Therapists in Giles County, VA

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Photo of Abundant Life Christian Counseling, Licensed Professional Counselor in Giles County, VA
Abundant Life Christian Counseling
Licensed Professional Counselor, LPC
Verified Verified
Ripplemead, VA 24150
Do you need a better way to cope with anxiety or depression? You may need help finding practical strategies & skills to help you not only get through your day, but improve your ability to navigate school or work, relational, and spiritual challenges. You may need a safe place to talk about your beliefs or doubts. Maybe life has changed, and you can't seem to adjust. Maybe it all has become too much, & self-worth, health, and things that were once so important have taken a hit. You would like to feel happy and hopeful again. Or at least have some tools so that you feel a sense of positive progress and growth.
Do you need a better way to cope with anxiety or depression? You may need help finding practical strategies & skills to help you not only get through your day, but improve your ability to navigate school or work, relational, and spiritual challenges. You may need a safe place to talk about your beliefs or doubts. Maybe life has changed, and you can't seem to adjust. Maybe it all has become too much, & self-worth, health, and things that were once so important have taken a hit. You would like to feel happy and hopeful again. Or at least have some tools so that you feel a sense of positive progress and growth.
(540) 227-0005 View (540) 227-0005
Photo of Connie Fisher Hopkins, Clinical Social Work/Therapist in Giles County, VA
Connie Fisher Hopkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Pearisburg, VA 24134
I am a graduate from Radford University earning a Bachelors Degree with a focus on social work. I received a Masters of Social Work from Radford in 2014 and began working toward being a LCSW. I received my LCSW in 2017 and have been working in outpatient therapy since. I have experience with anxiety disorders, depressive disorders, bipolar disorder, ADD/ADHD, oppositional defiant disorder, anger management, parenting issues, personality disorders, trauma, and grief. I work from a strength-based perspective with a client-centered style.
I am a graduate from Radford University earning a Bachelors Degree with a focus on social work. I received a Masters of Social Work from Radford in 2014 and began working toward being a LCSW. I received my LCSW in 2017 and have been working in outpatient therapy since. I have experience with anxiety disorders, depressive disorders, bipolar disorder, ADD/ADHD, oppositional defiant disorder, anger management, parenting issues, personality disorders, trauma, and grief. I work from a strength-based perspective with a client-centered style.
(540) 307-2972 View (540) 307-2972
Photo of Amanda Hardwick, Clinical Social Work/Therapist in Giles County, VA
Amanda Hardwick
Clinical Social Work/Therapist, LCSW, RPT, CACYFSW
Verified Verified
Pearisburg, VA 24134
Not accepting new clients
I love working with individuals and families and have been for 8 years in the New River Valley in a wide variety of roles. My approach is tailored for each client, situation and goal to find what works best for each unique individual. I use an eclectic approach and embrace a person-centered philosophy to best meet my client's needs and take joy in helping others explore and achieve personal goals to live a healthier and happier life.
I love working with individuals and families and have been for 8 years in the New River Valley in a wide variety of roles. My approach is tailored for each client, situation and goal to find what works best for each unique individual. I use an eclectic approach and embrace a person-centered philosophy to best meet my client's needs and take joy in helping others explore and achieve personal goals to live a healthier and happier life.
(540) 469-5147 View (540) 469-5147
Photo of Sarah Rash, Licensed Professional Counselor in Giles County, VA
Sarah Rash
Licensed Professional Counselor, LPC
Verified Verified
Newport, VA 24128
Sarah Rash is a Licensed Professional Counselor (LPC) with 7 years of combined experience working in a variety of counseling venues. She has a passion for helping adults understand and navigate the challenges they face as a result of life circumstances or diagnoses to lead to more rewarding day-to-day lives. Sarah specializes in anxiety, depression, grief, coping skills education, self-esteem, some trauma work, and self-exploration/growth.
Sarah Rash is a Licensed Professional Counselor (LPC) with 7 years of combined experience working in a variety of counseling venues. She has a passion for helping adults understand and navigate the challenges they face as a result of life circumstances or diagnoses to lead to more rewarding day-to-day lives. Sarah specializes in anxiety, depression, grief, coping skills education, self-esteem, some trauma work, and self-exploration/growth.
(540) 307-2453 View (540) 307-2453
Photo of Teri Fox, Licensed Professional Counselor in Giles County, VA
Teri Fox
Licensed Professional Counselor, LPC
Verified Verified
Newport, VA 24128  (Online Only)
Teri Fox is a Licensed Professional Counselor (LPC) through the Virginia Board of Counseling who has over 7 years of experience. She primarily specializes in treating clients of all ages who are coping with anxiety, depression, and PTSD. Teri believes that counseling is not a one size fits all profession; she uses a variety of best practices to assess where the client is, and where they want to go.
Teri Fox is a Licensed Professional Counselor (LPC) through the Virginia Board of Counseling who has over 7 years of experience. She primarily specializes in treating clients of all ages who are coping with anxiety, depression, and PTSD. Teri believes that counseling is not a one size fits all profession; she uses a variety of best practices to assess where the client is, and where they want to go.
(540) 503-4312 View (540) 503-4312
Photo of Rosana Lopez Haugh, Clinical Social Work/Therapist in Giles County, VA
Rosana Lopez Haugh
Clinical Social Work/Therapist
Verified Verified
Newport, VA 24128
Rosana Lopez Haugh received her Master's in Social Work, Planning, and Administration from Virginia Commonwealth University and has over 25 years of experience in the field of social work, advocating and serving people with disabilities in their community. Rosana has extensive experience working with children and adults assisting them in both English and Spanish language. She received her undergraduate degree in Studio Art from Mary Washington University and also worked as an accomplished artist.
Rosana Lopez Haugh received her Master's in Social Work, Planning, and Administration from Virginia Commonwealth University and has over 25 years of experience in the field of social work, advocating and serving people with disabilities in their community. Rosana has extensive experience working with children and adults assisting them in both English and Spanish language. She received her undergraduate degree in Studio Art from Mary Washington University and also worked as an accomplished artist.
(540) 701-4919 View (540) 701-4919
Photo of Renee Anderson, Licensed Professional Counselor in Giles County, VA
Renee Anderson
Licensed Professional Counselor, LPC
Verified Verified
Mountain Lake, VA 24136
Renee Anderson is a Licensed Professional Counselor (LPC) with over 25 years of experience in the mental health field. She is purposeful and passionate about helping individuals at all life stages address and conquer challenges. Renee specializes in treating depression, anxiety, grief, trauma, motivational issues, and the fallout caused by major life transitions. Renee spent 15 years in a hospital setting performing emergency evaluations, case management, and social work interventions.
Renee Anderson is a Licensed Professional Counselor (LPC) with over 25 years of experience in the mental health field. She is purposeful and passionate about helping individuals at all life stages address and conquer challenges. Renee specializes in treating depression, anxiety, grief, trauma, motivational issues, and the fallout caused by major life transitions. Renee spent 15 years in a hospital setting performing emergency evaluations, case management, and social work interventions.
(540) 299-2576 View (540) 299-2576
Photo of Mia Mickenberg, Licensed Professional Counselor in Giles County, VA
Mia Mickenberg
Licensed Professional Counselor, LPC
Verified Verified
Newport, VA 24128  (Online Only)
Mia Mickenberg is a Licensed Professional Counselor (LPC) who has 10 years of experience in the mental health field, working with diverse populations, many different issues, and in various settings, including schools, homes, a college counseling center, and a substance abuse prevention center. Mia enjoys working with and has a great deal of experience in counseling youth, adolescents, and adults. Mia uses a holistic and integrative approach to counseling because, as people, we are not just our minds or physical selves, but a combination of the two.
Mia Mickenberg is a Licensed Professional Counselor (LPC) who has 10 years of experience in the mental health field, working with diverse populations, many different issues, and in various settings, including schools, homes, a college counseling center, and a substance abuse prevention center. Mia enjoys working with and has a great deal of experience in counseling youth, adolescents, and adults. Mia uses a holistic and integrative approach to counseling because, as people, we are not just our minds or physical selves, but a combination of the two.
(540) 924-1964 View (540) 924-1964
Photo of Melissa Asbury, Licensed Professional Counselor in Giles County, VA
Melissa Asbury
Licensed Professional Counselor, LPC
Verified Verified
Newport, VA 24128  (Online Only)
Melissa is a Licensed Professional Counselor (LPC) who has worked with adults with serious mental illness in community-based positions, individual counseling, group facilitation, and assessment. She has worked with individuals experiencing depression, anxiety, bipolar disorders, psychosis, adjustment issues, grief and loss, substance use disorders, self-esteem deficiencies, relationship issues, trauma, and much more.
Melissa is a Licensed Professional Counselor (LPC) who has worked with adults with serious mental illness in community-based positions, individual counseling, group facilitation, and assessment. She has worked with individuals experiencing depression, anxiety, bipolar disorders, psychosis, adjustment issues, grief and loss, substance use disorders, self-esteem deficiencies, relationship issues, trauma, and much more.
(540) 507-2668 View (540) 507-2668
Photo of Amanda Kassay, Licensed Professional Counselor in Giles County, VA
Amanda Kassay
Licensed Professional Counselor, LPC
Verified Verified
Eggleston, VA 24086
Amanda is a Licensed Professional Counselor (LPC) in the state of Virginia with over 6 years of experience. She specializes in working with individuals from childhood and adolescence to late adulthood in individual and in family therapeutic settings. Amanda partners with clients to work through and manage anxiety, depression, trauma, self-esteem issues, stress, life transitions, grief, loss, and other concerns. Amanda received her Master's degree in Counseling and Human Services in 2015 from the CACREP-accredited Institute, Lindsey Wilson College, School of Professional Counseling in Columbia KY.
Amanda is a Licensed Professional Counselor (LPC) in the state of Virginia with over 6 years of experience. She specializes in working with individuals from childhood and adolescence to late adulthood in individual and in family therapeutic settings. Amanda partners with clients to work through and manage anxiety, depression, trauma, self-esteem issues, stress, life transitions, grief, loss, and other concerns. Amanda received her Master's degree in Counseling and Human Services in 2015 from the CACREP-accredited Institute, Lindsey Wilson College, School of Professional Counseling in Columbia KY.
(540) 572-7109 View (540) 572-7109
Photo of Michael Orndoff, Clinical Social Work/Therapist in Giles County, VA
Michael Orndoff
Clinical Social Work/Therapist, LCSW
Verified Verified
Mountain Lake, VA 24136
Michael Orndoff is a Licensed Clinical Social Worker (LCSW) with over 4 years of experience in the field of Social Work. He is passionate about helping adults, adolescents, and couples manage their own unique challenges in their daily life. Michael specializes in relationship issues, depression, career concerns, anger management, building self-esteem, and parenting concerns. Michael completed his Master's Degree in Social Work from Norfolk State University and his Bachelor's degree in Social Work from Virginia Wesleyan University.
Michael Orndoff is a Licensed Clinical Social Worker (LCSW) with over 4 years of experience in the field of Social Work. He is passionate about helping adults, adolescents, and couples manage their own unique challenges in their daily life. Michael specializes in relationship issues, depression, career concerns, anger management, building self-esteem, and parenting concerns. Michael completed his Master's Degree in Social Work from Norfolk State University and his Bachelor's degree in Social Work from Virginia Wesleyan University.
(540) 517-6020 View (540) 517-6020

Online Therapists

Photo of Red Door Counseling Services, Licensed Professional Counselor in Giles County, VA
Red Door Counseling Services
Licensed Professional Counselor, MEd, LPC
Verified Verified
Martinsville, VA 24112  (Online Only)
My goal is to learn about my clients and their needs by listening to what is most important to them and instilling hope. I have experience working with mothers of young children who need support in managing behaviors, sensory and developmental needs of their child. Building a warm and compassionate relationship is key in therapy in my view. Helping my clients enhance their relationships by working through past trauma and past negative relationships is one of my key goals. I enjoy working with teens and other adults who are trying to find their way in the world of relationships, work, family and changing communities.
My goal is to learn about my clients and their needs by listening to what is most important to them and instilling hope. I have experience working with mothers of young children who need support in managing behaviors, sensory and developmental needs of their child. Building a warm and compassionate relationship is key in therapy in my view. Helping my clients enhance their relationships by working through past trauma and past negative relationships is one of my key goals. I enjoy working with teens and other adults who are trying to find their way in the world of relationships, work, family and changing communities.
(276) 409-8150 View (276) 409-8150
Photo of As I Am Counseling & Therapy, LLC, Counselor in Giles County, VA
As I Am Counseling & Therapy, LLC
Counselor, MA, LMHC
Verified Verified
Lynchburg, VA 24502  (Online Only)
I have enjoyed providing support in mental health for over 20 years now. We all face moments of distress and experience unplanned circumstances in our lives that we simply are not prepared for. It can be difficult to navigate our way through all of the thoughts that may come up or the different levels of pain we tend to experience. I know that reaching out for help can be challenging. We all have our own healing journeys and I am grateful to be able to help individuals with discovering their own path to healing, growth and change.
I have enjoyed providing support in mental health for over 20 years now. We all face moments of distress and experience unplanned circumstances in our lives that we simply are not prepared for. It can be difficult to navigate our way through all of the thoughts that may come up or the different levels of pain we tend to experience. I know that reaching out for help can be challenging. We all have our own healing journeys and I am grateful to be able to help individuals with discovering their own path to healing, growth and change.
(850) 220-1844 View (850) 220-1844
Photo of Selina Kelly, Clinical Social Work/Therapist in Giles County, VA
Selina Kelly
Clinical Social Work/Therapist, LCSW
Verified Verified
My therapeutic approach is strengths based and tailored for each client, situation, and goal to find what works best for that individual. I believe you are the expert in your life and embrace a person-centered philosophy to best meet my client's needs. I have experience providing therapy in outpatient, school based, and in-home settings working with ADD/ADHD, anxiety disorder, bipolar disorder, depression, personality disorders, dual diagnosis, anger management, substance use and abuse, parenting issues, and more. I am a Licensed Clinical Social Worker and further certified to provide Trauma Focused CBT in the state of VA.
My therapeutic approach is strengths based and tailored for each client, situation, and goal to find what works best for that individual. I believe you are the expert in your life and embrace a person-centered philosophy to best meet my client's needs. I have experience providing therapy in outpatient, school based, and in-home settings working with ADD/ADHD, anxiety disorder, bipolar disorder, depression, personality disorders, dual diagnosis, anger management, substance use and abuse, parenting issues, and more. I am a Licensed Clinical Social Worker and further certified to provide Trauma Focused CBT in the state of VA.
(540) 779-8826 View (540) 779-8826
Photo of Brandi O'Quinn, Licensed Professional Counselor in Giles County, VA
Brandi O'Quinn
Licensed Professional Counselor, LPC, NCC, C-PD
Verified Verified
2 Endorsed
Abingdon, VA 24210
For many years, I have been dedicated to working with individuals who struggle with many challenges that life has to bring. While we all face challenges, sometimes there are hardships or circumstances that leave us feeling like things are out of our control. I am passionate about working with individuals who are having difficulties with managing intense emotions, self-esteem, anxiety, depression, interpersonal relationship difficulties, stress management, and other difficulties in life.
For many years, I have been dedicated to working with individuals who struggle with many challenges that life has to bring. While we all face challenges, sometimes there are hardships or circumstances that leave us feeling like things are out of our control. I am passionate about working with individuals who are having difficulties with managing intense emotions, self-esteem, anxiety, depression, interpersonal relationship difficulties, stress management, and other difficulties in life.
(276) 530-2140 View (276) 530-2140
Photo of Alan Willard, Marriage & Family Therapist in Giles County, VA
Alan Willard
Marriage & Family Therapist, PhD, DMin
Verified Verified
Blacksburg, VA 24060
When life hurts, I can help. Are you struggling with difficulties that have you feeling depressed, angry, worried, or guilty? Are your relationships at home or work in trouble or conflict? I help individuals and couples who are facing a variety of issues such as depression, anxiety, anger, infidelity, pornography, coping w/chronic illness, sexual problems, PTSD, OCD and much more. I started out my professional career as a church pastor, and in my 40's transitioned into becoming a counselor/therapist. I guide people to get over problems and to be their deeper, higher, and more loving, compassionate self.
When life hurts, I can help. Are you struggling with difficulties that have you feeling depressed, angry, worried, or guilty? Are your relationships at home or work in trouble or conflict? I help individuals and couples who are facing a variety of issues such as depression, anxiety, anger, infidelity, pornography, coping w/chronic illness, sexual problems, PTSD, OCD and much more. I started out my professional career as a church pastor, and in my 40's transitioned into becoming a counselor/therapist. I guide people to get over problems and to be their deeper, higher, and more loving, compassionate self.
(540) 361-6887 View (540) 361-6887
Photo of Pamela Pierce, Licensed Professional Counselor in Giles County, VA
Pamela Pierce
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24504  (Online Only)
Pamela Pierce is a Licensed Professional Counselor (LPC) who specializes in treating anxiety, depression, anger, and behavioral issues in youth and adults. She has 9 years of experience working with at-risk adolescents and adults with severe mental illness in a behavioral health setting. Pamela has worked with individuals and couples in a private practice setting for 2 years. She has a passion for collaboratively assisting individuals working through their anxiety, depression, and anger. It is Pamela's experience that behavioral issues tend to stem from an underlying issue.
Pamela Pierce is a Licensed Professional Counselor (LPC) who specializes in treating anxiety, depression, anger, and behavioral issues in youth and adults. She has 9 years of experience working with at-risk adolescents and adults with severe mental illness in a behavioral health setting. Pamela has worked with individuals and couples in a private practice setting for 2 years. She has a passion for collaboratively assisting individuals working through their anxiety, depression, and anger. It is Pamela's experience that behavioral issues tend to stem from an underlying issue.
(434) 505-4907 View (434) 505-4907
Photo of Anchoring Hope Counseling, LLC, Licensed Professional Counselor in Giles County, VA
Anchoring Hope Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
Abingdon, VA 24210
At Anchoring Hope, we are here for you. Our calling is to come alongside you and be a calm presence to help you get unstuck. Ultimately, our goal is to help you develop coping skills as an individual, couple, or family so that you can be successful in life. We cover various issues on a variety of levels. Please check out our website at www.ahchope.com to choose a therapist, complete our online interest form, or to read our blog!
At Anchoring Hope, we are here for you. Our calling is to come alongside you and be a calm presence to help you get unstuck. Ultimately, our goal is to help you develop coping skills as an individual, couple, or family so that you can be successful in life. We cover various issues on a variety of levels. Please check out our website at www.ahchope.com to choose a therapist, complete our online interest form, or to read our blog!
(276) 242-3540 View (276) 242-3540
Photo of Emily Newcomb, Pre-Licensed Professional in Giles County, VA
Emily Newcomb
Pre-Licensed Professional, MS
Verified Verified
Roanoke, VA 24016
I love to work with children, adolescents and adults. I am passionate and enjoy working with perinatal individuals and anyone dealing with postpartum anxiety or depression. My hope is to help individuals discover their values in order to help them live a value driven life rather than one focused centrally on acheiving goals.
I love to work with children, adolescents and adults. I am passionate and enjoy working with perinatal individuals and anyone dealing with postpartum anxiety or depression. My hope is to help individuals discover their values in order to help them live a value driven life rather than one focused centrally on acheiving goals.
(540) 900-1494 View (540) 900-1494
Photo of Bolden Therapy & Wellness, LLC, Licensed Professional Counselor in Giles County, VA
Bolden Therapy & Wellness, LLC
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Blacksburg, VA 24060
We are Antonio and Shameka Bolden! We established Bolden Therapy & Wellness, LLC in 2022, following our dream of creating a therapy experience as unique as we are. As Christian therapists we believe in expanding grace, hope, and acceptance. We provide grace for clients and are willing to meet them where they are without judgment. Our mission is to establish a therapeutic experience where we value and affirm individuals and families that feel unseen. We are committed to creating access for marginalized and disenfranchised groups within our community and beyond to foster healing and wellness.
We are Antonio and Shameka Bolden! We established Bolden Therapy & Wellness, LLC in 2022, following our dream of creating a therapy experience as unique as we are. As Christian therapists we believe in expanding grace, hope, and acceptance. We provide grace for clients and are willing to meet them where they are without judgment. Our mission is to establish a therapeutic experience where we value and affirm individuals and families that feel unseen. We are committed to creating access for marginalized and disenfranchised groups within our community and beyond to foster healing and wellness.
(276) 383-2513 View (276) 383-2513

See more therapy options for Giles County

How does your Therapist compare?

Number of Therapists in Giles County, VA

10+

Average cost per session

$105

Therapists in Giles County, VA who prioritize treating:

100% Depression
91% Anxiety
82% Self Esteem
73% Coping Skills
64% Grief
55% Stress
45% ADHD

Average years in practice

13 Years

Top 3 insurances accepted

91% UnitedHealthcare UHC | UBH
91% Anthem | Elevance
91% Optima

How Therapists in Giles County, VA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

89% Female
11% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Giles 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.