Therapists in Charlottesville, VA

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Photo of Rebeccah McCully, Licensed Professional Counselor in Charlottesville, VA
Rebeccah McCully
Licensed Professional Counselor, LPC
Verified Verified
Charlottesville, VA 22902
Hey! I'm Rebeccah McCully. I earned my Masters in Professional Counseling from Liberty University. Proudly hailing from Charlotte, NC, I'm a true Carolina Girl at heart. I adore the Carolina Panthers, football, and seizing every opportunity to travel. Most importantly, I cherish spending time with my family and my sweet pup, Charlotte. I'm thrilled you've embarked on this counseling journey, and I'm passionate about supporting you every step of the way.
Hey! I'm Rebeccah McCully. I earned my Masters in Professional Counseling from Liberty University. Proudly hailing from Charlotte, NC, I'm a true Carolina Girl at heart. I adore the Carolina Panthers, football, and seizing every opportunity to travel. Most importantly, I cherish spending time with my family and my sweet pup, Charlotte. I'm thrilled you've embarked on this counseling journey, and I'm passionate about supporting you every step of the way.
(434) 362-1707 View (434) 362-1707
Photo of Morgan Lanier, Licensed Professional Counselor in Charlottesville, VA
Morgan Lanier
Licensed Professional Counselor, LPC
Verified Verified
Charlottesville, VA 22903
I specialize in working with children, teens, and families struggling with risky/aggressive behaviors, depression, anxiety, ADHD, as well as adults and families managing lifelong psychiatric disorders, including Bipolar Disorder, Schizophrenia, and/or Schizoaffective Disorders. I also help families with young children learn to improve their ability to manage their feelings in a healthy way, solve problems, and improve communication.
I specialize in working with children, teens, and families struggling with risky/aggressive behaviors, depression, anxiety, ADHD, as well as adults and families managing lifelong psychiatric disorders, including Bipolar Disorder, Schizophrenia, and/or Schizoaffective Disorders. I also help families with young children learn to improve their ability to manage their feelings in a healthy way, solve problems, and improve communication.
(434) 254-1352 View (434) 254-1352
Photo of Lauren Harper, Clinical Social Work/Therapist in Charlottesville, VA
Lauren Harper
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlottesville, VA 22903
Not accepting new clients
I work with individuals aged 8 through young adulthood to manage symptoms related to autism, ADHD, anxiety, depression, executive dysfunction, and low self-esteem. My background is in Special Education and Social Work and I enjoy working with clients and families to identify and advocate for supports and accommodations that will improve their success in the school setting.
I work with individuals aged 8 through young adulthood to manage symptoms related to autism, ADHD, anxiety, depression, executive dysfunction, and low self-esteem. My background is in Special Education and Social Work and I enjoy working with clients and families to identify and advocate for supports and accommodations that will improve their success in the school setting.
(434) 505-4393 View (434) 505-4393
Photo of Rosemary Cosselmon, Licensed Professional Counselor in Charlottesville, VA
Rosemary Cosselmon
Licensed Professional Counselor, LPC
Verified Verified
Charlottesville, VA 22902
I earned my BA in Psychology from Syracuse University and subsequently gained extensive experience working in various mental health settings, catering to individuals of all ages. Upon relocating to Virginia, I dedicated several years to providing individual and group therapy. Later, I pursued my MS in Clinical Mental Health Counseling at Longwood University, completing a residency and obtaining licensure as a LPC. I hold licenses in NY, Utah, and VA. Prior to licensure, I accumulated 10 years of experience in the mental health field, and since then, I have continued to build on this foundation with 3 years of post-licensure.
I earned my BA in Psychology from Syracuse University and subsequently gained extensive experience working in various mental health settings, catering to individuals of all ages. Upon relocating to Virginia, I dedicated several years to providing individual and group therapy. Later, I pursued my MS in Clinical Mental Health Counseling at Longwood University, completing a residency and obtaining licensure as a LPC. I hold licenses in NY, Utah, and VA. Prior to licensure, I accumulated 10 years of experience in the mental health field, and since then, I have continued to build on this foundation with 3 years of post-licensure.
(434) 722-3208 View (434) 722-3208
Photo of Addison Halverson, Resident in Marriage and Family Therapy in Charlottesville, VA
Addison Halverson
Resident in Marriage and Family Therapy
Verified Verified
2 Endorsed
Charlottesville, VA 22903
I specialize in working with children, teens, and their families. I work with children and adults struggling with anxiety, depression, ADHD, trauma, athletic pressure, and managing stress. I have a particular interest in helping families improve their relationships, including siblings, parent-child, co-parents, and step families. I also have experience working with adoption and foster care. If you are worried about your relationship with your child, their ability to cope with stress, emotional outbursts, risky behaviors, or following directions, I can help.
I specialize in working with children, teens, and their families. I work with children and adults struggling with anxiety, depression, ADHD, trauma, athletic pressure, and managing stress. I have a particular interest in helping families improve their relationships, including siblings, parent-child, co-parents, and step families. I also have experience working with adoption and foster care. If you are worried about your relationship with your child, their ability to cope with stress, emotional outbursts, risky behaviors, or following directions, I can help.
(540) 386-0394 View (540) 386-0394
Photo of Dr. Alicia Fahr, Licensed Professional Counselor in Charlottesville, VA
Dr. Alicia Fahr
Licensed Professional Counselor, LPC, PhD
Verified Verified
Charlottesville, VA 22902
I hold licenses as a Licensed Professional Counselor in Virginia, Arizona, Maine, and Minnesota, with over two decades of dedicated clinical mental health practice. Additionally, I've served for 23 years in higher education as a Professor in Counselor Education and Supervision. My extensive experience encompasses direct patient care across various age groups, from children to adults, in diverse settings including telehealth, community mental health clinics, inpatient psychiatric hospitals, adult day programs, hospice, and nursing homes. I own 3 horses, 2 donkeys, and a basset hound, who happen to be my therapists.
I hold licenses as a Licensed Professional Counselor in Virginia, Arizona, Maine, and Minnesota, with over two decades of dedicated clinical mental health practice. Additionally, I've served for 23 years in higher education as a Professor in Counselor Education and Supervision. My extensive experience encompasses direct patient care across various age groups, from children to adults, in diverse settings including telehealth, community mental health clinics, inpatient psychiatric hospitals, adult day programs, hospice, and nursing homes. I own 3 horses, 2 donkeys, and a basset hound, who happen to be my therapists.
(434) 483-2543 View (434) 483-2543
Photo of Chapin Faulconer, Licensed Professional Counselor in Charlottesville, VA
Chapin Faulconer
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Charlottesville, VA 22901
I am a Licensed Professional Counselor and National Certified Counselor specializing in individual, couples and family therapy. Also, I am a Certified Daring Way™ Facilitator (CDWF) based on the research of Dr. Brené Brown. My treatment approach is to provide support with insight and feedback to help clients address current challenges and long-standing issues. With sensitivity and compassion, I draw from different styles and techniques to incorporate what is most helpful for each individual. Together with each client, I work to build on strengths and achieve life goals.
I am a Licensed Professional Counselor and National Certified Counselor specializing in individual, couples and family therapy. Also, I am a Certified Daring Way™ Facilitator (CDWF) based on the research of Dr. Brené Brown. My treatment approach is to provide support with insight and feedback to help clients address current challenges and long-standing issues. With sensitivity and compassion, I draw from different styles and techniques to incorporate what is most helpful for each individual. Together with each client, I work to build on strengths and achieve life goals.
(434) 214-0909 View (434) 214-0909
Photo of Ebony Harrison, Licensed Professional Counselor in Charlottesville, VA
Ebony Harrison
Licensed Professional Counselor, LPC
Verified Verified
Charlottesville, VA 22902
Hello, I'm Ebony Harrison, a licensed professional counselor with more than 5 years of experience supporting diverse populations across different environments. My primary focus areas include anxiety, grief, death/dying, and trauma. I take pleasure in assisting individuals grappling with life's overwhelming stressors. Collaborating closely with my clients, I tailor care to prioritize their unique experiences. By offering perspective and gently encouraging growth through healthy challenges, I foster a safe and supportive environment for personal development.
Hello, I'm Ebony Harrison, a licensed professional counselor with more than 5 years of experience supporting diverse populations across different environments. My primary focus areas include anxiety, grief, death/dying, and trauma. I take pleasure in assisting individuals grappling with life's overwhelming stressors. Collaborating closely with my clients, I tailor care to prioritize their unique experiences. By offering perspective and gently encouraging growth through healthy challenges, I foster a safe and supportive environment for personal development.
(434) 336-3985 x1 View (434) 336-3985 x1
Photo of Virginia Ward in Charlottesville, VA
Virginia Ward
MEd
Verified Verified
Charlottesville, VA 22901
I see individuals as capable of living a full and joyful life. I am here to facilitate the removal of those blocks, caused by past traumas, and / or difficult life transitions, that might be getting in your way. As we work together from a compassionate, strength-based perspective to remove the negative blocks (emotional and mental pain) from your path, life becomes easier and more joyful. As you heal mentally, emotionally and physically you will begin to attract those experiences and relationships into your life that are healthy, more fulfilling & enriching. My Master's degree in Counseling has prepared me for this work.
I see individuals as capable of living a full and joyful life. I am here to facilitate the removal of those blocks, caused by past traumas, and / or difficult life transitions, that might be getting in your way. As we work together from a compassionate, strength-based perspective to remove the negative blocks (emotional and mental pain) from your path, life becomes easier and more joyful. As you heal mentally, emotionally and physically you will begin to attract those experiences and relationships into your life that are healthy, more fulfilling & enriching. My Master's degree in Counseling has prepared me for this work.
(434) 215-0449 View (434) 215-0449
Photo of Kennise Baker, Clinical Social Work/Therapist in Charlottesville, VA
Kennise Baker
Clinical Social Work/Therapist, LSW
Verified Verified
Charlottesville, VA 22902
Hello, I'm Kennise! My objective is to provide support and education on evidence-based techniques that assist individuals in effectively processing and regulating their emotions. Moreover, I strive to empower clients to construct a life they can take pride in. Taking the initiative to seek assistance is an important step towards self-care, though it can be challenging. Remember, you don't have to navigate this journey solo - let's embark on it together!
Hello, I'm Kennise! My objective is to provide support and education on evidence-based techniques that assist individuals in effectively processing and regulating their emotions. Moreover, I strive to empower clients to construct a life they can take pride in. Taking the initiative to seek assistance is an important step towards self-care, though it can be challenging. Remember, you don't have to navigate this journey solo - let's embark on it together!
(434) 362-1676 View (434) 362-1676
Photo of Katie Gilmer, Resident in Marriage and Family Therapy in Charlottesville, VA
Katie Gilmer
Resident in Marriage and Family Therapy, MFT
Verified Verified
1 Endorsed
Charlottesville, VA 22911
Not accepting new clients
When was the last time that you felt wholly accepted and valued in a relationship? For many of us, it can be difficult to remember a single instance in which we felt safe enough to reveal and explore every single part of ourselves. It is my hope that you will be able to start that journey during our therapy sessions. Together, we will create a space where every part of you is welcome, even those parts which are wounded, ashamed, anxious, or downright unpleasant. We will also welcome and celebrate the best parts of you, the healthy, hopeful, flourishing parts.
When was the last time that you felt wholly accepted and valued in a relationship? For many of us, it can be difficult to remember a single instance in which we felt safe enough to reveal and explore every single part of ourselves. It is my hope that you will be able to start that journey during our therapy sessions. Together, we will create a space where every part of you is welcome, even those parts which are wounded, ashamed, anxious, or downright unpleasant. We will also welcome and celebrate the best parts of you, the healthy, hopeful, flourishing parts.
(434) 478-3712 View (434) 478-3712
Photo of Evans Nexsen, LPC Intern in Charlottesville, VA
Evans Nexsen
LPC Intern, L, P, C
Verified Verified
1 Endorsed
Charlottesville, VA 22903
Accepting new clients: I approach my work through the lens of attachment – how we cope in moments of disconnection with those we love the most – with empathy, cultural awareness, and validation around being a human – moreover, a parent. As a mother to young children, I understand the beauty and despair of parenthood. As a therapist, I understand the impact our childhood experiences have on how we show up in our adult relationships. I meld my experience and training to support both women and men along the path of reconnecting with themselves and with those whom they love most.
Accepting new clients: I approach my work through the lens of attachment – how we cope in moments of disconnection with those we love the most – with empathy, cultural awareness, and validation around being a human – moreover, a parent. As a mother to young children, I understand the beauty and despair of parenthood. As a therapist, I understand the impact our childhood experiences have on how we show up in our adult relationships. I meld my experience and training to support both women and men along the path of reconnecting with themselves and with those whom they love most.
(434) 362-1587 View (434) 362-1587
Photo of Alicia Zarzuela, Supervisee in Clinical Social Work in Charlottesville, VA
Alicia Zarzuela
Supervisee in Clinical Social Work, LSW
Verified Verified
Charlottesville, VA 22902
Hello there! I'm Alicia Zarzuela, a social work supervisee holding an MSW from Virginia Commonwealth University. My expertise lies in counseling children and adolescents (ages 5-17), focusing on issues like anxiety, depression, self-esteem, and life stressors. Whether it's school, work, or friendships, I understand the stressors life can bring. That's why I offer a non-judgmental, validating, and safe environment to discuss life's challenges, working collaboratively to set achievable goals for a successful future. I'm thrilled to start this journey with you!
Hello there! I'm Alicia Zarzuela, a social work supervisee holding an MSW from Virginia Commonwealth University. My expertise lies in counseling children and adolescents (ages 5-17), focusing on issues like anxiety, depression, self-esteem, and life stressors. Whether it's school, work, or friendships, I understand the stressors life can bring. That's why I offer a non-judgmental, validating, and safe environment to discuss life's challenges, working collaboratively to set achievable goals for a successful future. I'm thrilled to start this journey with you!
(434) 442-6283 View (434) 442-6283
Photo of Wright Group Counseling , Licensed Professional Counselor in Charlottesville, VA
Wright Group Counseling
Licensed Professional Counselor, LPC, LSATP
Verified Verified
Charlottesville, VA 22903  (Online Only)
Welcome! I am accepting new clients. Whether you’re considering therapy for the first time or returning, finding a provider that you can connect with and develop trust with is important. I work with adolescents, adults and couples to address a range of concerns (e.g. anxiety, depression, trauma, grief, life transitions, relationships, and addictions). I help clients develop greater self-understanding and better relate in relationships.
Welcome! I am accepting new clients. Whether you’re considering therapy for the first time or returning, finding a provider that you can connect with and develop trust with is important. I work with adolescents, adults and couples to address a range of concerns (e.g. anxiety, depression, trauma, grief, life transitions, relationships, and addictions). I help clients develop greater self-understanding and better relate in relationships.
(434) 201-7641 View (434) 201-7641
Photo of Brandon Phillips, Psychologist in Charlottesville, VA
Brandon Phillips
Psychologist, PsyD
Verified Verified
1 Endorsed
Charlottesville, VA 22901
Hope, confidence, and increased understanding are some of the general benefits most people can expect from therapy. Therapy can be even more helpful when you find the right person to work with. I am a psychologist in Charlottesville, Virginia, and I work with adults experiencing a wide range of issues, including depression, anxiety, and difficulties in relationships. My approach is collaborative and multifaceted. We work together to become more aware and effective. In this way people feel more able to overcome challenging situations, manage difficult emotions, and reduce future problems.
Hope, confidence, and increased understanding are some of the general benefits most people can expect from therapy. Therapy can be even more helpful when you find the right person to work with. I am a psychologist in Charlottesville, Virginia, and I work with adults experiencing a wide range of issues, including depression, anxiety, and difficulties in relationships. My approach is collaborative and multifaceted. We work together to become more aware and effective. In this way people feel more able to overcome challenging situations, manage difficult emotions, and reduce future problems.
(434) 325-5211 View (434) 325-5211
Photo of Taylor, Clinical Social Work/Therapist in Charlottesville, VA
Taylor Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlottesville, VA 22902
Greetings! I'm Taylor Taylor, a Licensed Clinical Social Worker, bringing expertise from both outpatient therapy and inpatient hospital settings. I hold a BSW from James Madison University (Go DUKES!) and an MSW from George Mason University, recently obtaining my LCSW in Virginia. My dedication lies in assisting clients grappling with anxiety, depression, schizophrenia, PTSD, grief/loss, and life transitions. It's a privilege to journey with clients as they entrust me with their stories.
Greetings! I'm Taylor Taylor, a Licensed Clinical Social Worker, bringing expertise from both outpatient therapy and inpatient hospital settings. I hold a BSW from James Madison University (Go DUKES!) and an MSW from George Mason University, recently obtaining my LCSW in Virginia. My dedication lies in assisting clients grappling with anxiety, depression, schizophrenia, PTSD, grief/loss, and life transitions. It's a privilege to journey with clients as they entrust me with their stories.
(434) 201-3103 View (434) 201-3103
Photo of Spencer J. Cruz-Katz, Psychologist in Charlottesville, VA
Spencer J. Cruz-Katz
Psychologist, PhD, LCP
Verified Verified
Charlottesville, VA 22911
Waitlist for new clients
No matter your difficulty, no matter your challenge, through our work together, you can begin to take control. In a validating, safe, and accepting space, we challenge your old thinking patterns in order to create new ones; gain insight into the past to better understand behavior and decisions in the present; and allow you to take control of your life so you can have a more fulfilling future.
No matter your difficulty, no matter your challenge, through our work together, you can begin to take control. In a validating, safe, and accepting space, we challenge your old thinking patterns in order to create new ones; gain insight into the past to better understand behavior and decisions in the present; and allow you to take control of your life so you can have a more fulfilling future.
(434) 201-7501 View (434) 201-7501
Photo of Marcella Jost, Clinical Social Work/Therapist in Charlottesville, VA
Marcella Jost
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlottesville, VA 22902  (Online Only)
For over forty years, I have been helping people manage their anxiety disorders, navigate difficult life transitions, and chart a path towards better self-understanding. Often, clients come to see me because they're feeling overwhelmed by anxiety, or are unsure how to move forward during a difficult point in their lives or relationships.
For over forty years, I have been helping people manage their anxiety disorders, navigate difficult life transitions, and chart a path towards better self-understanding. Often, clients come to see me because they're feeling overwhelmed by anxiety, or are unsure how to move forward during a difficult point in their lives or relationships.
(434) 231-2574 View (434) 231-2574
Photo of Frances Ingram, Clinical Social Work/Therapist in Charlottesville, VA
Frances Ingram
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlottesville, VA 22903
I have experience working with adolescents, and adults who are struggling with a range of life situations such as anxiety, depression, life transitions, sexual abuse/trauma and relationship issues. I am interested in you as an individual and am committed to helping you learn what causes you to be stuck and repeating dysfunctional patterns. My approach is active, direct and flexible. I do not stay stuck in the past, but I do use past trauma as a tool to help you learn how these wounds are causing present day conflict. You will use practical strategies to create a life that meets your emotional, social and spiritual needs.
I have experience working with adolescents, and adults who are struggling with a range of life situations such as anxiety, depression, life transitions, sexual abuse/trauma and relationship issues. I am interested in you as an individual and am committed to helping you learn what causes you to be stuck and repeating dysfunctional patterns. My approach is active, direct and flexible. I do not stay stuck in the past, but I do use past trauma as a tool to help you learn how these wounds are causing present day conflict. You will use practical strategies to create a life that meets your emotional, social and spiritual needs.
(434) 220-0535 View (434) 220-0535
Photo of Ryan D. Senator, Licensed Professional Counselor in Charlottesville, VA
Ryan D. Senator
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Charlottesville, VA 22903
Waitlist for new clients
I offer a genuine connection to my patients, which I believe to be the heart of psychotherapy. Each individual is unique, and so is their purpose in seeking therapy. I prioritize the relationship with individuals above any tool, or technique. As a result, I have seen my patients change and have witnessed their transformation.
I offer a genuine connection to my patients, which I believe to be the heart of psychotherapy. Each individual is unique, and so is their purpose in seeking therapy. I prioritize the relationship with individuals above any tool, or technique. As a result, I have seen my patients change and have witnessed their transformation.
(434) 325-5290 View (434) 325-5290

See more therapy options for Charlottesville

How does your Therapist compare?

Number of Therapists in Charlottesville, VA

600+

Average cost per session

$150

Therapists in Charlottesville, VA who prioritize treating:

93% Anxiety
88% Depression
79% Self Esteem
74% Stress
73% Relationship Issues
73% Trauma and PTSD
72% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH

How Therapists in Charlottesville, VA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

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

How can I find a therapist in Charlottesville?

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.