Therapists in Columbia, MD

Photo of Melissa L Kramer, Licensed Clinical Professional Counselor in Columbia, MD
Melissa L Kramer
Licensed Clinical Professional Counselor, LCPC, NCC, CAC-AD
Verified Verified
Columbia, MD 21044
Are your ready to unlock your potential? Are you ready to live a life of purpose & connection? The process of change is possible & usually begins with an honest exploration of your past to understand your present. My style is collaborative, rooted in a strong therapeutic relationship & direct. Taking ownership of one's actions is essential. I specialize in addiction, & also treat mood disorders, adjustment disorders, grief, co-occurring disorders, & more. I believe we strive to find meaning in life, & that connection to others is essential. There is more than one path to recovery, & the past does not have to define you. Ready?
Are your ready to unlock your potential? Are you ready to live a life of purpose & connection? The process of change is possible & usually begins with an honest exploration of your past to understand your present. My style is collaborative, rooted in a strong therapeutic relationship & direct. Taking ownership of one's actions is essential. I specialize in addiction, & also treat mood disorders, adjustment disorders, grief, co-occurring disorders, & more. I believe we strive to find meaning in life, & that connection to others is essential. There is more than one path to recovery, & the past does not have to define you. Ready?
(240) 774-2585 View (240) 774-2585
Photo of Lynnae A. Hamilton, PhD-Telehealth Provider, Psychologist in Columbia, MD
Lynnae A. Hamilton, PhD-Telehealth Provider
Psychologist
Verified Verified
Columbia, MD 21044
Welcome. I am a licensed psychologist concerned for individuals experiencing problems with attention, concentration, memory, and learning (which often goes along with some anxiety and depression). Effective treatment begins with an accurate diagnosis. I provide psychological testing and assessment for all cultural groups to secure accurate diagnosis. This service includes a comprehensive report, including recommendations and accommodations for academic success. I also provide psychotherapy to help clients improve quality of life and to reach personal goals.
Welcome. I am a licensed psychologist concerned for individuals experiencing problems with attention, concentration, memory, and learning (which often goes along with some anxiety and depression). Effective treatment begins with an accurate diagnosis. I provide psychological testing and assessment for all cultural groups to secure accurate diagnosis. This service includes a comprehensive report, including recommendations and accommodations for academic success. I also provide psychotherapy to help clients improve quality of life and to reach personal goals.
(301) 830-8587 View (301) 830-8587
Milestones Counseling Consulting Services Llc
Clinical Social Work/Therapist
Verified Verified
Columbia, MD 21044
We specialize in supporting parents navigating their children's school and emotional challenges, teens facing academic and social pressures, and adults dealing with relationship issues, childhood trauma, or work stress. Ideal clients seek guidance and coping strategies. Parents want effective communication tools, teens need stress management, and adults aim for healthier relationships and work-life balance. Our goal is to empower, heal, and help to you in your development of skills for everyday life. Let's navigate these challenges together.
We specialize in supporting parents navigating their children's school and emotional challenges, teens facing academic and social pressures, and adults dealing with relationship issues, childhood trauma, or work stress. Ideal clients seek guidance and coping strategies. Parents want effective communication tools, teens need stress management, and adults aim for healthier relationships and work-life balance. Our goal is to empower, heal, and help to you in your development of skills for everyday life. Let's navigate these challenges together.
(240) 823-5019 View (240) 823-5019
Photo of Marcie Koenig, Clinical Social Work/Therapist in Columbia, MD
Marcie Koenig
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045
Are you finding yourself feeling overwhelmed with events in your life? Perhaps you are facing a frightening change in the health of yourself or a loved one. Or you have experienced the loss of or a change in a relationship with someone very important to you, or a change in a personal or professional role that has largely self-defined you. Life transitions, while inevitable, can be so difficult and can cause immense grief and feelings of despair. Are you feeling hopeless than you will ever feel like “yourself” again? Your usual coping strategies just don't seem to be working, and you don't know what to do.
Are you finding yourself feeling overwhelmed with events in your life? Perhaps you are facing a frightening change in the health of yourself or a loved one. Or you have experienced the loss of or a change in a relationship with someone very important to you, or a change in a personal or professional role that has largely self-defined you. Life transitions, while inevitable, can be so difficult and can cause immense grief and feelings of despair. Are you feeling hopeless than you will ever feel like “yourself” again? Your usual coping strategies just don't seem to be working, and you don't know what to do.
(667) 226-9580 View (667) 226-9580
Photo of Beth Gallihue, Clinical Social Work/Therapist in Columbia, MD
Beth Gallihue
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045
I have been in private practice for 19 years in Columbia Maryland, and provide individual, couple and group psychotherapy to adults and adolescents. My personal philosophy has always been to be of service to others. I have created a process to bring in to conscious awareness patterns of limiting beliefs and blockages in a place where healing and personal growth can flourish in an environment that is safe, confidential and free of judgement. The journey to the authentic self is one that requires courage, determination, self-reflection and unconditional love of yourselves.
I have been in private practice for 19 years in Columbia Maryland, and provide individual, couple and group psychotherapy to adults and adolescents. My personal philosophy has always been to be of service to others. I have created a process to bring in to conscious awareness patterns of limiting beliefs and blockages in a place where healing and personal growth can flourish in an environment that is safe, confidential and free of judgement. The journey to the authentic self is one that requires courage, determination, self-reflection and unconditional love of yourselves.
(410) 782-3668 View (410) 782-3668
Photo of Amanda Allison, Counselor in Columbia, MD
Amanda Allison
Counselor, MA, LCPC
Verified Verified
Columbia, MD 21044
Whether you’re looking to address a specific concern, bring big changes to your life, or feel more present in the life you’ve already built, counseling is a great resource. I enjoy helping individuals with anxiety and OCD get back to - or create - the life they want to be living.  I also have a special interest in anxiety and distress about environmental and climate-related concerns, so we can talk about worry, fear, dread, and the discomfort of the unknown in many different shapes and sizes.
Whether you’re looking to address a specific concern, bring big changes to your life, or feel more present in the life you’ve already built, counseling is a great resource. I enjoy helping individuals with anxiety and OCD get back to - or create - the life they want to be living.  I also have a special interest in anxiety and distress about environmental and climate-related concerns, so we can talk about worry, fear, dread, and the discomfort of the unknown in many different shapes and sizes.
(667) 200-0572 View (667) 200-0572
Photo of Peace Within Psychotherapy, Licensed Professional Counselor in Columbia, MD
Peace Within Psychotherapy
Licensed Professional Counselor, LCPC
Verified Verified
Columbia, MD 21045  (Online Only)
I want my clients to feel safe when expressing their emotions in a healthy environment. I want tp assist my client to feel confident in themselves and whatever they do to better their communities.
I want my clients to feel safe when expressing their emotions in a healthy environment. I want tp assist my client to feel confident in themselves and whatever they do to better their communities.
(410) 873-1882 View (410) 873-1882
Photo of Iris Thomas Lcsw-C, Clinical Social Work/Therapist in Columbia, MD
Iris Thomas Lcsw-C
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045
Hello and welcome. I’ve devoted my entire career to helping kids. Is your child, adolescent or young adult… Feeling depressed? Having unrealistic or unusual worries? Engaging in hair pulling or skin picking? Not speaking in social situations? Having anxiety when away from a parent? Experiencing low self-esteem? Struggling to make connections with peers? Trying to recover from a traumatic event? Concerned about their transition into middle school or high school? Having difficulty adjusting in college? Asking to speak to a therapist?
Hello and welcome. I’ve devoted my entire career to helping kids. Is your child, adolescent or young adult… Feeling depressed? Having unrealistic or unusual worries? Engaging in hair pulling or skin picking? Not speaking in social situations? Having anxiety when away from a parent? Experiencing low self-esteem? Struggling to make connections with peers? Trying to recover from a traumatic event? Concerned about their transition into middle school or high school? Having difficulty adjusting in college? Asking to speak to a therapist?
(410) 431-2668 View (410) 431-2668
Photo of Asher Cares Counseling Services , Counselor in Columbia, MD
Asher Cares Counseling Services
Counselor, LCPC, NCC
Verified Verified
2 Endorsed
Columbia, MD 21045  (Online Only)
Ever ask yourself, "I need someone to talk to." "I need to make changes." Have you endured trauma, feel depressed, or suffer from anxiety? Finding the support you need is NOT impossible. I believe therapy is not about “fixing” people but encouraging a space for self-care. I welcome my clients to show up as they are, as I do the same. I provide a nonjudgmental and empowering atmosphere. My goal as a therapist is to provide a warm, safe and collaborative environment. Clients can navigate and overcome all of their life’s challenges. I have 15 years of experience working with adults, adolescents, and children.
Ever ask yourself, "I need someone to talk to." "I need to make changes." Have you endured trauma, feel depressed, or suffer from anxiety? Finding the support you need is NOT impossible. I believe therapy is not about “fixing” people but encouraging a space for self-care. I welcome my clients to show up as they are, as I do the same. I provide a nonjudgmental and empowering atmosphere. My goal as a therapist is to provide a warm, safe and collaborative environment. Clients can navigate and overcome all of their life’s challenges. I have 15 years of experience working with adults, adolescents, and children.
(667) 256-7554 View (667) 256-7554
Photo of Jessica Harris: EMDR, Brainspotting + Ketamine, Counselor in Columbia, MD
Jessica Harris: EMDR, Brainspotting + Ketamine
Counselor, MA, LCPC, LPC
Verified Verified
8 Endorsed
Columbia, MD 21044  (Online Only)
Are you are a business leader or executive who has limited time for weekly therapy but want to quickly reach your therapy goals? You've come to the right place. If you are struggling with personal relationships or shifting organizational changes that contribute to perfectionism, performance anxiety, restlessness, flashbacks of past traumas, and constantly feeling on edge... I can equip you with the tools you need to gain full access to the relief you need and put the control back in your hands.
Are you are a business leader or executive who has limited time for weekly therapy but want to quickly reach your therapy goals? You've come to the right place. If you are struggling with personal relationships or shifting organizational changes that contribute to perfectionism, performance anxiety, restlessness, flashbacks of past traumas, and constantly feeling on edge... I can equip you with the tools you need to gain full access to the relief you need and put the control back in your hands.
(240) 220-9423 View (240) 220-9423
Photo of Janine Braham, Counselor in Columbia, MD
Janine Braham
Counselor, MA/S, NCC, LCPC-S
Verified Verified
1 Endorsed
Columbia, MD 21045  (Online Only)
You are the person who exudes competence, effectiveness and power. Your most likely the individual who is high achiever within your family, community and/or your profession. Secretly though, you feel like your just winging it. Everyone sees Your success… no one sees the Sacrifice that it took to get there. You're a deep thinking POC professional who needs a relationally psychodynamic approach so you can discover a new way to relate to yourself and others. You want to find your footing in life and stop hedging, fumbling and running into a dead-end.
You are the person who exudes competence, effectiveness and power. Your most likely the individual who is high achiever within your family, community and/or your profession. Secretly though, you feel like your just winging it. Everyone sees Your success… no one sees the Sacrifice that it took to get there. You're a deep thinking POC professional who needs a relationally psychodynamic approach so you can discover a new way to relate to yourself and others. You want to find your footing in life and stop hedging, fumbling and running into a dead-end.
(443) 241-9180 View (443) 241-9180
Photo of Deana Albert, Clinical Social Work/Therapist in Columbia, MD
Deana Albert
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
2 Endorsed
Columbia, MD 21044  (Online Only)
Are you in a difficult relationship? Are you sad or do you worry a lot of the time? Do you wonder how you'll ever get through the day? It takes strength to face your worries and I can help. I treat older children, adolescents, and adults with various concerns. I specialize in: mood issues, abuse, relationships, and addictions. Together we can work towards your happiness and fulfillment!
Are you in a difficult relationship? Are you sad or do you worry a lot of the time? Do you wonder how you'll ever get through the day? It takes strength to face your worries and I can help. I treat older children, adolescents, and adults with various concerns. I specialize in: mood issues, abuse, relationships, and addictions. Together we can work towards your happiness and fulfillment!
(443) 422-3892 View (443) 422-3892
Photo of Sarah Aleem, Clinical Social Work/Therapist in Columbia, MD
Sarah Aleem
Clinical Social Work/Therapist, PhD, LICSW, LCSW-C
Verified Verified
Columbia, MD 21044
I believe in empowering my clients to discover their inner strengths. Therapy is a journey in self exploration, self awareness and change. I use a multicultural perspective to inform my clinical practice. I offer tele-health services to my clients accessibility to care .Self pay clients can expect an appointment within 24 hours. My sessions use mindfulness, practicing self regulation, cognitive restructuring, imago skills, play therapy and many other techniques that are relevant to a client's treatment plan. I am available to my clients between sessions via text and secure video chatting. I offer financial therapy.
I believe in empowering my clients to discover their inner strengths. Therapy is a journey in self exploration, self awareness and change. I use a multicultural perspective to inform my clinical practice. I offer tele-health services to my clients accessibility to care .Self pay clients can expect an appointment within 24 hours. My sessions use mindfulness, practicing self regulation, cognitive restructuring, imago skills, play therapy and many other techniques that are relevant to a client's treatment plan. I am available to my clients between sessions via text and secure video chatting. I offer financial therapy.
(410) 336-4668 View (410) 336-4668
Photo of Erica Jones, Clinical Social Work/Therapist in Columbia, MD
Erica Jones
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21045  (Online Only)
Life can make you feel overwhelmed and disconnected from the most authentic version of yourself. It might feel like you're getting pulled in too many directions and none of them even feel like you. Deep down, I believe we are all looking for connection and understanding. Seeking therapy can help you begin making the changes needed to live life on your terms. I believe every person is the ultimate expert in themselves and that therapy is a powerful opportunity to explore a new sense of self, identify values, and heal. If you feel stuck, there's hope. Let's start the journey now, the best is yet to come.
Life can make you feel overwhelmed and disconnected from the most authentic version of yourself. It might feel like you're getting pulled in too many directions and none of them even feel like you. Deep down, I believe we are all looking for connection and understanding. Seeking therapy can help you begin making the changes needed to live life on your terms. I believe every person is the ultimate expert in themselves and that therapy is a powerful opportunity to explore a new sense of self, identify values, and heal. If you feel stuck, there's hope. Let's start the journey now, the best is yet to come.
(240) 748-0806 View (240) 748-0806
Photo of Jehlisa Hillocks, Clinical Social Work/Therapist in Columbia, MD
Jehlisa Hillocks
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Columbia, MD 21044  (Online Only)
My goal is to create a space for you where you feel seen and heard and to help you reconnect with yourself. Together we can work through symptoms or experiences you might be dealing with from depression, anxiety, life transitions, and past trauma. I use a Strengths-Based and Humanistic approach, Psychoeducation, Cognitive Behavioral Therapy, and Motivational Interviewing to support you as you find empowerment, become self-aware, and find inner peace.
My goal is to create a space for you where you feel seen and heard and to help you reconnect with yourself. Together we can work through symptoms or experiences you might be dealing with from depression, anxiety, life transitions, and past trauma. I use a Strengths-Based and Humanistic approach, Psychoeducation, Cognitive Behavioral Therapy, and Motivational Interviewing to support you as you find empowerment, become self-aware, and find inner peace.
(240) 743-2841 View (240) 743-2841
Photo of Christina deGraft-Johnson, Counselor in Columbia, MD
Christina deGraft-Johnson
Counselor, LCPC
Verified Verified
2 Endorsed
Columbia, MD 21045
I believe one of the bravest things you can do is begin to understand your own story. I want to help you achieve whatever solutions and life changes you are looking for while enjoying the therapeutic process as much as possible and experiencing yourself in new ways. Reaching out to a therapist can often be hard. You may fear being judged or being vulnerable with a stranger. But I am confident that given the chance, you will see the benefits in talking with me as I really want to help you succeed. My hope is that you take this leap of faith and see how I can best support you. We can only do the best that we can.
I believe one of the bravest things you can do is begin to understand your own story. I want to help you achieve whatever solutions and life changes you are looking for while enjoying the therapeutic process as much as possible and experiencing yourself in new ways. Reaching out to a therapist can often be hard. You may fear being judged or being vulnerable with a stranger. But I am confident that given the chance, you will see the benefits in talking with me as I really want to help you succeed. My hope is that you take this leap of faith and see how I can best support you. We can only do the best that we can.
(301) 691-4066 View (301) 691-4066
Photo of Y Mimi Sneed, Clinical Social Work/Therapist in Columbia, MD
Y Mimi Sneed
Clinical Social Work/Therapist, LCSW-C, LICSW, CCTP
Verified Verified
1 Endorsed
Columbia, MD 21045
Not accepting new clients
I enjoy working with children and their families. I believe that children that experience poor impulse control and inattention (ADHD), anxiety, depression, grief and trauma do not necessarily have the skills to express their feelings in ways that adults can relate and therefore are sometimes misunderstood. I work with these children and their families to best identify ways to communicate those feelings in a safe, healthy environment through the use of play therapy and expressive therapies.
I enjoy working with children and their families. I believe that children that experience poor impulse control and inattention (ADHD), anxiety, depression, grief and trauma do not necessarily have the skills to express their feelings in ways that adults can relate and therefore are sometimes misunderstood. I work with these children and their families to best identify ways to communicate those feelings in a safe, healthy environment through the use of play therapy and expressive therapies.
(240) 452-4813 View (240) 452-4813
Photo of Alexcia R. Wattie, Clinical Social Work/Therapist in Columbia, MD
Alexcia R. Wattie
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Columbia, MD 21044  (Online Only)
My therapeutic approach is to provide therapy and support to help clients effectively address personal challenges. There is no single approach that is right for every individual and I'm highly committed to offer a personalized approach tailored to each client. I specialize in cognitive behavioral therapy to help ignite a change that you can see and feel.
My therapeutic approach is to provide therapy and support to help clients effectively address personal challenges. There is no single approach that is right for every individual and I'm highly committed to offer a personalized approach tailored to each client. I specialize in cognitive behavioral therapy to help ignite a change that you can see and feel.
(240) 816-3493 View (240) 816-3493
Photo of Crystal Waters Counseling Centers, LLC, Licensed Clinical Professional Counselor in Columbia, MD
Crystal Waters Counseling Centers, LLC
Licensed Clinical Professional Counselor, MEd, NCC, LCPC-S
Verified Verified
Columbia, MD 21046
My name is Diane Brumfield and I am a psychotherapist and owner of Crystal Waters Counseling Centers, LLC in Columbia, Maryland. I am a licensed clinical professional counselor and a nationally certified school counselor with over 20 years of experience. I provide counseling for adults, children, adolescents, and families. Throughout my career, I have worked in private practice and school settings providing individual, group and family therapy. I also offer educational consulting services for families in need of assistance through the IEP process or are in need of behavioral and academic support from their school system.
My name is Diane Brumfield and I am a psychotherapist and owner of Crystal Waters Counseling Centers, LLC in Columbia, Maryland. I am a licensed clinical professional counselor and a nationally certified school counselor with over 20 years of experience. I provide counseling for adults, children, adolescents, and families. Throughout my career, I have worked in private practice and school settings providing individual, group and family therapy. I also offer educational consulting services for families in need of assistance through the IEP process or are in need of behavioral and academic support from their school system.
(443) 251-4280 View (443) 251-4280
Photo of Aryeh Rosner, Clinical Social Work/Therapist in Columbia, MD
Aryeh Rosner
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Columbia, MD 21044  (Online Only)
Are you constantly putting out fires? Do you ever feel like a better life is waiting for you but you just can't seem to reach it? You know what you need to do but you're still nervous. 
Working together, we will help you regain control of your automatic thoughts and feelings so that YOU can make conscious choices and own them. My philosophy is to take you to the water AND teach you how to fish. I focus on keen listening and offer a fresh perspective to help understand everyday challenges that empower you to rise above them.
Are you constantly putting out fires? Do you ever feel like a better life is waiting for you but you just can't seem to reach it? You know what you need to do but you're still nervous. 
Working together, we will help you regain control of your automatic thoughts and feelings so that YOU can make conscious choices and own them. My philosophy is to take you to the water AND teach you how to fish. I focus on keen listening and offer a fresh perspective to help understand everyday challenges that empower you to rise above them.
(718) 550-0981 View (718) 550-0981

How does your Therapist compare?

Number of Therapists in Columbia, MD

800+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

93% Anxiety
88% Depression
76% Self Esteem
75% Relationship Issues
70% Coping Skills
68% Stress
62% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
77% CareFirst
72% Cigna and Evernorth

How Therapists in Columbia, MD see their clients

56% In Person and Online
44% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.