that those with whom I click are or have been deeply connected with an identity (e.g., “dancer,” “athlete,” “award winner,” “good person”) and/or behavioral pattern (e.g., training regimen, daily routine associated w/ a role or life stage, avoidance of a part of life).
Noticing a difference between what life is feeling like & how you want it to be? Perhaps you're feeling unfulfilled or struggling with changes, and curious how therapy can help. If this sounds like you, we may be a good fit. I enjoy working with many people, and I often find that those with whom I click are or have been deeply connected with an identity (e.g., “dancer,” “athlete,” “award winner,” “good person”) and/or behavioral pattern (e.g., training regimen, daily routine associated w/ a role or life stage, avoidance of a part of life).
(267) 296-8282 View (267) 296-8282
Photo of Shannon Stewart, Pre-Licensed Professional
Shannon Stewart
Pre-Licensed Professional
Verified Verified
Philadelphia, PA 19127
Welcome! I'm Shannon, and I’m here to walk alongside you on a journey toward healing, self-discovery, and empowerment. As someone who has navigated my own path through trauma, I understand the courage it takes to reach out for support. I bring this personal insight into my work, creating a space where you can explore, grow, and reclaim parts of yourself with compassion and without judgment. My approach to therapy is rooted in honoring each person’s unique experiences and recognizing the power of lived stories, especially those often overlooked.
Welcome! I'm Shannon, and I’m here to walk alongside you on a journey toward healing, self-discovery, and empowerment. As someone who has navigated my own path through trauma, I understand the courage it takes to reach out for support. I bring this personal insight into my work, creating a space where you can explore, grow, and reclaim parts of yourself with compassion and without judgment. My approach to therapy is rooted in honoring each person’s unique experiences and recognizing the power of lived stories, especially those often overlooked.
(484) 779-6908 View (484) 779-6908
Photo of Ashley Ntonga, LPC, Licensed Professional Counselor
Ashley Ntonga
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Life has a way of throwing us curveballs, and it can be quite the rollercoaster. Sometimes, it's downright overwhelming and even a bit scary. But taking this first step to acknowledge that you are hurting or in need of support, well, that's courageous. In a world where seeking help isn't always easy, the welcoming and friendly ear I have to offer may be the support you are looking for. I am passionate about validating your experiences, encouraging you to open up, and helping challenge the thoughts, feelings, and behaviors that might be holding you back.
Life has a way of throwing us curveballs, and it can be quite the rollercoaster. Sometimes, it's downright overwhelming and even a bit scary. But taking this first step to acknowledge that you are hurting or in need of support, well, that's courageous. In a world where seeking help isn't always easy, the welcoming and friendly ear I have to offer may be the support you are looking for. I am passionate about validating your experiences, encouraging you to open up, and helping challenge the thoughts, feelings, and behaviors that might be holding you back.
(484) 372-4588 View (484) 372-4588
Photo of Kellie Walker, LPC , Licensed Professional Counselor
Kellie Walker
Licensed Professional Counselor, LPC
Verified Verified
Online Only
My name is Kellie Walker. I am a licensed therapist in Pennsylvania, who is passionate about providing counseling services to individuals seeking support and guidance through life's challenges. I am committed to empowering my clients to navigate their emotional well-being with empathy and compassion. I am dedicated to meeting clients where they are and collaborating with them on their goals. Every client is different and the approach I take, and technique I use, will be tailored to fit the circumstances the client presents with.
My name is Kellie Walker. I am a licensed therapist in Pennsylvania, who is passionate about providing counseling services to individuals seeking support and guidance through life's challenges. I am committed to empowering my clients to navigate their emotional well-being with empathy and compassion. I am dedicated to meeting clients where they are and collaborating with them on their goals. Every client is different and the approach I take, and technique I use, will be tailored to fit the circumstances the client presents with.
(717) 942-9626 View (717) 942-9626
Photo of Tiffany Brown, PhD, MFT, Psychologist
Tiffany Brown
Psychologist, PhD, MFT
Verified Verified
2 Endorsed
Philadelphia, PA 19103
My name is Dr. Brown, and I am a clinical psychologist licensed in PA and CA. I have over a decade of clinical experience and advance training in therapeutic theory and technique. Therapy is a unique opportunity for self-reflection and growth. You may be finding yourself unable to progress in desired ways or grappling with past disappointments and future anxieties. You may also be feeling stagnant in your career and struggling to find and use your voice or having difficulty understanding your emotions, experiences, and relationships. These are the times to seek therapy.
My name is Dr. Brown, and I am a clinical psychologist licensed in PA and CA. I have over a decade of clinical experience and advance training in therapeutic theory and technique. Therapy is a unique opportunity for self-reflection and growth. You may be finding yourself unable to progress in desired ways or grappling with past disappointments and future anxieties. You may also be feeling stagnant in your career and struggling to find and use your voice or having difficulty understanding your emotions, experiences, and relationships. These are the times to seek therapy.
(215) 610-3909 View (215) 610-3909
Photo of Josué Martinéz, MS, NCC, LPC, Licensed Professional Counselor
Josué Martinéz
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Online Only
I have experience working with individuals with trauma, abuse, anxiety, depression, self-image concerns, relationship hurdles, and religious trauma.
I have experience working with individuals with trauma, abuse, anxiety, depression, self-image concerns, relationship hurdles, and religious trauma.
(484) 562-6801 View (484) 562-6801
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How does your Therapist compare?

Number of Therapists in Philadelphia, PA

3,000+

Average cost per session

$150

Therapists in Philadelphia, PA who prioritize treating:

93% Anxiety
87% Depression
72% Self Esteem
68% Relationship Issues
67% Trauma and PTSD
66% Coping Skills
62% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
70% Cigna and Evernorth
61% Highmark

How Therapists in Philadelphia, PA see their clients

57% Online Only
43% In Person and Online

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Philadelphia?

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.