Therapists in Wythe County, VA

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Photo of Elizabeth Forman, Licensed Professional Counselor in Wythe County, VA
Elizabeth Forman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Wytheville, VA 24382  (Online Only)
Are you feeling controlled by feelings of anxiety and stress? Do you feel held back by limiting beliefs about yourself? Maybe you have encountered extremely difficult situations in your life and are looking for new ways to cope. My name is Elizabeth and I would be honored to walk with you on your healing journey. I am a Licensed Professional Counselor almost a decade of experience in the field of mental health treatment.
Are you feeling controlled by feelings of anxiety and stress? Do you feel held back by limiting beliefs about yourself? Maybe you have encountered extremely difficult situations in your life and are looking for new ways to cope. My name is Elizabeth and I would be honored to walk with you on your healing journey. I am a Licensed Professional Counselor almost a decade of experience in the field of mental health treatment.
(276) 530-3234 View (276) 530-3234
Photo of Patricia Helton, Clinical Social Work/Therapist in Wythe County, VA
Patricia Helton
Clinical Social Work/Therapist, LCSW
Verified Verified
Max Meadows, VA 24360  (Online Only)
Hello! I am a licensed clinical social worker in Virginia. I work full-time at a residential substance use facility and part-time providing therapy online for individuals with mental health or co-occurring diagnoses. I believe individuals are the experts in their lives and have the strengths and abilities within them to bring to therapy to be successful in improving their quality of life.
Hello! I am a licensed clinical social worker in Virginia. I work full-time at a residential substance use facility and part-time providing therapy online for individuals with mental health or co-occurring diagnoses. I believe individuals are the experts in their lives and have the strengths and abilities within them to bring to therapy to be successful in improving their quality of life.
(276) 582-9630 View (276) 582-9630
Photo of Tara Brewster Lineberry, Clinical Social Work/Therapist in Wythe County, VA
Tara Brewster Lineberry
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Wytheville, VA 24382
I specialize in helping adolescents and adults realize their maximum potential by assisting with overcoming struggles, stress, and trauma.
I specialize in helping adolescents and adults realize their maximum potential by assisting with overcoming struggles, stress, and trauma.
(276) 277-2030 View (276) 277-2030
Photo of Kristyna L. Lathem, Licensed Professional Counselor in Wythe County, VA
Kristyna L. Lathem
Licensed Professional Counselor, MS, LPC, CTP
Verified Verified
1 Endorsed
Wytheville, VA 24382  (Online Only)
Has a recent event shaken up your life? Or do you find that a low level of depression just never goes away? It can feel out of control when you’re not sure what to do, or how to find help. I offer supportive therapy for teens and adults so they can get a better handle on life, work through any crisis they’re dealing with, and learn to thrive. I treat people who are struggling with trauma, anxiety, depression or relationships. I also have experience working with military families at all stages. We can focus on any goals that are important to you, ranging from overcoming symptoms to dealing with difficult life situations.
Has a recent event shaken up your life? Or do you find that a low level of depression just never goes away? It can feel out of control when you’re not sure what to do, or how to find help. I offer supportive therapy for teens and adults so they can get a better handle on life, work through any crisis they’re dealing with, and learn to thrive. I treat people who are struggling with trauma, anxiety, depression or relationships. I also have experience working with military families at all stages. We can focus on any goals that are important to you, ranging from overcoming symptoms to dealing with difficult life situations.
(276) 222-6776 View (276) 222-6776
Photo of Justine F Bradley, Licensed Professional Counselor in Wythe County, VA
Justine F Bradley
Licensed Professional Counselor, LPC, NCC
Verified Verified
Wytheville, VA 24382
Are you facing tough times, grappling with life's challenges, or finding it hard to shake off those persistent negative thoughts? Perhaps you're overwhelmed and just need a safe space to share your experiences, thoughts, or feelings. You don't have to navigate this journey alone. In our therapeutic partnership, I see the client-therapist relationship as a crucial foundation. As your counselor, my goal is to support you in understanding your situation, co-create strategies for effective communication, and equip you with coping skills for those stressful moments. I genuinely believe in the strength within you to overcome challenges .
Are you facing tough times, grappling with life's challenges, or finding it hard to shake off those persistent negative thoughts? Perhaps you're overwhelmed and just need a safe space to share your experiences, thoughts, or feelings. You don't have to navigate this journey alone. In our therapeutic partnership, I see the client-therapist relationship as a crucial foundation. As your counselor, my goal is to support you in understanding your situation, co-create strategies for effective communication, and equip you with coping skills for those stressful moments. I genuinely believe in the strength within you to overcome challenges .
(276) 285-5203 View (276) 285-5203
Photo of Courtney S Brooks, Pre-Licensed Professional in Wythe County, VA
Courtney S Brooks
Pre-Licensed Professional, MEd
Verified Verified
2 Endorsed
Wytheville, VA 24382
I view therapy from a holistic lens, encouraging clients to explore their holistic self (mental, spiritual, sexual, physical, etc.) and how those various pieces impact our view of self, the world, and our lived experiences. Finding meaning in experiences, as well as curating curiosity and compassion towards the self are inherent to my therapeutic process. To summarize my approach to treatment from Carl Rogers: "A person is a fluid process, not a fixed & static entity; a flowing river of change, not a block of solid material; a continually changing constellation of potentialities, not a fixed quantity of traits."
I view therapy from a holistic lens, encouraging clients to explore their holistic self (mental, spiritual, sexual, physical, etc.) and how those various pieces impact our view of self, the world, and our lived experiences. Finding meaning in experiences, as well as curating curiosity and compassion towards the self are inherent to my therapeutic process. To summarize my approach to treatment from Carl Rogers: "A person is a fluid process, not a fixed & static entity; a flowing river of change, not a block of solid material; a continually changing constellation of potentialities, not a fixed quantity of traits."
(540) 584-1219 View (540) 584-1219
Photo of Amanda Rigney, Licensed Professional Counselor in Wythe County, VA
Amanda Rigney
Licensed Professional Counselor, LPC
Verified Verified
Wytheville, VA 24382
I strongly believe that clients already possess the strength they need to overcome past hurts. I believe it is my privilege to walk alongside you in your journey and empower you to use your own strengths to solve problems and achieve your goals. I enjoy working with clients from any age or background. I treat a wide range of issues including anxiety, depression, anger management, and trauma. I have a special interest in working with woman recovering from abusive relationships, co-dependency, or parenting issues.
I strongly believe that clients already possess the strength they need to overcome past hurts. I believe it is my privilege to walk alongside you in your journey and empower you to use your own strengths to solve problems and achieve your goals. I enjoy working with clients from any age or background. I treat a wide range of issues including anxiety, depression, anger management, and trauma. I have a special interest in working with woman recovering from abusive relationships, co-dependency, or parenting issues.
(540) 730-1039 View (540) 730-1039
Photo of Joy Groves, Licensed Professional Counselor in Wythe County, VA
Joy Groves
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Wytheville, VA 24382
I am an experienced counselor who is truly invested in helping individuals and families make their lives better and find joy in life. Whether you have concerns for your child, teen, or for yourself, rest assured that life can feel better than it does for you right now. I am a compassionate listener who will help you develop new perspectives and skills to navigate the challenges affecting you and your family. I will encourage you, help you grow into your best self, and enhance your significant relationships. My approach is holistic, incorporating the spiritual values that are important to you.
I am an experienced counselor who is truly invested in helping individuals and families make their lives better and find joy in life. Whether you have concerns for your child, teen, or for yourself, rest assured that life can feel better than it does for you right now. I am a compassionate listener who will help you develop new perspectives and skills to navigate the challenges affecting you and your family. I will encourage you, help you grow into your best self, and enhance your significant relationships. My approach is holistic, incorporating the spiritual values that are important to you.
(276) 496-2642 View (276) 496-2642
Photo of Body and Mindfully Healthy, Licensed Professional Counselor in Wythe County, VA
Body and Mindfully Healthy
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Wytheville, VA 24382
Everyone has their own definition of healthy, however, healthy is not a destination. Healthy is a practice, much like mindfulness is a practice. Small, daily healthy tasks or habits can lead to powerful changes in someone's life. Small, but powerful, changes look different for everyone. At Body and Mindfully Healthy, we offer a variety of treatment options for depression, anxiety, ADHD, PTSD, substance use disorders, and more. This is a group practice with several practitioners.
Everyone has their own definition of healthy, however, healthy is not a destination. Healthy is a practice, much like mindfulness is a practice. Small, daily healthy tasks or habits can lead to powerful changes in someone's life. Small, but powerful, changes look different for everyone. At Body and Mindfully Healthy, we offer a variety of treatment options for depression, anxiety, ADHD, PTSD, substance use disorders, and more. This is a group practice with several practitioners.
(276) 208-8569 View (276) 208-8569
Photo of Laura Pritchard-Compton, Pre-Licensed Professional in Wythe County, VA
Laura Pritchard-Compton
Pre-Licensed Professional, MEd, MSW
Verified Verified
Wytheville, VA 24382
I believe that every person is equipped with the inner wisdom and strength to heal themselves, I merely have the honor of being with you as you find (again or for the first time) your inner wisdom and strength to become your truest self. I desire to be with you in your aching dilemmas ultimately inviting you to a space of freedom, hope and expansive love. My therapeutic approach includes person-centered, solution-focused, and strengths-based therapy, with a particular emphasis on mindfulness. Through calm observation and awareness, I strive to cultivate a therapeutic space that is inclusive, curious, compassionate and healing.
I believe that every person is equipped with the inner wisdom and strength to heal themselves, I merely have the honor of being with you as you find (again or for the first time) your inner wisdom and strength to become your truest self. I desire to be with you in your aching dilemmas ultimately inviting you to a space of freedom, hope and expansive love. My therapeutic approach includes person-centered, solution-focused, and strengths-based therapy, with a particular emphasis on mindfulness. Through calm observation and awareness, I strive to cultivate a therapeutic space that is inclusive, curious, compassionate and healing.
(276) 624-6013 View (276) 624-6013
Photo of Melissa Strickland-Hanks, Licensed Professional Counselor in Wythe County, VA
Melissa Strickland-Hanks
Licensed Professional Counselor, LPC, LCMHC, CSAC
Verified Verified
Wytheville, VA 24382  (Online Only)
Do you struggle with learning how to cope with depression, anxiety, & panic attacks using Christian values and beliefs? Do you find it hard to balance all of your responsibilities as a wife/husband, mother/father, business owner/worker, & maintain your Christian morals? Are you searching for a Licensed Professional Counselor who specializes in Christian Counseling, Substance Abuse, and Women's Issues? Do you ever wonder if you set goals that are unrealistic or place too many demands on yourself? Do you want to regain a sense of control over your life & develop better coping skills? Could your self-care routine be improved?
Do you struggle with learning how to cope with depression, anxiety, & panic attacks using Christian values and beliefs? Do you find it hard to balance all of your responsibilities as a wife/husband, mother/father, business owner/worker, & maintain your Christian morals? Are you searching for a Licensed Professional Counselor who specializes in Christian Counseling, Substance Abuse, and Women's Issues? Do you ever wonder if you set goals that are unrealistic or place too many demands on yourself? Do you want to regain a sense of control over your life & develop better coping skills? Could your self-care routine be improved?
(276) 218-2278 View (276) 218-2278

Online Therapists

Photo of Susan Mitchell, Clinical Social Work/Therapist in Wythe County, VA
Susan Mitchell
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Blacksburg, VA 24063  (Online Only)
Life is hard! So much is beyond our control and just trying to survive can be exhausting. If you are struggling mentally and emotionally, feel overwhelmed or alone, please know - you don’t have to continue feeling this way. With more than 25 years in practice, I've helped many clients navigate the way through their dark and emotionally difficult times. Through my interactive therapy style, I offer insight, supportive yet honest feedback, effective tools for coping, and HOPE for a brighter future. Together, we will share in the responsibility of getting you to a happier, more peaceful place in your life. The TRUTH is .....
Life is hard! So much is beyond our control and just trying to survive can be exhausting. If you are struggling mentally and emotionally, feel overwhelmed or alone, please know - you don’t have to continue feeling this way. With more than 25 years in practice, I've helped many clients navigate the way through their dark and emotionally difficult times. Through my interactive therapy style, I offer insight, supportive yet honest feedback, effective tools for coping, and HOPE for a brighter future. Together, we will share in the responsibility of getting you to a happier, more peaceful place in your life. The TRUTH is .....
(910) 601-9685 View (910) 601-9685
Photo of Chandra I Shorter, Licensed Professional Counselor in Wythe County, VA
Chandra I Shorter
Licensed Professional Counselor
Verified Verified
1 Endorsed
In a world where we are inundated with so much "noise" at the touch of our fingertips, I want to offer you a quiet space to come, turn off the noise for a while, and process through the things that matter to you. Whether you're dealing with life's stressors, suffering under the weight of anxiety and depression, needing assistance processing through trauma, looking for new tools to cope, or simply searching for a reassuring and validating outlet to help sift through the heavy emotions we all encounter at some point or another, I am ready to come alongside you and walk you through your healing journey.
In a world where we are inundated with so much "noise" at the touch of our fingertips, I want to offer you a quiet space to come, turn off the noise for a while, and process through the things that matter to you. Whether you're dealing with life's stressors, suffering under the weight of anxiety and depression, needing assistance processing through trauma, looking for new tools to cope, or simply searching for a reassuring and validating outlet to help sift through the heavy emotions we all encounter at some point or another, I am ready to come alongside you and walk you through your healing journey.
(540) 269-4935 View (540) 269-4935
Photo of Ebony Barnes, Licensed Professional Counselor in Wythe County, VA
Ebony Barnes
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Hollins, VA 24019
I believe that reaching out for help and support is the first step towards mental health wellness. My name is Ebony and I am a licensed professional counselor. I have been working in the mental health field for various years in many roles. Life is full of changes and challenges; I see myself as a collaborative guide to helping you reach your goal and achieve the things that you desire in your mental health journey. One of the most important things to me is a collaborative therapeutic relationship. I encourage you to reach out to begin your counseling journey.
I believe that reaching out for help and support is the first step towards mental health wellness. My name is Ebony and I am a licensed professional counselor. I have been working in the mental health field for various years in many roles. Life is full of changes and challenges; I see myself as a collaborative guide to helping you reach your goal and achieve the things that you desire in your mental health journey. One of the most important things to me is a collaborative therapeutic relationship. I encourage you to reach out to begin your counseling journey.
(540) 348-4700 View (540) 348-4700
Photo of Emily Newcomb, Pre-Licensed Professional in Wythe County, VA
Emily Newcomb
Pre-Licensed Professional, MS
Verified Verified
Roanoke, VA 24016
Waitlist for new clients
I love to work with children, adolescents and adults. I am passionate and enjoy working with perinatal individuals and anyone dealing with postpartum anxiety or depression. My hope is to help individuals discover their values in order to help them live a value driven life rather than one focused centrally on acheiving goals.
I love to work with children, adolescents and adults. I am passionate and enjoy working with perinatal individuals and anyone dealing with postpartum anxiety or depression. My hope is to help individuals discover their values in order to help them live a value driven life rather than one focused centrally on acheiving goals.
(540) 900-1494 View (540) 900-1494
Photo of Christyn Holley, Licensed Professional Counselor in Wythe County, VA
Christyn Holley
Licensed Professional Counselor, MA, LPC, CSAC
Verified Verified
Danville, VA 24541
Whether you are struggling with addiction or relapse, anxiety or depression, stress, self-image, family issues, past or present traumas, you are not alone. No one should suffer in silence. Acknowledging there is a problem and seeking help is half the battle.
Whether you are struggling with addiction or relapse, anxiety or depression, stress, self-image, family issues, past or present traumas, you are not alone. No one should suffer in silence. Acknowledging there is a problem and seeking help is half the battle.
(434) 595-3391 View (434) 595-3391
Photo of Aliya Chapman, Psychologist in Wythe County, VA
Aliya Chapman
Psychologist, PhD, LCP, PMH-C
Verified Verified
3 Endorsed
Blacksburg, VA 24060
Pathways Psychology LLC provides therapy, assessment, and consultation for a variety of human needs. We all need support at times to figure out what to do next in important areas of our lives. We can work together to learn more about who you truly are, understand your current struggles, and to come up with an action plan that fits your values and uses your strengths to help you move forward.
Pathways Psychology LLC provides therapy, assessment, and consultation for a variety of human needs. We all need support at times to figure out what to do next in important areas of our lives. We can work together to learn more about who you truly are, understand your current struggles, and to come up with an action plan that fits your values and uses your strengths to help you move forward.
(540) 385-3686 View (540) 385-3686
Photo of Keyoshia C. Liverman, Resident in Counseling in Wythe County, VA
Keyoshia C. Liverman
Resident in Counseling, MA, LCAS, YMHFA, AMHFA
Verified Verified
1 Endorsed
Roanoke, VA 24019  (Online Only)
Do you find it hard to cope with issues? Do you need help to go forward with your day-to-day activities? Are you tired of feeling this way? My specialties are assisting children, teens, and adults via couples, individual, and group counseling, psychoeducation, cognitive-behavioral therapy, solution-focused therapy, person-centered therapy, behavior modification, mindfulness/relaxation, stress management, communication skills, and substance abuse counseling. My treatment method depends on the individual, and believes in finding the best treatment for the individual. Let me help you find you, I'm taking on new patients.
Do you find it hard to cope with issues? Do you need help to go forward with your day-to-day activities? Are you tired of feeling this way? My specialties are assisting children, teens, and adults via couples, individual, and group counseling, psychoeducation, cognitive-behavioral therapy, solution-focused therapy, person-centered therapy, behavior modification, mindfulness/relaxation, stress management, communication skills, and substance abuse counseling. My treatment method depends on the individual, and believes in finding the best treatment for the individual. Let me help you find you, I'm taking on new patients.
(540) 660-7696 View (540) 660-7696
Photo of Katie Noel Sherwood, Supervisee in Clinical Social Work in Wythe County, VA
Katie Noel Sherwood
Supervisee in Clinical Social Work, MSW
Verified Verified
1 Endorsed
Roanoke, VA 24018
Life can be overwhelming at times and sometimes you are in need of extra support, guidance and a safe space along the way. My hope is to walk alongside you in your journey and help you reach the goals you want for yourself and your life and provide a safe space for healing and growth. I have spent years developing my skills and knowledge by working with adults, adolescents and children who have experienced trauma and family issues. I have experience in working with individuals who have struggled with couple issues, depression, anxiety, PTSD, sexual exploitation, grief and loss. I am currently seeing clients aged 14+.
Life can be overwhelming at times and sometimes you are in need of extra support, guidance and a safe space along the way. My hope is to walk alongside you in your journey and help you reach the goals you want for yourself and your life and provide a safe space for healing and growth. I have spent years developing my skills and knowledge by working with adults, adolescents and children who have experienced trauma and family issues. I have experience in working with individuals who have struggled with couple issues, depression, anxiety, PTSD, sexual exploitation, grief and loss. I am currently seeing clients aged 14+.
(540) 596-5670 View (540) 596-5670
Photo of Pathways to Wellness Counseling , Clinical Social Work/Therapist in Wythe County, VA
Pathways to Wellness Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Marion, VA 24354
NOW ACCEPTING NEW CLIENTS!!! Do you feel like you have tried everything and it still isn't working? Are you tired of existing in life and not fully living life? Do you feel stuck, depressed, or anxious? I provide a safe, non-judgmental atmosphere so you can feel free to express your needs and work together on a plan that best fits your needs. I have worked in emergency crisis services, crisis management services, and trauma for years and this has brought with it the experience to be able to quickly meet and address your immediate needs and then work toward addressing the long-term needs.
NOW ACCEPTING NEW CLIENTS!!! Do you feel like you have tried everything and it still isn't working? Are you tired of existing in life and not fully living life? Do you feel stuck, depressed, or anxious? I provide a safe, non-judgmental atmosphere so you can feel free to express your needs and work together on a plan that best fits your needs. I have worked in emergency crisis services, crisis management services, and trauma for years and this has brought with it the experience to be able to quickly meet and address your immediate needs and then work toward addressing the long-term needs.
(276) 597-4092 View (276) 597-4092

See more therapy options for Wythe County

How does your Therapist compare?

Number of Therapists in Wythe County, VA

10+

Average cost per session

$120

Therapists in Wythe County, VA who prioritize treating:

91% Depression
91% Anxiety
91% Coping Skills
91% Self Esteem
82% Relationship Issues
82% Stress
73% Trauma and PTSD

Average years in practice

16 Years

Top 3 insurances accepted

89% Cigna and Evernorth
89% UnitedHealthcare UHC | UBH
89% Optum

How Therapists in Wythe County, VA see their clients

64% In Person and Online
36% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Wythe County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.