Therapists in Bristol County, VA

Photo of Bethany Gravely - Lifebulb Counseling & Therapy, Clinical Social Work/Therapist, LCSW
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Bristol, VA 24201
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(276) 881-1393 View (276) 881-1393
Photo of Kristy Walker - Restorative Mind Counseling, Pllc - Kristy Walker, Licensed Professional Counselor, LPC, NCC
Restorative Mind Counseling, Pllc - Kristy Walker
Licensed Professional Counselor, LPC, NCC
Bristol, VA 24201
Waitlist for new clients
Today's adults and kids are more connected and busier than ever, yet also feel stuck, unfulfilled, and sometimes lonely. A busy life doesn’t always mean we feel seen and heard. Sometimes life gets messy, and we put on a happy face and tell ourselves, “I will deal with that later.” Pain and loss are realities, but there aren’t lessons in school on how to handle these truths, and our lives can turn gray. The isolation of the pandemic has magnified the importance of human connection. There's something powerful about having a witness to your life story. I would be honored to help you, or your family member find their sunlight.
Today's adults and kids are more connected and busier than ever, yet also feel stuck, unfulfilled, and sometimes lonely. A busy life doesn’t always mean we feel seen and heard. Sometimes life gets messy, and we put on a happy face and tell ourselves, “I will deal with that later.” Pain and loss are realities, but there aren’t lessons in school on how to handle these truths, and our lives can turn gray. The isolation of the pandemic has magnified the importance of human connection. There's something powerful about having a witness to your life story. I would be honored to help you, or your family member find their sunlight.
(276) 409-9083 View (276) 409-9083
Photo of Summer Mowery, Clinical Social Work/Therapist, LISW, LCSW
Summer Mowery
Clinical Social Work/Therapist, LISW, LCSW
1 Endorsed
Online Only
If you are ready to take charge of your life and be done with debilitating anxious, depressive, and trauma-related symptoms, then it's time to rip off the band-aid, examine the wounds, provide supportive care, allow time and space for healing, and rediscover who you truly are. Learning how to be confident with who you are and what you are working with, cracks and all, is how you become the master of your life. You respect your values, prioritize accordingly, keep yourself open to new information, take all things into account, get your needs met, cultivate loving/supportive relationships, and plan for more happiness in your future.
If you are ready to take charge of your life and be done with debilitating anxious, depressive, and trauma-related symptoms, then it's time to rip off the band-aid, examine the wounds, provide supportive care, allow time and space for healing, and rediscover who you truly are. Learning how to be confident with who you are and what you are working with, cracks and all, is how you become the master of your life. You respect your values, prioritize accordingly, keep yourself open to new information, take all things into account, get your needs met, cultivate loving/supportive relationships, and plan for more happiness in your future.
(276) 945-7339 View (276) 945-7339
Photo of Amy Lester, LPC Intern, QMHP-T
Amy Lester
LPC Intern, QMHP-T
1 Endorsed
Bristol, VA 24201
I am a grad student working under the supervision of a LPC. I am currently accepting new clients from all walks of life! I see children, teens, and adults. Sometimes in life, things happen that can catch us off guard, or throw us off course. Whether these things are expected, or unexpected, it would be a great privilege for me to be able to help you navigate through these situations. My mission is to provide a safe place where all clients will feel welcome and safe no matter their background or beliefs.
I am a grad student working under the supervision of a LPC. I am currently accepting new clients from all walks of life! I see children, teens, and adults. Sometimes in life, things happen that can catch us off guard, or throw us off course. Whether these things are expected, or unexpected, it would be a great privilege for me to be able to help you navigate through these situations. My mission is to provide a safe place where all clients will feel welcome and safe no matter their background or beliefs.
(276) 445-8965 View (276) 445-8965
Photo of Sabrina Guinn, Licensed Professional Counselor, LPC
Sabrina Guinn
Licensed Professional Counselor, LPC
2 Endorsed
Bristol, VA 24201
I'm currently accepting new clients. Evening and weekend appointments are available! We all struggle with finding just the right balance in our lives. Maybe anxiety, depression, and outside stressors are keeping you from feeling present in your life. Maybe significant events from your past are intruding into your thoughts and hijacking your present experience. Perhaps your marriage is suffering and the two of you are having difficulty in finding compromise and balance. If you want to work on developing a real, dynamic, and balanced life, I can help you to find a path forward to achieving the reality that you want.
I'm currently accepting new clients. Evening and weekend appointments are available! We all struggle with finding just the right balance in our lives. Maybe anxiety, depression, and outside stressors are keeping you from feeling present in your life. Maybe significant events from your past are intruding into your thoughts and hijacking your present experience. Perhaps your marriage is suffering and the two of you are having difficulty in finding compromise and balance. If you want to work on developing a real, dynamic, and balanced life, I can help you to find a path forward to achieving the reality that you want.
(276) 208-8386 View (276) 208-8386
Photo of Holly Tudor, Licensed Professional Counselor, LPC
Holly Tudor
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Being vulnerable is hard, it's uncomfortable and it's entirely human. To me, good therapy provides the perfect opportunity for you to explore the unique challenges in your life in a trusting, nonjudgemental and safe environment. Within the context of the therapeutic relationship, you will be supported with making sense of past issues in order to help you move forward with increased awareness and a greater sense of belonging in the present and future.
Being vulnerable is hard, it's uncomfortable and it's entirely human. To me, good therapy provides the perfect opportunity for you to explore the unique challenges in your life in a trusting, nonjudgemental and safe environment. Within the context of the therapeutic relationship, you will be supported with making sense of past issues in order to help you move forward with increased awareness and a greater sense of belonging in the present and future.
(804) 886-1856 View (804) 886-1856
Photo of Lindsay Nicole Martinez - SpringWell Group, Psychologist, PsyD
SpringWell Group
Psychologist, PsyD
Serves Area
Welcome to SpringWell Group! My name is Dr. Martinez & I am a Licensed Clinical Psychologist offering comprehensive psychological testing, including Court-related evaluations. I also provide relational-focused therapy from a trauma-informed & attachment-based foundation that views secure relationship & interpersonal connection as central to healing and growth. I believe people have an innate need to be seen & are capable of remarkable growth, & that with caring support they can flourish in even the most difficult times. Services at client preferred location available for high privacy.
Welcome to SpringWell Group! My name is Dr. Martinez & I am a Licensed Clinical Psychologist offering comprehensive psychological testing, including Court-related evaluations. I also provide relational-focused therapy from a trauma-informed & attachment-based foundation that views secure relationship & interpersonal connection as central to healing and growth. I believe people have an innate need to be seen & are capable of remarkable growth, & that with caring support they can flourish in even the most difficult times. Services at client preferred location available for high privacy.
(423) 441-4279 View (423) 441-4279
Photo of Brittany L S Krackow, Licensed Professional Counselor, LPC, CCTP, NCC
Brittany L S Krackow
Licensed Professional Counselor, LPC, CCTP, NCC
5 Endorsed
Serves Area
Ambrose Redmoon said, "Courage is not the absence of fear, but rather the judgment that something else is more important than fear." Brittany recognizes the courage it takes to reach out to someone for counseling or to seek out a psychological assessment. Brittany places great importance on knowing what the client wants to achieve and focusing on finding the most effective techniques to help them reach their goals! She emphasizes the importance of self-growth and recognizes that everyone can create change for their future when given the tools to do so.
Ambrose Redmoon said, "Courage is not the absence of fear, but rather the judgment that something else is more important than fear." Brittany recognizes the courage it takes to reach out to someone for counseling or to seek out a psychological assessment. Brittany places great importance on knowing what the client wants to achieve and focusing on finding the most effective techniques to help them reach their goals! She emphasizes the importance of self-growth and recognizes that everyone can create change for their future when given the tools to do so.
(276) 265-4221 View (276) 265-4221
Photo of Hilary Musgrove, Licensed Professional Counselor, LPC
Hilary Musgrove
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Life can be a lot. Between work, school, pandemics, financial crisis... I could go on, and on. Some of us are also dealing with debilitating anxiety, depression, and health issues. Many people are seeing the effects in their relationships, their work, and their spiritual life. Now more than ever, it's important to have a sounding board. The old ways of navigating through life might need to be adjusted. You want things to be different, but you're not sure how. You're ready to change, you just need some guidance to find your way.
Life can be a lot. Between work, school, pandemics, financial crisis... I could go on, and on. Some of us are also dealing with debilitating anxiety, depression, and health issues. Many people are seeing the effects in their relationships, their work, and their spiritual life. Now more than ever, it's important to have a sounding board. The old ways of navigating through life might need to be adjusted. You want things to be different, but you're not sure how. You're ready to change, you just need some guidance to find your way.
(276) 859-5693 View (276) 859-5693
Photo of Brittany Hunsaker, Clinical Social Work/Therapist, MSW, LCSW
Brittany Hunsaker
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Have you been feeling burnt out or overwhelmed? Do you find yourself being irritable and on edge with the people you care about? Do you struggle with feelings of inadequacy and shame? Are the difficult experiences and traumas of your past interfering with your life in the here and now? Do you find yourself living your life in survival mode? It's been a rough few years. For some of us, it's been a rough few decades. It makes sense that you find it difficult to cope. It makes sense that your living your life in survival mode. But if you're here, I'm guessing that's not working for you anymore. I'd like to help with that.
Have you been feeling burnt out or overwhelmed? Do you find yourself being irritable and on edge with the people you care about? Do you struggle with feelings of inadequacy and shame? Are the difficult experiences and traumas of your past interfering with your life in the here and now? Do you find yourself living your life in survival mode? It's been a rough few years. For some of us, it's been a rough few decades. It makes sense that you find it difficult to cope. It makes sense that your living your life in survival mode. But if you're here, I'm guessing that's not working for you anymore. I'd like to help with that.
(606) 731-2863 View (606) 731-2863
Photo of John S. Paul, Resident in Counseling
John S. Paul
Resident in Counseling
6 Endorsed
Serves Area
No matter how hard we try, no one is immune to hardship and hurt. It's the journey of life that conveys meaning and purpose, not the outcome. My journey has provided a wealth of diverse experience. Prior to becoming a therapist, I was a business owner and I spent years climbing the corporate ladder. I was also in ministry and understand the pressures and loneliness that come with pastoral and ministry work. I have adopted from the foster care system and have experience raising kids with ADHD, PTSD, attachment disorder, and Autism. As a therapist, I have clinical experience working with these disorders and many more.
No matter how hard we try, no one is immune to hardship and hurt. It's the journey of life that conveys meaning and purpose, not the outcome. My journey has provided a wealth of diverse experience. Prior to becoming a therapist, I was a business owner and I spent years climbing the corporate ladder. I was also in ministry and understand the pressures and loneliness that come with pastoral and ministry work. I have adopted from the foster care system and have experience raising kids with ADHD, PTSD, attachment disorder, and Autism. As a therapist, I have clinical experience working with these disorders and many more.
(276) 222-6983 View (276) 222-6983
Photo of Keith Alan Medeiros, Licensed Professional Counselor, LPC
Keith Alan Medeiros
Licensed Professional Counselor, LPC
2 Endorsed
Serves Area
I believe we all should be able to live as full a life as possible, rich with positive experiences and relationships. Unfortunately, sometimes things get in the way of that goal. When this happens, we may need help getting back on track. That help can come from many forms, and this is where I may be of assistance. As a counselor for eight years working with children, adolescents, adults and families, I have developed an eclectic style utilizing evidence-based treatments including Cognitive-Behavioral Therapy, Rational Emotive Behavior Therapy, Structural Family Therapy and Solution Focused Brief Therapy.
I believe we all should be able to live as full a life as possible, rich with positive experiences and relationships. Unfortunately, sometimes things get in the way of that goal. When this happens, we may need help getting back on track. That help can come from many forms, and this is where I may be of assistance. As a counselor for eight years working with children, adolescents, adults and families, I have developed an eclectic style utilizing evidence-based treatments including Cognitive-Behavioral Therapy, Rational Emotive Behavior Therapy, Structural Family Therapy and Solution Focused Brief Therapy.
(276) 254-8743 View (276) 254-8743
Photo of Kennedy Rose, Licensed Professional Counselor, LMHP-R
Kennedy Rose
Licensed Professional Counselor, LMHP-R
1 Endorsed
Online Only
As a woman with a disability and a native of Southwest Virginia, I offer an empathetic and open-minded perspective, embracing diverse experiences and backgrounds. Whether you're seeking support for personal challenges, school related difficulties, or relationship dynamics; I am here to help you navigate your journey with compassion and expertise.
As a woman with a disability and a native of Southwest Virginia, I offer an empathetic and open-minded perspective, embracing diverse experiences and backgrounds. Whether you're seeking support for personal challenges, school related difficulties, or relationship dynamics; I am here to help you navigate your journey with compassion and expertise.
(540) 696-5526 View (540) 696-5526
Photo of Ebony Griffin, Licensed Clinical Professional Counselor, LCPC
Ebony Griffin
Licensed Clinical Professional Counselor, LCPC
Serves Area
Hello, I'm Ebony with ReFocus Together Counseling Services. ReFocus means to readjust your vision. Sometimes seeing a challenge or a mental illness from a different vantage point through the guidance of a professional can be very helpful and is an important step in the process of change. Envision a life free of feeling trapped by addictions, weak boundaries, trauma, or lack of self-confidence. Imagine a life filled with more hope, joy, fulfillment, and satisfaction. These are values that you can achieve if you put the effort in. I can help your achieve your goals.
Hello, I'm Ebony with ReFocus Together Counseling Services. ReFocus means to readjust your vision. Sometimes seeing a challenge or a mental illness from a different vantage point through the guidance of a professional can be very helpful and is an important step in the process of change. Envision a life free of feeling trapped by addictions, weak boundaries, trauma, or lack of self-confidence. Imagine a life filled with more hope, joy, fulfillment, and satisfaction. These are values that you can achieve if you put the effort in. I can help your achieve your goals.
(301) 307-5513 View (301) 307-5513
Photo of Katie Halsey, Licensed Professional Counselor, LPC
Katie Halsey
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Katie Halsey holds a license as a LPC in the state of VA and TN. She received her M.Ed. in Human Development & Counseling from Lindsey Wilson College in 2014. Since 2015, Katie has worked with youth in a residential trauma setting with a wide variety of diagnosis. Katie enjoys working with clients of all ages and has a special interest for military, law enforcement, and first responder members. Katie has experience with working with clients in both the individual and family setting.
Katie Halsey holds a license as a LPC in the state of VA and TN. She received her M.Ed. in Human Development & Counseling from Lindsey Wilson College in 2014. Since 2015, Katie has worked with youth in a residential trauma setting with a wide variety of diagnosis. Katie enjoys working with clients of all ages and has a special interest for military, law enforcement, and first responder members. Katie has experience with working with clients in both the individual and family setting.
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Photo of Zoë Arnold, Pre-Licensed Professional
Zoë Arnold
Pre-Licensed Professional
1 Endorsed
Serves Area
Zoë, pronounced "Zo-AYE," has over 15 years of experience working with children and adolescents. Over time, she observed a troubling rise in depression and a decline in self-confidence as individuals transition into adulthood. This inspired her mission to equip people with the skills and empowerment needed to grow into healthy, thriving adults. Zoë holds a Master’s degree in Clinical and Mental Health Counseling and has worked with clients across the lifespan, from ages 5 to 82, including individuals and couples.
Zoë, pronounced "Zo-AYE," has over 15 years of experience working with children and adolescents. Over time, she observed a troubling rise in depression and a decline in self-confidence as individuals transition into adulthood. This inspired her mission to equip people with the skills and empowerment needed to grow into healthy, thriving adults. Zoë holds a Master’s degree in Clinical and Mental Health Counseling and has worked with clients across the lifespan, from ages 5 to 82, including individuals and couples.
(276) 262-4211 View (276) 262-4211
Photo of Catherine (Catie) Cotter, Clinical Social Work/Therapist, LCSW
Catherine (Catie) Cotter
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Catie Cotter holds a license in clinical social work in the state of Virginia. She received her Master of Social Work from Radford University, and Bachelor of Social Work from King University. Catie enjoys working with children, adolescents, and adults. Catie has experience working with clients experiencing depression, anxiety, ADHD, trauma, and grief, as well as substance abuse issues (both individually and in group setting). Catie has a special interest in working with trauma related issues and often utilizes EMDR (eye movement desensitization and reprocessing) to assist with this. Catie uses an integrative therapeutic approach
Catie Cotter holds a license in clinical social work in the state of Virginia. She received her Master of Social Work from Radford University, and Bachelor of Social Work from King University. Catie enjoys working with children, adolescents, and adults. Catie has experience working with clients experiencing depression, anxiety, ADHD, trauma, and grief, as well as substance abuse issues (both individually and in group setting). Catie has a special interest in working with trauma related issues and often utilizes EMDR (eye movement desensitization and reprocessing) to assist with this. Catie uses an integrative therapeutic approach
(855) 296-4378 View (855) 296-4378
Photo of Cindy Addison (Formerly Griffith), Licensed Professional Counselor, LPC, LMFT, CSAT, Author, Speaker
Cindy Addison (Formerly Griffith)
Licensed Professional Counselor, LPC, LMFT, CSAT, Author, Speaker
1 Endorsed
Serves Area
Cindy believes humans are physical, mental, emotional, sexual and spiritual beings thus the goal of therapy is to obtain health in all areas of one's being. I believe a client takes the first step to healing as soon as the counseling appointment is made. It's a privilege to observe transformation in a client on the road to hope and healing by focusing on the strengths from within the client. It is exciting to watch a couple go from the brink of divorce to a marriage better than ever.
Cindy believes humans are physical, mental, emotional, sexual and spiritual beings thus the goal of therapy is to obtain health in all areas of one's being. I believe a client takes the first step to healing as soon as the counseling appointment is made. It's a privilege to observe transformation in a client on the road to hope and healing by focusing on the strengths from within the client. It is exciting to watch a couple go from the brink of divorce to a marriage better than ever.
(276) 300-4422 View (276) 300-4422
Photo of Erin R Jurich-Finney - Finneys Incorporated, Psychologist, PsyD
Finneys Incorporated
Psychologist, PsyD
Serves Area
I like helping people who are going through a rough patch and need a little extra help to get through. This can be kids, adults, and whole families. While the people who need my help are not feeling so great when they first come in, I am so happy to help them through the tough times and see them come out on the other side feeling like themselves again, and perhaps even stronger.
I like helping people who are going through a rough patch and need a little extra help to get through. This can be kids, adults, and whole families. While the people who need my help are not feeling so great when they first come in, I am so happy to help them through the tough times and see them come out on the other side feeling like themselves again, and perhaps even stronger.
(276) 663-4716 View (276) 663-4716
Photo of Ashton Merriman, Pre-Licensed Professional, MA
Ashton Merriman
Pre-Licensed Professional, MA
Serves Area
I became a therapist to offer a place of peace. I want to create an environment where the client is the priority, a space where they feel safe to do the work they feel ready and able to do. I became a therapist to offer a place of hospitality, empathy, and encouragement. I believe that healing and growth are possible and worth the effort in counseling. Therapy offers a space where you are valued, heard, and respected.
I became a therapist to offer a place of peace. I want to create an environment where the client is the priority, a space where they feel safe to do the work they feel ready and able to do. I became a therapist to offer a place of hospitality, empathy, and encouragement. I believe that healing and growth are possible and worth the effort in counseling. Therapy offers a space where you are valued, heard, and respected.
(276) 329-1808 View (276) 329-1808

See more therapy options for Bristol County

How does your Therapist compare?

Number of Therapists in Bristol County, VA

30+

Average cost per session

$100

Therapists in Bristol County, VA who prioritize treating:

97% Anxiety
84% Self Esteem
81% Trauma and PTSD
77% Depression
74% Relationship Issues
74% Stress
65% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

88% Aetna
88% Anthem
83% BlueCross and BlueShield

How Therapists in Bristol County, VA see their clients

84% In Person and Online
16% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Bristol County?

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.