Therapists in Cleveland, TN

Photo of Beth Houle, Marriage & Family Therapist in Cleveland, TN
Beth Houle
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
Cleveland, TN 37312
Not accepting new clients
Families, relationships and connections with others impact your quality of life, mental health, and physical health. Relationships cause great joy and unfortunately can cause great pain when they are toxic or off track. Are past relationships haunting your current relationship or self-image? Do you have difficulty forming or maintaining relationships with friends or significant others? Suffered abuse or abandonment in a relationship? Experiencing grief from the loss of a loved one? Have you experienced infidelity in your marriage? These difficult experiences can feel like they define you and become overwhelming at times, but there is hope!
Families, relationships and connections with others impact your quality of life, mental health, and physical health. Relationships cause great joy and unfortunately can cause great pain when they are toxic or off track. Are past relationships haunting your current relationship or self-image? Do you have difficulty forming or maintaining relationships with friends or significant others? Suffered abuse or abandonment in a relationship? Experiencing grief from the loss of a loved one? Have you experienced infidelity in your marriage? These difficult experiences can feel like they define you and become overwhelming at times, but there is hope!
(423) 388-4165 View (423) 388-4165
Photo of Dr. Rob England, Marriage & Family Therapist in Cleveland, TN
Dr. Rob England
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Cleveland, TN 37312
Family. This word may bring up feelings of warmth, or it may bring up feelings of anxiety, suffering, or helplessness. You want to reclaim the feelings of safety, security, contentment, peace, and love that once accompanied your hopes or thoughts of what your family could be. Or maybe your goal is to start off on the right foot, with your recent or upcoming marriage, or to ensure that your child is off to an emotionally healthy start in their younger years. Whichever the case, healthy families require focus, intentional work, and can sometimes use outside assistance from a caring professional.
Family. This word may bring up feelings of warmth, or it may bring up feelings of anxiety, suffering, or helplessness. You want to reclaim the feelings of safety, security, contentment, peace, and love that once accompanied your hopes or thoughts of what your family could be. Or maybe your goal is to start off on the right foot, with your recent or upcoming marriage, or to ensure that your child is off to an emotionally healthy start in their younger years. Whichever the case, healthy families require focus, intentional work, and can sometimes use outside assistance from a caring professional.
(423) 689-1800 View (423) 689-1800
Photo of Allison F Franks in Cleveland, TN
Allison F Franks
MA
Verified Verified
1 Endorsed
Cleveland, TN 37311  (Online Only)
I am a Masters Level counselor with approximately 10 years experience in the field of School Counseling and Mental Health Counseling. I am an educator, counselor, foster and adoptive mom, and wife to a fellow counselor. I am happy to meet you where you are in life with no judgement and plenty of grace to help you move forward in your journey to wholeness and wellness.
I am a Masters Level counselor with approximately 10 years experience in the field of School Counseling and Mental Health Counseling. I am an educator, counselor, foster and adoptive mom, and wife to a fellow counselor. I am happy to meet you where you are in life with no judgement and plenty of grace to help you move forward in your journey to wholeness and wellness.
(423) 556-3391 View (423) 556-3391
Photo of Maddie Storz, Pre-Licensed Professional in Cleveland, TN
Maddie Storz
Pre-Licensed Professional, MS, MFTI, AAMFT
Verified Verified
4 Endorsed
Cleveland, TN 37312
Pregnancy, parenthood and fertility challenges can be so stressful and overwhelming it can be difficult to know how to manage all the emotions and intensity of the stress. It can feel like you're drowning! I would love to be there with you in the healing process. My passion is working with individuals navigating the perinatal (pertaining to the period between conception and 3 years postpartum) and parenthood stages of life. I have advanced training in postpartum mood and anxiety disorders, traumatic birth experiences, stillbirth, child loss, pregnancy loss, reproductive trauma, assisted fertility stress and fertility challenges.
Pregnancy, parenthood and fertility challenges can be so stressful and overwhelming it can be difficult to know how to manage all the emotions and intensity of the stress. It can feel like you're drowning! I would love to be there with you in the healing process. My passion is working with individuals navigating the perinatal (pertaining to the period between conception and 3 years postpartum) and parenthood stages of life. I have advanced training in postpartum mood and anxiety disorders, traumatic birth experiences, stillbirth, child loss, pregnancy loss, reproductive trauma, assisted fertility stress and fertility challenges.
(423) 564-5685 View (423) 564-5685
Photo of J. Trevor Milliron, Psychologist in Cleveland, TN
J. Trevor Milliron
Psychologist, PhD
Verified Verified
Cleveland, TN 37311
My practice is exclusively dedicated to serving adults with OCD. I offer an intensive and highly customized approach based on Acceptance and Commitment Therapy (ACT) combined with Exposure/Response Prevention (ERP). Although ERP is the gold standard treatment for OCD, misconceptions about ERP often result in unnecessary fears. The pain of ERP treatment is no greater, and often less, than the pain you are already in. You will find my approach respectful, affirming, and gentle.
My practice is exclusively dedicated to serving adults with OCD. I offer an intensive and highly customized approach based on Acceptance and Commitment Therapy (ACT) combined with Exposure/Response Prevention (ERP). Although ERP is the gold standard treatment for OCD, misconceptions about ERP often result in unnecessary fears. The pain of ERP treatment is no greater, and often less, than the pain you are already in. You will find my approach respectful, affirming, and gentle.
(423) 481-8394 View (423) 481-8394
Photo of Joshua Alexander, Marriage & Family Therapist Intern in Cleveland, TN
Joshua Alexander
Marriage & Family Therapist Intern, MFTI, MS, AAMFT
Verified Verified
5 Endorsed
Cleveland, TN 37311
The couples and individuals I work with come to therapy feeling isolated, undervalued, and unheard. If you are tired of not feeling good enough, ashamed, or angry, my hope is to help you rediscover what love means, heal your connection within yourself and each other, and create a new chapter of your story. I practice with couples and individuals from a client-focused perspective of unconditional acceptance- no matter what you bring to therapy, it has a place. I have hope that we can discover the tools together to process, heal, and journey forward finding the version of yourself that you want to be.
The couples and individuals I work with come to therapy feeling isolated, undervalued, and unheard. If you are tired of not feeling good enough, ashamed, or angry, my hope is to help you rediscover what love means, heal your connection within yourself and each other, and create a new chapter of your story. I practice with couples and individuals from a client-focused perspective of unconditional acceptance- no matter what you bring to therapy, it has a place. I have hope that we can discover the tools together to process, heal, and journey forward finding the version of yourself that you want to be.
(423) 295-7633 View (423) 295-7633
Photo of Kirstee Williams, Marriage & Family Therapist in Cleveland, TN
Kirstee Williams
Marriage & Family Therapist, PhD, LMFT, AAMFT
Verified Verified
Cleveland, TN 37311
Waitlist for new clients
Hope, healing and a future are possible. As a couples relationship expert, I specialize in the complex issues of sexual wellness and trauma resolution. I treat a wide range of sexual health concerns from performance anxiety, to infertility, painful sex and affair recovery. I also specialize in complex trauma resolution utilizing EMDR. In particular weight management issues that stem from childhood sexual abuse. Each situation is unique and together we will create a treatment plan that works for you.
Hope, healing and a future are possible. As a couples relationship expert, I specialize in the complex issues of sexual wellness and trauma resolution. I treat a wide range of sexual health concerns from performance anxiety, to infertility, painful sex and affair recovery. I also specialize in complex trauma resolution utilizing EMDR. In particular weight management issues that stem from childhood sexual abuse. Each situation is unique and together we will create a treatment plan that works for you.
(423) 393-2591 View (423) 393-2591
Photo of Luke Campbell, Licensed Professional Counselor in Cleveland, TN
Luke Campbell
Licensed Professional Counselor, MDiv, MA, LPC, MHSP
Verified Verified
3 Endorsed
Cleveland, TN 37311
As a clinical counselor and pastor I value creating space for intentional listening to discover and discern how personal uniqueness can find expression within the contours of life. I work collaboratively with individuals, families and adolescents to grow awareness around the stories we tell ourselves. Sometimes these are strong, positively thick stories, and I enjoy celebrating progression with another when this occurs. More often than not in counseling, I find that our normal human experiences bring with them the challenge of embracing life as it actually is.
As a clinical counselor and pastor I value creating space for intentional listening to discover and discern how personal uniqueness can find expression within the contours of life. I work collaboratively with individuals, families and adolescents to grow awareness around the stories we tell ourselves. Sometimes these are strong, positively thick stories, and I enjoy celebrating progression with another when this occurs. More often than not in counseling, I find that our normal human experiences bring with them the challenge of embracing life as it actually is.
(423) 455-9608 View (423) 455-9608
Photo of Julianna Ainsley Schau, Pre-Licensed Professional in Cleveland, TN
Julianna Ainsley Schau
Pre-Licensed Professional
Verified Verified
Cleveland, TN 37311
My previous experience focused on children's mental health, however, I also have experience with ages across the spectrum. An important aspect of counseling is willingness to be involved in the process. This can be difficult, however, together we can work to meet the goals you hope to achieve.
My previous experience focused on children's mental health, however, I also have experience with ages across the spectrum. An important aspect of counseling is willingness to be involved in the process. This can be difficult, however, together we can work to meet the goals you hope to achieve.
(423) 501-2445 View (423) 501-2445
Photo of Crystal Fawley, Marriage & Family Therapist Intern in Cleveland, TN
Crystal Fawley
Marriage & Family Therapist Intern, MS, MFT
Not Verified Not Verified
2 Endorsed
Cleveland, TN 37311
Choosing to pursue therapy is courageous. Life throws curve balls, often forcing us to face challenges which seem impossible to navigate. Obstacles such as trauma, infidelity, life transitions (birth, divorce, facing an empty nest, etc.), anxiety, or depression, can feel daunting. I am privileged to hear your story and I am honored to sit with you as we sort through your specific situation and move toward healing.
Choosing to pursue therapy is courageous. Life throws curve balls, often forcing us to face challenges which seem impossible to navigate. Obstacles such as trauma, infidelity, life transitions (birth, divorce, facing an empty nest, etc.), anxiety, or depression, can feel daunting. I am privileged to hear your story and I am honored to sit with you as we sort through your specific situation and move toward healing.
(423) 401-6750 View (423) 401-6750
Photo of Amanda Hicks, Marriage & Family Therapist Intern in Cleveland, TN
Amanda Hicks
Marriage & Family Therapist Intern, MS
Verified Verified
4 Endorsed
Cleveland, TN 37311
Do you feel disconnected from your friends, family, or yourself? Have you noticed yourself constantly worrying about what is coming next? These thoughts and feelings can feel rather isolating. I want to provide a safe and comfortable space to process these experiences. Life is full of challenges. I want to offer support during those times. My passion is working with adolescents, young adults, and families. My goal in therapy is to make my clients feel heard and seen - your feelings are valid. You are valuable and I want to hear your story!
Do you feel disconnected from your friends, family, or yourself? Have you noticed yourself constantly worrying about what is coming next? These thoughts and feelings can feel rather isolating. I want to provide a safe and comfortable space to process these experiences. Life is full of challenges. I want to offer support during those times. My passion is working with adolescents, young adults, and families. My goal in therapy is to make my clients feel heard and seen - your feelings are valid. You are valuable and I want to hear your story!
(423) 560-6610 View (423) 560-6610
Photo of Ivorie Mayes, Clinical Social Work/Therapist in Cleveland, TN
Ivorie Mayes
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Cleveland, TN 37312
As a therapist with nine years of experience working with families and children; I currently am a Therapist at Divergent Roads Counseling. My mission is to lead you toward peace, ensuring you feel heard and understood. With a focus on children, I've spent the past five years addressing concerns such as anxiety, depression, and ADHD. Let's equip you with the skills to confidently navigate life's challenges. Taking this significant step towards therapy is crucial, and I'm here to support you. I accept self-pay clients, and for insurance inquiries, please call to check eligibility. Excited to assist you on your journey.
As a therapist with nine years of experience working with families and children; I currently am a Therapist at Divergent Roads Counseling. My mission is to lead you toward peace, ensuring you feel heard and understood. With a focus on children, I've spent the past five years addressing concerns such as anxiety, depression, and ADHD. Let's equip you with the skills to confidently navigate life's challenges. Taking this significant step towards therapy is crucial, and I'm here to support you. I accept self-pay clients, and for insurance inquiries, please call to check eligibility. Excited to assist you on your journey.
(423) 460-8966 View (423) 460-8966
Photo of Anchor Family Counseling, Licensed Professional Counselor in Cleveland, TN
Anchor Family Counseling
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Cleveland, TN 37312
Waitlist for new clients
My passion for working with individuals (children, adolescents, and adults of all ages) is rooted in my faith in God. I utilize skills, tools, and techniques in a modern "human to human" approach to help my clients find their hope and passion for life. Whether you have abuse & trauma, anxiety, ADHD, child and adolescent issues, depression, divorce recovery, mood disorder, eating disorder, addiction or substance use, grief & loss, parenting struggles, self-esteem, or social skills, assisting you in finding hope, I consider a divine appointment.
My passion for working with individuals (children, adolescents, and adults of all ages) is rooted in my faith in God. I utilize skills, tools, and techniques in a modern "human to human" approach to help my clients find their hope and passion for life. Whether you have abuse & trauma, anxiety, ADHD, child and adolescent issues, depression, divorce recovery, mood disorder, eating disorder, addiction or substance use, grief & loss, parenting struggles, self-esteem, or social skills, assisting you in finding hope, I consider a divine appointment.
(423) 375-8676 View (423) 375-8676
Photo of Candace Papke, Counselor in Cleveland, TN
Candace Papke
Counselor, MA, LPC, LMHC, PMH-C
Verified Verified
Cleveland, TN 37312  (Online Only)
It feels like no one understands you. You try to communicate your needs and in turn feel like you are crazy for even sharing. You scroll social media and see others who appear to have it all together and have no worries. You just want to not feel alone. You've done all that you can and feel like you're stuck. But there is help - you don't have to handle it alone. I can work with you and provide you with the support you need.
It feels like no one understands you. You try to communicate your needs and in turn feel like you are crazy for even sharing. You scroll social media and see others who appear to have it all together and have no worries. You just want to not feel alone. You've done all that you can and feel like you're stuck. But there is help - you don't have to handle it alone. I can work with you and provide you with the support you need.
(423) 454-3856 View (423) 454-3856
Photo of Rachel La Rea Hatchett, Clinical Social Work/Therapist in Cleveland, TN
Rachel La Rea Hatchett
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Cleveland, TN 37312
I have worked with children and families for 15 years with the last 5 years being in mental health. I have a desire to help people find their road to healing. I have worked with anxiety, depression, trauma, grief, self-harm, suicidal-ideations, phase of life changes, divorce and self-esteem struggles that often life brings. Together we will work to find your road to healing. I want to work with you to empower you to find the solutions and strength to overcome whatever obstacles you are facing.
I have worked with children and families for 15 years with the last 5 years being in mental health. I have a desire to help people find their road to healing. I have worked with anxiety, depression, trauma, grief, self-harm, suicidal-ideations, phase of life changes, divorce and self-esteem struggles that often life brings. Together we will work to find your road to healing. I want to work with you to empower you to find the solutions and strength to overcome whatever obstacles you are facing.
(423) 497-0841 View (423) 497-0841
Photo of Candice Milligan, Licensed Professional Counselor in Cleveland, TN
Candice Milligan
Licensed Professional Counselor, NCC, LPC, MHSP
Verified Verified
2 Endorsed
Cleveland, TN 37311
Not accepting new clients
Young children experience many of the same emotions adults do. However, Children have a hard time communicating and expressing their feelings due to not understanding how or why they feel the way they do. Having an emotional vocabulary and finding solutions to dealing with these emotions are goals that can be used throughout Counseling. Children and adolescents need a place to be able to express themselves, understand why they feel the way they do. Candice has training and experience in working with children and adolescents ages 5-18 with anxiety, anger, trauma, divorce, depression, behavioral issues.
Young children experience many of the same emotions adults do. However, Children have a hard time communicating and expressing their feelings due to not understanding how or why they feel the way they do. Having an emotional vocabulary and finding solutions to dealing with these emotions are goals that can be used throughout Counseling. Children and adolescents need a place to be able to express themselves, understand why they feel the way they do. Candice has training and experience in working with children and adolescents ages 5-18 with anxiety, anger, trauma, divorce, depression, behavioral issues.
(423) 380-0703 View (423) 380-0703
Photo of Courtney Liljekvist, Marriage & Family Therapist in Cleveland, TN
Courtney Liljekvist
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Cleveland, TN 37312
I work with children (ages 4-12), adolescents, families, and adults. My goal is to offer a safe space to those who are struggling with depression, anxiety, trauma, suicidality, low self-esteem, family conflict, or attachment issues. While I like to draw from multiple approaches, including: attachment work, play therapy, mindfulness practices, art therapy, CBT, and family therapy. I ultimately tailor my approach to the needs of the person. Coming to therapy takes a significant step of bravery and I strive to create an environment that promotes acceptance and growth.
I work with children (ages 4-12), adolescents, families, and adults. My goal is to offer a safe space to those who are struggling with depression, anxiety, trauma, suicidality, low self-esteem, family conflict, or attachment issues. While I like to draw from multiple approaches, including: attachment work, play therapy, mindfulness practices, art therapy, CBT, and family therapy. I ultimately tailor my approach to the needs of the person. Coming to therapy takes a significant step of bravery and I strive to create an environment that promotes acceptance and growth.
(423) 561-9914 View (423) 561-9914
Photo of Hannah Sexton, Pre-Licensed Professional in Cleveland, TN
Hannah Sexton
Pre-Licensed Professional, MFT-I, MS
Verified Verified
3 Endorsed
Cleveland, TN 37311
It’s normal as a parent to feel overwhelmed or exhausted when your teen or child are hurting and working through life adjustments, problems at school, and other major changes. Children and teens communicate through their actions due to lack of understanding the emotions underneath. My passion is to help children and teenagers who are struggling to process their emotions and work through life’s difficulties by providing a safe and warm place for them to grow more in who they are.
It’s normal as a parent to feel overwhelmed or exhausted when your teen or child are hurting and working through life adjustments, problems at school, and other major changes. Children and teens communicate through their actions due to lack of understanding the emotions underneath. My passion is to help children and teenagers who are struggling to process their emotions and work through life’s difficulties by providing a safe and warm place for them to grow more in who they are.
(423) 244-0032 View (423) 244-0032
Photo of Carpe Diem Self Improvement Center, PLLC, Clinical Social Work/Therapist in Cleveland, TN
Carpe Diem Self Improvement Center, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Cleveland, TN 37312
I understand that life doesn't always go as we planned. But unwanted changes don't define us. I see adaptation as one of our greatest abilities. I believe that we are all are entitled to unconditional positive regard and to be met where we are at in the quest to live our best life. I use a Client-centered approach to ensure we progress at a pace that is comfortable for you and helps you bring about your own positive changes.
I understand that life doesn't always go as we planned. But unwanted changes don't define us. I see adaptation as one of our greatest abilities. I believe that we are all are entitled to unconditional positive regard and to be met where we are at in the quest to live our best life. I use a Client-centered approach to ensure we progress at a pace that is comfortable for you and helps you bring about your own positive changes.
(423) 641-8519 View (423) 641-8519
Photo of Nona Kelly, Marriage & Family Therapist in Cleveland, TN
Nona Kelly
Marriage & Family Therapist, LMFT
Verified Verified
Cleveland, TN 37312
Nona Kelly is a Licensed Marriage and Family therapist (LMFT) with over 20 years of experience in both the public and private sector. Nona enjoys working with individuals, couples, and families who are wanting a healthier life. She has extensive experience treating many issues and diagnoses, including depression and anxiety, women’s issues, family issues, addiction, and life transitions. Nona completed her master’s degree at Loma Linda University and is licensed both in California and Tennessee.
Nona Kelly is a Licensed Marriage and Family therapist (LMFT) with over 20 years of experience in both the public and private sector. Nona enjoys working with individuals, couples, and families who are wanting a healthier life. She has extensive experience treating many issues and diagnoses, including depression and anxiety, women’s issues, family issues, addiction, and life transitions. Nona completed her master’s degree at Loma Linda University and is licensed both in California and Tennessee.
(423) 380-1893 View (423) 380-1893

How does your Therapist compare?

Number of Therapists in Cleveland, TN

100+

Average cost per session

$100

Therapists in Cleveland, TN who prioritize treating:

89% Anxiety
80% Relationship Issues
78% Depression
77% Trauma and PTSD
74% Self Esteem
72% Stress
69% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

89% Cigna and Evernorth
68% Aetna
57% BlueCross and BlueShield

How Therapists in Cleveland, TN see their clients

91% In Person and Online
9% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cleveland?

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.