Therapists in Southside, Pittsburgh, PA

Photo of Alexandra Mattina, Clinical Social Work/Therapist, MSW, LCSW, RYT
Alexandra Mattina
Clinical Social Work/Therapist, MSW, LCSW, RYT
Southside, Pittsburgh, PA 15203
Throughout my 10 years working in mental health, I have learned how important it is to our healing to be connected in heart and body. I believe building a better understanding of this mind-body connection and the impact it can have on both our physical and mental health is critical in symptom management, emotional regulation, stress management, overall health and wellness, and navigating our everyday life in this world.
Throughout my 10 years working in mental health, I have learned how important it is to our healing to be connected in heart and body. I believe building a better understanding of this mind-body connection and the impact it can have on both our physical and mental health is critical in symptom management, emotional regulation, stress management, overall health and wellness, and navigating our everyday life in this world.
(878) 309-6884 View (878) 309-6884
Photo of Nicole Baer, Clinical Social Work/Therapist, MSW, LCSW
Nicole Baer
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Southside, Pittsburgh, PA 15203
When things feel stressful and difficult it can be overwhelming to inspire positive changes on your own. Issues surrounding depression, anxiety, family dynamics, relationship issues, addiction, low motivation, and life changes can become barriers to feeling like the best version of yourself. Taking inventory and assessing areas for change and improvement can lead to a happier and healthier life.
When things feel stressful and difficult it can be overwhelming to inspire positive changes on your own. Issues surrounding depression, anxiety, family dynamics, relationship issues, addiction, low motivation, and life changes can become barriers to feeling like the best version of yourself. Taking inventory and assessing areas for change and improvement can lead to a happier and healthier life.
(412) 618-0763 View (412) 618-0763
Photo of Meridith Long, Clinical Social Work/Therapist, LSW
Meridith Long
Clinical Social Work/Therapist, LSW
Southside, Pittsburgh, PA 15203
Are you struggling with anxiety, relationship challenges, career transitions, stress, burnout, or the adjustment to new parenthood? As a therapist in Pittsburgh, PA, I provide individual therapy and couples counseling for adults seeking practical tools and emotional growth. Whether you're navigating a major life change, feeling stuck in recurring patterns, or looking to strengthen your relationships, I offer a compassionate, collaborative approach tailored to your goals. Together, we'll build skills to manage anxiety, improve communication, increase self-awareness, and create meaningful change.
Are you struggling with anxiety, relationship challenges, career transitions, stress, burnout, or the adjustment to new parenthood? As a therapist in Pittsburgh, PA, I provide individual therapy and couples counseling for adults seeking practical tools and emotional growth. Whether you're navigating a major life change, feeling stuck in recurring patterns, or looking to strengthen your relationships, I offer a compassionate, collaborative approach tailored to your goals. Together, we'll build skills to manage anxiety, improve communication, increase self-awareness, and create meaningful change.
(412) 465-6165 View (412) 465-6165
Photo of Dr. Cydney V. Quinn, PhD
Dr. Cydney V. Quinn
Verified Verified
1 Endorsed
Southside, Pittsburgh, PA 15219
Dr. Cydney V. Quinn, PhD conducts virtual and in-person neuropsychological, psychological, and academic evaluations. Accepts UPMC, Highmark (BCBS), Aetna, United, and self-pay clients. Typical waitlist is approximately 1-2 months.
Dr. Cydney V. Quinn, PhD conducts virtual and in-person neuropsychological, psychological, and academic evaluations. Accepts UPMC, Highmark (BCBS), Aetna, United, and self-pay clients. Typical waitlist is approximately 1-2 months.
(412) 520-7936 View (412) 520-7936
Photo of Macaiah Thaxton, Clinical Social Work/Therapist, LSW
Macaiah Thaxton
Clinical Social Work/Therapist, LSW
Southside, Pittsburgh, PA 15203
Hi there! My name is Macaiah; I'm a licensed social worker & therapist in Pittsburgh, PA. Through my education and personal background, I've gained valuable experience working with children, teens, & families in school, outpatient, & residential settings. I aim to provide you with a safe, supportive space that welcomes you as you are. Using trauma-informed and strengths-based approaches, I center you as a whole person & the expert of your experiences. Whether it's exploring your thoughts and feelings, processing life experiences and transitions, or strengthening your sense of self, my approach is collaborative and compassionate.
Hi there! My name is Macaiah; I'm a licensed social worker & therapist in Pittsburgh, PA. Through my education and personal background, I've gained valuable experience working with children, teens, & families in school, outpatient, & residential settings. I aim to provide you with a safe, supportive space that welcomes you as you are. Using trauma-informed and strengths-based approaches, I center you as a whole person & the expert of your experiences. Whether it's exploring your thoughts and feelings, processing life experiences and transitions, or strengthening your sense of self, my approach is collaborative and compassionate.
(412) 534-3389 View (412) 534-3389
Photo of Dan Siconolfi, Licensed Social Worker, LSW
Dan Siconolfi
Licensed Social Worker, LSW
Southside, Pittsburgh, PA 15203
Maybe you feel trapped in patterns that no longer serve you, stuck at a crossroads, or like you’ve lost yourself in the daily grind. In our work together, you'll have a non-judgmental space to explore whatever is holding you back, while also taking steps toward change and a more fulfilling future. I work with clients who are experiencing depression, anxiety, stress, life transitions, and low self-esteem.
Maybe you feel trapped in patterns that no longer serve you, stuck at a crossroads, or like you’ve lost yourself in the daily grind. In our work together, you'll have a non-judgmental space to explore whatever is holding you back, while also taking steps toward change and a more fulfilling future. I work with clients who are experiencing depression, anxiety, stress, life transitions, and low self-esteem.
(412) 896-7681 View (412) 896-7681
Photo of Bree Romero (Bilingual), Associate Professional Counselor, LAPC, MSCP
Bree Romero (Bilingual)
Associate Professional Counselor, LAPC, MSCP
2 Endorsed
Southside, Pittsburgh, PA 15203
You deserve a space where you feel safe, understood and genuinely supported. Therapy with me is centered around you: your story, your goals, and the version of yourself you're hoping to grow into. I strive to create a warm, steady environment where you can show up fully without judgment. My approach is client-centered and trauma-informed, which means we move at your pace while thoughtfully exploring how your past experiences may be shaping your present. Wherever you’re starting from, we’ll work together to help you gain clarity, build resilience, and move forward with greater confidence and self-understanding.
You deserve a space where you feel safe, understood and genuinely supported. Therapy with me is centered around you: your story, your goals, and the version of yourself you're hoping to grow into. I strive to create a warm, steady environment where you can show up fully without judgment. My approach is client-centered and trauma-informed, which means we move at your pace while thoughtfully exploring how your past experiences may be shaping your present. Wherever you’re starting from, we’ll work together to help you gain clarity, build resilience, and move forward with greater confidence and self-understanding.
(412) 776-6329 View (412) 776-6329
Photo of Don H Neil Jr, Clinical Social Work/Therapist, LSW, LCSW
Don H Neil Jr
Clinical Social Work/Therapist, LSW, LCSW
Southside, Pittsburgh, PA 15203
I am licensed in Pennsylvania with 10 years as a mental health professional. I have experience in helping clients with stress, anxiety, relationship issues, anger management, depression, concentration, & memory. I also have experience working with focus.
I am licensed in Pennsylvania with 10 years as a mental health professional. I have experience in helping clients with stress, anxiety, relationship issues, anger management, depression, concentration, & memory. I also have experience working with focus.
(412) 990-2461 View (412) 990-2461
Photo of Danielle Carioto, Licensed Professional Counselor, LPC, NCC
Danielle Carioto
Licensed Professional Counselor, LPC, NCC
Southside, Pittsburgh, PA 15203
I am a Licensed Professional Counselor with a specialized focus on trauma and women’s mental health. With years of experience working across diverse populations, I have developed a deep understanding of the unique challenges individuals face at different stages of life. Over time, my work has become more intentionally centered on supporting women as they navigate issues such as trauma, life transitions, relationships, and emotional well-being.
I am a Licensed Professional Counselor with a specialized focus on trauma and women’s mental health. With years of experience working across diverse populations, I have developed a deep understanding of the unique challenges individuals face at different stages of life. Over time, my work has become more intentionally centered on supporting women as they navigate issues such as trauma, life transitions, relationships, and emotional well-being.
(412) 214-7892 View (412) 214-7892
Photo of Kari Noechel - New Directions Mental Health - South Side Flats, Clinical Social Work/Therapist, LCSW
New Directions Mental Health - South Side Flats
Clinical Social Work/Therapist, LCSW
Southside, Pittsburgh, PA 15203
New Directions Mental Health is a group of local outpatient mental health care clinics dedicated to transforming lives by offering quality, easily accessible mental health care. New Directions Mental Health formed as a partnership between several long-standing mental health clinics that have been providing care to southwestern Pennsylvania for 45 years. Our teams have come together out of a deep commitment to expanding access to high-quality mental health care across our unique communities. New Directions is proud to be the leader in interventional psychiatry services in the Pittsburgh metro area.
New Directions Mental Health is a group of local outpatient mental health care clinics dedicated to transforming lives by offering quality, easily accessible mental health care. New Directions Mental Health formed as a partnership between several long-standing mental health clinics that have been providing care to southwestern Pennsylvania for 45 years. Our teams have come together out of a deep commitment to expanding access to high-quality mental health care across our unique communities. New Directions is proud to be the leader in interventional psychiatry services in the Pittsburgh metro area.
(412) 900-2151 View (412) 900-2151
Photo of Andrea Olson, Licensed Professional Counselor, LPC, NCC
Andrea Olson
Licensed Professional Counselor, LPC, NCC
1 Endorsed
Southside, Pittsburgh, PA 15203
I feel the most important aspect of counseling is the relationship between the counselor and client. If we are able to create a genuine relationship that is grounded in authenticity and trust, we can further your understanding of yourself, your experiences, and how you engage with the world. I aim to help people by cultivating a safe environment where thoughts and emotions can be deeply felt, and where we can discover what steps you can take in your life that better align with your values. Through counseling, we can learn how to acknowledge thoughts, feelings, and past experiences without having them overwhelm us or define us.
I feel the most important aspect of counseling is the relationship between the counselor and client. If we are able to create a genuine relationship that is grounded in authenticity and trust, we can further your understanding of yourself, your experiences, and how you engage with the world. I aim to help people by cultivating a safe environment where thoughts and emotions can be deeply felt, and where we can discover what steps you can take in your life that better align with your values. Through counseling, we can learn how to acknowledge thoughts, feelings, and past experiences without having them overwhelm us or define us.
(412) 453-8054 View (412) 453-8054
Photo of Asia Gunter, Licensed Professional Counselor, MS, NCC, LPC
Asia Gunter
Licensed Professional Counselor, MS, NCC, LPC
1 Endorsed
Southside, Pittsburgh, PA 15203
How did I end up here? No one gets it. I’m anxious. I’m depressed. I’m over it. Sound familiar? If so, you’re exactly where you need to be. I see you—I’ve been there too. Life can feel like a never-ending cycle of stress, doubt, and exhaustion, but here’s the truth: healing starts with you. Through self-empowerment, radical acceptance, and real human connection, we’ll navigate the chaos together. My approach is strength-based and humanistic, but theory alone doesn’t heal—your resilience, your story, and your growth do. Some days we’ll laugh, others we might cry, but every step forward is yours to take. Let’s talk, book with me today
How did I end up here? No one gets it. I’m anxious. I’m depressed. I’m over it. Sound familiar? If so, you’re exactly where you need to be. I see you—I’ve been there too. Life can feel like a never-ending cycle of stress, doubt, and exhaustion, but here’s the truth: healing starts with you. Through self-empowerment, radical acceptance, and real human connection, we’ll navigate the chaos together. My approach is strength-based and humanistic, but theory alone doesn’t heal—your resilience, your story, and your growth do. Some days we’ll laugh, others we might cry, but every step forward is yours to take. Let’s talk, book with me today
(412) 501-9683 View (412) 501-9683
Photo of Bridget Bauer, Clinical Social Work/Therapist, LCSW, IEDS
Bridget Bauer
Clinical Social Work/Therapist, LCSW, IEDS
1 Endorsed
Southside, Pittsburgh, PA 15203
If you're struggling with an eating disorder or trauma, you may feel caught in a pattern that once helped you survive, but now leaves you feeling overwhelmed, isolated, or disconnected. I specialize in treating eating disorders and attachment-related trauma. Together, we'll explore these patterns with curiosity and compassion while building new ways to find safety, connection, and healing. I have pursued advanced training in eating disorders and am an Inclusive Eating Disorder Specialist (IEDS), and am fully trained in EMDR.
If you're struggling with an eating disorder or trauma, you may feel caught in a pattern that once helped you survive, but now leaves you feeling overwhelmed, isolated, or disconnected. I specialize in treating eating disorders and attachment-related trauma. Together, we'll explore these patterns with curiosity and compassion while building new ways to find safety, connection, and healing. I have pursued advanced training in eating disorders and am an Inclusive Eating Disorder Specialist (IEDS), and am fully trained in EMDR.
(412) 912-2961 View (412) 912-2961
James Manzella, LCSW, MA
Clinical Social Work/Therapist, LCSW, MA
Southside, Pittsburgh, PA 15203
We all grow up and live in a society which favors conformity. Not "fitting in" or being "different" can result in feelings of depression, low self-esteem, and isolation, which can affect all aspects of our lives. This can be especially true for the LGBTQ+ population. As a psychodynamic therapist, my goal is to assist you in your personal development from unsatisfying or painful patterns of living and to a life that you can celebrate. While we can't change the past, we can work together to change how it continues to impact your life and resolve the challenges and issues that have resulted from it.
We all grow up and live in a society which favors conformity. Not "fitting in" or being "different" can result in feelings of depression, low self-esteem, and isolation, which can affect all aspects of our lives. This can be especially true for the LGBTQ+ population. As a psychodynamic therapist, my goal is to assist you in your personal development from unsatisfying or painful patterns of living and to a life that you can celebrate. While we can't change the past, we can work together to change how it continues to impact your life and resolve the challenges and issues that have resulted from it.
(412) 532-1589 View (412) 532-1589
Photo of Brittany Littlejohn Maxshure - Littlejohn Counseling & Consulting, LLC, Clinical Social Work/Therapist, MSW, MPH, LCSW
Littlejohn Counseling & Consulting, LLC
Clinical Social Work/Therapist, MSW, MPH, LCSW
Southside, Pittsburgh, PA 15219
Brittany Littlejohn Maxshure is a Licensed Clinical Social Worker in the state of Pennsylvania. She's spent much of her career working with individuals with chronic health conditions. Her empathy and expertise in both medical social work and therapy, shape her as a natural guide for people, especially in difficult moments. She has an overall focus on supporting clients as they navigate through life’s transitions and challenges; whether it be in their personal or professional lives. Brittany strongly believes that everyone has the ability to reach their full potential and she has a desire to assist them in achieving their goals.
Brittany Littlejohn Maxshure is a Licensed Clinical Social Worker in the state of Pennsylvania. She's spent much of her career working with individuals with chronic health conditions. Her empathy and expertise in both medical social work and therapy, shape her as a natural guide for people, especially in difficult moments. She has an overall focus on supporting clients as they navigate through life’s transitions and challenges; whether it be in their personal or professional lives. Brittany strongly believes that everyone has the ability to reach their full potential and she has a desire to assist them in achieving their goals.
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Photo of River Goodman, Clinical Social Work/Therapist, MSW, LSW
River Goodman
Clinical Social Work/Therapist, MSW, LSW
Southside, Pittsburgh, PA 15203
Many of the people I work with think deeply, feel deeply, and experience the world with a level of complexity that can be difficult to explain to others. They may have spent years feeling out of place, adapting to expectations that never quite fit, or holding themselves to rules they never agreed to. The clients I work best with are deeply curious people who want to understand themselves and the patterns that have shaped their lives. Many are neurodivergent, queer, gifted/formerly gifted, highly creative, or people with complex histories who have spent years feeling unseen or disconnected from themselves.
Many of the people I work with think deeply, feel deeply, and experience the world with a level of complexity that can be difficult to explain to others. They may have spent years feeling out of place, adapting to expectations that never quite fit, or holding themselves to rules they never agreed to. The clients I work best with are deeply curious people who want to understand themselves and the patterns that have shaped their lives. Many are neurodivergent, queer, gifted/formerly gifted, highly creative, or people with complex histories who have spent years feeling unseen or disconnected from themselves.
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Photo of Jacqueline Musser, Clinical Social Work/Therapist
Jacqueline Musser
Clinical Social Work/Therapist
Southside, Pittsburgh, PA 15219
The human experience is both exceptional and at times incredibly challenging. As a therapist, I am committed to providing a safe space for you to process, explore, and overcome. Through our therapeutic journey we can work towards healing and growth, inner peace, and increased coping abilities to manage the rollercoasters presented in daily life.
The human experience is both exceptional and at times incredibly challenging. As a therapist, I am committed to providing a safe space for you to process, explore, and overcome. Through our therapeutic journey we can work towards healing and growth, inner peace, and increased coping abilities to manage the rollercoasters presented in daily life.
(412) 318-8795 View (412) 318-8795
Photo of Melissa Noll-Carter, Licensed Professional Counselor, NCC, LPC
Melissa Noll-Carter
Licensed Professional Counselor, NCC, LPC
Southside, Pittsburgh, PA 15203
**Teletherapy secure video sessions available** Finding a therapist can be challenging. It may feel overwhelming to take the initial steps to begin counseling and search for someone who is the right fit for your unique personality. I emphasize the importance of a positive therapeutic relationship where collaboration assists you in getting you to where you want to be. Many people have asked me how I can do such a difficult job. I see my “job” as a gift. It is truly special when people allow me to be apart of their lives and can be vulnerable with me as we walk together in the healing process, whatever that may look like for them.
**Teletherapy secure video sessions available** Finding a therapist can be challenging. It may feel overwhelming to take the initial steps to begin counseling and search for someone who is the right fit for your unique personality. I emphasize the importance of a positive therapeutic relationship where collaboration assists you in getting you to where you want to be. Many people have asked me how I can do such a difficult job. I see my “job” as a gift. It is truly special when people allow me to be apart of their lives and can be vulnerable with me as we walk together in the healing process, whatever that may look like for them.
(412) 545-6351 View (412) 545-6351
Photo of Jenna Santos, Licensed Professional Counselor, MS, LPC, NCC
Jenna Santos
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
Southside, Pittsburgh, PA 15203
My ideal client is a woman experiencing anxiety, stress, or a significant life transition who feels overwhelmed, emotionally stretched, or uncertain about her next steps. She is often seeking space to slow down, make sense of what she’s experiencing, and feel more grounded and steady in herself. She may find herself overthinking, struggling with self-doubt, or feeling disconnected from her usual sense of confidence. Her goals typically include improving emotional regulation, increasing self-understanding, and feeling more confident, balanced, and connected in navigating daily life.
My ideal client is a woman experiencing anxiety, stress, or a significant life transition who feels overwhelmed, emotionally stretched, or uncertain about her next steps. She is often seeking space to slow down, make sense of what she’s experiencing, and feel more grounded and steady in herself. She may find herself overthinking, struggling with self-doubt, or feeling disconnected from her usual sense of confidence. Her goals typically include improving emotional regulation, increasing self-understanding, and feeling more confident, balanced, and connected in navigating daily life.
(412) 387-6447 x900 View (412) 387-6447 x900
Photo of Kristen Hunninen, Licensed Professional Counselor, LPC
Kristen Hunninen
Licensed Professional Counselor, LPC
Southside, Pittsburgh, PA 15219
At the foundation of most theories of psychotherapy lie the same basic elements that facilitate change: Strong therapeutic relationship, intentional and deep active listening, processing using the mind/body, a sense of humor, life experience and utilizing clinical knowledge. To me, therapy can look into insight and rooted change or seek clarity and simplicity. Life seems to ask us to examine ourselves, our experiences and relationships, and a therapist can offer a space to explore that with a sense of safety, feeling understood, and authenticity.
At the foundation of most theories of psychotherapy lie the same basic elements that facilitate change: Strong therapeutic relationship, intentional and deep active listening, processing using the mind/body, a sense of humor, life experience and utilizing clinical knowledge. To me, therapy can look into insight and rooted change or seek clarity and simplicity. Life seems to ask us to examine ourselves, our experiences and relationships, and a therapist can offer a space to explore that with a sense of safety, feeling understood, and authenticity.
(412) 336-3045 View (412) 336-3045

How does your Therapist compare?

Number of Therapists in Southside, Pittsburgh, PA

70+

Average cost per session

$140

Therapists in Southside, Pittsburgh, PA who prioritize treating:

89% Anxiety
89% Social Anxiety
89% Health Anxiety
89% Driving Anxiety
88% Depression
77% Self Esteem
75% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

80% Aetna
77% Highmark
65% BlueCross and BlueShield

How Therapists in Southside, Pittsburgh, PA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

83% Female
11% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Southside?

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.