Therapists in Richmond, VA

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Photo of Rachel Giles, Clinical Social Work/Therapist in Richmond, VA
Rachel Giles
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi all! I am an LCSW and a Board Approved Supervisor for LCSW in Virginia. I obtained a BA in Psychology with a minor in Childhood Development from Ashford University and a Masters in Social Work with a concentration on children and families from the University of Southern California.
Hi all! I am an LCSW and a Board Approved Supervisor for LCSW in Virginia. I obtained a BA in Psychology with a minor in Childhood Development from Ashford University and a Masters in Social Work with a concentration on children and families from the University of Southern California.
(804) 600-4246 View (804) 600-4246
Photo of Cynthia Repanshek, Psychologist in Richmond, VA
Cynthia Repanshek
Psychologist, LCP
Verified Verified
Richmond, VA 23235
My name is Cynthia (Cyndi) Repanshek, and I am a Licensed Clinical Psychologist. I am located in Fredericksburg, VA, but I see patients throughout Virginia via telehealth. I work with adults and specialize in anxiety, stress, depression, and OCD. I see therapy as a collaborative process. I am not dedicated to a sole modality, and I would like to work with you to determine what type of therapy is the best fit. I work with adults of all ages. I have treated a wide range of diagnoses, including adult ADHD, anxiety, depression, and OCD.
My name is Cynthia (Cyndi) Repanshek, and I am a Licensed Clinical Psychologist. I am located in Fredericksburg, VA, but I see patients throughout Virginia via telehealth. I work with adults and specialize in anxiety, stress, depression, and OCD. I see therapy as a collaborative process. I am not dedicated to a sole modality, and I would like to work with you to determine what type of therapy is the best fit. I work with adults of all ages. I have treated a wide range of diagnoses, including adult ADHD, anxiety, depression, and OCD.
(804) 567-7441 View (804) 567-7441
Photo of Dr. Eric Tucker, Clinical Social Work/Therapist in Richmond, VA
Dr. Eric Tucker
Clinical Social Work/Therapist, EdD, MSW, LCSW
Verified Verified
Richmond, VA 23220  (Online Only)
Life can be a challenge. Even with the most sincere attempt and best effort, everyone experience setbacks, loss, trauma, and at times, a reduced sense of hope. In the darkest moments, we need someone to offer genuine support, help us discover sustainable solutions, and guide us through challenges to the ultimate pivot. While I welcome and have experience with diverse populations, I am especially passionate about increasing access and reducing the stigma of behavioral health among men. You can expect professional high quality care, humor, and a compassionate yet challenging partnership to help you discover quality health & wellness.
Life can be a challenge. Even with the most sincere attempt and best effort, everyone experience setbacks, loss, trauma, and at times, a reduced sense of hope. In the darkest moments, we need someone to offer genuine support, help us discover sustainable solutions, and guide us through challenges to the ultimate pivot. While I welcome and have experience with diverse populations, I am especially passionate about increasing access and reducing the stigma of behavioral health among men. You can expect professional high quality care, humor, and a compassionate yet challenging partnership to help you discover quality health & wellness.
(804) 656-5128 View (804) 656-5128
Photo of Sarajayne Vanover, Pre-Licensed Professional in Richmond, VA
Sarajayne Vanover
Pre-Licensed Professional
Verified Verified
Richmond, VA 23230
Sarajayne Vanover is a Supervisee in Social Work with 5 years of experience in case management. She has worked with children, adolescents, teenagers, and adults from diverse backgrounds. Sarajayne has treated children with behavioral and emotional challenges, trauma histories, and family instability. She enjoys helping clients develop coping skills for depression, anxiety, life transitions, and daily struggles. Sarajayne understands the impact that positive support can have and seeks to help clients meet their goals. She seeks to provide validation and support to clients by understanding who they are and what they’ve experienced.
Sarajayne Vanover is a Supervisee in Social Work with 5 years of experience in case management. She has worked with children, adolescents, teenagers, and adults from diverse backgrounds. Sarajayne has treated children with behavioral and emotional challenges, trauma histories, and family instability. She enjoys helping clients develop coping skills for depression, anxiety, life transitions, and daily struggles. Sarajayne understands the impact that positive support can have and seeks to help clients meet their goals. She seeks to provide validation and support to clients by understanding who they are and what they’ve experienced.
(804) 587-7492 View (804) 587-7492
Photo of Carrie Jones, Licensed Professional Counselor in Richmond, VA
Carrie Jones
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi, I'm Carrie. It's my goal to help you create a clear vision of the life you want to live and take steps toward it. I believe in exploring what's really important to you so you know which direction to go. I want to help you break free of living a life that others think you should live and instead find the courage to live the life that you desire. I'm here to help you find a lasting sense of fulfillment and purpose. I'm here to help you get back on track to living an intentional and impactful life.
Hi, I'm Carrie. It's my goal to help you create a clear vision of the life you want to live and take steps toward it. I believe in exploring what's really important to you so you know which direction to go. I want to help you break free of living a life that others think you should live and instead find the courage to live the life that you desire. I'm here to help you find a lasting sense of fulfillment and purpose. I'm here to help you get back on track to living an intentional and impactful life.
(804) 258-6549 View (804) 258-6549
Photo of Katherine Meyersohn, Clinical Social Work/Therapist in Richmond, VA
Katherine Meyersohn
Clinical Social Work/Therapist, LCSW, RYT 500, Reiki
Verified Verified
3 Endorsed
Richmond, VA 23227
Not accepting new clients
As the founder of The Healing Arts Center of Richmond, I embrace an innovative, strengths-based, truly holistic approach to therapy & wellness. Drawing on 25 yrs. of diverse experience & expertise in trauma, grief, & critical incident/crisis work, I blend traditional & complementary therapies/modalities to treat the whole person - Mind-Body-Spirit. I integrate CBT, EMDR, MARI, GIM, Yoga, Reiki, WFPBN, PLR, Music & Art to assist & empower clients to develop the essential skills, practices, & resilience to make healthy & lasting changes, & promote healing, personal growth, & wellness, & to reach their greatest potential.
As the founder of The Healing Arts Center of Richmond, I embrace an innovative, strengths-based, truly holistic approach to therapy & wellness. Drawing on 25 yrs. of diverse experience & expertise in trauma, grief, & critical incident/crisis work, I blend traditional & complementary therapies/modalities to treat the whole person - Mind-Body-Spirit. I integrate CBT, EMDR, MARI, GIM, Yoga, Reiki, WFPBN, PLR, Music & Art to assist & empower clients to develop the essential skills, practices, & resilience to make healthy & lasting changes, & promote healing, personal growth, & wellness, & to reach their greatest potential.
(804) 265-4143 View (804) 265-4143
Photo of Grace S Bryan, Supervisee in Clinical Social Work in Richmond, VA
Grace S Bryan
Supervisee in Clinical Social Work, MSW, LMHP-S, CSAC-S
Verified Verified
Richmond, VA 23294
Hello there! My name is Grace, and I'm here to accompany you on your journey towards the life you envision for yourself. I blend creative and conventional therapeutic methods, working to fully comprehend your unique ways of coping and overcoming the challenges you encounter. I am a firm believer that therapy should be personalized, focusing on you and harnessing the strengths you possess. I understand that everyone's struggles are individual, and I strive to echo this understanding in my approach to therapy. My primary goal is to create an environment where you feel at ease, respected, and truly listened to.
Hello there! My name is Grace, and I'm here to accompany you on your journey towards the life you envision for yourself. I blend creative and conventional therapeutic methods, working to fully comprehend your unique ways of coping and overcoming the challenges you encounter. I am a firm believer that therapy should be personalized, focusing on you and harnessing the strengths you possess. I understand that everyone's struggles are individual, and I strive to echo this understanding in my approach to therapy. My primary goal is to create an environment where you feel at ease, respected, and truly listened to.
(804) 373-8032 View (804) 373-8032
Photo of Rachelle Ngo, Clinical Social Work/Therapist in Richmond, VA
Rachelle Ngo
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23226  (Online Only)
Current availability after 5:00pm. Mental health is something we all may struggle with at various stages in our lives, whether due to anxiety, depression, substance use, or other issues. Although it is not always easy, talking about our experiences can promote self-awareness, growth, and healing over time. As you are preparing to take the next steps in your journey, it would be a privilege to support you.
Current availability after 5:00pm. Mental health is something we all may struggle with at various stages in our lives, whether due to anxiety, depression, substance use, or other issues. Although it is not always easy, talking about our experiences can promote self-awareness, growth, and healing over time. As you are preparing to take the next steps in your journey, it would be a privilege to support you.
(804) 597-9932 View (804) 597-9932
Photo of Erika Brooks, Licensed Professional Counselor in Richmond, VA
Erika Brooks
Licensed Professional Counselor, MS, LPC, CSAC
Verified Verified
4 Endorsed
Richmond, VA 23231
I provide sound therapeutic counseling and support to people who are dealing with depression, anxiety, trauma, and substance abuse concerns. Using an ecclectic therapeutic approach, I will help you rediscover effective coping skills (and maybe learn new ones) to faces challenges and make change in your life. I enjoy working with adolescents and adults in an individual, family, or group setting. If you are ready to begin the journey, please call or email me.
I provide sound therapeutic counseling and support to people who are dealing with depression, anxiety, trauma, and substance abuse concerns. Using an ecclectic therapeutic approach, I will help you rediscover effective coping skills (and maybe learn new ones) to faces challenges and make change in your life. I enjoy working with adolescents and adults in an individual, family, or group setting. If you are ready to begin the journey, please call or email me.
(804) 457-6689 View (804) 457-6689
Photo of Richard Krogmann in Richmond, VA
Richard Krogmann
EdS
Verified Verified
Richmond, VA 23225
We provide a range of psychological evaluations in Richmond–for children, teens, and adults. Assessments for dyslexia, dysgraphia, and dyscalculia (learning disabilities in reading, writing, and math). We also provide evaluations for ADHD and autism. And, because many of our clients also struggle with anxiety, depression, or similar, we can help sort out how these impact day-to-day functioning.
We provide a range of psychological evaluations in Richmond–for children, teens, and adults. Assessments for dyslexia, dysgraphia, and dyscalculia (learning disabilities in reading, writing, and math). We also provide evaluations for ADHD and autism. And, because many of our clients also struggle with anxiety, depression, or similar, we can help sort out how these impact day-to-day functioning.
(804) 457-8516 View (804) 457-8516
Photo of Paula Schoenau, Licensed Professional Counselor in Richmond, VA
Paula Schoenau
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi there! I am Brazilian and I graduated in Psychology over 15 years ago - do not do the Math! :) I have been living in the USA since 2014 and I obtained my Masters in Clinical Mental Health Counseling in 2018.
Hi there! I am Brazilian and I graduated in Psychology over 15 years ago - do not do the Math! :) I have been living in the USA since 2014 and I obtained my Masters in Clinical Mental Health Counseling in 2018.
(804) 361-9839 View (804) 361-9839
Photo of Mary Catherine Jessee, Licensed Professional Counselor in Richmond, VA
Mary Catherine Jessee
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23224  (Online Only)
Are you feeling dragged down by life's challenges? The Zen proverb 'Let go, or be dragged' reminds us that in order to be free of suffering, we must let go. I am inspired by secular Buddhism and believe that suffering is an innate human experience, not created from life's problems, but from our clinging to "the way things should be" and resisting impermanence and change. I help individuals develop acceptance through mindfulness and other Eastern teachings to provide them with freedom to flow with life and equanimity to remain calm even amongst the most chaotic storms.
Are you feeling dragged down by life's challenges? The Zen proverb 'Let go, or be dragged' reminds us that in order to be free of suffering, we must let go. I am inspired by secular Buddhism and believe that suffering is an innate human experience, not created from life's problems, but from our clinging to "the way things should be" and resisting impermanence and change. I help individuals develop acceptance through mindfulness and other Eastern teachings to provide them with freedom to flow with life and equanimity to remain calm even amongst the most chaotic storms.
(804) 474-6437 View (804) 474-6437
Photo of Robyn Nicholas-Barnes, Licensed Professional Counselor in Richmond, VA
Robyn Nicholas-Barnes
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Richmond, VA 23225
Do you have challenges in your life that needs additional support to manage? Are you thinking about how you can overcome symptoms of depression, anxiety, and stress that affects your ability to live a happy and productive life? It is important to know that you have a professional who is understanding, empathetic, and experienced in resolving issues that matter to you. My collaborative and person-centered approach to counseling will assist you in meeting your goals. Seeking counseling is the first step to improving your mental health and I am here to help you through this process!
Do you have challenges in your life that needs additional support to manage? Are you thinking about how you can overcome symptoms of depression, anxiety, and stress that affects your ability to live a happy and productive life? It is important to know that you have a professional who is understanding, empathetic, and experienced in resolving issues that matter to you. My collaborative and person-centered approach to counseling will assist you in meeting your goals. Seeking counseling is the first step to improving your mental health and I am here to help you through this process!
(804) 408-4784 View (804) 408-4784
Photo of Sofia Anna Crowe, Clinical Social Work/Therapist in Richmond, VA
Sofia Anna Crowe
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Richmond, VA 23230
I have been a clinician for 23 years. I have a Master's from the U of MD Social Work program. I have enjoyed wide-ranging training and employment in many settings, including supervising a county-wide suicide hotline, in an adolescent residential facility, intensive outpatient and in-home therapy. I have worked in diverse settings, such as Johns Hopkins Methadone/Suboxone program and for an AZ Native Tribal Nation. I am experienced in diverse treatment modalities, including DBT (couples and family) dual-diagnosis treatment, Imago and in Imago/communication focused couples therapy, and multi-systemic or strategic family therapy.
I have been a clinician for 23 years. I have a Master's from the U of MD Social Work program. I have enjoyed wide-ranging training and employment in many settings, including supervising a county-wide suicide hotline, in an adolescent residential facility, intensive outpatient and in-home therapy. I have worked in diverse settings, such as Johns Hopkins Methadone/Suboxone program and for an AZ Native Tribal Nation. I am experienced in diverse treatment modalities, including DBT (couples and family) dual-diagnosis treatment, Imago and in Imago/communication focused couples therapy, and multi-systemic or strategic family therapy.
(804) 596-4564 View (804) 596-4564
Photo of Rachel Baylor, Counselor in Richmond, VA
Rachel Baylor
Counselor, LPC
Verified Verified
Richmond, VA 23230
Rachel Baylor is a Licensed Professional Counselor in Virginia who has been practicing since 2023. She received her M. A. in Clinical Mental Health Counseling from the Chicago School of Professional Psychology and her B.A. in Psychology from Hampton University with a minor in Children and Family studies. Rachel is a 200-hour Registered Yoga Teacher, and her approach is person-centered and strength based. Perhaps you are single, feeling alone in your relationships, struggling to connect with your partner. Maybe you are a parent struggling to bond with your child or looking for ways to best support your child(ren).
Rachel Baylor is a Licensed Professional Counselor in Virginia who has been practicing since 2023. She received her M. A. in Clinical Mental Health Counseling from the Chicago School of Professional Psychology and her B.A. in Psychology from Hampton University with a minor in Children and Family studies. Rachel is a 200-hour Registered Yoga Teacher, and her approach is person-centered and strength based. Perhaps you are single, feeling alone in your relationships, struggling to connect with your partner. Maybe you are a parent struggling to bond with your child or looking for ways to best support your child(ren).
(804) 352-6259 View (804) 352-6259
Photo of Christine Macri, Clinical Social Work/Therapist in Richmond, VA
Christine Macri
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23220
Not accepting new clients
I always try to approach people with a deep appreciation for their complexity. Identified problems and symptoms are only part of the picture, and a more comprehensive view allows us to take full advantage of our strengths, as well as identify aspects of healthy living that are missing. When these tend to be in areas we're less comfortable with, gently exploring and working to improve our comfort level can be powerful tools toward lasting change. A strong therapeutic alliance can be an essential part of this effort.
I always try to approach people with a deep appreciation for their complexity. Identified problems and symptoms are only part of the picture, and a more comprehensive view allows us to take full advantage of our strengths, as well as identify aspects of healthy living that are missing. When these tend to be in areas we're less comfortable with, gently exploring and working to improve our comfort level can be powerful tools toward lasting change. A strong therapeutic alliance can be an essential part of this effort.
(804) 495-8887 View (804) 495-8887
Photo of Savoy Wellness Center LLC, Clinical Social Work/Therapist in Richmond, VA
Savoy Wellness Center LLC
Clinical Social Work/Therapist, LCSW, LICSW, LMHP
Verified Verified
Richmond, VA 23221  (Online Only)
Are you looking for an affordable therapist with a unique skill set that can help you deal with everyday life stressors? Are you feeling in a downward spiral? Challenged with relationship issues that are weighing you down and your supportive network? If so, you have come to the right place!
Are you looking for an affordable therapist with a unique skill set that can help you deal with everyday life stressors? Are you feeling in a downward spiral? Challenged with relationship issues that are weighing you down and your supportive network? If so, you have come to the right place!
(240) 222-5924 View (240) 222-5924
Photo of Yulia Roe, Clinical Social Work/Therapist in Richmond, VA
Yulia Roe
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hello! Life may surprise us with many positive experiences; however, there are also times when things do not go right. If stress, anxiety, anger, or depression have been problematic for you and you feel stuck, I can help you identify your strengths and develop the tools to overcome these challenges. I enjoy working with people who find themselves ready for a change but perhaps unsure of how to make that happen for themselves. Therapy is a collaborative process, and I am glad to take this journey with you!
Hello! Life may surprise us with many positive experiences; however, there are also times when things do not go right. If stress, anxiety, anger, or depression have been problematic for you and you feel stuck, I can help you identify your strengths and develop the tools to overcome these challenges. I enjoy working with people who find themselves ready for a change but perhaps unsure of how to make that happen for themselves. Therapy is a collaborative process, and I am glad to take this journey with you!
(804) 531-6824 View (804) 531-6824
Photo of Caitlin Ford, Clinical Social Work/Therapist in Richmond, VA
Caitlin Ford
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
I am an LCSW based out of Virginia. I have worked with various populations to include teenagers ranging from severe mental illness to future growth and planning; adults with severe mental illness, couples, mild-severe depression and anxiety, family issues, and motivational struggles. I am solution focused and my goal it to help you get where you want to be!
I am an LCSW based out of Virginia. I have worked with various populations to include teenagers ranging from severe mental illness to future growth and planning; adults with severe mental illness, couples, mild-severe depression and anxiety, family issues, and motivational struggles. I am solution focused and my goal it to help you get where you want to be!
(804) 538-3192 View (804) 538-3192
Photo of Hoang Oanh Rodgers, Licensed Professional Counselor in Richmond, VA
Hoang Oanh Rodgers
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23222
Hello, I am thrilled you are “visiting with me” today. It is an understatement to say, “I love being a therapist.” It took ten years of education to earn the privilege of sitting before my clients. Being a therapist is my life's work and my passion. I am very aware of my great responsibility as a therapist for my clients. Over the years, I am always awed and inspired by the resilience of those who have shared their story with me. My path to becoming a therapist many years ago fulfills me every day. I can't describe with words the feeling of pride that I feel when it's the last day of a successful treatment, ending with my client(s).
Hello, I am thrilled you are “visiting with me” today. It is an understatement to say, “I love being a therapist.” It took ten years of education to earn the privilege of sitting before my clients. Being a therapist is my life's work and my passion. I am very aware of my great responsibility as a therapist for my clients. Over the years, I am always awed and inspired by the resilience of those who have shared their story with me. My path to becoming a therapist many years ago fulfills me every day. I can't describe with words the feeling of pride that I feel when it's the last day of a successful treatment, ending with my client(s).
(804) 626-5728 View (804) 626-5728

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
88% Depression
75% Self Esteem
74% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

78% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

57% In Person and Online
43% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.