Therapists in Pittsburgh, PA

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Photo of Joni Keating, Pre-Licensed Professional in Pittsburgh, PA
Joni Keating
Pre-Licensed Professional, MS, NCC
Verified Verified
Pittsburgh, PA 15237  (Online Only)
I am experienced in helping LGBTQIA+ and neurodivergent individuals navigate life transitions, chronic illness management, gender/sexual identity concerns, anxiety, perfectionism, self-esteem, disordered eating, body image and complex trauma. I'm flexible to work with you however you need, whether that's building coping strategies for daily stressors, processing emotions or traumatic memories, or figuring out who you are and what you want. I can work with clients brand new to therapy and those uncertain how therapy can be helpful to them.
I am experienced in helping LGBTQIA+ and neurodivergent individuals navigate life transitions, chronic illness management, gender/sexual identity concerns, anxiety, perfectionism, self-esteem, disordered eating, body image and complex trauma. I'm flexible to work with you however you need, whether that's building coping strategies for daily stressors, processing emotions or traumatic memories, or figuring out who you are and what you want. I can work with clients brand new to therapy and those uncertain how therapy can be helpful to them.
(412) 547-8602 View (412) 547-8602
Photo of Dr. Imac Reynaga Holmes, Licensed Professional Counselor in Pittsburgh, PA
Dr. Imac Reynaga Holmes
Licensed Professional Counselor, EdD, LPC, ACS
Verified Verified
Pittsburgh, PA 15217  (Online Only)
I am very glad you are looking for support through therapy. I specialize in children and adolescent behavioral health and love to provide children and teens with the skills they will be able to use for the rest of their lives. I use a cognitive behavioral approach, which means I look at how our thoughts, and emotions affect our behaviors. Sometimes it feels like one of the areas has control over us, so finding ways to manage our thinking, feeling and behavior is very key to a well life.
I am very glad you are looking for support through therapy. I specialize in children and adolescent behavioral health and love to provide children and teens with the skills they will be able to use for the rest of their lives. I use a cognitive behavioral approach, which means I look at how our thoughts, and emotions affect our behaviors. Sometimes it feels like one of the areas has control over us, so finding ways to manage our thinking, feeling and behavior is very key to a well life.
(484) 930-1781 View (484) 930-1781
Photo of Nikki Kazarick, Clinical Social Work/Therapist in Pittsburgh, PA
Nikki Kazarick
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15226
Throughout my personal and professional journey, I have realized there are more ways to support individuals in our current climate. I am looking to integrate a more balanced, somatic approach to guide people in coping and healing from their experiences. I use a lens to see a person that is not only a "diagnosis" or presentation of symptoms, but someone who is wanting to cope from surviving their hardships.
Throughout my personal and professional journey, I have realized there are more ways to support individuals in our current climate. I am looking to integrate a more balanced, somatic approach to guide people in coping and healing from their experiences. I use a lens to see a person that is not only a "diagnosis" or presentation of symptoms, but someone who is wanting to cope from surviving their hardships.
(412) 991-2521 View (412) 991-2521
Photo of Amy Shirey, Clinical Social Work/Therapist in Pittsburgh, PA
Amy Shirey
Clinical Social Work/Therapist
Verified Verified
Pittsburgh, PA 15232
Amy is a Licensed Social Worker (LSW) with more than 25 years of experience in providing therapeutic interventions and counseling to children and adolescents, young adults, couples, and adults. Amy graduated with a Bachelor's degree in Psychology from Penn State University and received her Master's degree in Social Work degree with specialization in Direct Practice from the University of Pittsburgh. Amy works with a variety of issues including individuals struggling with depression and mood disorders, anxiety disorders, trauma, grief and loss, multiple diagnoses, family issues, and chronic medical issues.
Amy is a Licensed Social Worker (LSW) with more than 25 years of experience in providing therapeutic interventions and counseling to children and adolescents, young adults, couples, and adults. Amy graduated with a Bachelor's degree in Psychology from Penn State University and received her Master's degree in Social Work degree with specialization in Direct Practice from the University of Pittsburgh. Amy works with a variety of issues including individuals struggling with depression and mood disorders, anxiety disorders, trauma, grief and loss, multiple diagnoses, family issues, and chronic medical issues.
(412) 516-3929 View (412) 516-3929
Photo of Lea Denlinger, Pre-Licensed Professional in Pittsburgh, PA
Lea Denlinger
Pre-Licensed Professional
Verified Verified
Pittsburgh, PA 15203
I am dedicated to helping my clients overcome challenges, find healing, and lead meaningful and satisfying lives through the power of safe connections and therapeutic support. I welcome individuals, couples, and families into my therapy room to help them address difficult patterns and thrive in their lives.
I am dedicated to helping my clients overcome challenges, find healing, and lead meaningful and satisfying lives through the power of safe connections and therapeutic support. I welcome individuals, couples, and families into my therapy room to help them address difficult patterns and thrive in their lives.
(412) 743-9145 View (412) 743-9145
Photo of Dr. Steven S Carter, Psychologist in Pittsburgh, PA
Dr. Steven S Carter
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15206
My name is Dr. Steven S. Carter. I am a research and clinical psychologist whose career began in The Department of Psychiatry, University of Pittsburgh School of Medicine. My work involved the study of Anxiety, Depression and Bipolar Disorder. I have been trained in Interpersonal, Cognitive and Behavioral therapies. I am currently in private practice. I offer individual, couples and family therapy. Recently, I have been working with families to help them understand family members who do have a mood disorder. My approach is to listen and learn from you. I think this is the best way to build a trusting relationship between us.
My name is Dr. Steven S. Carter. I am a research and clinical psychologist whose career began in The Department of Psychiatry, University of Pittsburgh School of Medicine. My work involved the study of Anxiety, Depression and Bipolar Disorder. I have been trained in Interpersonal, Cognitive and Behavioral therapies. I am currently in private practice. I offer individual, couples and family therapy. Recently, I have been working with families to help them understand family members who do have a mood disorder. My approach is to listen and learn from you. I think this is the best way to build a trusting relationship between us.
(412) 368-0482 View (412) 368-0482
Photo of Jamie Harkins, Licensed Professional Counselor in Pittsburgh, PA
Jamie Harkins
Licensed Professional Counselor, MEd, LPC, CYT-200
Verified Verified
Pittsburgh, PA 15205
Waitlist for new clients
I believe in providing an environment of understanding, encouragement, and hope to allow you work through overwhelming, stressful, and confusing life situations. My therapeutic framework is client-centered and strengths-based, meaning that I recognize you as the expert on your own lived experiences. My goal is to collaborate with you, concentrating on your inherent strengths, to help you work through difficult and uncomfortable emotions, change thought patterns, and support your personal growth.
I believe in providing an environment of understanding, encouragement, and hope to allow you work through overwhelming, stressful, and confusing life situations. My therapeutic framework is client-centered and strengths-based, meaning that I recognize you as the expert on your own lived experiences. My goal is to collaborate with you, concentrating on your inherent strengths, to help you work through difficult and uncomfortable emotions, change thought patterns, and support your personal growth.
(412) 960-1266 View (412) 960-1266
Photo of Alex Catozella, Pre-Licensed Professional in Pittsburgh, PA
Alex Catozella
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Intern at Elliot Counseling. I'm here to support individuals on their journey of self-discovery and growth. Together, we can confront automatic negative self-talk, nurture strengths, and build confidence. Anxieties and traumas can impact our daily lives and self-beliefs. Let's address, these in the present. As a neurodivergent and queer individual, I value and respect your unique identity and am happy to explore any and all aspects of your identity. My priority is following your lead and helping you explore and embrace different aspects of yourself. I look forward to working together and building you up!
Intern at Elliot Counseling. I'm here to support individuals on their journey of self-discovery and growth. Together, we can confront automatic negative self-talk, nurture strengths, and build confidence. Anxieties and traumas can impact our daily lives and self-beliefs. Let's address, these in the present. As a neurodivergent and queer individual, I value and respect your unique identity and am happy to explore any and all aspects of your identity. My priority is following your lead and helping you explore and embrace different aspects of yourself. I look forward to working together and building you up!
(412) 891-6712 View (412) 891-6712
Photo of Pat Brosseau, Clinical Social Work/Therapist in Pittsburgh, PA
Pat Brosseau
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15232
Accepting new clients! The world is just... really hard right now. It's difficult to imagine how therapy would even help when the world is on fire. You constantly feel "other", in so many ways, which makes maintaining social and romantic relationships nearly impossible. You know you have a long list of things to process, but have never felt like you've had a truly safe, nonjudgmental space to do that. In order to heal, you know on a visceral level that you need to feel fully accepted, not just tolerated. You are starting to drown from the overwhelming stress, anxiety, neurodiversity, perfectionism, low self-worth, and isolation.
Accepting new clients! The world is just... really hard right now. It's difficult to imagine how therapy would even help when the world is on fire. You constantly feel "other", in so many ways, which makes maintaining social and romantic relationships nearly impossible. You know you have a long list of things to process, but have never felt like you've had a truly safe, nonjudgmental space to do that. In order to heal, you know on a visceral level that you need to feel fully accepted, not just tolerated. You are starting to drown from the overwhelming stress, anxiety, neurodiversity, perfectionism, low self-worth, and isolation.
(412) 407-8483 View (412) 407-8483
Photo of Holly Zill, Licensed Professional Counselor in Pittsburgh, PA
Holly Zill
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15222
Holly Zill is Licensed Professional Counselor (LPC) who works with her clients by meeting them at their pace and need level to achieve their personal goals, decrease negative symptoms, improve interpersonal relationships, and increase quality of life. Holly has 7 years of experience in the mental health field. Holly completed her Master of Arts (MA) in Couples, Marriage and Family Therapy at Kutztown University.
Holly Zill is Licensed Professional Counselor (LPC) who works with her clients by meeting them at their pace and need level to achieve their personal goals, decrease negative symptoms, improve interpersonal relationships, and increase quality of life. Holly has 7 years of experience in the mental health field. Holly completed her Master of Arts (MA) in Couples, Marriage and Family Therapy at Kutztown University.
(339) 244-7023 View (339) 244-7023
Photo of Dane R Franko, Licensed Professional Counselor in Pittsburgh, PA
Dane R Franko
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Do you feel like your isolated, stuck, out-of-control, depressed, anxious, having difficulty relating to others, drinking/using substances too much, or just lacking a sense of direction/purpose? Do you get the sense that the world is against you or that whatever you do it’s not enough? For 20 years, I have honed my style to support personal growth by helping individuals honor/understand his/her/their style as necessary for survival, while promoting development of newer/adaptive styles that enable meaningful relationships, enhanced self-confidence, meet challenges of aging, life-transitions, grief/loss, trauma, and anger management.
Do you feel like your isolated, stuck, out-of-control, depressed, anxious, having difficulty relating to others, drinking/using substances too much, or just lacking a sense of direction/purpose? Do you get the sense that the world is against you or that whatever you do it’s not enough? For 20 years, I have honed my style to support personal growth by helping individuals honor/understand his/her/their style as necessary for survival, while promoting development of newer/adaptive styles that enable meaningful relationships, enhanced self-confidence, meet challenges of aging, life-transitions, grief/loss, trauma, and anger management.
(412) 503-7551 View (412) 503-7551
Photo of Dr. Daniel Saul, Psychologist in Pittsburgh, PA
Dr. Daniel Saul
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15217
Daniel Saul, PsyD, is graduate of Chatham University and a licensed psychologist in Pennsylvania. Dr. Saul is the co-owner and supervising psychologist at Cardigan Psychological, LLC. He specializes in treating child/adolescent, and adult areas of concern including trauma, depression, anxiety, ADHD, and behavioral difficulties. Dr. Saul also provides parenting support and consultation.
Daniel Saul, PsyD, is graduate of Chatham University and a licensed psychologist in Pennsylvania. Dr. Saul is the co-owner and supervising psychologist at Cardigan Psychological, LLC. He specializes in treating child/adolescent, and adult areas of concern including trauma, depression, anxiety, ADHD, and behavioral difficulties. Dr. Saul also provides parenting support and consultation.
(412) 912-2024 View (412) 912-2024
Photo of Three River Counseling and Recovery Services,LLC, Clinical Social Work/Therapist in Pittsburgh, PA
Three River Counseling and Recovery Services,LLC
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
Pittsburgh, PA 15208  (Online Only)
​Are you struggling with depression and anxiety? Perhaps you lived through a traumatic event.  Are you trying to cope with drugs and alcohol? Or maybe you are in recovery but need support to deal with the stress of life.  I can help. ​I have developed an expertise in many evidence base therapies that help to forge a path to healing. Through these techniques and skills, we will manage the symptoms causing distress while identifying and addressing the root cause. I specialized in treating issues related to trauma, addiction, depression and anxiety. I also provide clinical supervision for pre-licensed clinical social workers.
​Are you struggling with depression and anxiety? Perhaps you lived through a traumatic event.  Are you trying to cope with drugs and alcohol? Or maybe you are in recovery but need support to deal with the stress of life.  I can help. ​I have developed an expertise in many evidence base therapies that help to forge a path to healing. Through these techniques and skills, we will manage the symptoms causing distress while identifying and addressing the root cause. I specialized in treating issues related to trauma, addiction, depression and anxiety. I also provide clinical supervision for pre-licensed clinical social workers.
(412) 517-7804 View (412) 517-7804
Photo of Casey Weaverling, Pre-Licensed Professional in Pittsburgh, PA
Casey Weaverling
Pre-Licensed Professional, MA, MS, NCC
Verified Verified
Pittsburgh, PA 15232
Your life is a garden; it needs attention and care! Therapy with me is a supportive, dedicated space where you develop into a skilled gardener who can cultivate the life you want. We will work together to figure out what are weeds that need to be thinned, and what flowers and crops you want to nurture. We will identify what tools, knowledge, and skills you need to grow your garden. We will navigate the barriers, internal and external, that have hindered your gardening efforts. Therapy can be hard work, but it can also be quite enjoyable, and you may be surprised by how much laughter can be involved!
Your life is a garden; it needs attention and care! Therapy with me is a supportive, dedicated space where you develop into a skilled gardener who can cultivate the life you want. We will work together to figure out what are weeds that need to be thinned, and what flowers and crops you want to nurture. We will identify what tools, knowledge, and skills you need to grow your garden. We will navigate the barriers, internal and external, that have hindered your gardening efforts. Therapy can be hard work, but it can also be quite enjoyable, and you may be surprised by how much laughter can be involved!
(412) 837-8848 View (412) 837-8848
Photo of Mandy Kushner, Licensed Professional Counselor in Pittsburgh, PA
Mandy Kushner
Licensed Professional Counselor, LPC-S, CCTP, NCC
Verified Verified
Pittsburgh, PA 15237
I strive to create a relaxed, supportive and positive environment for my clients during each counseling session, because I understand how difficult and scary it can be for clients to disclose personal information. I show my clients respect, honesty, compassion and I listen without judgement. I make sure my clients feel heard, validated, supported and gain insight. I have 22 years of experience working with children, adolescents and adults in a variety of settings which include: Outpatient, Home/Community, School-Based, Psychiatric Hospitals and Primary Care Physician Offices.
I strive to create a relaxed, supportive and positive environment for my clients during each counseling session, because I understand how difficult and scary it can be for clients to disclose personal information. I show my clients respect, honesty, compassion and I listen without judgement. I make sure my clients feel heard, validated, supported and gain insight. I have 22 years of experience working with children, adolescents and adults in a variety of settings which include: Outpatient, Home/Community, School-Based, Psychiatric Hospitals and Primary Care Physician Offices.
(412) 999-2244 View (412) 999-2244
Photo of Aaron Kelly Teague, Licensed Professional Counselor in Pittsburgh, PA
Aaron Kelly Teague
Licensed Professional Counselor, MA, MT-BC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15202
I practice counseling and actively work to co-create a counseling relationship in which you will feel and experience safety and understanding. I work to offer deep listening to find an understanding of the person, faithfulness and care to enrich the relationship, and a focused and consistent honoring of the client as a person. I understand that while each person has intense personal and individual experiences, each person is also deeply connected to other people and cultures.
I practice counseling and actively work to co-create a counseling relationship in which you will feel and experience safety and understanding. I work to offer deep listening to find an understanding of the person, faithfulness and care to enrich the relationship, and a focused and consistent honoring of the client as a person. I understand that while each person has intense personal and individual experiences, each person is also deeply connected to other people and cultures.
(878) 313-2218 View (878) 313-2218
Photo of Noah Mickey, Licensed Professional Counselor in Pittsburgh, PA
Noah Mickey
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15232
Noah Mickey is a Pre-Licensed Professional Counselor with three years of experience in the mental health field. He is passionate and eager to help children, adolescents, adults, and couples build a deeper understanding of their unique challenges and work toward a brighter future. Noah specializes in depression, anxiety, trauma, addictions, coping skills, and men's issues.
Noah Mickey is a Pre-Licensed Professional Counselor with three years of experience in the mental health field. He is passionate and eager to help children, adolescents, adults, and couples build a deeper understanding of their unique challenges and work toward a brighter future. Noah specializes in depression, anxiety, trauma, addictions, coping skills, and men's issues.
(412) 990-1983 View (412) 990-1983
Photo of Jennifer Black, Licensed Professional Counselor in Pittsburgh, PA
Jennifer Black
Licensed Professional Counselor, MSPC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15236
Waitlist for new clients
Life presents us with a variety of stressors and demands that at times may feel difficult to manage. Experiencing loss, depression, anxiety, or memories of disturbing past events may feel overwhelming and prevent us from fully living in the present. Or, we may feel stuck and unsure of what to do next. If you are experiencing similar challenges, I want to help you to process them, identify strengths, and utilize those strengths to heal. I will provide a safe, supportive, judgment-free space for you to share your story, help you to be present focused, and cope with difficult emotions and situations.
Life presents us with a variety of stressors and demands that at times may feel difficult to manage. Experiencing loss, depression, anxiety, or memories of disturbing past events may feel overwhelming and prevent us from fully living in the present. Or, we may feel stuck and unsure of what to do next. If you are experiencing similar challenges, I want to help you to process them, identify strengths, and utilize those strengths to heal. I will provide a safe, supportive, judgment-free space for you to share your story, help you to be present focused, and cope with difficult emotions and situations.
(878) 217-8245 View (878) 217-8245
Photo of Erica McCauley, Clinical Social Work/Therapist in Pittsburgh, PA
Erica McCauley
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Pittsburgh, PA 15237
Hi! I am currently accepting new clients. I am trained in treating adults with a wide variety of concerns. I work well with those suffering from depression, anxiety, adjustment issues, boundary concerns, self esteem issues, relationship difficulties and perfectionism/overachievement . I have special interest in treating women, couples and the aging population.
Hi! I am currently accepting new clients. I am trained in treating adults with a wide variety of concerns. I work well with those suffering from depression, anxiety, adjustment issues, boundary concerns, self esteem issues, relationship difficulties and perfectionism/overachievement . I have special interest in treating women, couples and the aging population.
(412) 753-7946 View (412) 753-7946
Photo of Christine Haley, Licensed Professional Counselor in Pittsburgh, PA
Christine Haley
Licensed Professional Counselor, BA, MS, NCC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Personal change takes courage. I offer a safe, nonjudgmental space through a collaborative approach, and my focus is on building a trusting therapeutic relationship between us to help you identify and reach your goals. My experience helping clients to discover and follow their own pathway for healing, growth and fulfillment.
Personal change takes courage. I offer a safe, nonjudgmental space through a collaborative approach, and my focus is on building a trusting therapeutic relationship between us to help you identify and reach your goals. My experience helping clients to discover and follow their own pathway for healing, growth and fulfillment.
(412) 981-1743 View (412) 981-1743

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.