Therapists in Asheville, NC
Alex Hersey
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Asheville, NC 28805
I work with clients in a relaxed, informal, and professional way to promote emotional safety and comfort within the relationship so that they can process openly and authentically about meaningful and often sensitive topics. While experiencing this connection, people are able to gain presence, reflect on experiences and plan for personal maintenance, change and growth. Many clients enjoy both spending time in the office, taking walks, spending time in nature, and/or meeting virtually for telehealth sessions. I like to utilize physical activity, mindfulness, and ecotherapy for engagement and emphasizing overall health and wellness.
I work with clients in a relaxed, informal, and professional way to promote emotional safety and comfort within the relationship so that they can process openly and authentically about meaningful and often sensitive topics. While experiencing this connection, people are able to gain presence, reflect on experiences and plan for personal maintenance, change and growth. Many clients enjoy both spending time in the office, taking walks, spending time in nature, and/or meeting virtually for telehealth sessions. I like to utilize physical activity, mindfulness, and ecotherapy for engagement and emphasizing overall health and wellness.
Ashley Mattfeld
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
1 Endorsed
Asheville, NC 28805 (Online Only)
Not accepting new clients
There are so many different approaches and therapists out there, it can be really overwhelming to find the right fit. It takes a lot of energy and courage to then reach out to a therapist to start this process of recovery. I get it, it's tough, but it's worth it. We all want to get to the other side where we are able to manage the ups and downs the way we envision, but because of negative feelings and events, sometimes we get stuck from making that connection, which is why therapy can be helpful to support moving forward.
There are so many different approaches and therapists out there, it can be really overwhelming to find the right fit. It takes a lot of energy and courage to then reach out to a therapist to start this process of recovery. I get it, it's tough, but it's worth it. We all want to get to the other side where we are able to manage the ups and downs the way we envision, but because of negative feelings and events, sometimes we get stuck from making that connection, which is why therapy can be helpful to support moving forward.
Lainey Gosnell
Counselor, LCMHCA, LCASA
Verified Verified
1 Endorsed
Asheville, NC 28801
I am passionate about helping those who want to make change and are struggling with the motivation to do so. I love supporting humans who have always had it all together and now need support. I believe both counseling and healing are full-person activities surrounding the mind, the body, and the spirit. I believe different things will work for different people. I approach and meet every client where they are and may use motivational interviewing, cognitive-behavioral therapy, solution-focused therapy, or client-centered therapy. I enjoy working with young adults struggling with anxiety, depression, substance use, grief and trauma.
I am passionate about helping those who want to make change and are struggling with the motivation to do so. I love supporting humans who have always had it all together and now need support. I believe both counseling and healing are full-person activities surrounding the mind, the body, and the spirit. I believe different things will work for different people. I approach and meet every client where they are and may use motivational interviewing, cognitive-behavioral therapy, solution-focused therapy, or client-centered therapy. I enjoy working with young adults struggling with anxiety, depression, substance use, grief and trauma.
Briggs Wallis
Licensed Professional Counselor Candidate, MA, LCMHCA, NCC
Verified Verified
2 Endorsed
Asheville, NC 28803 (Online Only)
Do you feel like your weight is a symptom of stuck emotions and old-coping patterns? Do you feel trapped in negative emotions and patterns within your life, relationships, and self? Are you searching for clarity, purpose, and alignment in your life? Come as you are. I will meet you there.
Do you feel like your weight is a symptom of stuck emotions and old-coping patterns? Do you feel trapped in negative emotions and patterns within your life, relationships, and self? Are you searching for clarity, purpose, and alignment in your life? Come as you are. I will meet you there.
John S Caprell
Licensed Professional Counselor, LCMHC, LPC
Verified Verified
Asheville, NC 28803
I view therapy as an ongoing conversation in which the client receives support and feedback that family and friends may not be able to give. I enjoy working with people who are willing to do the work to make peace with questions and challenges that don't always have easy answers. I support individuals who desire assistance with managing a variety of concerns such as anxiety, emotional eating, substance use or depression. Additionally I am EMDR trained. I also offer couples counseling from an attachment perspective for both “traditional” and LGBT+ relationships.
I view therapy as an ongoing conversation in which the client receives support and feedback that family and friends may not be able to give. I enjoy working with people who are willing to do the work to make peace with questions and challenges that don't always have easy answers. I support individuals who desire assistance with managing a variety of concerns such as anxiety, emotional eating, substance use or depression. Additionally I am EMDR trained. I also offer couples counseling from an attachment perspective for both “traditional” and LGBT+ relationships.
Lyric Fitzgibbon
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
Waitlist for new clients
In my counseling practice, I primarily focus on guiding and supporting the resolution of developmental and relational trauma, as well as finding ways to cope with anxiety. My approach is person-centered and holistic, blending various modalities catered towards each individual. I truly believe that anyone who chooses, has the ability to heal and overcome adversities. I respect and honor each individual's step along this journey and strive to create a safe environment which allows for deep awareness, vulnerability and a strengthened sense of self.
In my counseling practice, I primarily focus on guiding and supporting the resolution of developmental and relational trauma, as well as finding ways to cope with anxiety. My approach is person-centered and holistic, blending various modalities catered towards each individual. I truly believe that anyone who chooses, has the ability to heal and overcome adversities. I respect and honor each individual's step along this journey and strive to create a safe environment which allows for deep awareness, vulnerability and a strengthened sense of self.
Scott Hubener
Counselor, MA, LCMHC
Verified Verified
Asheville, NC 28804 (Online Only)
There may be points in our lives where circumstances, relationships or life events are impacting our well-being. My goal is to be a collaborative partner and a support as we navigate through the process of self-discovery, recovery and healing. It is courageous to take the first step and I want to respect and honor the vulnerability that comes with the process of beginning counseling. However, there I want to assure you that there is hope and healing is possible. Each client brings their own inherent strengths and experiences to the process that allow them to achieve success.
There may be points in our lives where circumstances, relationships or life events are impacting our well-being. My goal is to be a collaborative partner and a support as we navigate through the process of self-discovery, recovery and healing. It is courageous to take the first step and I want to respect and honor the vulnerability that comes with the process of beginning counseling. However, there I want to assure you that there is hope and healing is possible. Each client brings their own inherent strengths and experiences to the process that allow them to achieve success.
Will Hamilton
Psychologist, PhD
Verified Verified
Asheville, NC 28801
Offering Teletherapy in Most States: I primarily use IFS and behavioral treatments (ACT, DBT, CFT, RODBT) to emphasize acceptance of one's current experience, the development of skills (mindfulness, play, perspective, assertiveness, inquiry, and values), and use courage and experimentation to help promote change. I also help facilitate ketamine-assisted psychotherapy, and I am strong advocate of developing the skill of compassion for oneself and others. Many of us struggle with finding a sense of being home with reality as it is, although that home is always available and may be easier to return to than assumed.
Offering Teletherapy in Most States: I primarily use IFS and behavioral treatments (ACT, DBT, CFT, RODBT) to emphasize acceptance of one's current experience, the development of skills (mindfulness, play, perspective, assertiveness, inquiry, and values), and use courage and experimentation to help promote change. I also help facilitate ketamine-assisted psychotherapy, and I am strong advocate of developing the skill of compassion for oneself and others. Many of us struggle with finding a sense of being home with reality as it is, although that home is always available and may be easier to return to than assumed.
Kathryn Blount
Licensed Clinical Mental Health Counselor, MAEd, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
Most people who find me here are pretty miserable and hoping to find a way to make things different in their lives. I work best with girls and women who are willing to bust it to achieve change. Therapy isn't a magic wand - I believe that each individual has the power to recognize what their therapeutic needs are and maybe even how to address them; I am here to provide gentle guidance and perhaps some different perspective to bring awareness to patterns of thought and behavior, therefore facilitating YOUR desire for change.
Most people who find me here are pretty miserable and hoping to find a way to make things different in their lives. I work best with girls and women who are willing to bust it to achieve change. Therapy isn't a magic wand - I believe that each individual has the power to recognize what their therapeutic needs are and maybe even how to address them; I am here to provide gentle guidance and perhaps some different perspective to bring awareness to patterns of thought and behavior, therefore facilitating YOUR desire for change.
Peter Millis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Asheville, NC 28801
Not accepting new clients
There are times we all feel disconnected, angry, sad, alone in our relationships, stuck in difficult patterns. It can be very painful, and we can feel helpless to change. But we don't have to be alone, and there is help. Counseling is a powerful, proven way for individuals, couples and families to feel supported as they discover the causes and conditions that underlie these difficult, disruptive feelings, and to learn how to break unhelpful cycles, to face the conflicts and fears that confront us all, and, ultimately, to feel more of a sense of security, confidence and well-being.
There are times we all feel disconnected, angry, sad, alone in our relationships, stuck in difficult patterns. It can be very painful, and we can feel helpless to change. But we don't have to be alone, and there is help. Counseling is a powerful, proven way for individuals, couples and families to feel supported as they discover the causes and conditions that underlie these difficult, disruptive feelings, and to learn how to break unhelpful cycles, to face the conflicts and fears that confront us all, and, ultimately, to feel more of a sense of security, confidence and well-being.
Guided-Alchemy, PLLC
Psychologist, PhD
Verified Verified
1 Endorsed
Asheville, NC 28806 (Online Only)
Waitlist for new clients
You have BIG feelings and always have. You are sensitive to your environment, tuned into the subtle nuances and energies of the people/world around you. You feel it in your gut. You sense it in your body. You were bullied, shamed, or invalidated for these feelings growing up – told you were too sensitive. You learned to doubt, squash, numb, or project those feelings onto other people and things as a way to stay safe in a world that doesn't have time for such things. You people-please, overwork, over-think, detach. You run from your feelings until they suddenly consume you. Disconnect or engulfed. You crave harmony inside and out.
You have BIG feelings and always have. You are sensitive to your environment, tuned into the subtle nuances and energies of the people/world around you. You feel it in your gut. You sense it in your body. You were bullied, shamed, or invalidated for these feelings growing up – told you were too sensitive. You learned to doubt, squash, numb, or project those feelings onto other people and things as a way to stay safe in a world that doesn't have time for such things. You people-please, overwork, over-think, detach. You run from your feelings until they suddenly consume you. Disconnect or engulfed. You crave harmony inside and out.
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Heather Ridge
Licensed Clinical Mental Health Counselor, LCMHC, MS
Verified Verified
2 Endorsed
Asheville, NC 28801 (Online Only)
You notice yourself trying to manage heightened anxiety or panic associated with uncertainty. Changes in your environment, social interactions, and other people’s moods feel overwhelming. You tune in quickly to other people's needs while navigating the experience of feeling sensitive, shy, or struggling with self-esteem. When too much is going on at once you recharge by withdrawing to a quiet place to have a sense of relief. You may identify as a highly creative and innovative person wondering, “How can I get above my self-doubt?”
You notice yourself trying to manage heightened anxiety or panic associated with uncertainty. Changes in your environment, social interactions, and other people’s moods feel overwhelming. You tune in quickly to other people's needs while navigating the experience of feeling sensitive, shy, or struggling with self-esteem. When too much is going on at once you recharge by withdrawing to a quiet place to have a sense of relief. You may identify as a highly creative and innovative person wondering, “How can I get above my self-doubt?”
Olivia Posner
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28806 (Online Only)
As we increase our ability to meet life from a state of relaxed, focused awareness, our answers emerge naturally. The brain/mind/body is always working towards health and well-being. Sometimes there are blocks in the way. These blocks create anxiety and depression in various forms. I believe the purpose of therapy is to help remove barriers to allow your own natural healing to proceed. A safe, accepting, and collaborative therapeutic relationship fosters increased emotional balance and well-being, including at the level of your neurochemistry. I use various approaches and work with clients as co-detectives to explore your answers.
As we increase our ability to meet life from a state of relaxed, focused awareness, our answers emerge naturally. The brain/mind/body is always working towards health and well-being. Sometimes there are blocks in the way. These blocks create anxiety and depression in various forms. I believe the purpose of therapy is to help remove barriers to allow your own natural healing to proceed. A safe, accepting, and collaborative therapeutic relationship fosters increased emotional balance and well-being, including at the level of your neurochemistry. I use various approaches and work with clients as co-detectives to explore your answers.
Amanda Spring
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28806
I enjoy working with women, teens, and first responders in the areas of anxiety, stress, self-esteem, depression, relationship difficulties, parenting challenges, trauma, and life transitions. It is within the context of our relationship with self and others that we find or lose balance. It can be hard communicating our feelings and needs with others in an effective way. I offer a whole person, mind-body approach to treatment within the context of a safe and trustworthy therapeutic relationship.
I enjoy working with women, teens, and first responders in the areas of anxiety, stress, self-esteem, depression, relationship difficulties, parenting challenges, trauma, and life transitions. It is within the context of our relationship with self and others that we find or lose balance. It can be hard communicating our feelings and needs with others in an effective way. I offer a whole person, mind-body approach to treatment within the context of a safe and trustworthy therapeutic relationship.
Kayla Cypher Holistic Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801
Are you feeling overwhelmed at home or work? If you are at a loss of ways to help yourself or your family overcome such barriers, then speaking with a counselor can provide you with the answers and support that you are seeking. I know it can be scary to ask for help but, my primary goal is to meet you where you are without posing any judgment. This allows freedom for discovery, hope, and fulfillment by establishing healthy thinking, healthy feeling, and healthy behaving.
Are you feeling overwhelmed at home or work? If you are at a loss of ways to help yourself or your family overcome such barriers, then speaking with a counselor can provide you with the answers and support that you are seeking. I know it can be scary to ask for help but, my primary goal is to meet you where you are without posing any judgment. This allows freedom for discovery, hope, and fulfillment by establishing healthy thinking, healthy feeling, and healthy behaving.
Daniel Fishburn
Clinical Social Work/Therapist, LCSW, LISW-CP, LCAS, CCS, MAC
Verified Verified
1 Endorsed
Asheville, NC 28801
Practicing in North Carolina, South Carolina, Virginia, Florida and Colorado, I work with adolescents and adults seeking a way towards brave and engaged living, working through challenges that get in the way. My belief is that at our core we are fearless, clear, and compassionate. In therapy we work together to identify what is blocking you from that core, and set about clearing the way for your authentic self to emerge. I have worked over 30 years in mental health, 25+ years as a licensed clinician. I also bring experience of training and supporting clinicians, most recently as the CEO of a wilderness therapy program.
Practicing in North Carolina, South Carolina, Virginia, Florida and Colorado, I work with adolescents and adults seeking a way towards brave and engaged living, working through challenges that get in the way. My belief is that at our core we are fearless, clear, and compassionate. In therapy we work together to identify what is blocking you from that core, and set about clearing the way for your authentic self to emerge. I have worked over 30 years in mental health, 25+ years as a licensed clinician. I also bring experience of training and supporting clinicians, most recently as the CEO of a wilderness therapy program.
John Taylor Houchens
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Asheville, NC 28804
My website - www.taylorhouchens.com - I specialize in working with boys, teenagers, men, women, and families. If this is you, it is my goal to help you overcome the barriers and problems in your life that are keeping you from experiencing the freedom you are desiring. Often times, these problems are the result of trauma from childhood that is still unresolved. Perhaps you're experiencing anxiety, depression, grief, sexual abuse, PTSD, addiction (sexual, drug/alcohol, work), lack of self confidence, family issues, relationship difficulties, negative coping habits, physical or auto-immune disorders, or more. If so, I can help.
My website - www.taylorhouchens.com - I specialize in working with boys, teenagers, men, women, and families. If this is you, it is my goal to help you overcome the barriers and problems in your life that are keeping you from experiencing the freedom you are desiring. Often times, these problems are the result of trauma from childhood that is still unresolved. Perhaps you're experiencing anxiety, depression, grief, sexual abuse, PTSD, addiction (sexual, drug/alcohol, work), lack of self confidence, family issues, relationship difficulties, negative coping habits, physical or auto-immune disorders, or more. If so, I can help.
Rachel A Keener
Counselor, MA, MBA, LCMHC
Verified Verified
2 Endorsed
Asheville, NC 28801
Being human and experiencing suffering is inevitable. Yet, most of us have been conditioned to believe there must be something “wrong” with us if we are dissatisfied in our lives, struggling, or if we are in pain. In this way, life has a particular way of making us feel inadequate and alone. Therapy offers a unique opportunity for you to bring all of your depth and complexity into a space that acknowledges your humanity and is actively curated to attend to you. My orientation and training is informed by modern psychoanalysis: an approach that relies heavily on the therapeutic relationship as a form of technique and path to healing.
Being human and experiencing suffering is inevitable. Yet, most of us have been conditioned to believe there must be something “wrong” with us if we are dissatisfied in our lives, struggling, or if we are in pain. In this way, life has a particular way of making us feel inadequate and alone. Therapy offers a unique opportunity for you to bring all of your depth and complexity into a space that acknowledges your humanity and is actively curated to attend to you. My orientation and training is informed by modern psychoanalysis: an approach that relies heavily on the therapeutic relationship as a form of technique and path to healing.
Jamie Friedrich Ager
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Verified Verified
Asheville, NC 28803
Waitlist for new clients
I believe in the natural healing capacity and basic wisdom of all human beings. Layers of confusion and unconscious wounds can disconnect us from our true selves, and we may end up feeling bad and acting in ways that hurt our relationships- with ourselves, with others, and with this magnificent planet. We become hard and out of touch with our lives and callings. Real, deep change is possible when we face ourselves and our challenges with honesty, willingness, and compassion. If you're struggling with existential confusion or you're feeling consistently sad, anxious, irritable or numb, I'd love to help.
I believe in the natural healing capacity and basic wisdom of all human beings. Layers of confusion and unconscious wounds can disconnect us from our true selves, and we may end up feeling bad and acting in ways that hurt our relationships- with ourselves, with others, and with this magnificent planet. We become hard and out of touch with our lives and callings. Real, deep change is possible when we face ourselves and our challenges with honesty, willingness, and compassion. If you're struggling with existential confusion or you're feeling consistently sad, anxious, irritable or numb, I'd love to help.
Becky Singer
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
3 Endorsed
Asheville, NC 28801
You're asking yourself "why can't I stop thinking about my ex?" or "who the heck am I without my partner?" Or maybe you canNOT focus at work and get easily distracted and overwhelmed by most things. Perhaps you feel like you have lost control of your thoughts or emotions. You find yourself thinking about the breakup/how lonely you feel/how disorganized you are/that big decision you need to make...and you’re judging yourself for all of it. Sometimes you even judge your judgment, wondering how you’re ever going to break out of this cycle of acting out of your overwhelming emotions or spinning thoughts.
You're asking yourself "why can't I stop thinking about my ex?" or "who the heck am I without my partner?" Or maybe you canNOT focus at work and get easily distracted and overwhelmed by most things. Perhaps you feel like you have lost control of your thoughts or emotions. You find yourself thinking about the breakup/how lonely you feel/how disorganized you are/that big decision you need to make...and you’re judging yourself for all of it. Sometimes you even judge your judgment, wondering how you’re ever going to break out of this cycle of acting out of your overwhelming emotions or spinning thoughts.
See more therapy options for Asheville
How does your Therapist compare?
Number of Therapists in Asheville, NC
1,000+
Average cost per session
$140
Therapists in Asheville, NC who prioritize treating:
92% | Anxiety |
86% | Depression |
78% | Relationship Issues |
78% | Self Esteem |
75% | Trauma and PTSD |
69% | Coping Skills |
69% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
86% | BlueCross and BlueShield |
70% | Aetna |
50% | UnitedHealthcare UHC | UBH |
How Therapists in Asheville, NC see their clients
69% | In Person and Online | |
31% | Online Only |
Gender breakdown
76% | Female | |
22% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Asheville?
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.