Therapists in Richmond, VA

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Photo of Emily Ludwin Miller, Licensed Professional Counselor, MEd, LPC, NCC
Emily Ludwin Miller
Licensed Professional Counselor, MEd, LPC, NCC
4 Endorsed
Online Only
Life can be hard for all of us - pain, disappointment, and loss are inevitable. Luckily, we humans are wired for growth, resilience, and survival. As a counselor, I offer a supportive environment in which to explore yourself, to feel connected and understood. I am to make counseling a safe place to unburden yourself of the things you've been carrying around, to learn more about yourself, imagine a better life, and try out new ways of being and doing.
Life can be hard for all of us - pain, disappointment, and loss are inevitable. Luckily, we humans are wired for growth, resilience, and survival. As a counselor, I offer a supportive environment in which to explore yourself, to feel connected and understood. I am to make counseling a safe place to unburden yourself of the things you've been carrying around, to learn more about yourself, imagine a better life, and try out new ways of being and doing.
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Photo of Maxine Wylde, Clinical Social Work/Therapist, LCSW
Maxine Wylde
Clinical Social Work/Therapist, LCSW
1 Endorsed
Richmond, VA 23220
Maxine's practice is grounded in curiosity, humility, and an anti-oppression framework. She endeavors to foster dynamic, generative, and trusting relationships with clients wherever they may be in their journey. Clients should expect to be compassionately challenged to cultivate insight, create tangible skills and implement measurable changes to their daily lives with Max's guidance.
Maxine's practice is grounded in curiosity, humility, and an anti-oppression framework. She endeavors to foster dynamic, generative, and trusting relationships with clients wherever they may be in their journey. Clients should expect to be compassionately challenged to cultivate insight, create tangible skills and implement measurable changes to their daily lives with Max's guidance.
(804) 258-6057 View (804) 258-6057
Photo of Karen Burroughs, Clinical Social Work/Therapist, LCSW
Karen Burroughs
Clinical Social Work/Therapist, LCSW
Online Only
My passion is providing quality therapy that creates a place of safety and healing by incorporating a non-judgmental stance along with being genuine and authentic. Life can introduce overwhelming circumstances that may lead to a negative shift in one's own belief system. These beliefs may begin in early childhood and expand into adulthood. They can keep us stuck and frustrated as we want to change and grow but don't know where to start. I meet the person where they are. We work together to ensure the session acknowledges and validates your individual needs.
My passion is providing quality therapy that creates a place of safety and healing by incorporating a non-judgmental stance along with being genuine and authentic. Life can introduce overwhelming circumstances that may lead to a negative shift in one's own belief system. These beliefs may begin in early childhood and expand into adulthood. They can keep us stuck and frustrated as we want to change and grow but don't know where to start. I meet the person where they are. We work together to ensure the session acknowledges and validates your individual needs.
(804) 294-3238 View (804) 294-3238
Photo of Becky Thieman, Clinical Social Work/Therapist, LCSW, CSOTP, CSTIP, EMDR
Becky Thieman
Clinical Social Work/Therapist, LCSW, CSOTP, CSTIP, EMDR
2 Endorsed
Online Only
Not accepting new clients
Here’s the truth about life: it is uncomfortable. It is uncomfortable, tough, chaotic &, sometimes, we lose ourselves in it. Life is full of emotions that can be overwhelming & confusing, but once understood, can be transformative. If you want a therapist to help guide you towards your emotional, mental & physical goals - while also meeting you where you’re at without judgment - then I am likely a good fit for you. In my sessions, you’ll find a compassionate, safe, space where you will be challenged to discover, learn & grow. I often work with couples & adults struggling with anxiety, trauma, grief, conflict & sexuality.
Here’s the truth about life: it is uncomfortable. It is uncomfortable, tough, chaotic &, sometimes, we lose ourselves in it. Life is full of emotions that can be overwhelming & confusing, but once understood, can be transformative. If you want a therapist to help guide you towards your emotional, mental & physical goals - while also meeting you where you’re at without judgment - then I am likely a good fit for you. In my sessions, you’ll find a compassionate, safe, space where you will be challenged to discover, learn & grow. I often work with couples & adults struggling with anxiety, trauma, grief, conflict & sexuality.
(804) 531-5525 View (804) 531-5525
Photo of Michelle O'Donnell, Licensed Professional Counselor, MA, LPC
Michelle O'Donnell
Licensed Professional Counselor, MA, LPC
Online Only
Michelle O’Donnell is a Licensed Professional Counselor who earned a Master of Arts degree in Professional Counseling from Liberty University in 2020 and a Bachelor of Science degree in Psychology, with emphasis on Addictions and Recovery, in 2017. She has experience working with individuals of all ages in individual, group, couple, and family sessions. For 5 years, she has provided a holistic counseling approach to include therapeutic interventions tailored to individual needs: Cognitive Behavioral Therapy, Solution-Focused Therapy, Emotional Focused Therapy, Person-Centered Therapy, and Reality Therapy.
Michelle O’Donnell is a Licensed Professional Counselor who earned a Master of Arts degree in Professional Counseling from Liberty University in 2020 and a Bachelor of Science degree in Psychology, with emphasis on Addictions and Recovery, in 2017. She has experience working with individuals of all ages in individual, group, couple, and family sessions. For 5 years, she has provided a holistic counseling approach to include therapeutic interventions tailored to individual needs: Cognitive Behavioral Therapy, Solution-Focused Therapy, Emotional Focused Therapy, Person-Centered Therapy, and Reality Therapy.
(804) 567-7427 View (804) 567-7427
Photo of Kelly E. Tull, Licensed Professional Counselor, MEd, LPC
Kelly E. Tull
Licensed Professional Counselor, MEd, LPC
2 Endorsed
Online Only
Are you struggling with sadness, anxiety, or maybe experienced a recent trauma? Are you having thoughts of your childhood abuse? Are you fearful that you might have a drug or alcohol problem? Or maybe you just lost someone close to you. Perhaps you are having some relationship issues, or a difficult life adjustment. I would love to help!
Are you struggling with sadness, anxiety, or maybe experienced a recent trauma? Are you having thoughts of your childhood abuse? Are you fearful that you might have a drug or alcohol problem? Or maybe you just lost someone close to you. Perhaps you are having some relationship issues, or a difficult life adjustment. I would love to help!
(804) 403-8582 View (804) 403-8582
Photo of Anne Robertson - Narcissistic Abuse Therapist | Trauma | Burnout, Licensed Professional Counselor, MA, LPC
Narcissistic Abuse Therapist | Trauma | Burnout
Licensed Professional Counselor, MA, LPC
Online Only
Maybe you’re burned out from always being the reliable one, carrying wounds from toxic relationships, and pain that started in childhood but still shows up today. You’re over-giving, over-explaining, people-pleasing, doubting your worth, waking up with a knot in your stomach, craving peace but not knowing how to reach it. I work with clients ready to stop the cycle, for good. Therapy won’t erase the past, but it can stop it from running your emotional show today. So that you can stop walking on eggshells, feel more grounded and finally breathe again.
Maybe you’re burned out from always being the reliable one, carrying wounds from toxic relationships, and pain that started in childhood but still shows up today. You’re over-giving, over-explaining, people-pleasing, doubting your worth, waking up with a knot in your stomach, craving peace but not knowing how to reach it. I work with clients ready to stop the cycle, for good. Therapy won’t erase the past, but it can stop it from running your emotional show today. So that you can stop walking on eggshells, feel more grounded and finally breathe again.
(571) 497-5564 View (571) 497-5564
Photo of Carol Johnson, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Carol Johnson
Clinical Social Work/Therapist, MSW, LCSW, LICSW
1 Endorsed
Online Only
As a mental health therapist, I understand that each individual’s journey is unique, and so are the challenges they face. My approach is centered around creating a safe, non-judgmental space where you can explore your thoughts and feelings openly. I believe in the power of empathy and active listening to help you uncover the root of your concerns and guide you towards meaningful change.
As a mental health therapist, I understand that each individual’s journey is unique, and so are the challenges they face. My approach is centered around creating a safe, non-judgmental space where you can explore your thoughts and feelings openly. I believe in the power of empathy and active listening to help you uncover the root of your concerns and guide you towards meaningful change.
(470) 664-4561 View (470) 664-4561
Photo of Paul Willson, Clinical Social Work/Therapist, LCSW
Paul Willson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Richmond, VA 23220
Waitlist for new clients
Paul is a licensed Clinical Social Worker who completed his Masters of Social Work at Virginia Commonwealth University; he also has a Bachelor of Music in Jazz Guitar from Virginia Commonwealth University. He draws on mindfulness techniques and the Bonny Method of Guided Imagery and Music in addition to more traditional talk therapy methods to offer several different avenues for healing to teens, adults, and families. Paul has studied meditation with Pat Buxton and is a certified Reiki master under Barb Davis.
Paul is a licensed Clinical Social Worker who completed his Masters of Social Work at Virginia Commonwealth University; he also has a Bachelor of Music in Jazz Guitar from Virginia Commonwealth University. He draws on mindfulness techniques and the Bonny Method of Guided Imagery and Music in addition to more traditional talk therapy methods to offer several different avenues for healing to teens, adults, and families. Paul has studied meditation with Pat Buxton and is a certified Reiki master under Barb Davis.
(804) 466-3218 View (804) 466-3218
Photo of Jonathan Ugalde, Licensed Professional Counselor, LPC
Jonathan Ugalde
Licensed Professional Counselor, LPC
Online Only
Jon Ugalde is a licensed professional counselor in Virginia with 10 years of experience. Jon’s clinical experience has been with those who are going through “Life’s Transitions” including those who are struggling in adolescence due to substance use or another mental health concern, college students whose mental health inhibits their success, parents working to develop their parenting skills, identity concerns (gender, sexuality, etc.), and those who are transitioning from active addiction and substance abuse to recovery and remission.
Jon Ugalde is a licensed professional counselor in Virginia with 10 years of experience. Jon’s clinical experience has been with those who are going through “Life’s Transitions” including those who are struggling in adolescence due to substance use or another mental health concern, college students whose mental health inhibits their success, parents working to develop their parenting skills, identity concerns (gender, sexuality, etc.), and those who are transitioning from active addiction and substance abuse to recovery and remission.
(804) 793-9895 View (804) 793-9895
Photo of Andrea Schwartz, Clinical Social Work/Therapist, LCSW
Andrea Schwartz
Clinical Social Work/Therapist, LCSW
Online Only
Hello, and thank you for visiting my page! Whether you’re an individual who is looking to begin your specific therapy journey, a caregiver who is looking for someone to help their teen navigate emotional stressors, or a couple who feels your relationship could be stronger, I’m excited to help you reach your goals! During our time together, we will identify childhood wounds, emotional triggers, and harmful relationship patterns that are holding you back from living your most authentic and happiest life. You will feel empowered to heal from the past and unlearn maladaptive dynamics in your relationships.
Hello, and thank you for visiting my page! Whether you’re an individual who is looking to begin your specific therapy journey, a caregiver who is looking for someone to help their teen navigate emotional stressors, or a couple who feels your relationship could be stronger, I’m excited to help you reach your goals! During our time together, we will identify childhood wounds, emotional triggers, and harmful relationship patterns that are holding you back from living your most authentic and happiest life. You will feel empowered to heal from the past and unlearn maladaptive dynamics in your relationships.
(804) 597-6685 View (804) 597-6685
Photo of Troy Johnson - Gender Dysphoria Evaluations & Surgery Letters, Clinical Social Work/Therapist, LCSW
Gender Dysphoria Evaluations & Surgery Letters
Clinical Social Work/Therapist, LCSW
Online Only
I offer gender dysphoria assessments and same-day letters for transgender surgery—top surgery, bottom surgery, and facial feminization. If you're in Richmond, Norfolk, Roanoke, or anywhere in between, I provide fast, WPATH-aligned documentation written by someone who sees you without explanation. Show up as you are, and I’ll take it from there. You’ve already had to fight just to be seen, to be believed, to be taken seriously. This isn’t another hurdle, it’s a hand on your back saying “I’ve got you.”
I offer gender dysphoria assessments and same-day letters for transgender surgery—top surgery, bottom surgery, and facial feminization. If you're in Richmond, Norfolk, Roanoke, or anywhere in between, I provide fast, WPATH-aligned documentation written by someone who sees you without explanation. Show up as you are, and I’ll take it from there. You’ve already had to fight just to be seen, to be believed, to be taken seriously. This isn’t another hurdle, it’s a hand on your back saying “I’ve got you.”
(804) 396-6403 View (804) 396-6403
Photo of Terra Jones-Steele, Licensed Professional Counselor, LPC
Terra Jones-Steele
Licensed Professional Counselor, LPC
Richmond, VA 23237
Hi, I’m Terra, a Licensed Professional Counselor in Virginia with 8 years of experience supporting adolescents and adults. I help clients navigate anxiety, depression, self-esteem, and relationship challenges, guiding them on their path to healing and growth. I earned my undergraduate degree in Psychology from Talladega College and my graduate degree from Faulkner University. I look forward to meeting you and working together to help you achieve your goals.
Hi, I’m Terra, a Licensed Professional Counselor in Virginia with 8 years of experience supporting adolescents and adults. I help clients navigate anxiety, depression, self-esteem, and relationship challenges, guiding them on their path to healing and growth. I earned my undergraduate degree in Psychology from Talladega College and my graduate degree from Faulkner University. I look forward to meeting you and working together to help you achieve your goals.
(540) 616-3096 View (540) 616-3096
Photo of Natasha M Joyner, Clinical Social Work/Therapist, LCSW, LSATP
Natasha M Joyner
Clinical Social Work/Therapist, LCSW, LSATP
1 Endorsed
Richmond, VA 23230
Client focus is on building strengths and recognizing how to apply those strengths in areas of life causing distress or interruption in reaching full potential. Clients seeking therapy from this therapist should be prepared to move at their pace. However, being open to discussion and evaluation of issues that create barriers. In addition to examining the approach and thought patterns that may be inhibiting overall improved well-being and success. Prepare yourself for an open dialogue, support, and putting your best forward in the change process. Allow me to assist in your journey.
Client focus is on building strengths and recognizing how to apply those strengths in areas of life causing distress or interruption in reaching full potential. Clients seeking therapy from this therapist should be prepared to move at their pace. However, being open to discussion and evaluation of issues that create barriers. In addition to examining the approach and thought patterns that may be inhibiting overall improved well-being and success. Prepare yourself for an open dialogue, support, and putting your best forward in the change process. Allow me to assist in your journey.
(804) 409-0643 View (804) 409-0643
Photo of Shannon Talley, Licensed Professional Counselor, MA, LPC
Shannon Talley
Licensed Professional Counselor, MA, LPC
1 Endorsed
Richmond, VA 23235
Waitlist for new clients
Have you ever heard someone tell you "Just get over it!"? When someone is struggling with a major life change, grief, or health challenge, this is not acceptable! Let's talk about your story, your journey, and your destination. My goal is for you to leave your appointment with a feeling of validation and direction. I love when my clients realize that they are capable and start reaching their goals. Partnering with me means that you will always have someone who is willing to walk alongside you in moments when you are feeling a little bit lost or alone. My passion is to see you find your direction and live your life to the fullest.
Have you ever heard someone tell you "Just get over it!"? When someone is struggling with a major life change, grief, or health challenge, this is not acceptable! Let's talk about your story, your journey, and your destination. My goal is for you to leave your appointment with a feeling of validation and direction. I love when my clients realize that they are capable and start reaching their goals. Partnering with me means that you will always have someone who is willing to walk alongside you in moments when you are feeling a little bit lost or alone. My passion is to see you find your direction and live your life to the fullest.
(804) 395-6123 View (804) 395-6123
Photo of Gail M Quick, Psychologist, PhD, LCP
Gail M Quick
Psychologist, PhD, LCP
Richmond, VA 23226
Waitlist for new clients
I have more than 25 years of experience providing psychotherapy and psychological evaluations to children (ages 5 and up), adolescents and adults. I work with individuals facing a wide variety of mental health concerns and specialize in the treatment of OCD, OCD-related disorders, and anxiety. I also provide consultation to other professionals treating individuals with OCD. I have a strong background in Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) and individualize these evidence-based treatments to help my clients achieve lasting change.
I have more than 25 years of experience providing psychotherapy and psychological evaluations to children (ages 5 and up), adolescents and adults. I work with individuals facing a wide variety of mental health concerns and specialize in the treatment of OCD, OCD-related disorders, and anxiety. I also provide consultation to other professionals treating individuals with OCD. I have a strong background in Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) and individualize these evidence-based treatments to help my clients achieve lasting change.
(804) 374-9621 View (804) 374-9621
Photo of Jasmine Griffin - Transcending Adversity Counseling Services LLC, Licensed Professional Counselor, LPC-S, MEd
Transcending Adversity Counseling Services LLC
Licensed Professional Counselor, LPC-S, MEd
Online Only
Emotions are an important part of life, and help us to connect with others. Sometimes our experiences with intense emotions can take away from our ability to clearly communicate with each other or appreciate ourselves. Do you find it difficult to enjoy life in the moment? too focused on the past or worried about the future? Do you wish you could connect with your family or partner in a way that doesn't lead to conflict or slammed doors? Whether you are experiencing relationship conflicts, depression, anxiety, anger, feelings of low self esteem or sex related concerns, your feelings do not have to control your life.
Emotions are an important part of life, and help us to connect with others. Sometimes our experiences with intense emotions can take away from our ability to clearly communicate with each other or appreciate ourselves. Do you find it difficult to enjoy life in the moment? too focused on the past or worried about the future? Do you wish you could connect with your family or partner in a way that doesn't lead to conflict or slammed doors? Whether you are experiencing relationship conflicts, depression, anxiety, anger, feelings of low self esteem or sex related concerns, your feelings do not have to control your life.
(804) 567-8198 View (804) 567-8198
Photo of Rhiannon Alley - Rhiannon Alley Counseling, Licensed Professional Counselor, LPC
Rhiannon Alley Counseling
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
Rhiannon Alley Counseling - call 804-215-6546 or email!
Rhiannon Alley Counseling - call 804-215-6546 or email!
(804) 424-5694 View (804) 424-5694
Photo of Barbara Hill, Pre-Licensed Professional, MSW
Barbara Hill
Pre-Licensed Professional, MSW
1 Endorsed
Online Only
Barbara has always believed that meaningful change happens when people feel heard, supported, and empowered. With a deep passion for bridging the gap between individuals and the resources they need, she strives to be an unwavering advocate for every client she meets. Whether someone is facing personal challenges or navigating systemic barriers, Barbara provides a safe and supportive space to help them find clarity, resilience, and hope. She meets each client where they are, offering guidance that is practical, nonjudgmental, and tailored to their unique journey.
Barbara has always believed that meaningful change happens when people feel heard, supported, and empowered. With a deep passion for bridging the gap between individuals and the resources they need, she strives to be an unwavering advocate for every client she meets. Whether someone is facing personal challenges or navigating systemic barriers, Barbara provides a safe and supportive space to help them find clarity, resilience, and hope. She meets each client where they are, offering guidance that is practical, nonjudgmental, and tailored to their unique journey.
(804) 373-7746 View (804) 373-7746
Photo of Dina Negatu, Clinical Social Work/Therapist, MSW, LCSW
Dina Negatu
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Richmond, VA 23228
I work with teens and adults who feel weighed down by depression, anxiety, or big life changes-like shifts in relationships, work, or identity. Many people come to me feeling stuck or disconnected, wanting to feel more like themselves again. As a Licensed Clinical Social Worker, with over 15 years of experience, we'll explore what's behind those feelings, learn to manage emotions and life stresses with compassion, and find healthier ways to cope. My goal is to help you build confidence, ease, and relationships that truly feel fulfilling.
I work with teens and adults who feel weighed down by depression, anxiety, or big life changes-like shifts in relationships, work, or identity. Many people come to me feeling stuck or disconnected, wanting to feel more like themselves again. As a Licensed Clinical Social Worker, with over 15 years of experience, we'll explore what's behind those feelings, learn to manage emotions and life stresses with compassion, and find healthier ways to cope. My goal is to help you build confidence, ease, and relationships that truly feel fulfilling.
(804) 352-6632 View (804) 352-6632

See more therapy options for Richmond

How does your Therapist compare?

Number of Therapists in Richmond, VA

2,000+

Average cost per session

$149

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
88% Depression
72% Trauma and PTSD
72% Self Esteem
69% Coping Skills
69% Stress
68% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

87% Aetna
74% BlueCross and BlueShield
72% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.