Therapists in Royal Oak, MI
Jillian Kraydich
Clinical Social Work/Therapist, LMSW
Verified Verified
Royal Oak, MI 48067 (Online Only)
Jillian Kraydich is a Licensed Master Social Worker (LMSW) in the state of Michigan who has extensive experience partnering with adolescents, adults, couples and families seeking support for anxiety, depression, adjustment, grief and relationship/family issues. She also has vast hospital, emergency and crisis experience. Jillian believes in collaborating with clients to form a strong therapeutic alliance. She individualizes therapy and assists her clients in working toward achieving their ultimate goals and healing.
Jillian Kraydich is a Licensed Master Social Worker (LMSW) in the state of Michigan who has extensive experience partnering with adolescents, adults, couples and families seeking support for anxiety, depression, adjustment, grief and relationship/family issues. She also has vast hospital, emergency and crisis experience. Jillian believes in collaborating with clients to form a strong therapeutic alliance. She individualizes therapy and assists her clients in working toward achieving their ultimate goals and healing.
Elizabeth Peters
Pre-Licensed Professional, LLMSW
Verified Verified
1 Endorsed
Royal Oak, MI 48067 (Online Only)
You are a determined, high achieving perfectionist, struggling to celebrate your strengths and wins and working on finding balance. You may be experiencing: worry, anxiety, depression, ADHD, relationship concerns and lifestyle transitions however, are uncertain of your triggers. You may have noticed decreased self-esteem and are struggling to find your life purpose. Perhaps the present moment seems hard to connect with and you want to learn skills to improve the quality and longevity of your relationships.
You are a determined, high achieving perfectionist, struggling to celebrate your strengths and wins and working on finding balance. You may be experiencing: worry, anxiety, depression, ADHD, relationship concerns and lifestyle transitions however, are uncertain of your triggers. You may have noticed decreased self-esteem and are struggling to find your life purpose. Perhaps the present moment seems hard to connect with and you want to learn skills to improve the quality and longevity of your relationships.
Sierra Johnson
Limited Licensed Psychologist, MA, LLP
Verified Verified
1 Endorsed
Royal Oak, MI 48067 (Online Only)
I provide an eclectic approach, primarily utilizing behavioral, humanistic, psycho-spiritual, and inner child modalities – with a specialization in complex trauma, shadow work, generational patterns, and the journey to authenticity. My practice is person-centered, meaning that I’m a guide in your exploration of self – I may be nudging and pointing things out, but you, as the client, are ultimately leading where we go. My goal is to enrich and point out the positive traits that you already possess, and offer acknowledgment into aspects of yourself or your circumstances that you maybe haven’t seen yet.
I provide an eclectic approach, primarily utilizing behavioral, humanistic, psycho-spiritual, and inner child modalities – with a specialization in complex trauma, shadow work, generational patterns, and the journey to authenticity. My practice is person-centered, meaning that I’m a guide in your exploration of self – I may be nudging and pointing things out, but you, as the client, are ultimately leading where we go. My goal is to enrich and point out the positive traits that you already possess, and offer acknowledgment into aspects of yourself or your circumstances that you maybe haven’t seen yet.
Gregory Johnson
Clinical Social Work/Therapist, LMSW, QMPH
Verified Verified
Royal Oak, MI 48067
Are you struggling with your sexual orientation and/or gender identity? Do feel isolated within the LGBTQIA community? Are your mental health symptoms (i.e. depression, anxiety, mood instability, insomnia, addiction, low self-esteem, poor body image) holding you back from fulfilling your dreams? Is trauma/PTSD ruining your life and your relationships? Do you often wonder how to help yourself? You may feel alone, isolated and withdrawn. Your challenges are not insurmountable! There is real help and the biggest step is to ask. There is no shame in asking for help. Be free from addiction, mental health and relationship struggles.
Are you struggling with your sexual orientation and/or gender identity? Do feel isolated within the LGBTQIA community? Are your mental health symptoms (i.e. depression, anxiety, mood instability, insomnia, addiction, low self-esteem, poor body image) holding you back from fulfilling your dreams? Is trauma/PTSD ruining your life and your relationships? Do you often wonder how to help yourself? You may feel alone, isolated and withdrawn. Your challenges are not insurmountable! There is real help and the biggest step is to ask. There is no shame in asking for help. Be free from addiction, mental health and relationship struggles.
Melissa D. Lee
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Royal Oak, MI 48067
Reaching out for help takes courage and is the first step towards making positive changes in your life. I am here to assist you with overcoming any challenges interfering with your ability to move towards happiness, hope, and peace. Implementing changes can sometimes feel overwhelming. As a clinician, I will work with you to overcome obstacles and help you develop the coping skills and self-confidence to take control of your life. We will work collaboratively to alleviate emotional stressors and begin the process of healing. My experience includes working with grief, trauma, relationship issues, self-esteem, depression, and anxiety.
Reaching out for help takes courage and is the first step towards making positive changes in your life. I am here to assist you with overcoming any challenges interfering with your ability to move towards happiness, hope, and peace. Implementing changes can sometimes feel overwhelming. As a clinician, I will work with you to overcome obstacles and help you develop the coping skills and self-confidence to take control of your life. We will work collaboratively to alleviate emotional stressors and begin the process of healing. My experience includes working with grief, trauma, relationship issues, self-esteem, depression, and anxiety.
Bernadine Petzold
Licensed Professional Counselor, PhD, LPC, BCPC
Verified Verified
Royal Oak, MI 48067 (Online Only)
PHD LPC BCPTSDC BCPC Feeling stuck? Problem areas in your life? How did I get here AGAIN? Together we can heal those areas so your life works!!! My holistic clinical practice includes: CBT, DBT, EMDR, EFT, meditation, mindfulness, dream interpretation, life coaching, Reiki, Quantum Touch, specific techniques for healing trauma and PTSD. Whether you are new to seeking therapeutic services or experienced--try my unique approach which offers real possibility and healing. Now also offering Telehealth sessions by phone or video. Please reach out!
PHD LPC BCPTSDC BCPC Feeling stuck? Problem areas in your life? How did I get here AGAIN? Together we can heal those areas so your life works!!! My holistic clinical practice includes: CBT, DBT, EMDR, EFT, meditation, mindfulness, dream interpretation, life coaching, Reiki, Quantum Touch, specific techniques for healing trauma and PTSD. Whether you are new to seeking therapeutic services or experienced--try my unique approach which offers real possibility and healing. Now also offering Telehealth sessions by phone or video. Please reach out!
Jan Champion
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
Royal Oak, MI 48067
Are you feeling sad, depressed or lonely? Do you long for greater happiness & intimacy in your relationships?
As a creative & skilled psychotherapist, I bring over 25 years of experience working with individuals & couples, teaching them how to transform conflicts into closeness; to overcome infidelity and trust issues; to learn effective problem-solving skills; and to develop a deeper, more respectful & loving relationship with themselves and others.
Are you feeling sad, depressed or lonely? Do you long for greater happiness & intimacy in your relationships?
As a creative & skilled psychotherapist, I bring over 25 years of experience working with individuals & couples, teaching them how to transform conflicts into closeness; to overcome infidelity and trust issues; to learn effective problem-solving skills; and to develop a deeper, more respectful & loving relationship with themselves and others.
Shil Sengupta
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Royal Oak, MI 48067
If you are questioning the decisions you have made in life, feeling regret about the past, feeling stuck or uncertain about where you are headed professionally or in your personal relationships, I can help.I am highly empathic and caring, but also bring breadth and depth of training and experience to our therapeutic collaboration. I am passionate and curious about getting to know you and helping you find substantive solutions to the various challenges that you encounter.
If you are questioning the decisions you have made in life, feeling regret about the past, feeling stuck or uncertain about where you are headed professionally or in your personal relationships, I can help.I am highly empathic and caring, but also bring breadth and depth of training and experience to our therapeutic collaboration. I am passionate and curious about getting to know you and helping you find substantive solutions to the various challenges that you encounter.
Nick Zielke
Clinical Social Work/Therapist, LMSW, WPATH, NASW
Verified Verified
Royal Oak, MI 48067 (Online Only)
Not accepting new clients
Specialized in Gender, Transgender, Intersex, Gay, Lesbian, Bisexual, and Asexual Identity working with individuals and their loved ones who seek support in navigating challenges presented. I work with clients dealing with Bullying..Oppression..Depression..Anxiety & Suicidal Ideation. I utilize a combination of Strengths-Based Perspective and Mindfulness Based Approach during Cognitive Behavior Therapy (CBT). I follow the World Professional Association for Transgender Health (WPATH) and NASW Code of Ethics. I provide clients with a safe-space to come-out to the people who are close to them; providing assistance and guidance.
Specialized in Gender, Transgender, Intersex, Gay, Lesbian, Bisexual, and Asexual Identity working with individuals and their loved ones who seek support in navigating challenges presented. I work with clients dealing with Bullying..Oppression..Depression..Anxiety & Suicidal Ideation. I utilize a combination of Strengths-Based Perspective and Mindfulness Based Approach during Cognitive Behavior Therapy (CBT). I follow the World Professional Association for Transgender Health (WPATH) and NASW Code of Ethics. I provide clients with a safe-space to come-out to the people who are close to them; providing assistance and guidance.
Andrea Rose Gerard
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Royal Oak, MI 48067 (Online Only)
I am a licensed social worker, with experience working with individuals and groups experiencing addiction issues, women's issues, anxiety, depression, life changes and transitions, among other issues. I use a variety of healing modalities, as I believe truly healing encompasses the mind, body and soul. Some of my therapy approaches include cognitive behavioral therapy, mindfulness-based relapse prevention, solution focused and strength-based perspective.
I am a licensed social worker, with experience working with individuals and groups experiencing addiction issues, women's issues, anxiety, depression, life changes and transitions, among other issues. I use a variety of healing modalities, as I believe truly healing encompasses the mind, body and soul. Some of my therapy approaches include cognitive behavioral therapy, mindfulness-based relapse prevention, solution focused and strength-based perspective.
Eleanor Kallo
LLPC, NCC, CCTP
Verified Verified
3 Endorsed
Royal Oak, MI 48067
Are you feeling disconnected from the people around you? Do you have a sense that some inherent part of you is less worthy than others? You are not alone; it is unfortunately not uncommon for people who carry trauma, especially identity-based trauma, to feel this way. When an integral part of who you are has been attacked, either in one big way or every day in a series of smaller harms, it can leave you feeling as though you are not deserving of the things you need, much less those that you want. I am here to empower you to reclaim your innate wisdom.
Are you feeling disconnected from the people around you? Do you have a sense that some inherent part of you is less worthy than others? You are not alone; it is unfortunately not uncommon for people who carry trauma, especially identity-based trauma, to feel this way. When an integral part of who you are has been attacked, either in one big way or every day in a series of smaller harms, it can leave you feeling as though you are not deserving of the things you need, much less those that you want. I am here to empower you to reclaim your innate wisdom.
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Tawny Bilek
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Royal Oak, MI 48073 (Online Only)
Since i can remember, I have been passionate about working with people and helping them overcome the short term and long term struggles they may be facing day to day. My goal in my career is to assist my clients in learning new skills to help them advance mentally, physically, and emotionally while building and promoting self-confidence and personal wellbeing. I have a wide range of knowledge surrounding childhood trauma, parenting issues, infertility, depression, anxiety, stress, crisis, and PTSD. Professionally I use a range of interventions to encourage health, growth, patience, self-compassion, healing, and understanding.
Since i can remember, I have been passionate about working with people and helping them overcome the short term and long term struggles they may be facing day to day. My goal in my career is to assist my clients in learning new skills to help them advance mentally, physically, and emotionally while building and promoting self-confidence and personal wellbeing. I have a wide range of knowledge surrounding childhood trauma, parenting issues, infertility, depression, anxiety, stress, crisis, and PTSD. Professionally I use a range of interventions to encourage health, growth, patience, self-compassion, healing, and understanding.
Joy Laurallee Cavanaugh
Counselor, MA, LPC
Verified Verified
1 Endorsed
Royal Oak, MI 48067
If you have hit a rough patch and need help sorting things through you can be sure that I will provide you with a safe and warm space to explore. I bring 20+ years of experience working with individuals and families. My approach is holistic and person centered with an emphasis on collaboration. You will find me to be compassionate yet no-nonsense. We provide a "Good Faith Estimate for Health Care Items and Services," under the No Surprises Act. My philosophy comes from Dr. Martin Luther King JR: "I can never be what I ought to be until you are what you are supposed to be....."
If you have hit a rough patch and need help sorting things through you can be sure that I will provide you with a safe and warm space to explore. I bring 20+ years of experience working with individuals and families. My approach is holistic and person centered with an emphasis on collaboration. You will find me to be compassionate yet no-nonsense. We provide a "Good Faith Estimate for Health Care Items and Services," under the No Surprises Act. My philosophy comes from Dr. Martin Luther King JR: "I can never be what I ought to be until you are what you are supposed to be....."
Melissa Chivis
Clinical Social Work/Therapist, CAADC, ADS
Verified Verified
1 Endorsed
Royal Oak, MI 48073 (Online Only)
Are you having issues with: managing moods, substance abuse/addiction, co-occurring disorders, relationship concerns, marital concerns, codependency, domestic abuse/interpersonal violence, Depression/Anxiety, PTSD/trauma? Do you wish to manage symptoms, and learn new and positive ways to cope with stressors in life?
Are you having issues with: managing moods, substance abuse/addiction, co-occurring disorders, relationship concerns, marital concerns, codependency, domestic abuse/interpersonal violence, Depression/Anxiety, PTSD/trauma? Do you wish to manage symptoms, and learn new and positive ways to cope with stressors in life?
Sally Lyons
Counselor, LPC, MSW, NCC
Verified Verified
Royal Oak, MI 48067
If you or someone you love is dealing with a life-changing issue impacting your family, work/education, or physical/emotional health or if you are simply looking for personal growth, my practice might be a good fit for you. Adults struggling with anxiety, depression, life transitions, relationship issues, grief and loss. Adults, children, and adolescents coping with trauma. Parents trying to help their children manage social and behavioral issues at home and at school, and diagnoses such as ADHD. I can offer a warm, collaborative space to process the emotion and address the issue.
If you or someone you love is dealing with a life-changing issue impacting your family, work/education, or physical/emotional health or if you are simply looking for personal growth, my practice might be a good fit for you. Adults struggling with anxiety, depression, life transitions, relationship issues, grief and loss. Adults, children, and adolescents coping with trauma. Parents trying to help their children manage social and behavioral issues at home and at school, and diagnoses such as ADHD. I can offer a warm, collaborative space to process the emotion and address the issue.
Joel Blumenfeld
Clinical Social Work/Therapist, LLMSW
Verified Verified
Royal Oak, MI 48073
I provide psychotherapy, counseling, and group therapy for anxiety, depression, bereavement, grief, men's issues, anger management, substance abuse/addiction, and a wide range of other personal, family, and marital problems, including couples counseling. In addition, I am certified in trauma and addiction treatments. From this foundation, I have a solid understanding of the role that drugs, including prescription drugs and the brain’s own natural compounds, have in affecting a person's mental and emotional health.
I provide psychotherapy, counseling, and group therapy for anxiety, depression, bereavement, grief, men's issues, anger management, substance abuse/addiction, and a wide range of other personal, family, and marital problems, including couples counseling. In addition, I am certified in trauma and addiction treatments. From this foundation, I have a solid understanding of the role that drugs, including prescription drugs and the brain’s own natural compounds, have in affecting a person's mental and emotional health.
Emily Escott
Psychologist, PsyD, LP
Verified Verified
Royal Oak, MI 48067
I offer a variety of evaluation and consultation services including psychological and neuropsychological evaluations, pre-employment and return-to-work/school evaluations, third party reproduction evaluations, pre-surgical evaluations, guardianship & disability evaluations, and forensic evaluations. I specialize in psychological and neuropsychological evaluations including developmental evaluations for children and adults, assessment for learning disability, Autism, ADHD, and behavioral concerns. Please note that I do not offer therapy services.
I offer a variety of evaluation and consultation services including psychological and neuropsychological evaluations, pre-employment and return-to-work/school evaluations, third party reproduction evaluations, pre-surgical evaluations, guardianship & disability evaluations, and forensic evaluations. I specialize in psychological and neuropsychological evaluations including developmental evaluations for children and adults, assessment for learning disability, Autism, ADHD, and behavioral concerns. Please note that I do not offer therapy services.
Advance Healing & Integrative Services LLC
APNP, PMHNP, FNP-BC
Verified Verified
Royal Oak, MI 48067
Mental health needs may sometimes be overlooked in Primary Care today. Most PCPs may be too busy to ask the next question that will allow clients to open up regarding their mental health concerns. Mental health needs are growing by the minute and the second, with increased suicides and mental health breakdowns rising. Increased violence is becoming a common way of life in our society, related to minimal access to mental health services. Many people are searching for help. However, they do not know how to get there. The struggle is real.
Mental health needs may sometimes be overlooked in Primary Care today. Most PCPs may be too busy to ask the next question that will allow clients to open up regarding their mental health concerns. Mental health needs are growing by the minute and the second, with increased suicides and mental health breakdowns rising. Increased violence is becoming a common way of life in our society, related to minimal access to mental health services. Many people are searching for help. However, they do not know how to get there. The struggle is real.
Melissa Mendoza
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Royal Oak, MI 48067
Hi I'm Melissa an empath with a passion for helping people! Life certainly isn't easy. Every one of us-no matter who we are-needs help at one time or another. Whether you are faced with an unexpected tragedy, terrible unforeseen circumstances, trouble coping with the stresses of daily life, struggling with despair of depression, anxiety due to juggling work/life/family, trauma after an abortion, or handling a tumultuous relationship, the truth is, we've all been there. Why? Because we are human. You deserve to be happy and healing is our first step. Ready for change? Let's talk! Book Appointments via website: www.PinkPsy.com
Hi I'm Melissa an empath with a passion for helping people! Life certainly isn't easy. Every one of us-no matter who we are-needs help at one time or another. Whether you are faced with an unexpected tragedy, terrible unforeseen circumstances, trouble coping with the stresses of daily life, struggling with despair of depression, anxiety due to juggling work/life/family, trauma after an abortion, or handling a tumultuous relationship, the truth is, we've all been there. Why? Because we are human. You deserve to be happy and healing is our first step. Ready for change? Let's talk! Book Appointments via website: www.PinkPsy.com
Dr. Michael Washburn
Licensed Professional Counselor, PhD, LPC, CSAT, CS, NCC
Verified Verified
Royal Oak, MI 48067
In life we all at times find ourselves, or our loved ones, feeling stuck, confused, or even more disheartened - without hope! Counseling is about unraveling the story and learning to write a new narrative and ending that is both healthy and fulfilling especially around the issues of intimacy and sexuality. With over 30 years of counseling experience, Michael is a Therapist and Clinical Sexologist holding dual Master's Degrees and a Ph.D. in Clinical Sexology, a Diplomate with the American Board of Sexology, and author, focusing on all aspects of intimacy and sexuality both for an individual and in relationship with other.
In life we all at times find ourselves, or our loved ones, feeling stuck, confused, or even more disheartened - without hope! Counseling is about unraveling the story and learning to write a new narrative and ending that is both healthy and fulfilling especially around the issues of intimacy and sexuality. With over 30 years of counseling experience, Michael is a Therapist and Clinical Sexologist holding dual Master's Degrees and a Ph.D. in Clinical Sexology, a Diplomate with the American Board of Sexology, and author, focusing on all aspects of intimacy and sexuality both for an individual and in relationship with other.
See more therapy options for Royal Oak
How does your Therapist compare?
Number of Therapists in Royal Oak, MI
500+
Average cost per session
$150
Therapists in Royal Oak, MI who prioritize treating:
94% | Anxiety |
92% | Depression |
81% | Relationship Issues |
81% | Self Esteem |
75% | Coping Skills |
72% | Trauma and PTSD |
70% | Stress |
Average years in practice
12 Years
Top 3 insurances accepted
95% | BlueCross and BlueShield |
65% | Blue Care Network |
57% | Aetna |
How Therapists in Royal Oak, MI see their clients
74% | In Person and Online | |
26% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Royal Oak?
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
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.
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.
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.