Therapists in New Orleans, LA

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Photo of Mimi Jalenak, Clinical Social Work/Therapist in New Orleans, LA
Mimi Jalenak
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
New Orleans, LA 70125
I have been in private practice at the same location over thirty years. I describe my therapeutic perspective as Solution-Focused, Insight-Oriented psychotherapy. My practice is general psychotherapy, but I use Hypnosis when clients consent to, or request this technique. I use hypnosis with clients presenting with various issues. It has been a useful tool. Most clients report leaving the session feeling more relaxed and report positive changes throughout treatment.
I have been in private practice at the same location over thirty years. I describe my therapeutic perspective as Solution-Focused, Insight-Oriented psychotherapy. My practice is general psychotherapy, but I use Hypnosis when clients consent to, or request this technique. I use hypnosis with clients presenting with various issues. It has been a useful tool. Most clients report leaving the session feeling more relaxed and report positive changes throughout treatment.
(504) 233-0950 View (504) 233-0950
Photo of Paul Doyen, Clinical Social Work/Therapist in New Orleans, LA
Paul Doyen
Clinical Social Work/Therapist, MS, LMSW
Verified Verified
5 Endorsed
New Orleans, LA 70119
People entering therapy are often overwhelmed with distressing thoughts and emotions. Others feel stuck repeating destructive behaviors or chasing dissatisfying relationships. Many clients have tried therapy in the past and want a deeper approach that gets to the root of their issues.
People entering therapy are often overwhelmed with distressing thoughts and emotions. Others feel stuck repeating destructive behaviors or chasing dissatisfying relationships. Many clients have tried therapy in the past and want a deeper approach that gets to the root of their issues.
(504) 420-9156 View (504) 420-9156
Photo of Marcus Crosby, Licensed Professional Counselor in New Orleans, LA
Marcus Crosby
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
New Orleans, LA 70119
Not accepting new clients
Taking care of your mental health is important for fostering a life with more success and happiness. There are times in our lives where things seem unmanageable with no solution. Given the proper tools, we all have the ability to overcome difficult situations in life. As a therapist, my goal is to assist you in understanding and overcoming the obstacles that you face, and develop solutions that can help you gain control of your life & achieve your goals.
Taking care of your mental health is important for fostering a life with more success and happiness. There are times in our lives where things seem unmanageable with no solution. Given the proper tools, we all have the ability to overcome difficult situations in life. As a therapist, my goal is to assist you in understanding and overcoming the obstacles that you face, and develop solutions that can help you gain control of your life & achieve your goals.
(504) 603-3096 View (504) 603-3096
Photo of Bahareh Mirian, Licensed Professional Counselor in New Orleans, LA
Bahareh Mirian
Licensed Professional Counselor, LPC-S, ATR
Verified Verified
New Orleans, LA 70115
Connection is the foundation to welcoming meaningful growth. Meeting you where you're at is our starting place. By utilizing art therapy and a holistic therapeutic approach you can progress towards the life you desire. With my collaboration and support, we can cultivate and integrate a healthy sense of personalized wellbeing and success. My training and experiences allows me to support individuals across the lifespan in navigating a variety of difficulties including but not limited to complex traumas, anxiety, depression, self-esteem struggles, and relationship issues.
Connection is the foundation to welcoming meaningful growth. Meeting you where you're at is our starting place. By utilizing art therapy and a holistic therapeutic approach you can progress towards the life you desire. With my collaboration and support, we can cultivate and integrate a healthy sense of personalized wellbeing and success. My training and experiences allows me to support individuals across the lifespan in navigating a variety of difficulties including but not limited to complex traumas, anxiety, depression, self-esteem struggles, and relationship issues.
(504) 882-9960 View (504) 882-9960
Photo of Hillery G Jones, Licensed Professional Counselor in New Orleans, LA
Hillery G Jones
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
New Orleans, LA 70115
My practice involves using the creative process to help others gain a deeper sense of self-awareness. The creative approach is client led, practical, holistic, embodied, somatic, and adaptable in everyday life. I integrate a kinesthetic learning competent of connecting mind & body. Traditional talk therapy and art therapy are used to meet the needs of each individual. Clients practice the power of curiosity to creatively explore their own personal history with a focus on personal development growth. The relationship established between client and therapist can help to promote future healthy attachments.
My practice involves using the creative process to help others gain a deeper sense of self-awareness. The creative approach is client led, practical, holistic, embodied, somatic, and adaptable in everyday life. I integrate a kinesthetic learning competent of connecting mind & body. Traditional talk therapy and art therapy are used to meet the needs of each individual. Clients practice the power of curiosity to creatively explore their own personal history with a focus on personal development growth. The relationship established between client and therapist can help to promote future healthy attachments.
(504) 399-1696 View (504) 399-1696
Photo of William K Lieder, Clinical Social Work/Therapist in New Orleans, LA
William K Lieder
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
New Orleans, LA 70119
William Lieder, LCSW-BACS, has earned a Masters Degree in Social Work from the University of Tulane. He is licensed by the State of Louisiana as a Licensed Clinical Social Worker and a Board Approved Clinical Supervisor. He has over 25 years of clinical experience in treating adolescents, adults and families using individual and family therapy.
William Lieder, LCSW-BACS, has earned a Masters Degree in Social Work from the University of Tulane. He is licensed by the State of Louisiana as a Licensed Clinical Social Worker and a Board Approved Clinical Supervisor. He has over 25 years of clinical experience in treating adolescents, adults and families using individual and family therapy.
(504) 233-6654 View (504) 233-6654
Photo of Veronica Claborn, Licensed Professional Counselor in New Orleans, LA
Veronica Claborn
Licensed Professional Counselor, MEd, LPC
Verified Verified
New Orleans, LA 70117
My intention as a therapist is to create a reflective space and to bring you clarity and support. We will explore your thoughts, feelings and behaviors, and together we will consider whether they are working for you. We will expand your awareness of your personal processes and protective patterns, both internally and in relationships and how these play out in your mind and body. With this deeper understanding of your self, we will shift perspective and create more opportunity for choice. My role is to facilitate the removal of barriers that prevent connection to your self and others through a systemic and interpersonal approach.
My intention as a therapist is to create a reflective space and to bring you clarity and support. We will explore your thoughts, feelings and behaviors, and together we will consider whether they are working for you. We will expand your awareness of your personal processes and protective patterns, both internally and in relationships and how these play out in your mind and body. With this deeper understanding of your self, we will shift perspective and create more opportunity for choice. My role is to facilitate the removal of barriers that prevent connection to your self and others through a systemic and interpersonal approach.
(504) 285-2185 View (504) 285-2185
Photo of Rebecca Tam Pham, Licensed Professional Counselor in New Orleans, LA
Rebecca Tam Pham
Licensed Professional Counselor, MA, NCC, LPC, BC-TMH
Verified Verified
New Orleans, LA 70114
Thank you for consider seeing me for counseling. I see counseling as a process of collaboration between you, the client, and I, the counselor, in obtaining your goals. I work from a solution-focused orientation, which means that I assist you in breaking repetitive, nonproductive behavior patterns that are affecting you, your family or marriage or relationship.
Thank you for consider seeing me for counseling. I see counseling as a process of collaboration between you, the client, and I, the counselor, in obtaining your goals. I work from a solution-focused orientation, which means that I assist you in breaking repetitive, nonproductive behavior patterns that are affecting you, your family or marriage or relationship.
(504) 226-6930 View (504) 226-6930
Photo of Kimberly Rome Butler, Licensed Professional Counselor in New Orleans, LA
Kimberly Rome Butler
Licensed Professional Counselor, LPC, NCC, MS
Verified Verified
New Orleans, LA 70131  (Online Only)
As a therapist with 20 years of experience, I am dedicated to helping individuals achieve a healthier state of mind. We provide telehealth sessions only, as telehealth has become an increasingly popular option for clients seeking counseling from the comfort of their own homes/offices. Embracing Life Counseling utilizes a holistic approach to treatment; addressing anxiety, depression, and stress management through evidence-based therapies which acknowledge the interconnectedness of mind, body, and spirit. We believe true healing comes from addressing the root causes of mental health issues, rather than simply treating symptoms.
As a therapist with 20 years of experience, I am dedicated to helping individuals achieve a healthier state of mind. We provide telehealth sessions only, as telehealth has become an increasingly popular option for clients seeking counseling from the comfort of their own homes/offices. Embracing Life Counseling utilizes a holistic approach to treatment; addressing anxiety, depression, and stress management through evidence-based therapies which acknowledge the interconnectedness of mind, body, and spirit. We believe true healing comes from addressing the root causes of mental health issues, rather than simply treating symptoms.
(504) 826-8937 View (504) 826-8937
Photo of Elizabeth Berk, Psychologist in New Orleans, LA
Elizabeth Berk
Psychologist, PhD
Verified Verified
1 Endorsed
New Orleans, LA 70115
Not accepting new clients
I believe that psychotherapy can be helpful to create growth, improve relationships, improve coping skills and understand maladaptive patterns in one's life. Often people come to me because they've reached a crisis point or just feel stuck in a situation that they feel they cannot change. Therapy creates a safe place for one to recognize and explore issues and to develop new solutions and strategies. I've worked with a wide variety of issues and mental health diagnoses and have experience working with individuals from diverse backgrounds.
I believe that psychotherapy can be helpful to create growth, improve relationships, improve coping skills and understand maladaptive patterns in one's life. Often people come to me because they've reached a crisis point or just feel stuck in a situation that they feel they cannot change. Therapy creates a safe place for one to recognize and explore issues and to develop new solutions and strategies. I've worked with a wide variety of issues and mental health diagnoses and have experience working with individuals from diverse backgrounds.
(504) 608-6982 View (504) 608-6982
Photo of Laura Sullivan, Licensed Professional Counselor in New Orleans, LA
Laura Sullivan
Licensed Professional Counselor, MA, LPC
Verified Verified
New Orleans, LA 70115
Not accepting new clients
You may feel numb, disconnected, and unable to cope effectively with personal and relational challenges. You have developed behaviors like lying, misusing substances, avoiding or procrastinating that make you feel even worse. You are successful in your professional life, but feel less confident and secure in your personal life. You are ready for something to change from deep within you. My passion is utilizing the powerful benefits of EMDR, and EMDR Intensives, with clients who are tired of putting band-aids on their problems and are ready to get at the root of their problems and experience true healing.
You may feel numb, disconnected, and unable to cope effectively with personal and relational challenges. You have developed behaviors like lying, misusing substances, avoiding or procrastinating that make you feel even worse. You are successful in your professional life, but feel less confident and secure in your personal life. You are ready for something to change from deep within you. My passion is utilizing the powerful benefits of EMDR, and EMDR Intensives, with clients who are tired of putting band-aids on their problems and are ready to get at the root of their problems and experience true healing.
(504) 383-9205 View (504) 383-9205
Photo of Jennifer McCarroll, Psychologist in New Orleans, LA
Jennifer McCarroll
Psychologist, PhD, MSCP
Verified Verified
New Orleans, LA 70118
I am a Medical Psychologist, licensed to prescribe medication in the state of Louisiana. My clients range widely in ethnic and cultural background, economic status, and sexuality/gender status. BCBS (PPO only) accepted. At this time, I am accepting new clients for medication consultations, and for short-term therapy (3 to 6 months). I have limited availability for in-person meeting at this time. Out-of-pocket fees for psychiatric prescribing: $250 Initial consult. $125 to $175 for follow-up appointments. Out-of-pocket fees for therapy: $175 per meeting.
I am a Medical Psychologist, licensed to prescribe medication in the state of Louisiana. My clients range widely in ethnic and cultural background, economic status, and sexuality/gender status. BCBS (PPO only) accepted. At this time, I am accepting new clients for medication consultations, and for short-term therapy (3 to 6 months). I have limited availability for in-person meeting at this time. Out-of-pocket fees for psychiatric prescribing: $250 Initial consult. $125 to $175 for follow-up appointments. Out-of-pocket fees for therapy: $175 per meeting.
(504) 613-6951 View (504) 613-6951
Photo of Edith González Flores, Clinical Social Work/Therapist in New Orleans, LA
Edith González Flores
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
1 Endorsed
New Orleans, LA 70119
An ideal patient would be open, willing, and ready to engage in deep dialogue (and practice). In doing so, they would be able to reflect on what is needed for them at the present time. This could be historical Trauma and/or any other mental health condition that has led to personal dysregulation (emotionally and physically). As they dive into the process of caring for themselves, they can build a stronger foundation of their own needs and goals. Ideally, they would be comforted by a sense of personal insights towards change and collective care.
An ideal patient would be open, willing, and ready to engage in deep dialogue (and practice). In doing so, they would be able to reflect on what is needed for them at the present time. This could be historical Trauma and/or any other mental health condition that has led to personal dysregulation (emotionally and physically). As they dive into the process of caring for themselves, they can build a stronger foundation of their own needs and goals. Ideally, they would be comforted by a sense of personal insights towards change and collective care.
(504) 766-3084 View (504) 766-3084
Photo of Corine Brown, Clinical Social Work/Therapist in New Orleans, LA
Corine Brown
Clinical Social Work/Therapist, DSW, LCSW, BACS
Verified Verified
New Orleans, LA 70114  (Online Only)
I specialize in working with young people, artists, activists, caregivers, healers, and other social service providers, who are interested in expanding their imagination and self-definition beyond the labels that no longer serve them in who they are becoming. People who are ready and willing to UnLearn unhelpful narratives and to be fully witness to themselves in all their beauty and complexity.
I specialize in working with young people, artists, activists, caregivers, healers, and other social service providers, who are interested in expanding their imagination and self-definition beyond the labels that no longer serve them in who they are becoming. People who are ready and willing to UnLearn unhelpful narratives and to be fully witness to themselves in all their beauty and complexity.
(504) 608-9102 View (504) 608-9102
Photo of Debra A Namias, Clinical Social Work/Therapist in New Orleans, LA
Debra A Namias
Clinical Social Work/Therapist, LCSW, BCD, CGP
Verified Verified
1 Endorsed
New Orleans, LA 70116
I specialize in Substance Abuse/Addictive Disorders, Attention Deficit Disorder, and Critical Incidents. I facilitate Individuals, Couples and Families, Corporations, Industry, and Military to develop their relationship soft skills to master the invisible, intangible influences that guide successful emotional and behavioral well-being.
I specialize in Substance Abuse/Addictive Disorders, Attention Deficit Disorder, and Critical Incidents. I facilitate Individuals, Couples and Families, Corporations, Industry, and Military to develop their relationship soft skills to master the invisible, intangible influences that guide successful emotional and behavioral well-being.
(504) 336-3359 View (504) 336-3359
Photo of Colleen Simmons, Clinical Social Work/Therapist in New Orleans, LA
Colleen Simmons
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
New Orleans, LA 70115  (Online Only)
I am a Licensed Clinical Social Worker with 10 years of experience in the State of Louisiana, and 2 years of experience working in the State of New Jersey (teletherapy). I am passionate about helping my clients work through life's many challenges, while offering an empathetic, non-judgmental ear and helping individuals realize their full potential. I believe that everyone has the ability to change and become the best version of themselves.
I am a Licensed Clinical Social Worker with 10 years of experience in the State of Louisiana, and 2 years of experience working in the State of New Jersey (teletherapy). I am passionate about helping my clients work through life's many challenges, while offering an empathetic, non-judgmental ear and helping individuals realize their full potential. I believe that everyone has the ability to change and become the best version of themselves.
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Photo of Elizabeth Vaughan Pace, Licensed Professional Counselor in New Orleans, LA
Elizabeth Vaughan Pace
Licensed Professional Counselor, LPC-S, MEd
Verified Verified
5 Endorsed
New Orleans, LA 70119
Not accepting new clients
Have you seen a few therapists but felt that you were unable to get to the roots of your issues and experience transformational change and lasting relief? Desensitizing the body's threat response creates the internal safety to respond to situations in a healthier way. I work with clients who are looking for new ways to cope with life, and seek to change the behaviors and thinking patterns that are no longer serving them. The way that we think and feel about ourselves has a profound impact on our quality of life and how we work through our problems.
Have you seen a few therapists but felt that you were unable to get to the roots of your issues and experience transformational change and lasting relief? Desensitizing the body's threat response creates the internal safety to respond to situations in a healthier way. I work with clients who are looking for new ways to cope with life, and seek to change the behaviors and thinking patterns that are no longer serving them. The way that we think and feel about ourselves has a profound impact on our quality of life and how we work through our problems.
(504) 383-7137 View (504) 383-7137
Photo of Hanna Tadevich, Pre-Licensed Professional in New Orleans, LA
Hanna Tadevich
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
8 Endorsed
New Orleans, LA 70119
Not accepting new clients
Whether you’re hoping to relieve distress, heal from pain, increase the health of your relationships, or explore personal questions, I’d be humbled to support you on your journey. My recent work has been focused on counseling survivors of domestic violence, sexual assault, childhood abuse, and other forms of interpersonal / systemic violence. I also work with people who struggle with anxiety, depression, grief, PTSD, dissociation, substance use, and experiences of oppression. I identify as queer/non-binary, enjoy working with LGBTQ+ folks, and am committed to anti-oppressive, liberation-based care.
Whether you’re hoping to relieve distress, heal from pain, increase the health of your relationships, or explore personal questions, I’d be humbled to support you on your journey. My recent work has been focused on counseling survivors of domestic violence, sexual assault, childhood abuse, and other forms of interpersonal / systemic violence. I also work with people who struggle with anxiety, depression, grief, PTSD, dissociation, substance use, and experiences of oppression. I identify as queer/non-binary, enjoy working with LGBTQ+ folks, and am committed to anti-oppressive, liberation-based care.
(504) 688-4369 View (504) 688-4369
Photo of Hamilton Cerrone, Counselor in New Orleans, LA
Hamilton Cerrone
Counselor, LPC, CDWF
Verified Verified
New Orleans, LA 70119
Are you struggling to recognize yourself or the world around you? Perhaps experiences from your past are keeping you tethered in place and you are having trouble moving forward. Maybe you are starting a new chapter in your life after a big transition or life-changing event. Counseling is an excellent place to deep-dive inward, and offers the relief and safety of connection, intention, and a way back to yourself—the free, integrated self you’ve imagined. Counseling can also offer ways to close the uncomfortable gap between your anxious, stressed, current-reality and developing the wholehearted life you desire. Glad you're here!
Are you struggling to recognize yourself or the world around you? Perhaps experiences from your past are keeping you tethered in place and you are having trouble moving forward. Maybe you are starting a new chapter in your life after a big transition or life-changing event. Counseling is an excellent place to deep-dive inward, and offers the relief and safety of connection, intention, and a way back to yourself—the free, integrated self you’ve imagined. Counseling can also offer ways to close the uncomfortable gap between your anxious, stressed, current-reality and developing the wholehearted life you desire. Glad you're here!
(504) 499-1180 View (504) 499-1180
Photo of Jaimie Kroot, Clinical Social Work/Therapist in New Orleans, LA
Jaimie Kroot
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
New Orleans, LA 70117  (Online Only)
In this increasingly wacky world, life can happen in a way that doesn't always seem to work. Change may be scary, leaving you feeling lost without a roadmap. I work to create a safe, supportive environment, free from judgment so you can show up and put whatever you're thinking and feeling on the table. We navigate together - exploring and sorting out your strengths and inner dialogue to harness your power (it's in there!). My goal is to help you reduce feelings of stress, sadness, and confusion, open your mind to possibilities, and give you concrete, practical new tools and strategies to get you back on your best path.
In this increasingly wacky world, life can happen in a way that doesn't always seem to work. Change may be scary, leaving you feeling lost without a roadmap. I work to create a safe, supportive environment, free from judgment so you can show up and put whatever you're thinking and feeling on the table. We navigate together - exploring and sorting out your strengths and inner dialogue to harness your power (it's in there!). My goal is to help you reduce feelings of stress, sadness, and confusion, open your mind to possibilities, and give you concrete, practical new tools and strategies to get you back on your best path.
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How does your Therapist compare?

Number of Therapists in New Orleans, LA

900+

Average cost per session

$125

Therapists in New Orleans, LA who prioritize treating:

93% Anxiety
89% Depression
79% Relationship Issues
79% Self Esteem
73% Coping Skills
71% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
68% UnitedHealthcare UHC | UBH
58% Aetna

How Therapists in New Orleans, LA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in New Orleans?

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.