Therapists in Lexington, KY

View neighborhoods in Lexington
Photo of Haley Whisenhunt, Clinical Social Work/Therapist in Lexington, KY
Haley Whisenhunt
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
1 Endorsed
Lexington, KY 40517
Waitlist for new clients
Life is full of impactful moments; some bring us insurmountable joy, and others leave us feeling defeated and distressed. It is my hope that we can work together to diminish distress levels caused by trauma, and improve your overall quality of life. With issues ranging from substance use, grief and loss, depression and anxiety, relationship issues, etc., we can use a variety of therapeutic approaches to achieve this goal.
Life is full of impactful moments; some bring us insurmountable joy, and others leave us feeling defeated and distressed. It is my hope that we can work together to diminish distress levels caused by trauma, and improve your overall quality of life. With issues ranging from substance use, grief and loss, depression and anxiety, relationship issues, etc., we can use a variety of therapeutic approaches to achieve this goal.
(859) 681-8056 View (859) 681-8056
Photo of Kathina Faith Conley, Licensed Professional Counselor Associate in Lexington, KY
Kathina Faith Conley
Licensed Professional Counselor Associate , MA, LPCA
Verified Verified
Lexington, KY 40511
I am capable of helping you by always seeking knowledge. I want to be able to empathize and place myself in your shoes so I strive to educate myself on what you are currently going through. This looks like me dedicating myself to continuing education on an array of treatments, disorders, approaches, and the like to ensure I already have or develop specialty in your condition.
I am capable of helping you by always seeking knowledge. I want to be able to empathize and place myself in your shoes so I strive to educate myself on what you are currently going through. This looks like me dedicating myself to continuing education on an array of treatments, disorders, approaches, and the like to ensure I already have or develop specialty in your condition.
(859) 659-6945 View (859) 659-6945
Photo of Shannon Massey, Counselor in Lexington, KY
Shannon Massey
Counselor, MA, LPCC
Verified Verified
Lexington, KY 40502
I'm always amazed by the transforming power that a safe relationship can have on a client. Providing a compassionate, supportive, and nonjudgmental atmosphere enables a person to begin processing their story and face the hidden obstacles that keep them stuck in life. It is a privilege to walk alongside my clients, offering a new perspective as we explore their strengths, and find hope and new meaning in their story. As a therapist, my mission is to provide the healing space and collaborative relationship that helps a person begin to take the necessary steps to achieve their therapy goals.
I'm always amazed by the transforming power that a safe relationship can have on a client. Providing a compassionate, supportive, and nonjudgmental atmosphere enables a person to begin processing their story and face the hidden obstacles that keep them stuck in life. It is a privilege to walk alongside my clients, offering a new perspective as we explore their strengths, and find hope and new meaning in their story. As a therapist, my mission is to provide the healing space and collaborative relationship that helps a person begin to take the necessary steps to achieve their therapy goals.
(859) 710-1874 View (859) 710-1874
Photo of Dr. Hayley Meadows, Psychologist in Lexington, KY
Dr. Hayley Meadows
Psychologist, PhD, HSP
Verified Verified
Lexington, KY 40503
- IMMEDIATE OPENINGS FOR SPRING 2024 - Do you struggle to control your anxiety or panic? Do you worry or obsesses excessively? I approach treatment from a compassionate, medical model, recognizing these are symptoms of illnesses to be managed. I specialize in treating children, teens, and adults with obsessive-compulsive disorder (OCD), panic, and anxiety-related disorders. I also work with people with depression, ADHD, PTSD, and eating disorders. To help, I use evidence-based treatments like Exposure with Response-Prevention (ERP) and Cognitive Behavioral Therapy (CBT). I also offer affirming care for the LGBTQIA+ community.
- IMMEDIATE OPENINGS FOR SPRING 2024 - Do you struggle to control your anxiety or panic? Do you worry or obsesses excessively? I approach treatment from a compassionate, medical model, recognizing these are symptoms of illnesses to be managed. I specialize in treating children, teens, and adults with obsessive-compulsive disorder (OCD), panic, and anxiety-related disorders. I also work with people with depression, ADHD, PTSD, and eating disorders. To help, I use evidence-based treatments like Exposure with Response-Prevention (ERP) and Cognitive Behavioral Therapy (CBT). I also offer affirming care for the LGBTQIA+ community.
(502) 236-9373 View (502) 236-9373
Photo of Janet Vessels in Lexington, KY
Janet Vessels
PhD, LPCC-S, RPT-S
Verified Verified
1 Endorsed
Lexington, KY 40502
Do you feel you are hanging onto the knot at the end of your rope with your own life? Are trauma memories or a single event or a "pile up" of bad experiences overwhelm you when you least expect it? You want a counselor/therapist who offers in person or virtual sessions at convenient day, evening, and weekend hours. You want someone who can collaboratively help you address issues/needs/trauma memories. If you want trauma therapy specialist in the area? Call or email now for more information.
Do you feel you are hanging onto the knot at the end of your rope with your own life? Are trauma memories or a single event or a "pile up" of bad experiences overwhelm you when you least expect it? You want a counselor/therapist who offers in person or virtual sessions at convenient day, evening, and weekend hours. You want someone who can collaboratively help you address issues/needs/trauma memories. If you want trauma therapy specialist in the area? Call or email now for more information.
(859) 212-3659 View (859) 212-3659
Photo of Britt Alexander Coyle, Clinical Social Work/Therapist in Lexington, KY
Britt Alexander Coyle
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lexington, KY 40505
There never seems to be the right time to work on yourself but the baggage seems to be getting heavier every day. You feel yourself struggling to maintain what is while desperately getting back to what once was for yourself and your family. The feelings of loneliness and sadness follow you no matter what is going on in your life and it is draining you. Everyone around you depends on you to keep going but it's so difficult to imagine living like this another day.
There never seems to be the right time to work on yourself but the baggage seems to be getting heavier every day. You feel yourself struggling to maintain what is while desperately getting back to what once was for yourself and your family. The feelings of loneliness and sadness follow you no matter what is going on in your life and it is draining you. Everyone around you depends on you to keep going but it's so difficult to imagine living like this another day.
(859) 251-2465 View (859) 251-2465
Photo of Amaris Blevins Lcsw, Clinical Social Work/Therapist in Lexington, KY
Amaris Blevins Lcsw
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lexington, KY 40517  (Online Only)
There are always reasons why people do the things they do. My approach is to help alleviate shame and unnecessary guilt by helping clients understand the “why” behind their emotions and behaviors. I use a trauma-informed approach with all my clients and aim to create an emotionally safe space to explore vulnerable thoughts and feelings.
There are always reasons why people do the things they do. My approach is to help alleviate shame and unnecessary guilt by helping clients understand the “why” behind their emotions and behaviors. I use a trauma-informed approach with all my clients and aim to create an emotionally safe space to explore vulnerable thoughts and feelings.
(859) 762-1704 View (859) 762-1704
Photo of Leila Marie Poole, Counselor in Lexington, KY
Leila Marie Poole
Counselor, MEd, LPCA, NCC
Verified Verified
Lexington, KY 40504
Not accepting new clients
Hello! I’m Leila; nice to meet you. Sometimes life can bring us challenges and obstacles that leave us feeling uncertain about our ability to cope and overcome them. But, the good news is that therapy can help. And, I’d love the chance to work with you as you grow toward becoming more of who you want to be, and experiencing more of the life you want to live. I’m skilled in a range of therapeutic modalities to address a variety of issues including substance abuse, school and learning challenges, family dysfunction, and race-based or identity-related traumatic stress.
Hello! I’m Leila; nice to meet you. Sometimes life can bring us challenges and obstacles that leave us feeling uncertain about our ability to cope and overcome them. But, the good news is that therapy can help. And, I’d love the chance to work with you as you grow toward becoming more of who you want to be, and experiencing more of the life you want to live. I’m skilled in a range of therapeutic modalities to address a variety of issues including substance abuse, school and learning challenges, family dysfunction, and race-based or identity-related traumatic stress.
View
Photo of Paul S O'Neill, Clinical Social Work/Therapist in Lexington, KY
Paul S O'Neill
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lexington, KY 40503
My specialty is with children and adolescents, especially with regard to behavioral problems. I engage parents and caretakers on implementing basic and effective behavioral responses in order to improve compliance, respectful behavior, and contribution to the household using behavioral and family therapy models. I also apply CBT and insight therapy with children and adolescents to improve mood and anxiety management, coping skills, and effective social skills. In addition I have extensive experience applying individual, family and marital counseling with adults addressing Bipolar Disorder, Depression, Trauma, and Anxiety among other issues and concerns.
My specialty is with children and adolescents, especially with regard to behavioral problems. I engage parents and caretakers on implementing basic and effective behavioral responses in order to improve compliance, respectful behavior, and contribution to the household using behavioral and family therapy models. I also apply CBT and insight therapy with children and adolescents to improve mood and anxiety management, coping skills, and effective social skills. In addition I have extensive experience applying individual, family and marital counseling with adults addressing Bipolar Disorder, Depression, Trauma, and Anxiety among other issues and concerns.
(859) 759-0165 View (859) 759-0165
Photo of Patrick Holley M.Div., M.A., LPCC-S, Licensed Professional Clinical Counselor in Lexington, KY
Patrick Holley M.Div., M.A., LPCC-S
Licensed Professional Clinical Counselor, MDiv, MA, LPCC-S
Verified Verified
1 Endorsed
Lexington, KY 40502  (Online Only)
My counseling focus is Marriage and Relationship counseling as well as depression and anxiety. I believe our core problems tend to stem from our desire to be validated and loved by others. When we do not feel worthy, "good enough" or loved we engage in self-protective behaviors (fight or flee), pain comes to the surface and we experience hurt, anger, anxiety and other destructive emotions.
My counseling focus is Marriage and Relationship counseling as well as depression and anxiety. I believe our core problems tend to stem from our desire to be validated and loved by others. When we do not feel worthy, "good enough" or loved we engage in self-protective behaviors (fight or flee), pain comes to the surface and we experience hurt, anger, anxiety and other destructive emotions.
(859) 795-3196 View (859) 795-3196
Photo of Micah Miller, Clinical Social Work/Therapist in Lexington, KY
Micah Miller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lexington, KY 40517
Don’t let depression or anxiety steal another day of your life. Find peace and purpose in the middle of the pain and hardship. I want to help you accomplish your goals. To get me on your team and set up your first visit, call 859-449-5725. If you are having second thoughts about the process of therapy, find out more at my website (scroll down to the link under "Links").
Don’t let depression or anxiety steal another day of your life. Find peace and purpose in the middle of the pain and hardship. I want to help you accomplish your goals. To get me on your team and set up your first visit, call 859-449-5725. If you are having second thoughts about the process of therapy, find out more at my website (scroll down to the link under "Links").
(859) 237-7801 x495725 View (859) 237-7801 x495725
Photo of Amanda Brashear, Licensed Professional Clinical Counselor in Lexington, KY
Amanda Brashear
Licensed Professional Clinical Counselor, MA, LPCC-S, LCADC
Verified Verified
1 Endorsed
Lexington, KY 40515
I have experience working with individuals with a variety of different concerns including: depression, anxiety, grief, relational problems, mood disorders, trauma, and substance abuse. I engage clients in evidence based therapy interventions that include cognitive behavioral therapy, client centered therapy, and motivational interviewing. I provide clients with a safe, non judgement environment to help foster personal growth. I encourage clients to self reflect and look through their life with a difference lense. I believe that everyone has the ability to change and live a fulfilling life and will work just as hard as you to help you achieve your goals
I have experience working with individuals with a variety of different concerns including: depression, anxiety, grief, relational problems, mood disorders, trauma, and substance abuse. I engage clients in evidence based therapy interventions that include cognitive behavioral therapy, client centered therapy, and motivational interviewing. I provide clients with a safe, non judgement environment to help foster personal growth. I encourage clients to self reflect and look through their life with a difference lense. I believe that everyone has the ability to change and live a fulfilling life and will work just as hard as you to help you achieve your goals
(859) 545-3533 View (859) 545-3533
Photo of Johnathan Marcellas Carr, Licensed Professional Clinical Counselor in Lexington, KY
Johnathan Marcellas Carr
Licensed Professional Clinical Counselor, MEd, NBCC, LPCC
Verified Verified
Lexington, KY 40503  (Online Only)
In life we are going to encounter many obstacles. Some of those obstacles are going to seem insurmountable, which can lead to unhappiness. I believe we all deserve to be happy. I believe we all deserve the opportunity to be the best version of ourselves. I would like the opportunity to connect with you on a personal level so we can work together to meet your therapy goals. I bring an excellent education and years of experience to the table. Help me to empower you as we work together to conquer life's challenges.
In life we are going to encounter many obstacles. Some of those obstacles are going to seem insurmountable, which can lead to unhappiness. I believe we all deserve to be happy. I believe we all deserve the opportunity to be the best version of ourselves. I would like the opportunity to connect with you on a personal level so we can work together to meet your therapy goals. I bring an excellent education and years of experience to the table. Help me to empower you as we work together to conquer life's challenges.
(859) 484-8434 View (859) 484-8434
Photo of Chelsea Conner, Licensed Professional Clinical Counselor in Lexington, KY
Chelsea Conner
Licensed Professional Clinical Counselor, MA, LPCC-S, LCADC
Verified Verified
1 Endorsed
Lexington, KY 40503
Hello, I am an LPCC-S, LCADC and am trained to provide mental health counseling services to adolescents, adults, and couples in an outpatient counseling setting. I graduated from Georgetown College with a Bachelor’s Degree in Psychology and earned my Master’s Degree in Clinical Mental Health Counseling from EKU. I specialize in working with individuals and couples struggling with substance abuse and mental health concerns. I am Level 1 Gottman trained and enjoy working with individuals, couples, and families working to improve relationship functioning and improve their quality of life.
Hello, I am an LPCC-S, LCADC and am trained to provide mental health counseling services to adolescents, adults, and couples in an outpatient counseling setting. I graduated from Georgetown College with a Bachelor’s Degree in Psychology and earned my Master’s Degree in Clinical Mental Health Counseling from EKU. I specialize in working with individuals and couples struggling with substance abuse and mental health concerns. I am Level 1 Gottman trained and enjoy working with individuals, couples, and families working to improve relationship functioning and improve their quality of life.
(859) 309-6333 View (859) 309-6333
Photo of Brianna Prewitt, Licensed Professional Counselor Associate in Lexington, KY
Brianna Prewitt
Licensed Professional Counselor Associate, MA, LPCA, NCC
Verified Verified
1 Endorsed
Lexington, KY 40509
Waitlist for new clients
In a world filled with labels and titles, we are all simply human first. Being human means we are all bound to get it wrong sometimes no matter how much we have (or don’t have) figured out. Life is hard, and it’s natural that challenges sometimes cloud the way we see ourselves and the world; however, I believe worthiness is our birthright, and it is my goal as a clinician to help my clients see that their worthiness has no prerequisite and isn’t something to be earned.
In a world filled with labels and titles, we are all simply human first. Being human means we are all bound to get it wrong sometimes no matter how much we have (or don’t have) figured out. Life is hard, and it’s natural that challenges sometimes cloud the way we see ourselves and the world; however, I believe worthiness is our birthright, and it is my goal as a clinician to help my clients see that their worthiness has no prerequisite and isn’t something to be earned.
(859) 484-8681 View (859) 484-8681
Photo of Jennifer Sutherland, Psychologist in Lexington, KY
Jennifer Sutherland
Psychologist, MS, EdS
Verified Verified
Lexington, KY 40511
I offer psychotherapy, as well as, psychological evaluations: ADHD, developmental delays, behavior problems, IQ, advanced placement, disability consideration, emotional support animals, etc. I provide therapy for a variety of emotional/behavioral issues for all ages. I have a special interest in toddlers/preschoolers/children with developmental/behavioral/emotional problems and women with depression/anxiety. I enjoy helping parents learn how to best help their children to become happy and successful. I do parent coordination as well. I have a farm office, so is a much less formal atmosphere. Bring your pet or borrow mine!
I offer psychotherapy, as well as, psychological evaluations: ADHD, developmental delays, behavior problems, IQ, advanced placement, disability consideration, emotional support animals, etc. I provide therapy for a variety of emotional/behavioral issues for all ages. I have a special interest in toddlers/preschoolers/children with developmental/behavioral/emotional problems and women with depression/anxiety. I enjoy helping parents learn how to best help their children to become happy and successful. I do parent coordination as well. I have a farm office, so is a much less formal atmosphere. Bring your pet or borrow mine!
(859) 309-5695 View (859) 309-5695
Photo of Amber Miller, Licensed Professional Clinical Counselor in Lexington, KY
Amber Miller
Licensed Professional Clinical Counselor, MRC, CRC, LPCC
Verified Verified
Lexington, KY 40515
I am a Licensed Professional Clinical Counselor in the state of Kentucky and a Nationally Certified Rehabilitation Counselor. I am qualified and trained to provide mental health counseling services to adults and adolescents.I have experience helping individuals address a variety of concerns related to depression, anxiety, stress, substance use disorders, mood disorders, developmental disabilities, career and vocational issues, grief, relationship and family issues, and personal adjustment.
I am a Licensed Professional Clinical Counselor in the state of Kentucky and a Nationally Certified Rehabilitation Counselor. I am qualified and trained to provide mental health counseling services to adults and adolescents.I have experience helping individuals address a variety of concerns related to depression, anxiety, stress, substance use disorders, mood disorders, developmental disabilities, career and vocational issues, grief, relationship and family issues, and personal adjustment.
(859) 904-5284 View (859) 904-5284
Photo of Keith Haas, LCSW, LLC, Clinical Social Work/Therapist in Lexington, KY
Keith Haas, LCSW, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lexington, KY 40513
Seeking out a helping relationship can be a significant first step toward lasting positive change. I believe that by providing you with a safe, understanding and collaborative relationship together we can help you achieve your goals. Whether it's finding ways to reduce stress and be more effective, overcoming problematic behaviors, healing trauma or developing a better understanding of your past and how it affects the present, I can help.
Seeking out a helping relationship can be a significant first step toward lasting positive change. I believe that by providing you with a safe, understanding and collaborative relationship together we can help you achieve your goals. Whether it's finding ways to reduce stress and be more effective, overcoming problematic behaviors, healing trauma or developing a better understanding of your past and how it affects the present, I can help.
(859) 545-3196 View (859) 545-3196
Photo of Nathan Mayo, Counselor in Lexington, KY
Nathan Mayo
Counselor, LPCC
Verified Verified
1 Endorsed
Lexington, KY 40513
Nathan Mayo received his bachelor's degree in psychology at the University of Kentucky and his master's degree in counseling and human development at Lindsey Wilson College. He has more than 21 years of mental health care experience through multiple venues such as in-inpatient, outpatient, in-home, residential, and school-based settings. He also served as a Drug and Alcohol Program Advisor (DAPA) and Suicide Prevention Officer through his command in the U. S. Navy Reserves, where he served for eight years.
Nathan Mayo received his bachelor's degree in psychology at the University of Kentucky and his master's degree in counseling and human development at Lindsey Wilson College. He has more than 21 years of mental health care experience through multiple venues such as in-inpatient, outpatient, in-home, residential, and school-based settings. He also served as a Drug and Alcohol Program Advisor (DAPA) and Suicide Prevention Officer through his command in the U. S. Navy Reserves, where he served for eight years.
(859) 681-7601 View (859) 681-7601
Photo of Lynn Squicciarini, Clinical Social Work/Therapist in Lexington, KY
Lynn Squicciarini
Clinical Social Work/Therapist, LCSW
Verified Verified
Lexington, KY 40513
Hello. I am a Licensed Clinical Social Worker (LCSW) who has been practicing for over 20 years. I have worked with adults, couples and families including children, adolescents. My goal is to work with each person individually from a person-centered perspective. By identifying your needs and focusing on your strengths I want you to feel that you are in control of your progress. My specialties include depression, anxiety, relationship issues, behavioral challenges, post-partum depression, parenting, chronic illness, and grief.
Hello. I am a Licensed Clinical Social Worker (LCSW) who has been practicing for over 20 years. I have worked with adults, couples and families including children, adolescents. My goal is to work with each person individually from a person-centered perspective. By identifying your needs and focusing on your strengths I want you to feel that you are in control of your progress. My specialties include depression, anxiety, relationship issues, behavioral challenges, post-partum depression, parenting, chronic illness, and grief.
(859) 350-6758 View (859) 350-6758

How does your Therapist compare?

Number of Therapists in Lexington, KY

700+

Average cost per session

$120

Therapists in Lexington, KY who prioritize treating:

92% Anxiety
88% Depression
71% Trauma and PTSD
71% Self Esteem
67% Coping Skills
63% Relationship Issues
59% Grief

Average years in practice

9 Years

Top 3 insurances accepted

76% Aetna
76% UnitedHealthcare UHC | UBH
71% Humana

How Therapists in Lexington, KY see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Lexington?

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.