Therapists in Herndon, VA

Photo of Sanderijn Batelaan, Clinical Social Work/Therapist in Herndon, VA
Sanderijn Batelaan
Clinical Social Work/Therapist, LCSW
Verified
Herndon, VA 20170
Very few adults, let alone children or teenagers, jump at the chance to start seeing a therapist. Difficult circumstances might have brought you to this point: communication problems with family members, frequent arguments, feeling stressed out, or having intense feelings of depression and anxiety. I strive to create a warm and welcoming environment for my clients. My approach is personal, practical, non judgmental. I work in a variety of ways, depending on your or your child's needs and preference, using cognitive behavioral therapy, art therapy, and play therapy.
Very few adults, let alone children or teenagers, jump at the chance to start seeing a therapist. Difficult circumstances might have brought you to this point: communication problems with family members, frequent arguments, feeling stressed out, or having intense feelings of depression and anxiety. I strive to create a warm and welcoming environment for my clients. My approach is personal, practical, non judgmental. I work in a variety of ways, depending on your or your child's needs and preference, using cognitive behavioral therapy, art therapy, and play therapy.
(571) 350-8352 View (571) 350-8352
Photo of Mackenzie L Ayers, Clinical Social Work/Therapist in Herndon, VA
Mackenzie L Ayers
Clinical Social Work/Therapist, LCSW
Verified
Herndon, VA 20170
Finding a therapist is daunting; I value the work you've done so far. I specialize in trauma-focused care for transitions, eating disorders, and attachment wounds. You may feel stuck, unsure, doubtful that much can improve your way of thinking and relating to yourself, others, and the world around you. Most people attempt to change behaviors instead of the roots of how they came to be; I want to help your heal you inner critic, explore self-compassion, acknowledge your values, and voice your boundaries. I want you to find support and an ally in me. And if you don't, I want to help you find someone else who can be that for you.
Finding a therapist is daunting; I value the work you've done so far. I specialize in trauma-focused care for transitions, eating disorders, and attachment wounds. You may feel stuck, unsure, doubtful that much can improve your way of thinking and relating to yourself, others, and the world around you. Most people attempt to change behaviors instead of the roots of how they came to be; I want to help your heal you inner critic, explore self-compassion, acknowledge your values, and voice your boundaries. I want you to find support and an ally in me. And if you don't, I want to help you find someone else who can be that for you.
(571) 771-1441 x100 View (571) 771-1441 x100
Photo of Diane Ramia, Licensed Professional Counselor in Herndon, VA
Diane Ramia
Licensed Professional Counselor, LPC
Verified
1 Endorsed
Herndon, VA 20170
Welcome! I'm glad you are here. While I treat a wide range of clients, I specialize in working with children, teens, and young adults. I also offer support for parents, as sometimes the entire family feels the impact of what a child is experiencing. In a warm and inviting environment, we will work together to help you help you or your child develop coping strategies to foster personal growth and to see an improvement in the quality of life and relationships. My approach is primarily cognitive behavioral and solution focused. I also have additional training in play therapy techniques and believe in the therapeutic power of play.
Welcome! I'm glad you are here. While I treat a wide range of clients, I specialize in working with children, teens, and young adults. I also offer support for parents, as sometimes the entire family feels the impact of what a child is experiencing. In a warm and inviting environment, we will work together to help you help you or your child develop coping strategies to foster personal growth and to see an improvement in the quality of life and relationships. My approach is primarily cognitive behavioral and solution focused. I also have additional training in play therapy techniques and believe in the therapeutic power of play.
(571) 470-5425 View (571) 470-5425
Photo of Natalia Lugina Mauranne, Psychologist in Herndon, VA
Natalia Lugina Mauranne
Psychologist, MS, MA, PsyD
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 Paul Henry, Licensed Professional Counselor in Herndon, VA
Paul Henry
Licensed Professional Counselor, LPC, NCC, NCCC
Verified
1 Endorsed
Herndon, VA 20170
Not accepting new clients
I have over 20 years experience in the mental health field, having worked extensively with children, adolescents and adults in a variety of school systems and counseling centers. My expertise is in counseling and crisis-intervention, employing a strengths-based, client-centered approach to address the individualized needs of clients. I bring empathy to the clinical relationship with an emphasis on the collaborative nature of therapy. Techniques include cognitive-behavioral, mindfulness and relaxation strategies.
I have over 20 years experience in the mental health field, having worked extensively with children, adolescents and adults in a variety of school systems and counseling centers. My expertise is in counseling and crisis-intervention, employing a strengths-based, client-centered approach to address the individualized needs of clients. I bring empathy to the clinical relationship with an emphasis on the collaborative nature of therapy. Techniques include cognitive-behavioral, mindfulness and relaxation strategies.
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Photo of Karla Fife, Clinical Social Work/Therapist in Herndon, VA
Karla Fife
Clinical Social Work/Therapist, LCSW, BCBA
Verified
Herndon, VA 20170
Not accepting new clients
I work with adolescents, adolescents transitioning to adulthood, and adults, providing individual therapy, parent coaching, and family support. While I also work with neurotypical individuals, my expertise is Autism Spectrum Disorder (ASD) and anyone that experiences neurodivergence. I do a lot of work with ASD teens experiencing social difficulties, anxiety and depression. I have a strong background in ADHD, social anxiety, and families coping with stress and anger challenges. This includes students struggling with transitions to middle, high school or college, and parents needing support with a challenging teen or young adult.
I work with adolescents, adolescents transitioning to adulthood, and adults, providing individual therapy, parent coaching, and family support. While I also work with neurotypical individuals, my expertise is Autism Spectrum Disorder (ASD) and anyone that experiences neurodivergence. I do a lot of work with ASD teens experiencing social difficulties, anxiety and depression. I have a strong background in ADHD, social anxiety, and families coping with stress and anger challenges. This includes students struggling with transitions to middle, high school or college, and parents needing support with a challenging teen or young adult.
(703) 596-4209 View (703) 596-4209
Photo of Linda Sierra, Licensed Professional Counselor in Herndon, VA
Linda Sierra
Licensed Professional Counselor, LPC
Verified
Herndon, VA 20171  (Online Only)
As a therapist, I provide a safe space for you to explore your potential, heal from past wounds, better manage stressors, and develop an actionable plan to work towards the goals you wish to pursue. I work with adults, adolescents and children as young as 8 years old and specialize in working with individuals who are experiencing anxiety, depression, trauma recovery, work injuries, anger issues, parenting challenges, or who are coping with relational, medical, and/or life stressors.
As a therapist, I provide a safe space for you to explore your potential, heal from past wounds, better manage stressors, and develop an actionable plan to work towards the goals you wish to pursue. I work with adults, adolescents and children as young as 8 years old and specialize in working with individuals who are experiencing anxiety, depression, trauma recovery, work injuries, anger issues, parenting challenges, or who are coping with relational, medical, and/or life stressors.
(571) 496-9178 View (571) 496-9178
Photo of Sara Boothe, Licensed Professional Counselor in Herndon, VA
Sara Boothe
Licensed Professional Counselor, LPC, MA
Verified
1 Endorsed
Herndon, VA 20170  (Online Only)
Not accepting new clients
Currently not accepting new client. Hello! I am glad you have been brought to my profile. I fully understand that therapy is a challenging process, and what makes the biggest difference is finding a therapist that is the best fit for you. If you are someone looking to start the therapy journey that is wanting to: improve their relationship with the self and others, find more solid footing in the world around them, rid themselves of intrusive negative thoughts, build up their self-esteem, and increase emotional awareness/regulation, and more, I would be honored to help you.
Currently not accepting new client. Hello! I am glad you have been brought to my profile. I fully understand that therapy is a challenging process, and what makes the biggest difference is finding a therapist that is the best fit for you. If you are someone looking to start the therapy journey that is wanting to: improve their relationship with the self and others, find more solid footing in the world around them, rid themselves of intrusive negative thoughts, build up their self-esteem, and increase emotional awareness/regulation, and more, I would be honored to help you.
(703) 952-5314 View (703) 952-5314
Photo of Lisa Lyons, Licensed Professional Counselor in Herndon, VA
Lisa Lyons
Licensed Professional Counselor, LPC
Verified
Herndon, VA 20170
Are you feeling stuck? Are you struggling to cope with life, a significant change or wanting to improve your relationships? Therapy can help facilitate personal growth, as well as foster connection and overall wellness in your life. My approach is focused on creating a safe, respectful, and non-judgmental space, to support desired growth and change. Within my practice, treatment is a collaborative process tailored to each individual's needs and goals. Finding a therapist with whom you feel understood and connected with is instrumental in achieving your goals. I would love to talk to determine if we could be a good match.
Are you feeling stuck? Are you struggling to cope with life, a significant change or wanting to improve your relationships? Therapy can help facilitate personal growth, as well as foster connection and overall wellness in your life. My approach is focused on creating a safe, respectful, and non-judgmental space, to support desired growth and change. Within my practice, treatment is a collaborative process tailored to each individual's needs and goals. Finding a therapist with whom you feel understood and connected with is instrumental in achieving your goals. I would love to talk to determine if we could be a good match.
(703) 596-1622 View (703) 596-1622
Photo of Ware Wellness LLC, Clinical Social Work/Therapist in Herndon, VA
Ware Wellness LLC
Clinical Social Work/Therapist, LCSW, RYT-500
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 Katie Pancione, Licensed Professional Counselor in Herndon, VA
Katie Pancione
Licensed Professional Counselor, LPC, NCC, CGP
Verified
11 Endorsed
Herndon, VA 20170
Are you feeling confused and isolated due to a loss? It is hard to come to terms with the idea we are grieving. While many people can easily relate grief to the death of a person or pet, suffering, in reality, expands across so many areas that we encounter on a day-to-day basis. Maybe you are going through a breakup or struggling with fertility, or you just found out your favorite coworker is moving to a new company. Perhaps you finished that last sip of wine that you brought back from the trip of a lifetime. There are many reasons to grieve, and unfortunately, when we don't know how to process grief, it can make us feel trapped.
Are you feeling confused and isolated due to a loss? It is hard to come to terms with the idea we are grieving. While many people can easily relate grief to the death of a person or pet, suffering, in reality, expands across so many areas that we encounter on a day-to-day basis. Maybe you are going through a breakup or struggling with fertility, or you just found out your favorite coworker is moving to a new company. Perhaps you finished that last sip of wine that you brought back from the trip of a lifetime. There are many reasons to grieve, and unfortunately, when we don't know how to process grief, it can make us feel trapped.
(540) 274-0655 View (540) 274-0655
Photo of Christina Jo Moynihan, Clinical Social Work/Therapist in Herndon, VA
Christina Jo Moynihan
Clinical Social Work/Therapist, MSW, LICSW
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) 601-1915 View (571) 601-1915
Photo of Danijela H. Nardelli, Licensed Professional Counselor in Herndon, VA
Danijela H. Nardelli
Licensed Professional Counselor, LPC, NCC, C-PD
Verified
3 Endorsed
Herndon, VA 20170
Facing the stressors of daily life activities can be daunting in the best of circumstances. Anxiety, depression, and past traumatic experiences can make those every day challenges seem overwhelming and insurmountable. My job as your counselor is to help you make sense of your presenting situation, support you, and walk with you through the process of healing the pain and discovering your strengths.
Facing the stressors of daily life activities can be daunting in the best of circumstances. Anxiety, depression, and past traumatic experiences can make those every day challenges seem overwhelming and insurmountable. My job as your counselor is to help you make sense of your presenting situation, support you, and walk with you through the process of healing the pain and discovering your strengths.
(703) 952-3483 View (703) 952-3483
Photo of Jackie L Stout, Clinical Social Work/Therapist in Herndon, VA
Jackie L Stout
Clinical Social Work/Therapist, LCSW
Verified
Herndon, VA 20170
Not accepting new clients
Not feeling quite as happy or satisfied as you would like? In relationships do you find yourself feeling unheard and disconnected? And you can't quite put your finger on what is going on? I will work with you to find solutions to current problems and to understand recurring patterns that impact our daily lives. Often it requires healing old wounds so we can move on from the past in order to develop a deeper bond with oneself and others.
Not feeling quite as happy or satisfied as you would like? In relationships do you find yourself feeling unheard and disconnected? And you can't quite put your finger on what is going on? I will work with you to find solutions to current problems and to understand recurring patterns that impact our daily lives. Often it requires healing old wounds so we can move on from the past in order to develop a deeper bond with oneself and others.
(703) 997-2308 View (703) 997-2308
Photo of Deborah Sanders, Clinical Social Work/Therapist in Herndon, VA
Deborah Sanders
Clinical Social Work/Therapist, LCSW
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
Photo of Jennifer Batra, Clinical Social Work/Therapist in Herndon, VA
Jennifer Batra
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Herndon, VA 20170  (Online Only)
Parenting is hard, parenting if you or your child (or both) are neurodivergent is another layer of hard. Find another piece of the puzzle with support for yourself and your family. I hope that this journey will allow you to feel like you have a parenting partner. You and your family are unique and may not fit the preconceived expectations that society and the traditional education and work environments have for us.
Parenting is hard, parenting if you or your child (or both) are neurodivergent is another layer of hard. Find another piece of the puzzle with support for yourself and your family. I hope that this journey will allow you to feel like you have a parenting partner. You and your family are unique and may not fit the preconceived expectations that society and the traditional education and work environments have for us.
(571) 351-1084 View (571) 351-1084
Photo of Jamie Crosier, Clinical Social Work/Therapist in Herndon, VA
Jamie Crosier
Clinical Social Work/Therapist, LCSW
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 Johni J Spinelli, Licensed Professional Counselor in Herndon, VA
Johni J Spinelli
Licensed Professional Counselor, Johni, J, Spinell, LPC, MEd
Verified
Herndon, VA 20170
I will assist you in a caring and professional manner to find realistic answers and solutions that make sense to you in your life, and allow you to more effectively manage each day. I bring over 20 years of experience working effectively with adults, children, families, and couples with a wide range of problems, from mild to severe in nature. My therapeutic approach is strength-based and practical. I draw from a number of different treatment approaches (including but not limited to: CBT, Humanistic, Family Systems, DBT) to most effectively address your presenting issues, reduce symptoms, and meet your goals in seeking treatment.
I will assist you in a caring and professional manner to find realistic answers and solutions that make sense to you in your life, and allow you to more effectively manage each day. I bring over 20 years of experience working effectively with adults, children, families, and couples with a wide range of problems, from mild to severe in nature. My therapeutic approach is strength-based and practical. I draw from a number of different treatment approaches (including but not limited to: CBT, Humanistic, Family Systems, DBT) to most effectively address your presenting issues, reduce symptoms, and meet your goals in seeking treatment.
(571) 384-4612 View (571) 384-4612
Photo of Robin Knoblach, Psychologist in Herndon, VA
Robin Knoblach
Psychologist, PhD
Verified
Herndon, VA 20170
Welcome! I offer a warm, accepting, and confidential space to explore your problems and concerns, and a partnership where we can work together to address them. I approach therapy and counseling as a collaborative and relational endeavor where we put together my expertise with the strengths and the strivings that have gotten you this far. Together we will develop an understanding of the challenges you are struggling with and help you meet those challenges so that you can grow and thrive.
Welcome! I offer a warm, accepting, and confidential space to explore your problems and concerns, and a partnership where we can work together to address them. I approach therapy and counseling as a collaborative and relational endeavor where we put together my expertise with the strengths and the strivings that have gotten you this far. Together we will develop an understanding of the challenges you are struggling with and help you meet those challenges so that you can grow and thrive.
(703) 454-8498 x801 View (703) 454-8498 x801
Photo of Laurie Levine, Clinical Social Work/Therapist in Herndon, VA
Laurie Levine
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
Herndon, VA 20170
Your teen’s grades are terrible and she isolates in her room, your adopted child struggles to have any healthy relationships or you are drowning in work and family and can’t find a moment to breathe? I get it! Together we will begin the healing process. I listen, you vent, we laugh and there are tears. Slowly the weight feels less heavy and, one step at a time, hope and relief turn into peace and joy . It's scary, but it's worth it! Take a chance on yourself
Your teen’s grades are terrible and she isolates in her room, your adopted child struggles to have any healthy relationships or you are drowning in work and family and can’t find a moment to breathe? I get it! Together we will begin the healing process. I listen, you vent, we laugh and there are tears. Slowly the weight feels less heavy and, one step at a time, hope and relief turn into peace and joy . It's scary, but it's worth it! Take a chance on yourself
(703) 910-5977 View (703) 910-5977

See more therapy options for Herndon

How does your Therapist compare?

Number of Therapists in Herndon, VA

200+

Average cost per session

$150

Therapists in Herndon, VA who prioritize treating:

94% Anxiety
89% Depression
72% Self Esteem
70% Coping Skills
63% Trauma and PTSD
57% Relationship Issues
53% Grief

Average years in practice

13 Years

Top 3 insurances accepted

77% Cigna and Evernorth
73% BlueCross and BlueShield
71% UnitedHealthcare UHC | UBH

How Therapists in Herndon, VA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

84% Female
16% 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.