Therapists in Henrico County, VA

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Photo of Jennifer Sutherland, PhD, LCP, Psychologist
Jennifer Sutherland
Psychologist, PhD, LCP
Verified Verified
Richmond, VA 23226
Client's that seek out my services typically need assistance coping with increased levels of anxiety, depression, and/or have a trauma history. I also work with clients with history of self-injury. Client's that seek out treatment from me typically need or want a therapist who will meet them where they are at in their lives and collaborate with them in developing the skills to adapt and function in their daily lives. They want to build the skills needed so that they can continue to function post therapeutic services without needing the same level of care.
Client's that seek out my services typically need assistance coping with increased levels of anxiety, depression, and/or have a trauma history. I also work with clients with history of self-injury. Client's that seek out treatment from me typically need or want a therapist who will meet them where they are at in their lives and collaborate with them in developing the skills to adapt and function in their daily lives. They want to build the skills needed so that they can continue to function post therapeutic services without needing the same level of care.
(804) 636-3973 x711 View (804) 636-3973 x711
Photo of Dr. Cheryl Outen, PhD, LPC, RPT, NCC, Licensed Professional Counselor
Dr. Cheryl Outen
Licensed Professional Counselor, PhD, LPC, RPT, NCC
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
Are you feeling stressed, navigating life transitions, or grieving a loss? I would love the opportunity to work with you. My goal is to empower and support you based on your unique needs. Each of us has a personal story, and I am here to listen and help you grow into a healthier, more fulfilled person.
Are you feeling stressed, navigating life transitions, or grieving a loss? I would love the opportunity to work with you. My goal is to empower and support you based on your unique needs. Each of us has a personal story, and I am here to listen and help you grow into a healthier, more fulfilled person.
(804) 409-3704 View (804) 409-3704
Photo of Suzanne Coburn, LPC, Licensed Professional Counselor
Suzanne Coburn
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23228
Do you feel stuck? I know how to help you get unstuck ... you matter, you are enough, and you are worthy of being loved. The unexpected happened and you feel caught in a marriage in trouble, an unhappy relationship, a divorce, children in crisis, financial uncertainty. You know you can't go on like this forever, or even for much longer but you have no idea what to do next. Now is the time to move from feeling hopeless and helpless to finding wholeness and joy. You actually do have options and my specialty is helping you find them.
Do you feel stuck? I know how to help you get unstuck ... you matter, you are enough, and you are worthy of being loved. The unexpected happened and you feel caught in a marriage in trouble, an unhappy relationship, a divorce, children in crisis, financial uncertainty. You know you can't go on like this forever, or even for much longer but you have no idea what to do next. Now is the time to move from feeling hopeless and helpless to finding wholeness and joy. You actually do have options and my specialty is helping you find them.
(804) 293-3314 View (804) 293-3314
Photo of Neva S Morrison, LCSW, Clinical Social Work/Therapist
Neva S Morrison
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
I don't believe in practicing from a distance, I bring my real self into the room in an accessible and open way. I am wholeheartedly invested in the people I work with and believe that therapy works best when it's a collaborative process. Ultimately, you just want a therapist who gets you, and I get that. I know it is a daunting task to select someone to support your mental health needs and for me no one is "just a client." I would be honored to work with you. My clinical specialization is Trauma.
I don't believe in practicing from a distance, I bring my real self into the room in an accessible and open way. I am wholeheartedly invested in the people I work with and believe that therapy works best when it's a collaborative process. Ultimately, you just want a therapist who gets you, and I get that. I know it is a daunting task to select someone to support your mental health needs and for me no one is "just a client." I would be honored to work with you. My clinical specialization is Trauma.
(804) 506-0633 View (804) 506-0633
Photo of Ruth Saunders, Pre-Licensed Professional
Ruth Saunders
Pre-Licensed Professional
Verified Verified
4 Endorsed
Richmond, VA 23230
Hi there! If you're here, you're likely navigating some of life's tougher challenges. I work with clients of all ages who are tired of feeling stressed, worried, or sad. Together, we'll figure out how to make life better, whether it means processing how past experiences are affecting you, adjusting to more recent life changes, overcoming grief, dealing with low self-esteem/self-image, or figuring out how to handle complicated relationships. If you'd benefit from untangling the different aspects of what's happening to you or your child, so that we can find solutions and breathe freely again, I'd love to support you!
Hi there! If you're here, you're likely navigating some of life's tougher challenges. I work with clients of all ages who are tired of feeling stressed, worried, or sad. Together, we'll figure out how to make life better, whether it means processing how past experiences are affecting you, adjusting to more recent life changes, overcoming grief, dealing with low self-esteem/self-image, or figuring out how to handle complicated relationships. If you'd benefit from untangling the different aspects of what's happening to you or your child, so that we can find solutions and breathe freely again, I'd love to support you!
(804) 885-2136 x101 View (804) 885-2136 x101
Photo of Shavon Jack, MS, LMHC, LPC, NCC, Counselor
Shavon Jack
Counselor, MS, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Glen Allen, VA 23059
You deserve joy. You deserve peace. You deserve to live your best life and enjoy it to the fullest. At times, life’s circumstances can hinder you from living to your fullest potential. I understand this and am more than willing to help. I am passionate about mental health and the power that lies within the therapeutic relationship. The belief that every client possesses all of the answers and solutions within but sometimes you need help navigating to those answers is my philosophy. I take pride in creating a genuine and safe environment for you to be your authentic self and foster the change you desire and deserve.
You deserve joy. You deserve peace. You deserve to live your best life and enjoy it to the fullest. At times, life’s circumstances can hinder you from living to your fullest potential. I understand this and am more than willing to help. I am passionate about mental health and the power that lies within the therapeutic relationship. The belief that every client possesses all of the answers and solutions within but sometimes you need help navigating to those answers is my philosophy. I take pride in creating a genuine and safe environment for you to be your authentic self and foster the change you desire and deserve.
(386) 204-6435 View (386) 204-6435
Photo of Tamara Peterson, MA, Pre-Licensed Professional
Tamara Peterson
Pre-Licensed Professional, MA
Verified Verified
Online Only
Tamara prides herself on creating an environment that is safe and judgment-free where the individuals she serves feel seen, heard, and understood. Tamara believes that no one should have to embark upon their healing journey alone, and she is committed to providing unwavering support to her clients as they commit to becoming the best version of themselves. Tamara works with clients who experience trauma, adjustment disorders, anxiety, and depression. Tamara also proudly supports and serves members of the LGBTQIA+ community.
Tamara prides herself on creating an environment that is safe and judgment-free where the individuals she serves feel seen, heard, and understood. Tamara believes that no one should have to embark upon their healing journey alone, and she is committed to providing unwavering support to her clients as they commit to becoming the best version of themselves. Tamara works with clients who experience trauma, adjustment disorders, anxiety, and depression. Tamara also proudly supports and serves members of the LGBTQIA+ community.
(804) 525-9457 View (804) 525-9457
Photo of Purnima Karki, MA, LMFT-R
Purnima Karki
Resident in Marriage and Family Therapy, MA, LMFT-R
Verified Verified
1 Endorsed
Richmond, VA 23226
I believe that everyone can find health and wellness when provided with safe and supportive environments for growth. As a psychotherapist my role will be to facilitate your growth, with you as the decision-maker in what directions we should follow along the journey. Through person-centered, multicultural, and evidence-based methods, I will help you to explore past and present issues affecting your health, going along with your pace as we discover what is important to you in journeying through life.
I believe that everyone can find health and wellness when provided with safe and supportive environments for growth. As a psychotherapist my role will be to facilitate your growth, with you as the decision-maker in what directions we should follow along the journey. Through person-centered, multicultural, and evidence-based methods, I will help you to explore past and present issues affecting your health, going along with your pace as we discover what is important to you in journeying through life.
(804) 597-6584 View (804) 597-6584
Photo of Rachelle Ngo, LCSW, Clinical Social Work/Therapist
Rachelle Ngo
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Current availability after 4:30pm. 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 4:30pm. 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 Christopher Nick Guzman Bell, LPC, LSATP, CSAC, Licensed Professional Counselor
Christopher Nick Guzman Bell
Licensed Professional Counselor, LPC, LSATP, CSAC
Verified Verified
1 Endorsed
Richmond, VA 23294
I am a true believer in the idea that everyone possesses the strength to make lasting change in their lives and the ability to overcome the difficulties that they may face. I have 15 years of experience working in mental health field in a variety of capacities including residential treatment, community-based counseling, substance abuse treatment, group therapy, family therapy, couples therapy, and individual therapy. My goal is to help individuals recognize their ability to influence and overcome the challenges in their life, empower them to develop skills to make long lasting change, and prepare them for challenges in the future.
I am a true believer in the idea that everyone possesses the strength to make lasting change in their lives and the ability to overcome the difficulties that they may face. I have 15 years of experience working in mental health field in a variety of capacities including residential treatment, community-based counseling, substance abuse treatment, group therapy, family therapy, couples therapy, and individual therapy. My goal is to help individuals recognize their ability to influence and overcome the challenges in their life, empower them to develop skills to make long lasting change, and prepare them for challenges in the future.
(804) 566-1436 View (804) 566-1436
Photo of Cassidy R Van de Graaf, LPC, MS, NCC, CCTSI, Licensed Professional Counselor
Cassidy R Van de Graaf
Licensed Professional Counselor, LPC, MS, NCC, CCTSI
Verified Verified
Online Only
I have experience working with individuals 18 and older dealing with anxiety, depression, life-transitions, PTSD/trauma symptoms, abusive relationships, interpersonal difficulties, relationship troubles, career difficulties, and grief. I have worked extensively with many age groups including college/graduate students, veterans in regard to PTSD and trauma, as well as, mothers, fathers, the LGBTQIA population, and lastly, adults on the autism spectrum. My approach in the therapy room is client-centered, always making sure my client feels comfortable, heard, understood, but challenged.
I have experience working with individuals 18 and older dealing with anxiety, depression, life-transitions, PTSD/trauma symptoms, abusive relationships, interpersonal difficulties, relationship troubles, career difficulties, and grief. I have worked extensively with many age groups including college/graduate students, veterans in regard to PTSD and trauma, as well as, mothers, fathers, the LGBTQIA population, and lastly, adults on the autism spectrum. My approach in the therapy room is client-centered, always making sure my client feels comfortable, heard, understood, but challenged.
(804) 534-1009 View (804) 534-1009
Photo of Jeremy Winslow, Clinical Social Work/Therapist
Jeremy Winslow
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Online Only
I have spent my time as a therapist working with people who have endured a lot, feel overwhelmed in life, and are having difficulty seeing their way out of it. I know that this world can so often be filled with moments of uncertainty, loss, and change that leave us questioning how we can move forward or who we even are. If I am the right fit for you as a therapist, I truly want to help. I am deeply passionate about helping those who are struggling with trauma, complex trauma, depression, anxiety, and other challenges that are barriers to you living a fuller life.
I have spent my time as a therapist working with people who have endured a lot, feel overwhelmed in life, and are having difficulty seeing their way out of it. I know that this world can so often be filled with moments of uncertainty, loss, and change that leave us questioning how we can move forward or who we even are. If I am the right fit for you as a therapist, I truly want to help. I am deeply passionate about helping those who are struggling with trauma, complex trauma, depression, anxiety, and other challenges that are barriers to you living a fuller life.
(804) 575-5587 View (804) 575-5587
Photo of Madeleine Viceconte, MEd, Pre-Licensed Professional
Madeleine Viceconte
Pre-Licensed Professional, MEd
Verified Verified
1 Endorsed
Richmond, VA 23226
Change can be hard, especially when you don’t know where to start or find helpful resources. While you may be used to struggling through life alone, having support can make the process much easier. The purpose of therapy is different for each person, and I aim to individualize the treatment process as much as possible to ensure an effective therapeutic process. I believe that examining how a problem started and looking at ways that it has affected you over the course of your life is an important factor in the therapeutic process and I will emphasize relationships and environmental factors that affect your mental health.
Change can be hard, especially when you don’t know where to start or find helpful resources. While you may be used to struggling through life alone, having support can make the process much easier. The purpose of therapy is different for each person, and I aim to individualize the treatment process as much as possible to ensure an effective therapeutic process. I believe that examining how a problem started and looking at ways that it has affected you over the course of your life is an important factor in the therapeutic process and I will emphasize relationships and environmental factors that affect your mental health.
(804) 792-2741 View (804) 792-2741
Photo of Maria Wilson, Pre-Licensed Professional
Maria Wilson
Pre-Licensed Professional
Verified Verified
1 Endorsed
Glen Allen, VA 23060
Providing a safe and supportive environment is essential for clients to authentically and openly share whatever is on their minds. I hold a strong belief that my clients are the experts in their own experiences. It is my job to actively listen, validate their feelings, and empower them to recognize and understand their emotions in a healthy and constructive way. I use a tailored approach to meet each client’s unique needs.
Providing a safe and supportive environment is essential for clients to authentically and openly share whatever is on their minds. I hold a strong belief that my clients are the experts in their own experiences. It is my job to actively listen, validate their feelings, and empower them to recognize and understand their emotions in a healthy and constructive way. I use a tailored approach to meet each client’s unique needs.
(804) 568-9194 View (804) 568-9194
Photo of Sandra Elizabeth Carter - Impact Coaching Consulting and Counseling Center, MSW, QMHP-A, Counselor
Impact Coaching Consulting and Counseling Center
Counselor, MSW, QMHP-A
Not Verified Not Verified
Richmond, VA 23231
Greetings!! I am a Qualified Mental Health Professional in the State of Virginia specializing in working with adults with mental health diagnoses. I have a MSW from Virginia Commonwealth University and a BSW from Tarleton State University in Stephenville, Texas. I am a United States Army Veteran, having served over 21 years with deployments to Kosovo, 2006 and Afghanistan, 2011. I am now working as a Coach and committed to helping other military veterans who may be experiencing difficulty adjusting to life after the military. I am happy to use my experience, training and Christian faith to serve you with your mental health needs!
Greetings!! I am a Qualified Mental Health Professional in the State of Virginia specializing in working with adults with mental health diagnoses. I have a MSW from Virginia Commonwealth University and a BSW from Tarleton State University in Stephenville, Texas. I am a United States Army Veteran, having served over 21 years with deployments to Kosovo, 2006 and Afghanistan, 2011. I am now working as a Coach and committed to helping other military veterans who may be experiencing difficulty adjusting to life after the military. I am happy to use my experience, training and Christian faith to serve you with your mental health needs!
(804) 207-8319 View (804) 207-8319
Photo of Kristen Trovato, LCSW, Clinical Social Work/Therapist
Kristen Trovato
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23228
There are times in life when we need additional support, and finding the right therapist is an important first step. The success of therapy often depends on a connection that feels right for your unique needs and personality. My approach is warm, compassionate, and centered on supporting you as you move toward greater self-awareness, acceptance, and ease.
There are times in life when we need additional support, and finding the right therapist is an important first step. The success of therapy often depends on a connection that feels right for your unique needs and personality. My approach is warm, compassionate, and centered on supporting you as you move toward greater self-awareness, acceptance, and ease.
(804) 207-7247 View (804) 207-7247
Photo of Destiny Simon Resident In Counseling, MA
Destiny Simon Resident In Counseling
Resident in Counseling, MA
Verified Verified
Richmond, VA 23226
Hello There! My name is Destiny. I am a Mental Health Therapist- Resident in Counseling. I am passionate about the being a part of people's growth process and being a part of one’s healing journey. Managing life's challenges and transitions can be difficult and I am glad that you are here seeking help instead of struggling alone. I use evidence based practices to help you overcome a difficult life transition, depression, anxiety, ADHD, and trauma. I believe healing, self exploration, and evolving requires a commitment to becoming the best version of oneself and the rewards can last a lifetime!
Hello There! My name is Destiny. I am a Mental Health Therapist- Resident in Counseling. I am passionate about the being a part of people's growth process and being a part of one’s healing journey. Managing life's challenges and transitions can be difficult and I am glad that you are here seeking help instead of struggling alone. I use evidence based practices to help you overcome a difficult life transition, depression, anxiety, ADHD, and trauma. I believe healing, self exploration, and evolving requires a commitment to becoming the best version of oneself and the rewards can last a lifetime!
(804) 258-4445 View (804) 258-4445
Photo of Tina Street, Clinical Social Work/Therapist
Tina Street
Clinical Social Work/Therapist
Verified Verified
Online Only
If only life came with a manual, then we wouldn’t need “leaders” to guide us, educate us, motivate us, and encourage us. Life would be perfect with blue skies and no worries. Well unfortunately it doesn’t and sometimes our worlds get cloudy, and we need a extra level of support to guide us through this journey of life. Sometimes change can be uncomfortable especially when you are vulnerable, but knowing that you need help is the first step to the healing process (So great job and kudos to you). I am a Licensed Clinician Social Worker, and I’m here to be that ‘manual’ for you.
If only life came with a manual, then we wouldn’t need “leaders” to guide us, educate us, motivate us, and encourage us. Life would be perfect with blue skies and no worries. Well unfortunately it doesn’t and sometimes our worlds get cloudy, and we need a extra level of support to guide us through this journey of life. Sometimes change can be uncomfortable especially when you are vulnerable, but knowing that you need help is the first step to the healing process (So great job and kudos to you). I am a Licensed Clinician Social Worker, and I’m here to be that ‘manual’ for you.
(757) 693-9592 View (757) 693-9592
Photo of Ina Thompson, Licensed Professional Counselor
Ina Thompson
Licensed Professional Counselor
Verified Verified
Online Only
Hello, I am a Licensed Professional Counselor (LPC) in Virginia, USA with over 23 years of professional work experience. I have helped clients with various mental health and/or life struggles related to depression, anxiety, coping with trauma/abuse, stress, anger and impulse control problems, grief, aging, difficulties adjusting, low self-esteem, attention deficits, relational/marital problems, substance abuse issues, parenting challenges, Military/ Veterans issues, care taker fatigue/burn out, and Gender dysphoria and LGBTQ issues.
Hello, I am a Licensed Professional Counselor (LPC) in Virginia, USA with over 23 years of professional work experience. I have helped clients with various mental health and/or life struggles related to depression, anxiety, coping with trauma/abuse, stress, anger and impulse control problems, grief, aging, difficulties adjusting, low self-esteem, attention deficits, relational/marital problems, substance abuse issues, parenting challenges, Military/ Veterans issues, care taker fatigue/burn out, and Gender dysphoria and LGBTQ issues.
(571) 556-8635 View (571) 556-8635
Photo of David Southall, LPC, Licensed Professional Counselor
David Southall
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Online Only
I work with people that feel that no one can help, and often feel that the harder they try the less progress they make. This can leave people feeling overwhelmed and isolated. I focus on helping people understand their underlying motivations and identify emotions that are being suppressed. The purpose of this is to help people develop a stronger sense of self, identify what motivates destructive patterns in their life, and help resolve interpersonal struggles. I work with couples and individuals and specialize in the diagnosis and treatment of personality disorders.
I work with people that feel that no one can help, and often feel that the harder they try the less progress they make. This can leave people feeling overwhelmed and isolated. I focus on helping people understand their underlying motivations and identify emotions that are being suppressed. The purpose of this is to help people develop a stronger sense of self, identify what motivates destructive patterns in their life, and help resolve interpersonal struggles. I work with couples and individuals and specialize in the diagnosis and treatment of personality disorders.
(804) 716-0428 View (804) 716-0428
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See more therapy options for Henrico County

How does your Therapist compare?

Number of Therapists in Henrico County, VA

1,000+

Average cost per session

$130

Therapists in Henrico County, VA who prioritize treating:

92% Anxiety
89% Depression
71% Trauma and PTSD
67% Stress
66% Relationship Issues
65% Self Esteem
64% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
77% Cigna and Evernorth
72% Anthem

How Therapists in Henrico County, VA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Henrico 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.