Therapists in McLean, VA

Photo of M Claire H Dutrow, Marriage & Family Therapist in McLean, VA
M Claire H Dutrow
Marriage & Family Therapist, LPC, LMFT, CSAC
Verified Verified
2 Endorsed
McLean, VA 22101
I offer a safe and welcoming environment, which I believe can happen as authentically online as in person. I help create a space where you can reflect on what brought you into therapy and develop a vision of hope for your future. I have worked in a variety of practice settings for over 20 years which enables me to tailor your specific treatment to the level of care you need. Ultimately, my goal is to help you develop a deeper sense of self-understanding and a greater capacity for self-compassion. By understanding the root causes of your challenges, we can work together to cultivate lasting change and growth.
I offer a safe and welcoming environment, which I believe can happen as authentically online as in person. I help create a space where you can reflect on what brought you into therapy and develop a vision of hope for your future. I have worked in a variety of practice settings for over 20 years which enables me to tailor your specific treatment to the level of care you need. Ultimately, my goal is to help you develop a deeper sense of self-understanding and a greater capacity for self-compassion. By understanding the root causes of your challenges, we can work together to cultivate lasting change and growth.
(571) 554-2608 View (571) 554-2608
Photo of Cynthia R. Mathis, Marriage & Family Therapist in McLean, VA
Cynthia R. Mathis
Marriage & Family Therapist, LMFT
Verified Verified
McLean, VA 22101
I provide psychotherapy services for children, adolescents, adults, and families, in addition to facilitating social skills groups. I specialize in working with children and adolescents on the autistic spectrum and with other developmental delays. I also treat children and adults struggling with sensory integration, anxiety, depression, ADHD, divorce, adjustment disorders, and parenting and relational issues.
I provide psychotherapy services for children, adolescents, adults, and families, in addition to facilitating social skills groups. I specialize in working with children and adolescents on the autistic spectrum and with other developmental delays. I also treat children and adults struggling with sensory integration, anxiety, depression, ADHD, divorce, adjustment disorders, and parenting and relational issues.
(703) 468-8325 View (703) 468-8325
Photo of Jenifer R Elkus, Psychologist in McLean, VA
Jenifer R Elkus
Psychologist, PsyD
Verified Verified
McLean, VA 22101
The decision to begin/return to therapy can be complicated. Some believe they should be able to "fix" problems independently, and place undue blame on themselves for being stuck in cycles of depression/anxiety, disordered eating, malfunctioning relationships, self-harm, etc. Through my work as a Clinical Psychologist, I've come to believe that it takes courage to recognize that aspects of one's life aren't working, and to seek support in making positive changes. During therapy, I work with clients to identify areas of life they'd like to change, and together, we explore past experiences that may have contributed to current struggles.
The decision to begin/return to therapy can be complicated. Some believe they should be able to "fix" problems independently, and place undue blame on themselves for being stuck in cycles of depression/anxiety, disordered eating, malfunctioning relationships, self-harm, etc. Through my work as a Clinical Psychologist, I've come to believe that it takes courage to recognize that aspects of one's life aren't working, and to seek support in making positive changes. During therapy, I work with clients to identify areas of life they'd like to change, and together, we explore past experiences that may have contributed to current struggles.
(703) 666-8396 View (703) 666-8396
Photo of Melissa B Sporn, Psychologist in McLean, VA
Melissa B Sporn
Psychologist, PhD, MSW
Verified Verified
McLean, VA 22101
Hello. It is a pleasure to introduce my practice to you. I specialize in treating relationship problems, developmental adjustment difficulties, depression, anxiety and survivors of trauma. All of us need support from time to time to develop new ways of living fuller, richer and more satisfying lives. Contact me so that we may discuss how I may be of help.
Hello. It is a pleasure to introduce my practice to you. I specialize in treating relationship problems, developmental adjustment difficulties, depression, anxiety and survivors of trauma. All of us need support from time to time to develop new ways of living fuller, richer and more satisfying lives. Contact me so that we may discuss how I may be of help.
(571) 450-9657 View (571) 450-9657
Photo of Jan Lynn Watkins, Clinical Social Work/Therapist in McLean, VA
Jan Lynn Watkins
Clinical Social Work/Therapist, JD, MBA, LCSW
Verified Verified
1 Endorsed
McLean, VA 22101
I am interested in supporting you on your journey of self discovery and growth. By clearing negative emotional charges and programming from past experiences, it is possible to create a life with more possibilities and choices. You can rediscover your strengths and interests and allow more peace, joy and playfulness into your life. I can assist you in eliminating limiting thoughts, beliefs and negative emotions! I will help you clear the path that leads to the life you choose. www.janwatkins.com
I am interested in supporting you on your journey of self discovery and growth. By clearing negative emotional charges and programming from past experiences, it is possible to create a life with more possibilities and choices. You can rediscover your strengths and interests and allow more peace, joy and playfulness into your life. I can assist you in eliminating limiting thoughts, beliefs and negative emotions! I will help you clear the path that leads to the life you choose. www.janwatkins.com
(571) 229-5753 View (571) 229-5753
Photo of Sandy C Malawer, Marriage & Family Therapist in McLean, VA
Sandy C Malawer
Marriage & Family Therapist, LPC, LMFT
Verified Verified
McLean, VA 22101
I have a particular interest in working with couples who want to improve communications & better their relationship. I stress pragmatic solutions & reaching optimal goals. Studied at Johns Hopkins (Masters) & Oxford Univ. (Certificate). Former Virginia gubernatorial appointee to the Virginia Board of Counseling (Vice Chm). Have had many clients from around the world. Security clearance at EAP with intelligence agencies. Counseling at George Mason Univ. Zoom & in-person. Website http://www.virginiacounselling.com/ Blog https://counsellingcouples.net/ LinkedIn https://www.linkedin.com/in/sandy-malawer-7b99117/detail/recent-activity/
I have a particular interest in working with couples who want to improve communications & better their relationship. I stress pragmatic solutions & reaching optimal goals. Studied at Johns Hopkins (Masters) & Oxford Univ. (Certificate). Former Virginia gubernatorial appointee to the Virginia Board of Counseling (Vice Chm). Have had many clients from around the world. Security clearance at EAP with intelligence agencies. Counseling at George Mason Univ. Zoom & in-person. Website http://www.virginiacounselling.com/ Blog https://counsellingcouples.net/ LinkedIn https://www.linkedin.com/in/sandy-malawer-7b99117/detail/recent-activity/
(703) 293-5440 View (703) 293-5440
Photo of Katharine Ryan-Rosenbaum, Licensed Professional Counselor in McLean, VA
Katharine Ryan-Rosenbaum
Licensed Professional Counselor, MA, LPC
Verified Verified
McLean, VA 22101
Katharine is a licensed professional counselor (LPC) in the state of Virginia with a Master's Degree in Clinical Psychology. Katharine is a native to the Washington, DC area, attending Stone Ridge School of the Sacred Heart for high school and receiving her Bachelors of Science degree in Psychology with an emphasis in Health Sciences from Marymount University. Katharine hopes to help her patients feel self-worth and make progress towards healthy and meaningful lives.
Katharine is a licensed professional counselor (LPC) in the state of Virginia with a Master's Degree in Clinical Psychology. Katharine is a native to the Washington, DC area, attending Stone Ridge School of the Sacred Heart for high school and receiving her Bachelors of Science degree in Psychology with an emphasis in Health Sciences from Marymount University. Katharine hopes to help her patients feel self-worth and make progress towards healthy and meaningful lives.
(703) 844-9772 View (703) 844-9772
Photo of Ophelia Boadi, Marriage & Family Therapist in McLean, VA
Ophelia Boadi
Marriage & Family Therapist, LMFT
Verified Verified
McLean, VA 22101  (Online Only)
Ophelia Boadi is a Licensed Marriage and Family Therapist (LMFT) in the Commonwealth of Virginia. She is an experienced Children and Family Mental Health Therapist with a history of working in the field since 2010 in Nonprofit Organizations, community-based organizations, individual/family therapy, group therapy, crisis intervention, and psychotherapy based on research studies to help children and families meet their goals in treatment.
Ophelia Boadi is a Licensed Marriage and Family Therapist (LMFT) in the Commonwealth of Virginia. She is an experienced Children and Family Mental Health Therapist with a history of working in the field since 2010 in Nonprofit Organizations, community-based organizations, individual/family therapy, group therapy, crisis intervention, and psychotherapy based on research studies to help children and families meet their goals in treatment.
(703) 782-3994 View (703) 782-3994
Photo of Aneesha Perkins, Pre-Licensed Professional in McLean, VA
Aneesha Perkins
Pre-Licensed Professional, PsyD
Verified Verified
McLean, VA 22102  (Online Only)
The fulfillment that you’re hoping to experience requires a journey of healing that starts with you taking the first step - and deep healing starts within. The difficulties that life brings can truly bog you down, preventing you from being the healthiest version of yourself.
The fulfillment that you’re hoping to experience requires a journey of healing that starts with you taking the first step - and deep healing starts within. The difficulties that life brings can truly bog you down, preventing you from being the healthiest version of yourself.
(571) 517-2798 View (571) 517-2798
Kathleen Salyer
Psychologist, PhD
Verified Verified
1 Endorsed
McLean, VA 22101  (Online Only)
Over the years I've worked with adults (including parents), adolescents and children with problems ranging from anxiety, panic, anger, depression, relationship difficulties, work/school related issues, to children with behavioral issues. It has been my privilege to help people work through their problems and overcome or rise above them. With children I often find it helpful to assist parents in addressing inattention, distractibility, disobedience, disrespect,, social difficulties and underachievement. Adolescents may have similar issues or may just need someone they feel comfortable to talk to about their concerns.
Over the years I've worked with adults (including parents), adolescents and children with problems ranging from anxiety, panic, anger, depression, relationship difficulties, work/school related issues, to children with behavioral issues. It has been my privilege to help people work through their problems and overcome or rise above them. With children I often find it helpful to assist parents in addressing inattention, distractibility, disobedience, disrespect,, social difficulties and underachievement. Adolescents may have similar issues or may just need someone they feel comfortable to talk to about their concerns.
(703) 734-1393 View (703) 734-1393
Photo of Rebekah Stone, Licensed Professional Counselor in McLean, VA
Rebekah Stone
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
McLean, VA 22102
I have over 14 years of experience. I am passionate and Solution-Focused, about helping others, whether it is a struggle with daily life tasks, general life transitions, or in cases of distress or crisis. My goal is to help you feel more empowered to reach your personal goals and experience a healthier and happier life. We can work together on healing whether you are experiencing issues in managing emotions, relationship boundaries, self-esteem, mood instability, or other symptoms directly related to OCD, bi-polar disorder, trauma, depression, and anxiety. I consider myself to be an “eclectic” therapist.
I have over 14 years of experience. I am passionate and Solution-Focused, about helping others, whether it is a struggle with daily life tasks, general life transitions, or in cases of distress or crisis. My goal is to help you feel more empowered to reach your personal goals and experience a healthier and happier life. We can work together on healing whether you are experiencing issues in managing emotions, relationship boundaries, self-esteem, mood instability, or other symptoms directly related to OCD, bi-polar disorder, trauma, depression, and anxiety. I consider myself to be an “eclectic” therapist.
(571) 520-4294 View (571) 520-4294
Photo of Tuleen Hajoun, Pre-Licensed Professional in McLean, VA
Tuleen Hajoun
Pre-Licensed Professional, MA, NCC
Verified Verified
McLean, VA 22101
I have experience working with children, adolescents, and adults in a variety of settings including individual and group therapy. I have strong experience in working with adolescents and young adults struggling with anxiety, depression, low self-esteem, body image, school avoidance, interpersonal/relationship issues, trauma, and life transitions. I am bilingual and am able to provide services in Arabic, as well as English. I carry a strong foundation in person-centered therapy where I provide my clients with warmth, authenticity, and a safe environment.
I have experience working with children, adolescents, and adults in a variety of settings including individual and group therapy. I have strong experience in working with adolescents and young adults struggling with anxiety, depression, low self-esteem, body image, school avoidance, interpersonal/relationship issues, trauma, and life transitions. I am bilingual and am able to provide services in Arabic, as well as English. I carry a strong foundation in person-centered therapy where I provide my clients with warmth, authenticity, and a safe environment.
(571) 200-0641 View (571) 200-0641
Photo of Risa E Sanders, Psychologist in McLean, VA
Risa E Sanders
Psychologist, PhD
Verified Verified
McLean, VA 22101
Does worry interfere with your quality of life? Are habits or certain behaviors troubling you? Are important relationships unsatisfying? Are you feeling more anger, stress, or sadness? i can help. As a Licensed Clinical Psychologist since 1984, I have extensive experience, and adhere to the highest professional and ethical standards. I welcome your call for an initial 10-15 minute chat to discuss your concerns. I specialize in stress and anxiety management, phobias( including emetophobia and illness phobias), OCD, fear of public speaking, school concerns, habit control, relationships, communication and social skills training, anger management, ADD/ADHD, parent training, procrastination, performance improvement, LGBT, and diabetes
Does worry interfere with your quality of life? Are habits or certain behaviors troubling you? Are important relationships unsatisfying? Are you feeling more anger, stress, or sadness? i can help. As a Licensed Clinical Psychologist since 1984, I have extensive experience, and adhere to the highest professional and ethical standards. I welcome your call for an initial 10-15 minute chat to discuss your concerns. I specialize in stress and anxiety management, phobias( including emetophobia and illness phobias), OCD, fear of public speaking, school concerns, habit control, relationships, communication and social skills training, anger management, ADD/ADHD, parent training, procrastination, performance improvement, LGBT, and diabetes
(703) 596-3664 View (703) 596-3664
Sindhu Elagandhala
Resident in Counseling, MA, EdS
Verified Verified
1 Endorsed
McLean, VA 22101
Waitlist for new clients
I strive to create a clinical space that will allow you to experiment with new ways of being and challenge you to grow. I work with clients navigating comorbidities of mood, anxiety, personality, or trauma disorders as well as those seeking to integrate neurotypes such as ADHD and autism. I have in-depth passion and experience working with people of color, disabled clients, LGBTQIA+ clients, clients from non-Western cultural backgrounds, and clients exploring identity. It is deeply important to me to validate the experiences of people within marginalized groups and acknowledge how systemic oppression influences mental health.
I strive to create a clinical space that will allow you to experiment with new ways of being and challenge you to grow. I work with clients navigating comorbidities of mood, anxiety, personality, or trauma disorders as well as those seeking to integrate neurotypes such as ADHD and autism. I have in-depth passion and experience working with people of color, disabled clients, LGBTQIA+ clients, clients from non-Western cultural backgrounds, and clients exploring identity. It is deeply important to me to validate the experiences of people within marginalized groups and acknowledge how systemic oppression influences mental health.
(571) 520-6527 View (571) 520-6527
Photo of Andrea Anderson Polk, Licensed Professional Counselor in McLean, VA
Andrea Anderson Polk
Licensed Professional Counselor, LPC, NCC, MA
Verified Verified
McLean, VA 22101
As a lifelong resident of Northern Virginia, I have been serving the mental health needs of McLean for nearly 20 years. Have you tried everything and continue to remain stuck? Whether you are struggling with imposter syndrome, stress + overwhelm, persistent anxiety, or a chronic feeling of emptiness that something is missing in your life - it is time for a breakthrough! My therapeutic approach is specifically tailored to the client based upon their unique life story. Please visit my website, www.andreaandersonpolk.com for further information.
As a lifelong resident of Northern Virginia, I have been serving the mental health needs of McLean for nearly 20 years. Have you tried everything and continue to remain stuck? Whether you are struggling with imposter syndrome, stress + overwhelm, persistent anxiety, or a chronic feeling of emptiness that something is missing in your life - it is time for a breakthrough! My therapeutic approach is specifically tailored to the client based upon their unique life story. Please visit my website, www.andreaandersonpolk.com for further information.
(571) 200-8998 View (571) 200-8998
Photo of Lindsey Marie Markwood, Clinical Social Work/Therapist in McLean, VA
Lindsey Marie Markwood
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
McLean, VA 22101
I help DC area professionals, couples, families and adolescents address anxieties due to past trauma or current life transitions and circumstances. Together we can work to identify the thoughts or habits that serve as obstacles to your productivity or happiness. I also have extensive experience working with survivors of abuse (sexual/physical/emotional) and individuals in recovery from drug and alcohol addiction. I work with couples to address the underlying issues that may contribute to their discontent. I offer a compassionate and holistic approach to help improve your emotional well-being.
I help DC area professionals, couples, families and adolescents address anxieties due to past trauma or current life transitions and circumstances. Together we can work to identify the thoughts or habits that serve as obstacles to your productivity or happiness. I also have extensive experience working with survivors of abuse (sexual/physical/emotional) and individuals in recovery from drug and alcohol addiction. I work with couples to address the underlying issues that may contribute to their discontent. I offer a compassionate and holistic approach to help improve your emotional well-being.
(202) 759-6406 View (202) 759-6406
Photo of Maria Foley, Psychologist in McLean, VA
Maria Foley
Psychologist, PsyD
Verified Verified
McLean, VA 22101  (Online Only)
It can be a difficult decision to seek help when your life is feeling off track or stuck in patterns that are not serving you. Particularly in our current climate of increased anxiety and rising levels of depression, it’s crucial that you have a sense of comfort and emotional safety with the person with whom you work to explore the issues that confront you. I implement an individualized course of therapy for each client using a combination of psychodynamic, cognitive behavioral and relational techniques. I offer a free consultation in order for us to decide if I might be a good fit for you.
It can be a difficult decision to seek help when your life is feeling off track or stuck in patterns that are not serving you. Particularly in our current climate of increased anxiety and rising levels of depression, it’s crucial that you have a sense of comfort and emotional safety with the person with whom you work to explore the issues that confront you. I implement an individualized course of therapy for each client using a combination of psychodynamic, cognitive behavioral and relational techniques. I offer a free consultation in order for us to decide if I might be a good fit for you.
(703) 348-9263 View (703) 348-9263
Photo of Depression, Stress, & Anxiety | Hope + Wellness, Psychologist in McLean, VA
Depression, Stress, & Anxiety | Hope + Wellness
Psychologist
Verified Verified
1 Endorsed
McLean, VA 22101
Hope+Wellness is a psychotherapy practice based on our philosophy that hope can be found even in the most difficult seasons of life. We believe that people need hope and resilience to set goals and affect change, to persevere in the face of life challenges and thrive. Our approach is simple — to provide exceptional psychotherapy services to empower people to live happier, healthier lives.
Hope+Wellness is a psychotherapy practice based on our philosophy that hope can be found even in the most difficult seasons of life. We believe that people need hope and resilience to set goals and affect change, to persevere in the face of life challenges and thrive. Our approach is simple — to provide exceptional psychotherapy services to empower people to live happier, healthier lives.
(571) 380-8654 View (571) 380-8654
Photo of Bennett Crawford, Clinical Social Work/Therapist in McLean, VA
Bennett Crawford
Clinical Social Work/Therapist, LCSW
Verified Verified
McLean, VA 22101
I specialize in working with teens and adults struggling with depression, anxiety, stress, adjustment, and trauma. Many people I work with feel stuck in their lives and have lost their sense of direction, purpose, and meaning. Filled with negative self-judgement, fear, anxiety, disconnection and hopelessness, they are looking to find a deep sense of peace, inspiration, and empowerment to live the life they really long for.
I specialize in working with teens and adults struggling with depression, anxiety, stress, adjustment, and trauma. Many people I work with feel stuck in their lives and have lost their sense of direction, purpose, and meaning. Filled with negative self-judgement, fear, anxiety, disconnection and hopelessness, they are looking to find a deep sense of peace, inspiration, and empowerment to live the life they really long for.
(571) 410-2878 View (571) 410-2878
Photo of Jessica Barry, Psychologist in McLean, VA
Jessica Barry
Psychologist, PsyD, LP, BCBA
Verified Verified
McLean, VA 22101
Are you or loved one in need of finding answers? Do you wonder what might be causing you (or your loved one) to have difficulty navigating the day to day tasks? Or perhaps you are looking to speak with someone who can provide a safe and understanding place to explore questions that you may have in order to find solutions, support, or a direction. Whether you are seeking a psychological evaluation or therapy/counseling services, the questions or reasons that have brought you to where you are now may be addressed.
Are you or loved one in need of finding answers? Do you wonder what might be causing you (or your loved one) to have difficulty navigating the day to day tasks? Or perhaps you are looking to speak with someone who can provide a safe and understanding place to explore questions that you may have in order to find solutions, support, or a direction. Whether you are seeking a psychological evaluation or therapy/counseling services, the questions or reasons that have brought you to where you are now may be addressed.
(703) 215-9912 View (703) 215-9912

How does your Therapist compare?

Number of Therapists in McLean, VA

500+

Average cost per session

$185

Therapists in McLean, VA who prioritize treating:

95% Anxiety
90% Depression
81% Relationship Issues
76% Self Esteem
67% Trauma and PTSD
67% Coping Skills
63% Stress

Average years in practice

15 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
56% Anthem | Elevance
48% Cigna and Evernorth

How Therapists in McLean, VA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in McLean?

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.