Therapists in Cary, NC

Photo of Stephen E Woods, Counselor in Cary, NC
Stephen E Woods
Counselor, MDiv, LCMHCS, LCAS
Verified Verified
Cary, NC 27511
I am passionate about serving others by integrating the best mental health practices and spiritual care for the soul. I am a Licensed Counselor, Licensed Substance Abuse Counselor and a Minister. I provide services to individuals, couples, and families in person and through HIPPA-secure tele-therapy. I address a broad range of mental health concerns, life transitions, relationship issues, and career choices. I also integrate clinical counseling and theology: combining research-based psychology with a Christian perspective of human suffering, hope, and redemptive love. I utilize EMDR, Gottman method, ACT and experiential therapy.
I am passionate about serving others by integrating the best mental health practices and spiritual care for the soul. I am a Licensed Counselor, Licensed Substance Abuse Counselor and a Minister. I provide services to individuals, couples, and families in person and through HIPPA-secure tele-therapy. I address a broad range of mental health concerns, life transitions, relationship issues, and career choices. I also integrate clinical counseling and theology: combining research-based psychology with a Christian perspective of human suffering, hope, and redemptive love. I utilize EMDR, Gottman method, ACT and experiential therapy.
(984) 266-2971 View (984) 266-2971
Photo of Karina Akouka, Clinical Social Work/Therapist in Cary, NC
Karina Akouka
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Cary, NC 27518  (Online Only)
The transition to motherhood and parenthood can be a difficult transition. During this life changing transition you might find yourself feeling sad, overwhelmed, lonely, and unsure if you will find your groove again. Mothers and parents may feel a loss of sense of self and increased depression and anxiety as they navigate relationships and how they fit into their old selves again. Together, we can discover new ways to manage your feelings and deepen self-awareness to lead you to feel more fulfilled in your new role.
The transition to motherhood and parenthood can be a difficult transition. During this life changing transition you might find yourself feeling sad, overwhelmed, lonely, and unsure if you will find your groove again. Mothers and parents may feel a loss of sense of self and increased depression and anxiety as they navigate relationships and how they fit into their old selves again. Together, we can discover new ways to manage your feelings and deepen self-awareness to lead you to feel more fulfilled in your new role.
(415) 534-4331 View (415) 534-4331
Photo of Simply Thrive Therapeutic Associates, Licensed Clinical Mental Health Counselor in Cary, NC
Simply Thrive Therapeutic Associates
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
1 Endorsed
Cary, NC 27511
I understand that life can be challenging for anyone, and asking for help is okay. We can work together to identify the problems and focus on the solutions. You are a unique individual with many strengths including the ability to make healthy changes in your life. Some of your difficulties may include anger, abuse, stress, low self-esteem, grief, depression, anxiety, addictive/compulsive behaviors, or conflict in relationships. If you are ready to regain control of your life, I can assist you in making that happen.
I understand that life can be challenging for anyone, and asking for help is okay. We can work together to identify the problems and focus on the solutions. You are a unique individual with many strengths including the ability to make healthy changes in your life. Some of your difficulties may include anger, abuse, stress, low self-esteem, grief, depression, anxiety, addictive/compulsive behaviors, or conflict in relationships. If you are ready to regain control of your life, I can assist you in making that happen.
(919) 587-8378 View (919) 587-8378
Photo of Luka R Carbone, Licensed Clinical Mental Health Counselor in Cary, NC
Luka R Carbone
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Not accepting new clients
I believe that personal growth through counseling is possible when a collaborative trusting relationship is developed between a counselor and client. My role is not to give you all the answers, but to help you find your own answers and learn to make decisions that are healthy and align with your values and goals. As every person is different I feel it is important to develop a plan of action that is tailored to you and your lifestyle. I do try to incorporate physical and spiritual health along with mental health to ensure growth is lasting and comprehensive.
I believe that personal growth through counseling is possible when a collaborative trusting relationship is developed between a counselor and client. My role is not to give you all the answers, but to help you find your own answers and learn to make decisions that are healthy and align with your values and goals. As every person is different I feel it is important to develop a plan of action that is tailored to you and your lifestyle. I do try to incorporate physical and spiritual health along with mental health to ensure growth is lasting and comprehensive.
(919) 289-1256 View (919) 289-1256
Photo of Stacy Cohen in Cary, NC
Stacy Cohen
MEd, LCMHC, CEAP
Verified Verified
Cary, NC 27513
Not accepting new clients
If you need an experienced professional to help you navigate life's challenges, then you have come to the right place. Whether you are struggling in your relationships, your career, or with your own internal "stuff", I can help. I view my clients as partners in the work we do and will work with you on goals that are meaningful to you.
If you need an experienced professional to help you navigate life's challenges, then you have come to the right place. Whether you are struggling in your relationships, your career, or with your own internal "stuff", I can help. I view my clients as partners in the work we do and will work with you on goals that are meaningful to you.
(919) 343-0623 View (919) 343-0623
Photo of Heather Ingram, Counselor in Cary, NC
Heather Ingram
Counselor, MS, LCMHC, CRC
Verified Verified
Cary, NC 27513
Waitlist for new clients
Growing up with family members living with mental illness gave me a deeply personal perspective on how important compassionate high quality mental health care is for clients and families. I am passionate about helping adolescents, adults, and families with managing life transitions and coping with change, anxiety and depression, parenting, career issues, burnout, adjustment to disability and chronic illness, substance abuse, stress management, and lasting lifestyle behavioral change. I truly believe you can't heal what you don't feel, and I strive to provide a safe place for processing feelings and emotions.
Growing up with family members living with mental illness gave me a deeply personal perspective on how important compassionate high quality mental health care is for clients and families. I am passionate about helping adolescents, adults, and families with managing life transitions and coping with change, anxiety and depression, parenting, career issues, burnout, adjustment to disability and chronic illness, substance abuse, stress management, and lasting lifestyle behavioral change. I truly believe you can't heal what you don't feel, and I strive to provide a safe place for processing feelings and emotions.
(919) 343-5649 View (919) 343-5649
Photo of Linda Sue Bell, Licensed Clinical Mental Health Counselor in Cary, NC
Linda Sue Bell
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
Cary, NC 27513  (Online Only)
You wouldn't be reading this right now if you thought everything in your life was perfect. I would be honored to meet you and start working on what isn't working well. Life isn't easy, but can be full of good experiences if we heal those places that are wounded within us and relearn who we really are. Not all the messages we've internalized about ourselves are true, yet we live our lives as if they are. Whether your concerns are around relationships, parenting, feeling stuck, depression, anxiety, grief, or so many other possibilities, there are ways to heal and put these issues in the past.
You wouldn't be reading this right now if you thought everything in your life was perfect. I would be honored to meet you and start working on what isn't working well. Life isn't easy, but can be full of good experiences if we heal those places that are wounded within us and relearn who we really are. Not all the messages we've internalized about ourselves are true, yet we live our lives as if they are. Whether your concerns are around relationships, parenting, feeling stuck, depression, anxiety, grief, or so many other possibilities, there are ways to heal and put these issues in the past.
(919) 343-0426 View (919) 343-0426
Photo of Jeff Randall, Psychologist in Cary, NC
Jeff Randall
Psychologist, PsyD
Verified Verified
Cary, NC 27518
Most of us need help, at one time or another in our lives, and asking for help is not always easy. However, it is important to realize our own limitations and allow yourself to feel better. Mental health is a vital part of overall well-being, and its impact on our life should not be underestimated.
Most of us need help, at one time or another in our lives, and asking for help is not always easy. However, it is important to realize our own limitations and allow yourself to feel better. Mental health is a vital part of overall well-being, and its impact on our life should not be underestimated.
(919) 813-7308 View (919) 813-7308
Photo of Ryan David Murray, Counselor in Cary, NC
Ryan David Murray
Counselor, LCMHCA, CRC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Congratulations on taking an active step in your mental health journey! I strive to create a safe and welcoming environment, wherein you can be your authentic self. I believe the key to a strong therapeutic alliance is mutual respect. While I might have certain expertise and trainings, you are the expert on yourself. Together we will work to help you reach your mental health goals. It is also okay, if you do not know what your mental health goals are, we can explore options in session.
Congratulations on taking an active step in your mental health journey! I strive to create a safe and welcoming environment, wherein you can be your authentic self. I believe the key to a strong therapeutic alliance is mutual respect. While I might have certain expertise and trainings, you are the expert on yourself. Together we will work to help you reach your mental health goals. It is also okay, if you do not know what your mental health goals are, we can explore options in session.
(984) 265-2146 View (984) 265-2146
Photo of Carolyn O Lee, Clinical Social Work/Therapist in Cary, NC
Carolyn O Lee
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27518
Not accepting new clients
I specialize in trauma and have over 25 years of experience working with PTSD, eating disorders, self-injury, and personality disorders. I also focus on women's mental health needs, particularly postpartum depression, infertility, and body image issues. I am ecletic in my approach, using psychodynamic principles, sensorimotor approaches, and DBT skills.
I specialize in trauma and have over 25 years of experience working with PTSD, eating disorders, self-injury, and personality disorders. I also focus on women's mental health needs, particularly postpartum depression, infertility, and body image issues. I am ecletic in my approach, using psychodynamic principles, sensorimotor approaches, and DBT skills.
(919) 666-2363 View (919) 666-2363
Photo of Sara Monazah, Clinical Social Work/Therapist in Cary, NC
Sara Monazah
Clinical Social Work/Therapist, Owner, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511
Hi, I am Sara and I am so excited to meet you! The decision to seek help is a brave step and I am so proud that you are here. I know that finding a therapist that feels right can be difficult, but I am here to let you know this process does not have to feel this way. I believe everyone deserves a safe place to be seen; encouraging individuals to take a step outside of their comfort zone to grow in any direction they desire. My hope is that together we can create your safe place and through a holistic approach, help you evolve!
Hi, I am Sara and I am so excited to meet you! The decision to seek help is a brave step and I am so proud that you are here. I know that finding a therapist that feels right can be difficult, but I am here to let you know this process does not have to feel this way. I believe everyone deserves a safe place to be seen; encouraging individuals to take a step outside of their comfort zone to grow in any direction they desire. My hope is that together we can create your safe place and through a holistic approach, help you evolve!
(919) 205-8456 View (919) 205-8456
Photo of Nicole Chase, Clinical Social Work/Therapist in Cary, NC
Nicole Chase
Clinical Social Work/Therapist, LCSWA
Verified Verified
Cary, NC 27513
Waitlist for new clients
I have lived and traveled in many countries throughout my life and initially wanted to “save the world” by focusing on ecology and chose to get my BA in Environmental Sciences. Through my own journey of therapy and recovery, I found that I felt more purpose and passion in supporting others in overcoming whatever obstacles were preventing them from living a full and meaningful life. I understand how important it is to keep an open mind and remain non-judgmental. In a society that – whether meaningfully or not – often generates a sense of shame, isolation, and helplessness on individuals, I want to do the exact opposite.
I have lived and traveled in many countries throughout my life and initially wanted to “save the world” by focusing on ecology and chose to get my BA in Environmental Sciences. Through my own journey of therapy and recovery, I found that I felt more purpose and passion in supporting others in overcoming whatever obstacles were preventing them from living a full and meaningful life. I understand how important it is to keep an open mind and remain non-judgmental. In a society that – whether meaningfully or not – often generates a sense of shame, isolation, and helplessness on individuals, I want to do the exact opposite.
(919) 371-5426 View (919) 371-5426
Photo of Katie McSloy, Clinical Social Work/Therapist in Cary, NC
Katie McSloy
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Are you looking for a safe, inclusive space in which to explore your identity? Process trauma? Deal with the loss of a loved one? Improve communication in your relationships? I might be a good fit for you! I enjoy working with clients ages 10 and up who are struggling with issues such as gender identity and sexuality challenges, relational challenges, childhood trauma, adulthood trauma, grief, anxiety, and depression. I also particularly enjoy working with adolescents and young adults who may be struggling socially or academically.
Are you looking for a safe, inclusive space in which to explore your identity? Process trauma? Deal with the loss of a loved one? Improve communication in your relationships? I might be a good fit for you! I enjoy working with clients ages 10 and up who are struggling with issues such as gender identity and sexuality challenges, relational challenges, childhood trauma, adulthood trauma, grief, anxiety, and depression. I also particularly enjoy working with adolescents and young adults who may be struggling socially or academically.
(984) 266-3053 View (984) 266-3053
Photo of Brandy Templeton, Marriage & Family Therapist in Cary, NC
Brandy Templeton
Marriage & Family Therapist, LMFT
Verified Verified
Cary, NC 27511
Not accepting new clients
My training and experience make me a good fit for both adolescents and adults seeking services for anxiety, depression, and other mood disorders; grief and loss; adjustment disorders; co-dependent behavior; substance abuse and recovery; relational concerns; life transition;and a variety of personal growth issues that may draw an individual, couple or family to counseling. I have provided services to children, adolescents, and their families in a school based setting, to adults in an inpatient facility, to professionals in recovery, college students, military, and employees seeking therapy for professional and personal matters through an employee assistance program.
My training and experience make me a good fit for both adolescents and adults seeking services for anxiety, depression, and other mood disorders; grief and loss; adjustment disorders; co-dependent behavior; substance abuse and recovery; relational concerns; life transition;and a variety of personal growth issues that may draw an individual, couple or family to counseling. I have provided services to children, adolescents, and their families in a school based setting, to adults in an inpatient facility, to professionals in recovery, college students, military, and employees seeking therapy for professional and personal matters through an employee assistance program.
(919) 809-6667 View (919) 809-6667
Photo of Elizabeth Pugliese, Licensed Clinical Mental Health Counselor in Cary, NC
Elizabeth Pugliese
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NCC
Verified Verified
3 Endorsed
Cary, NC 27511  (Online Only)
It can be exhausting to navigate life when isolated, facing one stressor after another, feeling depressed or anxious, or trying to recover from a traumatic experience. For many, these experiences interfere with day-to-day life such as our relationships, work, school, and more. For many, therapy can provide needed support. The most significant part of therapy is your relationship with your therapist, this is why I approach therapy by getting to know you as a whole person and use a collaborative approach to help empower your innate strengths.
It can be exhausting to navigate life when isolated, facing one stressor after another, feeling depressed or anxious, or trying to recover from a traumatic experience. For many, these experiences interfere with day-to-day life such as our relationships, work, school, and more. For many, therapy can provide needed support. The most significant part of therapy is your relationship with your therapist, this is why I approach therapy by getting to know you as a whole person and use a collaborative approach to help empower your innate strengths.
(919) 822-9118 View (919) 822-9118
Photo of Blanche Mikhail, Licensed Clinical Mental Health Counselor in Cary, NC
Blanche Mikhail
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27519  (Online Only)
Are you tired of pleasing others? Are you tired of overeating, making unnecessary purchases or drinking to numb the pain? I am here to tell you that you are not alone. I love helping people become happy and healthy and would love to be on your support team. Together we can work on creating a fulfilling and enjoyable life. I focus on the therapist-client relationship, and I tailor my approach to accommodate your needs. Together we will develop effective tools and skills for achieving your therapeutic goals. I promise to maintain an accepting and nurturing environment for you to build a life worth living.
Are you tired of pleasing others? Are you tired of overeating, making unnecessary purchases or drinking to numb the pain? I am here to tell you that you are not alone. I love helping people become happy and healthy and would love to be on your support team. Together we can work on creating a fulfilling and enjoyable life. I focus on the therapist-client relationship, and I tailor my approach to accommodate your needs. Together we will develop effective tools and skills for achieving your therapeutic goals. I promise to maintain an accepting and nurturing environment for you to build a life worth living.
(919) 646-9209 View (919) 646-9209
Photo of Anna Christopher, Clinical Social Work/Therapist in Cary, NC
Anna Christopher
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27513
Waitlist for new clients
Hello! I am an LCSWA practicing in Cary, NC. I specialize in working with adult individuals experiencing anxiety, depression, self-esteem issues, life transitions, and interpersonal relationship issues. In the therapy space you can expect me to center you in your own therapeutic journey. I recognize that the therapy experience is different for everyone, and I enjoy building a supportive therapeutic relationship with my clients that fosters an empathetic space for growth and self-actualization. I am a gender-affirming provider who will advocate for my clients as necessary in medical spaces.
Hello! I am an LCSWA practicing in Cary, NC. I specialize in working with adult individuals experiencing anxiety, depression, self-esteem issues, life transitions, and interpersonal relationship issues. In the therapy space you can expect me to center you in your own therapeutic journey. I recognize that the therapy experience is different for everyone, and I enjoy building a supportive therapeutic relationship with my clients that fosters an empathetic space for growth and self-actualization. I am a gender-affirming provider who will advocate for my clients as necessary in medical spaces.
(919) 823-3163 x244 View (919) 823-3163 x244
Photo of Silver Linings, Clinical Social Work/Therapist in Cary, NC
Silver Linings
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
I enjoy working with dully diagnosed clients, victims of violence, adults dealing with stress, anxiety, overwhelm, various traumas, depression, anxiety and so much more. I am an enthusiastic and outcome-based leader with the ability to assess needs, communicate challenges and develop solution focused interventions. I have extensive clinical training in motivational interviewing, strengths-based practice, family centered treatment and trauma focused cognitive behavioral therapy.
I enjoy working with dully diagnosed clients, victims of violence, adults dealing with stress, anxiety, overwhelm, various traumas, depression, anxiety and so much more. I am an enthusiastic and outcome-based leader with the ability to assess needs, communicate challenges and develop solution focused interventions. I have extensive clinical training in motivational interviewing, strengths-based practice, family centered treatment and trauma focused cognitive behavioral therapy.
(984) 333-5591 View (984) 333-5591
Photo of Daria C. Mallard, Licensed Clinical Mental Health Counselor in Cary, NC
Daria C. Mallard
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Do you experience excessive and/or unrealistic worry that is difficult to control? Are you feeling constantly on edge? Lack motivation? Disordered eating? Struggle with perfectionism? What about the way you view yourself? Are you hard on yourself and struggle with shame? Have you experienced Trauma? Have your challenges interfered with your quality of life? Life consists of many challenges and our experiences deposit information that impacts the way we interact with the world around us. There are tools. education, and support to enhance our self perception and experiences of life.
Do you experience excessive and/or unrealistic worry that is difficult to control? Are you feeling constantly on edge? Lack motivation? Disordered eating? Struggle with perfectionism? What about the way you view yourself? Are you hard on yourself and struggle with shame? Have you experienced Trauma? Have your challenges interfered with your quality of life? Life consists of many challenges and our experiences deposit information that impacts the way we interact with the world around us. There are tools. education, and support to enhance our self perception and experiences of life.
View
Photo of Zachary Russell, Clinical Social Work/Therapist in Cary, NC
Zachary Russell
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27513
Life is hard and unrelenting sometimes, and it is important to be able to have a helpful and safe place to be able to slow down, process, and unpack some of the things that get thrown your way. Through connection and a therapeutic relationship, together we can examine and work through whatever you've got going on, whether it be healing through traumatic experiences, coping through anxiety and depression, or building stronger coping skills to grow and take on what life dishes out from a sturdier foundation.
Life is hard and unrelenting sometimes, and it is important to be able to have a helpful and safe place to be able to slow down, process, and unpack some of the things that get thrown your way. Through connection and a therapeutic relationship, together we can examine and work through whatever you've got going on, whether it be healing through traumatic experiences, coping through anxiety and depression, or building stronger coping skills to grow and take on what life dishes out from a sturdier foundation.
(919) 463-7890 x331 View (919) 463-7890 x331

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$141

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Relationship Issues
78% Self Esteem
72% Coping Skills
70% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
72% Aetna
53% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cary?

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.