Therapists in Herndon, VA

Photo of undefined - Ware Wellness LLC, LCSW, RYT-500, Clinical Social Work/Therapist
Ware Wellness LLC
Clinical Social Work/Therapist, LCSW, RYT-500
Verified Verified
Herndon, VA 20170
Eleanor Ware has been in private practice as a Board Certified Licensed Clinical Social Worker for over 20 years. She sees individuals, couples and families with a focus on anxiety, depression and relationship issues.
Eleanor Ware has been in private practice as a Board Certified Licensed Clinical Social Worker for over 20 years. She sees individuals, couples and families with a focus on anxiety, depression and relationship issues.
(571) 377-8948 View (571) 377-8948
Photo of undefined - Dr. Paula Rainer, LLC, PhD, LPC, NCC, ACS, BC-TMH, Licensed Professional Counselor
Dr. Paula Rainer, LLC
Licensed Professional Counselor, PhD, LPC, NCC, ACS, BC-TMH
Verified Verified
Herndon, VA 20171
Are you looking for a strength-based approach to life? Are you generally an internally peaceful and pleasant person but your unwanted mood or thoughts are more powerful? Do stress, anxiety, and depression make you someone that you do not recognize? Are you mad, sad, or quiet without a true reason that you can express? Are you isolating yourself from activities that you used to enjoy or would consider pleasurable? Are you tired of people looking at who you are from the outside and think that you have everything that you need, but they are missing your internal pain?
Are you looking for a strength-based approach to life? Are you generally an internally peaceful and pleasant person but your unwanted mood or thoughts are more powerful? Do stress, anxiety, and depression make you someone that you do not recognize? Are you mad, sad, or quiet without a true reason that you can express? Are you isolating yourself from activities that you used to enjoy or would consider pleasurable? Are you tired of people looking at who you are from the outside and think that you have everything that you need, but they are missing your internal pain?
(703) 782-8059 View (703) 782-8059
Aquila Recovery Of Virginia LLC
Drug & Alcohol Counselor, Aquila Recovery Of Virginia LLC
Verified Verified
Herndon, VA 20170
About Aquila Recovery- Aquila’s intensive outpatient rehab clinic brings a fresh and evidence-based treatment modality for individuals experiencing alcohol or drug problems in Northern Virginia. We improve outcomes by: Reaching people early in difficulty with addicting substances. Engaging clients in non-confrontational therapies that assist them in writing and following their personal wellness plans. Providing long-term support for restoring life in the family and community.
About Aquila Recovery- Aquila’s intensive outpatient rehab clinic brings a fresh and evidence-based treatment modality for individuals experiencing alcohol or drug problems in Northern Virginia. We improve outcomes by: Reaching people early in difficulty with addicting substances. Engaging clients in non-confrontational therapies that assist them in writing and following their personal wellness plans. Providing long-term support for restoring life in the family and community.
(571) 462-2006 View (571) 462-2006
Photo of Ashley Hallheimer, PsyD, MSc, Psychologist
Ashley Hallheimer
Psychologist, PsyD, MSc
Verified Verified
Herndon, VA 20171  (Online Only)
Waitlist for new clients
I am a licensed clinical psychologist with over ten years of experience providing therapeutic services to children, adolescents, and adults. During my time in the mental health field, I have worked in a variety of settings such as emergency services, residential treatment, LGBTQIA+ behavioral health clinic, community mental health, university-counseling center, and private practice. I focus therapy to promote positive wellbeing and resiliency. My overall objective is to help individuals to become their own therapist, so that they feel empowered to move through life with dignity, grace, and compassion.
I am a licensed clinical psychologist with over ten years of experience providing therapeutic services to children, adolescents, and adults. During my time in the mental health field, I have worked in a variety of settings such as emergency services, residential treatment, LGBTQIA+ behavioral health clinic, community mental health, university-counseling center, and private practice. I focus therapy to promote positive wellbeing and resiliency. My overall objective is to help individuals to become their own therapist, so that they feel empowered to move through life with dignity, grace, and compassion.
(571) 380-7927 View (571) 380-7927
Photo of Toi Harris, LMFT, Marriage & Family Therapist
Toi Harris
Marriage & Family Therapist, LMFT
Verified Verified
Herndon, VA 20171  (Online Only)
I am a graduate of both Saint Leo University & Regent University. I hold a B.A. in Psychology & an M.A. in Marriage & Family Therapy. I use a structural family & CBT approach when working with clients coupled with a calm spirit that helps clients feel accepted and safe. I enjoy helping clients discover their strengths while highlighting how their thoughts and feelings contribute to their daily living & functioning. I am passionate about marriage, at-risk youth, & military communities. I enjoy working with individuals, couples, adolescents, & adults. I believe relational intelligence is the key that unlocks our greatest potential.
I am a graduate of both Saint Leo University & Regent University. I hold a B.A. in Psychology & an M.A. in Marriage & Family Therapy. I use a structural family & CBT approach when working with clients coupled with a calm spirit that helps clients feel accepted and safe. I enjoy helping clients discover their strengths while highlighting how their thoughts and feelings contribute to their daily living & functioning. I am passionate about marriage, at-risk youth, & military communities. I enjoy working with individuals, couples, adolescents, & adults. I believe relational intelligence is the key that unlocks our greatest potential.
(808) 278-9924 View (808) 278-9924
Photo of Christina Jo Moynihan, MSW, LICSW, Clinical Social Work/Therapist
Christina Jo Moynihan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Herndon, VA 20171  (Online Only)
Navigating life, finding (and maintaining) healthy and meaningful relationships, & parenthood can all be joyous and rewarding experiences. It can also bring forth unique challenges & pressures. Do you struggle with feeling disconnected from yourself or others? Do you prioritize everyone else's needs before your own? Do you wonder if life should simply feel better? Happier? Now more than ever, people are feeling anxious, overwhelmed, and uncertain about how they are supposed to manage their relationships, careers, and lives. Mid-Atlantic Psychotherapy has therapists who can support you, let's find you a match today!
Navigating life, finding (and maintaining) healthy and meaningful relationships, & parenthood can all be joyous and rewarding experiences. It can also bring forth unique challenges & pressures. Do you struggle with feeling disconnected from yourself or others? Do you prioritize everyone else's needs before your own? Do you wonder if life should simply feel better? Happier? Now more than ever, people are feeling anxious, overwhelmed, and uncertain about how they are supposed to manage their relationships, careers, and lives. Mid-Atlantic Psychotherapy has therapists who can support you, let's find you a match today!
(571) 347-2998 View (571) 347-2998
Photo of Steven H Steiner, MSW, LCSW, LSATP, Clinical Social Work/Therapist
Steven H Steiner
Clinical Social Work/Therapist, MSW, LCSW, LSATP
Verified Verified
1 Endorsed
Herndon, VA 20170
Are you feeling anxious, depressed? Struggling with substance use? In a relationship that seems to be lacking in empathy and/or successful communication? Suffering from a combination of emotional and physical problems? I have 40 years of experience as a clinical social worker, including 20 years in private practice. I am licensed in Virginia in clinical social work and substance abuse treatment.
Are you feeling anxious, depressed? Struggling with substance use? In a relationship that seems to be lacking in empathy and/or successful communication? Suffering from a combination of emotional and physical problems? I have 40 years of experience as a clinical social worker, including 20 years in private practice. I am licensed in Virginia in clinical social work and substance abuse treatment.
(703) 791-1316 View (703) 791-1316
Photo of Frani Gutierrez, LCSW, Clinical Social Work/Therapist
Frani Gutierrez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Herndon, VA 20170
I work with teens and adults that are struggling in their lives to feel like they are "enough". They want to be seen by their families, parents, significant others, bosses, the world. They want to feel confident and brave, even when their insecurities may continue to pop up. They want to feel connected to their friends, partners, and children. Many of my clients have survived toxic or abusive relationships, suffered unimaginable losses, and are continuing to deal with issues related to adoption and/or childhood.
I work with teens and adults that are struggling in their lives to feel like they are "enough". They want to be seen by their families, parents, significant others, bosses, the world. They want to feel confident and brave, even when their insecurities may continue to pop up. They want to feel connected to their friends, partners, and children. Many of my clients have survived toxic or abusive relationships, suffered unimaginable losses, and are continuing to deal with issues related to adoption and/or childhood.
(571) 569-7145 View (571) 569-7145
Photo of Joseph Fruth, LCSW, Clinical Social Work/Therapist
Joseph Fruth
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Herndon, VA 20170  (Online Only)
Maybe you’ve believed you need to “keep it all together” or else everything will fall apart. Maybe you’ve felt the need to hide parts of yourself to make others more comfortable. Or maybe you’re trying to make sense of why that thing that happened to you long ago still has such an impact on your life. You yearn for deeper connections with yourself and with others, and to understand what your emotions and urges are trying to do for you. Let’s explore these things together, with patience, compassion, curiosity, and grace.
Maybe you’ve believed you need to “keep it all together” or else everything will fall apart. Maybe you’ve felt the need to hide parts of yourself to make others more comfortable. Or maybe you’re trying to make sense of why that thing that happened to you long ago still has such an impact on your life. You yearn for deeper connections with yourself and with others, and to understand what your emotions and urges are trying to do for you. Let’s explore these things together, with patience, compassion, curiosity, and grace.
(703) 382-1457 View (703) 382-1457
Photo of Juan Carlos Silva, PhD, Psychologist
Juan Carlos Silva
Psychologist, PhD
Verified Verified
Herndon, VA 20170
Are you ready to challenge yourself? Do you feel there is a gap between your true potential and your current achievements? Does your thinking pattern keep you from enjoying life? If your answer to any of these questions is Yes then we should probably talk. I have been a psychotherapist since 1991 and can certainly offer valuable, diagnostic, and therapeutic interventions to help you realistically define and achieve your goals. Whether you want to improve your relationship or marriage, get ahead in your career, put traumatic memories behind, or remain drug-free I can help you move in that direction.
Are you ready to challenge yourself? Do you feel there is a gap between your true potential and your current achievements? Does your thinking pattern keep you from enjoying life? If your answer to any of these questions is Yes then we should probably talk. I have been a psychotherapist since 1991 and can certainly offer valuable, diagnostic, and therapeutic interventions to help you realistically define and achieve your goals. Whether you want to improve your relationship or marriage, get ahead in your career, put traumatic memories behind, or remain drug-free I can help you move in that direction.
(703) 584-4766 View (703) 584-4766
Photo of Sarah Theimer, LPC, CCTP-II, Licensed Professional Counselor
Sarah Theimer
Licensed Professional Counselor, LPC, CCTP-II
Verified Verified
2 Endorsed
Herndon, VA 20171  (Online Only)
Are you an adult who has been through a stressful experience? Do you continue to think about that stressful experience, have nightmares about it, or feel as if you are reliving it day after day? Living through a stressful or traumatic experience is hard enough; but to be weighed down and continuously thinking about and remembering those events even after they have ended can be even more taxing, draining, and confusing.
Are you an adult who has been through a stressful experience? Do you continue to think about that stressful experience, have nightmares about it, or feel as if you are reliving it day after day? Living through a stressful or traumatic experience is hard enough; but to be weighed down and continuously thinking about and remembering those events even after they have ended can be even more taxing, draining, and confusing.
(571) 568-7332 View (571) 568-7332
Photo of Jessica L. Jupiter, PsyD, Psychologist
Jessica L. Jupiter
Psychologist, PsyD
Verified Verified
Herndon, VA 20170
When psychological symptoms interfere with health, sleep, well-being, and general functioning, how do you choose among the many available treatment options? One consideration may be an evidence-based approach: one with proven efficacy. In my practice as a licensed clinical psychologist for children and adults, I use cognitive behavioral treatments and other strategies whose effectiveness is well supported by research studies. Finding the right fit is important, and I'm here to help.
When psychological symptoms interfere with health, sleep, well-being, and general functioning, how do you choose among the many available treatment options? One consideration may be an evidence-based approach: one with proven efficacy. In my practice as a licensed clinical psychologist for children and adults, I use cognitive behavioral treatments and other strategies whose effectiveness is well supported by research studies. Finding the right fit is important, and I'm here to help.
(571) 526-0092 View (571) 526-0092
Photo of Ruth E Attebury, MEd, LPC, CSAC, Licensed Professional Counselor
Ruth E Attebury
Licensed Professional Counselor, MEd, LPC, CSAC
Verified Verified
Herndon, VA 20170
"Does hardship make us stronger?" Not while you're experiencing the problem! How about "What can I do differently next time!" I moved 27 times by the age of 13, so I learned how to meet people. There are better ways to learn social skills! I furnish a direct but gentle approach suited for clients seeking improved functioning in employment, school, relationships and family. Let me help you learn how to make good decisions and experience success. Let's stop the hardship!
"Does hardship make us stronger?" Not while you're experiencing the problem! How about "What can I do differently next time!" I moved 27 times by the age of 13, so I learned how to meet people. There are better ways to learn social skills! I furnish a direct but gentle approach suited for clients seeking improved functioning in employment, school, relationships and family. Let me help you learn how to make good decisions and experience success. Let's stop the hardship!
(703) 215-9566 View (703) 215-9566
Photo of Natalia Lugina Mauranne, MS, MA, PsyD, Psychologist
Natalia Lugina Mauranne
Psychologist, MS, MA, PsyD
Verified Verified
Herndon, VA 20170
I am a Licensed Clinical Psychologist, Integrative Health Provider, and Certified Brain Health Coach who specializes in neuropsychological assessment and brain health consultations (ages 8 to 90+). My areas of professional expertise include ADHD, learning disorders and other neurodevelopmental conditions, TBI/concussion, dementia, stroke recovery, PTSD, and anxiety/depression. I conduct comprehensive neuropsychological evaluations for precision diagnostics and individualized treatment planning.
I am a Licensed Clinical Psychologist, Integrative Health Provider, and Certified Brain Health Coach who specializes in neuropsychological assessment and brain health consultations (ages 8 to 90+). My areas of professional expertise include ADHD, learning disorders and other neurodevelopmental conditions, TBI/concussion, dementia, stroke recovery, PTSD, and anxiety/depression. I conduct comprehensive neuropsychological evaluations for precision diagnostics and individualized treatment planning.
(571) 200-1755 View (571) 200-1755
Photo of Melanie Kantor, LCSW, Clinical Social Work/Therapist
Melanie Kantor
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Herndon, VA 20170
Waitlist for new clients
Currently full, please enquire about future availability. My goal is to help you identify and harness your strengths and quirks to build a life of meaning- one that is driven by your values and goals, not by fear or limitations. Your most fulfilling life may not be what society has told you it should be. I am a gender affirming, queer-friendly therapist who celebrates and affirms neurodiversity. My clients describe me as warm, affirming, and unfiltered. My clients appreciate that I “don’t BS.” While I am always honest, I am also patient & gentle, especially with teens. I specialize in work with teens, young adults, and adults.
Currently full, please enquire about future availability. My goal is to help you identify and harness your strengths and quirks to build a life of meaning- one that is driven by your values and goals, not by fear or limitations. Your most fulfilling life may not be what society has told you it should be. I am a gender affirming, queer-friendly therapist who celebrates and affirms neurodiversity. My clients describe me as warm, affirming, and unfiltered. My clients appreciate that I “don’t BS.” While I am always honest, I am also patient & gentle, especially with teens. I specialize in work with teens, young adults, and adults.
(571) 441-5358 View (571) 441-5358
Photo of Jamie Crosier, LCSW, Clinical Social Work/Therapist
Jamie Crosier
Clinical Social Work/Therapist, LCSW
Verified Verified
Herndon, VA 20171  (Online Only)
Hey there, I’m Jamie (she/her). If you struggle to feel seen, if you experience stress with your identity or in your relationships, or maybe if you're new to therapy or you've had not-great encounters with therapists in the past, I hope you'll book a session and give me a try. My approach is intuitive, collaborative, and conversational, and prioritizes a safe and inclusive experience for people from diverse and often marginalized backgrounds.
Hey there, I’m Jamie (she/her). If you struggle to feel seen, if you experience stress with your identity or in your relationships, or maybe if you're new to therapy or you've had not-great encounters with therapists in the past, I hope you'll book a session and give me a try. My approach is intuitive, collaborative, and conversational, and prioritizes a safe and inclusive experience for people from diverse and often marginalized backgrounds.
(571) 946-1448 View (571) 946-1448
Photo of LeslieGrace Craver, LMSW, ReikiM, RYT-200
LeslieGrace Craver
LMSW, ReikiM, RYT-200
Verified Verified
Herndon, VA 20170
Waitlist for new clients
Consider pausing and taking a breath. You are moving forward& it often requires a new lens,new tools and a partnership with a professional. Welcome to Healing & Growth! I utilize mind/body/spirit integrative therapies including Compassion Focused therapy, Yoga & Reiki to assist individuals, partners&families experiencing life transitions, grief & loss and unhealthy generational patterns.Together we identify and build upon core beliefs and existing strengths. Through the process self-limiting beliefs shift to self-enhancing beliefs.*My professional & personal ethical mandate includes being actively opposed to racism in all its forms.
Consider pausing and taking a breath. You are moving forward& it often requires a new lens,new tools and a partnership with a professional. Welcome to Healing & Growth! I utilize mind/body/spirit integrative therapies including Compassion Focused therapy, Yoga & Reiki to assist individuals, partners&families experiencing life transitions, grief & loss and unhealthy generational patterns.Together we identify and build upon core beliefs and existing strengths. Through the process self-limiting beliefs shift to self-enhancing beliefs.*My professional & personal ethical mandate includes being actively opposed to racism in all its forms.
(703) 775-4612 View (703) 775-4612
Photo of Evelina Skoblinski, MSW, LCSW, Clinical Social Work/Therapist
Evelina Skoblinski
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Herndon, VA 20171
I have a broad experience with children, adolescents and adults with a wide variety of emotional and mental health disorders. My work is based on solution-focused, mind-body approach where I combine psychotherapy and mindfulness techniques to work with individuals who struggle with anxiety, depression, trauma and life transitions. I utilize cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), nurtured heart approach and motivational interviewing in my work.
I have a broad experience with children, adolescents and adults with a wide variety of emotional and mental health disorders. My work is based on solution-focused, mind-body approach where I combine psychotherapy and mindfulness techniques to work with individuals who struggle with anxiety, depression, trauma and life transitions. I utilize cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), nurtured heart approach and motivational interviewing in my work.
(703) 570-1613 View (703) 570-1613
Photo of Melanie Fraim, MEd, LPC, Licensed Professional Counselor
Melanie Fraim
Licensed Professional Counselor, MEd, LPC
Verified Verified
Herndon, VA 20170
Life is hard. But you don't have to go through it alone. I have nearly 20 years of experience working in mental health treatment, and it would be my privilege to walk alongside you on your journey. In my practice, I will utilize cognitive-behavioral and strengths-based strategies to help you achieve your treatment goals. My approach is warm, compassionate, empathetic, non-judgmental, and encouraging.
Life is hard. But you don't have to go through it alone. I have nearly 20 years of experience working in mental health treatment, and it would be my privilege to walk alongside you on your journey. In my practice, I will utilize cognitive-behavioral and strengths-based strategies to help you achieve your treatment goals. My approach is warm, compassionate, empathetic, non-judgmental, and encouraging.
(571) 487-8650 View (571) 487-8650
Photo of Deborah Sanders, LCSW, Clinical Social Work/Therapist
Deborah Sanders
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Herndon, VA 20170  (Online Only)
I'm only seeing clients located in Virginia and fully virtual! I often work with parents who are preparing to bring a child into their family through adoption and those who have been a family for a long time who are struggling. Maybe becoming a parent through adoption was not what you expected. Maybe you are an adoptee yourself and struggling with things like feeling really guilty or wondering where you fit. My clients want to better understand themselves and their family dynamics to feel more whole and secure.
I'm only seeing clients located in Virginia and fully virtual! I often work with parents who are preparing to bring a child into their family through adoption and those who have been a family for a long time who are struggling. Maybe becoming a parent through adoption was not what you expected. Maybe you are an adoptee yourself and struggling with things like feeling really guilty or wondering where you fit. My clients want to better understand themselves and their family dynamics to feel more whole and secure.
(571) 556-1699 View (571) 556-1699

How does your Therapist compare?

Number of Therapists in Herndon, VA

300+

Average cost per session

$145

Therapists in Herndon, VA who prioritize treating:

93% Anxiety
87% Depression
70% Self Esteem
68% Coping Skills
64% Trauma and PTSD
53% Relationship Issues
52% Grief

Average years in practice

12 Years

Top 3 insurances accepted

83% Cigna and Evernorth
78% BlueCross and BlueShield
76% UnitedHealthcare UHC | UBH

How Therapists in Herndon, VA see their clients

54% Online Only
46% In Person and Online

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Herndon?

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.