Therapists in Cabell County, WV

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Photo of Rachel E Baldrige-Bush, Licensed Professional Counselor, LPC, ALPS, NCC
Rachel E Baldrige-Bush
Licensed Professional Counselor, LPC, ALPS, NCC
Verified Verified
2 Endorsed
Online Only
Not accepting new clients
If you are feeling overwhelmed, you are not alone. Many of us feel like something is wrong, fear we aren’t good enough or worry we are failing. We try our best to push these feelings aside. However, our insecurities tend to find their way back. We want to be confident and secure, capable of loving who we are. Our fears of judgment or rejection make it intimidating to ask for help. We believe admitting we can’t do it all alone is a weakness. It is not. You don’t have to struggle alone. You need someone in your corner rooting for you. Everyone deserves a safe place to share their story and receive validation.
If you are feeling overwhelmed, you are not alone. Many of us feel like something is wrong, fear we aren’t good enough or worry we are failing. We try our best to push these feelings aside. However, our insecurities tend to find their way back. We want to be confident and secure, capable of loving who we are. Our fears of judgment or rejection make it intimidating to ask for help. We believe admitting we can’t do it all alone is a weakness. It is not. You don’t have to struggle alone. You need someone in your corner rooting for you. Everyone deserves a safe place to share their story and receive validation.
(681) 233-1096 View (681) 233-1096
Photo of Michaela Bays, Licensed Professional Counselor, LPC
Michaela Bays
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Huntington, WV 25701
For over 10 years, I have devoted my time and shared space with many individuals on their personal journeys in finding their own voice, rhythm, and self-compassion. Life is fast-paced, and it is easy to inherit or build narratives about ourselves and our journeys that do not allow us to embrace our true nature. Depression, stress, self-doubt, unfulfillment, shame, trauma, negativity and regret can often serve as barriers in becoming who we are truly meant to be. Many of us continue battling these struggles on our own, when surrendering and sharing with another is the beginning path to freedom and clarity.
For over 10 years, I have devoted my time and shared space with many individuals on their personal journeys in finding their own voice, rhythm, and self-compassion. Life is fast-paced, and it is easy to inherit or build narratives about ourselves and our journeys that do not allow us to embrace our true nature. Depression, stress, self-doubt, unfulfillment, shame, trauma, negativity and regret can often serve as barriers in becoming who we are truly meant to be. Many of us continue battling these struggles on our own, when surrendering and sharing with another is the beginning path to freedom and clarity.
(304) 501-1466 View (304) 501-1466
Photo of Teresa C Copley, Psychologist, MA, MS
Teresa C Copley
Psychologist, MA, MS
Verified Verified
Huntington, WV 25705
PeaceTree Center is a wonderful therapeutic environment. I am available for Psychological Evaluations and Individual, Couples or Family Therapy. I enjoy working with all ages. I do evaluations for ADHD, Autism, Learning Disorders, Depression, Anxiety, Bipolar Disorder and more. I have late evening hours on Thursdays, if needed. Please contact me for your psychological needs!
PeaceTree Center is a wonderful therapeutic environment. I am available for Psychological Evaluations and Individual, Couples or Family Therapy. I enjoy working with all ages. I do evaluations for ADHD, Autism, Learning Disorders, Depression, Anxiety, Bipolar Disorder and more. I have late evening hours on Thursdays, if needed. Please contact me for your psychological needs!
(304) 318-7274 View (304) 318-7274
Photo of Maeven Miller - Maeven Miller Counseling, LLC, Clinical Social Work/Therapist, LCSW, LICSW
Maeven Miller Counseling, LLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Huntington, WV 25702
I provide individual counseling for adult women in my private practice located in Huntington, WV. I specialize in treating trauma and abuse, but am able to provide services for a host of other presenting issues such as anxiety and fear, depression, family and relational issues, grief, life transition, and perinatal (pre and post pregnancy) mental health issues. I am also pleased to offer Christian based counseling if a client desires (Please see website for more info).
I provide individual counseling for adult women in my private practice located in Huntington, WV. I specialize in treating trauma and abuse, but am able to provide services for a host of other presenting issues such as anxiety and fear, depression, family and relational issues, grief, life transition, and perinatal (pre and post pregnancy) mental health issues. I am also pleased to offer Christian based counseling if a client desires (Please see website for more info).
(304) 337-5454 View (304) 337-5454
Photo of Aaron Nick Hemlepp, Clinical Social Work/Therapist, LICSW, DSW
Aaron Nick Hemlepp
Clinical Social Work/Therapist, LICSW, DSW
Verified Verified
3 Endorsed
Barboursville, WV 25504
Sometimes our lives take us in directions that we have no control over. Yet, we are still left to figure out what to do with them That's my specialty: creative care plans grounded in excellent care. My ideal client would know something is amiss and they seek help. Sometimes life is stuck because the things that used to work no longer get us through. Together, we can work a plan to help you get to feeling better and doing better!
Sometimes our lives take us in directions that we have no control over. Yet, we are still left to figure out what to do with them That's my specialty: creative care plans grounded in excellent care. My ideal client would know something is amiss and they seek help. Sometimes life is stuck because the things that used to work no longer get us through. Together, we can work a plan to help you get to feeling better and doing better!
(304) 449-3463 View (304) 449-3463
Photo of Cassandra Chapman, Licensed Professional Counselor, MA, LPC, NCC, CCMHC
Cassandra Chapman
Licensed Professional Counselor, MA, LPC, NCC, CCMHC
Verified Verified
Huntington, WV 25701
Waitlist for new clients
My ideal clients are teens or adults who want learn tools for long term happiness. Issues I enjoy treating are substance use, binge eating, grief, loss, trauma, relationship issues, marriage counseling, anxiety and depression. For success, I provide judgement free space and unconditional positive regard, mixed with some humor and direction. I like to dive deep with my clients, utilizing their strengths, which will allow them to become more free and self-sufficient, with healthier relationships.
My ideal clients are teens or adults who want learn tools for long term happiness. Issues I enjoy treating are substance use, binge eating, grief, loss, trauma, relationship issues, marriage counseling, anxiety and depression. For success, I provide judgement free space and unconditional positive regard, mixed with some humor and direction. I like to dive deep with my clients, utilizing their strengths, which will allow them to become more free and self-sufficient, with healthier relationships.
(304) 381-6067 View (304) 381-6067
Photo of Matt Maynard, Licensed Professional Counselor, MA, LPC, NCC, CCTP, ALPS
Matt Maynard
Licensed Professional Counselor, MA, LPC, NCC, CCTP, ALPS
Verified Verified
1 Endorsed
Huntington, WV 25701
Waitlist for new clients
I have a special interest in working with clients dealing with the effects of trauma. Through various treatment modalities I assist the client in navigating the impacts of trauma with the goal of returning to a healthy level of normalcy for you. Additionally, I enjoy working with couples and families. As an Emotionally Focused Therapist (EFT) I strive to help couples and families to identify negative interactional cycles with each other and re-establish feelings of safety. I also have experience working with adolescents and children (7 and up).
I have a special interest in working with clients dealing with the effects of trauma. Through various treatment modalities I assist the client in navigating the impacts of trauma with the goal of returning to a healthy level of normalcy for you. Additionally, I enjoy working with couples and families. As an Emotionally Focused Therapist (EFT) I strive to help couples and families to identify negative interactional cycles with each other and re-establish feelings of safety. I also have experience working with adolescents and children (7 and up).
(304) 337-5275 View (304) 337-5275
Photo of Michael David Clay, Counselor, D Min, CCMHC, NCC, LPC, LPCC
Michael David Clay
Counselor, D Min, CCMHC, NCC, LPC, LPCC
Verified Verified
Huntington, WV 25701
A very practical and pragmatic approach to resolving life's emotional and relational issues.
A very practical and pragmatic approach to resolving life's emotional and relational issues.
(304) 908-5482 View (304) 908-5482
Photo of Joan Alden Pickett, Licensed Professional Counselor, LPC , CSAC, EMDR
Joan Alden Pickett
Licensed Professional Counselor, LPC , CSAC, EMDR
Verified Verified
Lesage, WV 25537
I am here to help you heal the distress you are feeling coming from anxiety, depression addiction, trauma, PTSD or family problems. It can be hard to connect with a therapist at first. You don't know this person and how are you going to feel trusting and secure with a stranger? Yet you are in pain and need help. It is just a first step, one that does not have to lead to commitment. You are in charge and are simply "auditioning" to see if this connection feels good and helpful.
I am here to help you heal the distress you are feeling coming from anxiety, depression addiction, trauma, PTSD or family problems. It can be hard to connect with a therapist at first. You don't know this person and how are you going to feel trusting and secure with a stranger? Yet you are in pain and need help. It is just a first step, one that does not have to lead to commitment. You are in charge and are simply "auditioning" to see if this connection feels good and helpful.
(703) 282-1642 View (703) 282-1642
Photo of Marissa Sparkman, Clinical Social Work/Therapist, LGSW
Marissa Sparkman
Clinical Social Work/Therapist, LGSW
Verified Verified
Huntington, WV 25701
Waitlist for new clients
Isn’t it hard to be a person sometimes? Life can be challenging, and you don’t have to go through it alone. My goal is to create a safe and nonjudgmental space where you can explore who you are, what you’re feeling, and where you want to go. Starting therapy can feel like a big leap into the unknown, and I get that it can be intimidating. I’ve been there! I’m here to assure you that you’re not alone in this. My approach is compassionate and client-centered, meaning that I meet you where you are, and we figure it out along the way.
Isn’t it hard to be a person sometimes? Life can be challenging, and you don’t have to go through it alone. My goal is to create a safe and nonjudgmental space where you can explore who you are, what you’re feeling, and where you want to go. Starting therapy can feel like a big leap into the unknown, and I get that it can be intimidating. I’ve been there! I’m here to assure you that you’re not alone in this. My approach is compassionate and client-centered, meaning that I meet you where you are, and we figure it out along the way.
(304) 944-5260 View (304) 944-5260
Photo of Jennifer A Regan, Clinical Social Work/Therapist, MSW, LICSW
Jennifer A Regan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Huntington, WV 25701
Are you ready to embark on a journey of self-discovery, growth, and positive change? If you're seeking to enhance your mental well-being, overcome challenges, and unlock your full potential, you've come to the right place. Whether you're facing issues related to stress, anxiety, depression, relationships, or personal development, together, we can work towards creating a healthier and more fulfilling life.
Are you ready to embark on a journey of self-discovery, growth, and positive change? If you're seeking to enhance your mental well-being, overcome challenges, and unlock your full potential, you've come to the right place. Whether you're facing issues related to stress, anxiety, depression, relationships, or personal development, together, we can work towards creating a healthier and more fulfilling life.
(681) 378-2134 View (681) 378-2134
Photo of Kaitlyn Towns, Licensed Professional Counselor, LPC, ALPS
Kaitlyn Towns
Licensed Professional Counselor, LPC, ALPS
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Overwhelmed? Lost? Need someone to talk to? I understand that seeking therapy is a big step, and it's normal to feel a mixture of emotions about it. In sessions with me you can expect personalized support in a safe space where we can explore your thoughts feelings and experiences together. Whether you are navigating anxiety, depression, loss, relationship challenges or seeking personal development, you don't have to navigate this alone. Together we can explore how I can best support your journey.
Overwhelmed? Lost? Need someone to talk to? I understand that seeking therapy is a big step, and it's normal to feel a mixture of emotions about it. In sessions with me you can expect personalized support in a safe space where we can explore your thoughts feelings and experiences together. Whether you are navigating anxiety, depression, loss, relationship challenges or seeking personal development, you don't have to navigate this alone. Together we can explore how I can best support your journey.
(681) 244-2084 View (681) 244-2084
Photo of Rhonda Hall Farley, Clinical Social Work/Therapist, MSW
Rhonda Hall Farley
Clinical Social Work/Therapist, MSW
Verified Verified
1 Endorsed
Milton, WV 25541
Hi, I’m Rhonda H. Farley, a Licensed Independent Clinical Social Worker providing telehealth services to adults in OH and WV. I specialize in working with individuals navigating stress, anxiety, ADHD, Autism Spectrum Disorder, social discomfort, interpersonal challenges, and life transitions. My approach is client-centered and neurodivergent-friendly, ensuring that clients feels respected, understood, and free to express their true thoughts and feelings in a safe, judgment-free space. I strive to create a relaxed, supportive environment where you feel heard and valued. My warm, laid-back communication style fosters open dialogue.
Hi, I’m Rhonda H. Farley, a Licensed Independent Clinical Social Worker providing telehealth services to adults in OH and WV. I specialize in working with individuals navigating stress, anxiety, ADHD, Autism Spectrum Disorder, social discomfort, interpersonal challenges, and life transitions. My approach is client-centered and neurodivergent-friendly, ensuring that clients feels respected, understood, and free to express their true thoughts and feelings in a safe, judgment-free space. I strive to create a relaxed, supportive environment where you feel heard and valued. My warm, laid-back communication style fosters open dialogue.
(681) 459-4330 View (681) 459-4330
Photo of Linda R Greer, Clinical Social Work/Therapist, MSW, LICSW
Linda R Greer
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Huntington, WV 25705
Hello, I was inspired to become a licensed therapist because people naturally confide in me; friends, family, and strangers. They came to me when they were going through hard times. As a therapist, I often work with people who are at a crossroads and struggling with making the right decisions. Are you struggling with Anxiety, Depression, Trauma, PTSD, grief, addictions, shame, and/or stress? I specialize in working with clients that have been struggling with their mental health for a long time. I help people claim their healing and to do better than just take what life is dishing out.
Hello, I was inspired to become a licensed therapist because people naturally confide in me; friends, family, and strangers. They came to me when they were going through hard times. As a therapist, I often work with people who are at a crossroads and struggling with making the right decisions. Are you struggling with Anxiety, Depression, Trauma, PTSD, grief, addictions, shame, and/or stress? I specialize in working with clients that have been struggling with their mental health for a long time. I help people claim their healing and to do better than just take what life is dishing out.
(304) 486-3940 View (304) 486-3940
Photo of Ruthie Sheets, Licensed Professional Counselor, MA, LPC, NCC
Ruthie Sheets
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Online Only
Currently you may feel scared, confused, overwhelmed, or all of the above. Whatever you feel, remember you are taking the first step to a better tomorrow by seeking services, today. As my client, I will assist you by using evidence-based techniques and interventions specifically for anxiety, trauma, PTSD, depression, and grief. I tailor a treatment plan that holistically addresses your individual needs. I enjoy working with all ages, children through elderly. I treat individuals, couples, families, and groups. I believe that all individuals deserve to feel safe, confident, and at peace in their own mind and body.
Currently you may feel scared, confused, overwhelmed, or all of the above. Whatever you feel, remember you are taking the first step to a better tomorrow by seeking services, today. As my client, I will assist you by using evidence-based techniques and interventions specifically for anxiety, trauma, PTSD, depression, and grief. I tailor a treatment plan that holistically addresses your individual needs. I enjoy working with all ages, children through elderly. I treat individuals, couples, families, and groups. I believe that all individuals deserve to feel safe, confident, and at peace in their own mind and body.
(304) 969-7066 View (304) 969-7066
April Watkins
Psychologist, PsyD
Verified Verified
1 Endorsed
Barboursville, WV 25504
Hi! I'm Dr. April Watkins but most of my clients refer to me as April. I enjoy working with individuals who are motivated to make positive changes in their lives....whatever that looks like for them. Many individuals I see struggle with some form of anxiety or depression but how this presents is so different for each person. I focus on providing evidence based treatment but tailor it to the individual and their own experiences and needs. My experience has shown me that people do not fit neatly into a "category" and clients' perception of their progress is most important.
Hi! I'm Dr. April Watkins but most of my clients refer to me as April. I enjoy working with individuals who are motivated to make positive changes in their lives....whatever that looks like for them. Many individuals I see struggle with some form of anxiety or depression but how this presents is so different for each person. I focus on providing evidence based treatment but tailor it to the individual and their own experiences and needs. My experience has shown me that people do not fit neatly into a "category" and clients' perception of their progress is most important.
(681) 201-4417 View (681) 201-4417
Photo of Shawna Bumgardner, Licensed Professional Counselor, MA, LPC, NCC
Shawna Bumgardner
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Huntington, WV 25701
Do you feel like no one sees you or your pain? Do you feel misunderstood and alone in your thoughts? Are you navigating through life holding on to emotional pain and circumstances that leave you feeling alone or out of control? Living with all of these thoughts, feelings and emotions can be overwhelming to our daily routine and function and just having another person to walk this journey of life can create healing and new perspective.
Do you feel like no one sees you or your pain? Do you feel misunderstood and alone in your thoughts? Are you navigating through life holding on to emotional pain and circumstances that leave you feeling alone or out of control? Living with all of these thoughts, feelings and emotions can be overwhelming to our daily routine and function and just having another person to walk this journey of life can create healing and new perspective.
(304) 381-1790 View (304) 381-1790
Photo of Linda Marie Goad - True Vine LLC, Licensed Professional Counselor, LPC, ALPS, NCC
True Vine LLC
Licensed Professional Counselor, LPC, ALPS, NCC
Verified Verified
1 Endorsed
Ona, WV 25545
As a Certified Emotionally Focused Therapist, let me help be your guide to build a stronger bond with your partner. Seeing couples heal and repair and become secure is a beautiful dance.
As a Certified Emotionally Focused Therapist, let me help be your guide to build a stronger bond with your partner. Seeing couples heal and repair and become secure is a beautiful dance.
(681) 201-1356 View (681) 201-1356
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Verified Verified
Huntington, WV 25701
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(304) 779-8517 View (304) 779-8517
Photo of Jenny Barbour, Licensed Professional Counselor, MA, LPC
Jenny Barbour
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Barboursville, WV 25504
Not accepting new clients
Since graduating with my master's degree in 2016, I have been fortunate enough to counsel hundreds of strong, determined individuals in a variety of settings (the residential setting, outpatient medication-assisted treatment, the psychiatric inpatient, and in the regular outpatient setting). I thrive working with clients who have experienced trauma, relationship issues, and/or possess a variety of mental health diagnoses (i.e., Depression, Anxiety, Bipolar Disorder, ADHD, PTSD, PMDD, OCD, etc.). My ideal client shows up consistently, is honest, is motivated to change and/or heal, and is willing to try something new.
Since graduating with my master's degree in 2016, I have been fortunate enough to counsel hundreds of strong, determined individuals in a variety of settings (the residential setting, outpatient medication-assisted treatment, the psychiatric inpatient, and in the regular outpatient setting). I thrive working with clients who have experienced trauma, relationship issues, and/or possess a variety of mental health diagnoses (i.e., Depression, Anxiety, Bipolar Disorder, ADHD, PTSD, PMDD, OCD, etc.). My ideal client shows up consistently, is honest, is motivated to change and/or heal, and is willing to try something new.
(304) 223-7500 View (304) 223-7500
1

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How does your Therapist compare?

Number of Therapists in Cabell County, WV

70+

Average cost per session

$150

Therapists in Cabell County, WV who prioritize treating:

89% Anxiety
82% Depression
79% Self Esteem
74% Coping Skills
70% Trauma and PTSD
64% Relationship Issues
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
73% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Cabell County, WV see their clients

61% In Person and Online
39% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cabell 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.