Therapists in Preston County, WV

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Photo of Kathleen Renee Reckart, Clinical Social Work/Therapist, LICSW, EMDR-T
Kathleen Renee Reckart
Clinical Social Work/Therapist, LICSW, EMDR-T
Bruceton Mills, WV 26525
I love helping clients who bring motivation, to whatever degree, to build rich and meaningful lives. I have helped clients work through and process a variety of needs and struggles, helping them find meaning and understanding no matter what they may be facing. Whether it may be anxiety, depression, or current or past trauma, I offer my almost 20 years of combined education and experience to give a person-centered approach to work on collaborative goals to develop an even better you.
I love helping clients who bring motivation, to whatever degree, to build rich and meaningful lives. I have helped clients work through and process a variety of needs and struggles, helping them find meaning and understanding no matter what they may be facing. Whether it may be anxiety, depression, or current or past trauma, I offer my almost 20 years of combined education and experience to give a person-centered approach to work on collaborative goals to develop an even better you.
(304) 245-9054 View (304) 245-9054
Photo of Brittney Matlick, Licensed Professional Counselor, MS, LPC, LMFT, EMDR-C, ALPS
Brittney Matlick
Licensed Professional Counselor, MS, LPC, LMFT, EMDR-C, ALPS
1 Endorsed
Arthurdale, WV 26520
I work from a person-centered approach to promote an empowering atmosphere for my clients. It is important to me to help clients become aware of their own unique set of strengths that give them the ability to create positive change in their lives and relationships. I am passionate about facilitating growth within clients' marriages, love relationships, parent-child relationships, and any other relationships they wish to strengthen. Rather than focusing strictly on the symptomatic nature of clients' concerns, I take a holistic approach and foster an overall healing of the self.
I work from a person-centered approach to promote an empowering atmosphere for my clients. It is important to me to help clients become aware of their own unique set of strengths that give them the ability to create positive change in their lives and relationships. I am passionate about facilitating growth within clients' marriages, love relationships, parent-child relationships, and any other relationships they wish to strengthen. Rather than focusing strictly on the symptomatic nature of clients' concerns, I take a holistic approach and foster an overall healing of the self.
(304) 381-1536 View (304) 381-1536
Photo of Speaking Life Instilling Hope Counseling Services - Amber Johnson, Licensed Professional Counselor, LPC, MA
Speaking Life Instilling Hope Counseling Services - Amber Johnson
Licensed Professional Counselor, LPC, MA
Bruceton Mills, WV 26525
Hi there! I offer individual, couples, and family counseling to help you navigate life's challenges and find healing. If you're struggling and ready to open up, I'm here to listen without judgment. Together, we'll explore your story and understand the experiences that have shaped you. My goal is to provide you with the tools to become the best version of yourself. Counseling can be tough, but I'll be with you every step of the way. "Healing doesn't mean the damage never existed. It means the damage no longer controls our lives."
Hi there! I offer individual, couples, and family counseling to help you navigate life's challenges and find healing. If you're struggling and ready to open up, I'm here to listen without judgment. Together, we'll explore your story and understand the experiences that have shaped you. My goal is to provide you with the tools to become the best version of yourself. Counseling can be tough, but I'll be with you every step of the way. "Healing doesn't mean the damage never existed. It means the damage no longer controls our lives."
(304) 301-5504 View (304) 301-5504
Photo of Renee Bair - Christian Counseling Associates of West Virginia, Counselor
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
(304) 449-8592 View (304) 449-8592
Photo of Molly Mccartney - Beacon Barn Therapeutic Farm, LLC, Clinical Social Work/Therapist, MSW, LICSW
Beacon Barn Therapeutic Farm, LLC
Clinical Social Work/Therapist, MSW, LICSW
Online Only
When adverse experiences occur in childhood it can leave a devastating impact on the individual and family for years to come. To address the root of possible issues and enhance the benefits of traditional therapies, it is important to consider brain health, as well as mental health.
When adverse experiences occur in childhood it can leave a devastating impact on the individual and family for years to come. To address the root of possible issues and enhance the benefits of traditional therapies, it is important to consider brain health, as well as mental health.
(304) 245-6325 View (304) 245-6325
Photo of Kari Kahl, Licensed Professional Counselor, MS CMHC, AADC, NCC, LPC, ALPS
Kari Kahl
Licensed Professional Counselor, MS CMHC, AADC, NCC, LPC, ALPS
1 Endorsed
Serves Area
I’m Kari Kahl, a Licensed Professional Counselor at PSIMED, Inc. and with Thomas Integrative Psychotherapy in Morgantown, WV. I am focused on collaborating with clients, ensuring they see real progress and feel safe and heard throughout the therapeutic process. I am sensitive to the influence of past experiences on present challenges. I work with my clients to revise the narrative of their lives, heal old wounds, and move forward with a newfound feeling of freedom and relief. I guide clients through understanding how their thoughts, feelings, and behaviors are connected and help them make a targeted change.
I’m Kari Kahl, a Licensed Professional Counselor at PSIMED, Inc. and with Thomas Integrative Psychotherapy in Morgantown, WV. I am focused on collaborating with clients, ensuring they see real progress and feel safe and heard throughout the therapeutic process. I am sensitive to the influence of past experiences on present challenges. I work with my clients to revise the narrative of their lives, heal old wounds, and move forward with a newfound feeling of freedom and relief. I guide clients through understanding how their thoughts, feelings, and behaviors are connected and help them make a targeted change.
(304) 902-8056 View (304) 902-8056
Photo of Renee Bair - Christian Counseling Associates of West Virginia, Licensed Professional Counselor
Christian Counseling Associates of West Virginia
Licensed Professional Counselor
Serves Area
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
(304) 449-5274 View (304) 449-5274
Photo of Brandi Robinson - Ellie Mental Health, Clinical Social Work/Therapist, LICSW, LPC, AADC, PhD
Ellie Mental Health
Clinical Social Work/Therapist, LICSW, LPC, AADC, PhD
Serves Area
We know that caring for your mental health and being vulnerable with someone you just met can seem scary, we do everything that we can to make each Ellie appointment as comfortable and as fun as possible. We aim to walk along this journey with you and provide you with a comfortable place to talk, decompress, do the work, and heal. Our goal is to meet every client where they are through authentic connection because our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in every community.
We know that caring for your mental health and being vulnerable with someone you just met can seem scary, we do everything that we can to make each Ellie appointment as comfortable and as fun as possible. We aim to walk along this journey with you and provide you with a comfortable place to talk, decompress, do the work, and heal. Our goal is to meet every client where they are through authentic connection because our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in every community.
(304) 301-5168 View (304) 301-5168
Photo of Stacy Lynn Garcia - Creative Resilience Counseling LLC, Counselor, MA, LPC, NCC
Creative Resilience Counseling LLC
Counselor, MA, LPC, NCC
1 Endorsed
Online Only
Emotional and behavioral challenges in childhood and adolescence affects the child and rest of the family unit as well. Caregivers often find themselves heartbroken while they watch their child struggle through issues they wish they could take away, and if the child is acting out behaviorally, it is common for caregivers to even feel hurt and confused. I offer therapy services for children ages 3 and up, as well as adults and families for the diagnosis and treatment of emotional, relational, and behavioral concerns, as well as offer support services and psychoeducation to their caregivers and other family members.
Emotional and behavioral challenges in childhood and adolescence affects the child and rest of the family unit as well. Caregivers often find themselves heartbroken while they watch their child struggle through issues they wish they could take away, and if the child is acting out behaviorally, it is common for caregivers to even feel hurt and confused. I offer therapy services for children ages 3 and up, as well as adults and families for the diagnosis and treatment of emotional, relational, and behavioral concerns, as well as offer support services and psychoeducation to their caregivers and other family members.
(304) 400-6843 View (304) 400-6843
Photo of Denise Higgins, Licensed Professional Counselor, LPC, MBA, ALPS
Denise Higgins
Licensed Professional Counselor, LPC, MBA, ALPS
1 Endorsed
Serves Area
I believe we were created to thrive emotionally, physically and spiritually. When one of these areas becomes vulnerable or we experience suffering, our whole self can feel the effects. Life has a way of bringing difficult times into all of our lives and we were created us with an innate need for community. The support of therapy is a way that individuals, families and couples can find refuge and direction to find healing, to once again live in the joy you are created for and to live with purpose.
I believe we were created to thrive emotionally, physically and spiritually. When one of these areas becomes vulnerable or we experience suffering, our whole self can feel the effects. Life has a way of bringing difficult times into all of our lives and we were created us with an innate need for community. The support of therapy is a way that individuals, families and couples can find refuge and direction to find healing, to once again live in the joy you are created for and to live with purpose.
(304) 464-9651 View (304) 464-9651

Online Therapists

Photo of Bonnie Strayer, Clinical Social Work/Therapist, MSW, LICSW, EMDR-C
Bonnie Strayer
Clinical Social Work/Therapist, MSW, LICSW, EMDR-C
2 Endorsed
Morgantown, WV 26505
Currently accepting new clients! Stressful and terrifying experiences can leave people feeling isolated. Feeling detached from others and like no one can understand what happens in your mind makes it difficult to interact with people. It’s hard to be hopeful when you are experiencing mental health symptoms like this, but you’re here looking for someone to talk to, and that’s really wonderful. If you’d like, check out my website and see if I’m someone you could chat with. We can set up a time to talk on the phone for a no cost 15 minute consultation so that you can get a feel for who I am.
Currently accepting new clients! Stressful and terrifying experiences can leave people feeling isolated. Feeling detached from others and like no one can understand what happens in your mind makes it difficult to interact with people. It’s hard to be hopeful when you are experiencing mental health symptoms like this, but you’re here looking for someone to talk to, and that’s really wonderful. If you’d like, check out my website and see if I’m someone you could chat with. We can set up a time to talk on the phone for a no cost 15 minute consultation so that you can get a feel for who I am.
(304) 451-5708 View (304) 451-5708
Photo of Carolyn George, Clinical Social Work/Therapist, MSW, LICSW
Carolyn George
Clinical Social Work/Therapist, MSW, LICSW
Martinsburg, WV 25405
Hello, I’m Carolyn, a clinical social worker in West Virginia. I emphasize a collaborative approach to therapy and I bring with me years of clinical experience, along with enthusiasm, hope, and a dose of humor, and ask only that you bring an openness to change. Together, we identify specific life goals and generate plans to achieve them. Ultimately, you will come to understand that you make perfect sense; you may just not have been able to use this self-awareness to make the most productive decisions. My strong suit is working with you to identify underlying problems and patterns, as well as your personal strengths and resources.
Hello, I’m Carolyn, a clinical social worker in West Virginia. I emphasize a collaborative approach to therapy and I bring with me years of clinical experience, along with enthusiasm, hope, and a dose of humor, and ask only that you bring an openness to change. Together, we identify specific life goals and generate plans to achieve them. Ultimately, you will come to understand that you make perfect sense; you may just not have been able to use this self-awareness to make the most productive decisions. My strong suit is working with you to identify underlying problems and patterns, as well as your personal strengths and resources.
(304) 902-2682 View (304) 902-2682
Photo of Deborah A Mucha, Licensed Professional Counselor, PsyD, LPC
Deborah A Mucha
Licensed Professional Counselor, PsyD, LPC
3 Endorsed
Morgantown, WV 26505
Are you seeking a deeper understanding of why you've been feeling down or struggling? In therapy, I aim to create an environment of compassion, acceptance, and empowerment, allowing individuals to explore their concerns. My client-centered approach helps you uncover your inner strengths and access the agency needed to facilitate meaningful changes. I incorporate psychoeducation to enhance your understanding of what you’re experiencing. I believe that everyone possesses the internal strength to overcome their struggles. I embrace this belief and actively challenge the stigma surrounding mental health by being a caring, compassionate,
Are you seeking a deeper understanding of why you've been feeling down or struggling? In therapy, I aim to create an environment of compassion, acceptance, and empowerment, allowing individuals to explore their concerns. My client-centered approach helps you uncover your inner strengths and access the agency needed to facilitate meaningful changes. I incorporate psychoeducation to enhance your understanding of what you’re experiencing. I believe that everyone possesses the internal strength to overcome their struggles. I embrace this belief and actively challenge the stigma surrounding mental health by being a caring, compassionate,
(304) 742-2174 View (304) 742-2174
Photo of Kristina Wiley, Licensed Professional Counselor, LPC
Kristina Wiley
Licensed Professional Counselor, LPC
Online Only
Hello. I'm Kristina Wiley, a Licensed Professional Counselor in the state of West Virginia. I have been in practice as an LPC for over 20 years and I am compassionate about helping others find who they are and overcoming traumatic events in their life. As a metal health provider, I use a variety of therapeutic approaches. The most sought after approach to therapy is Cognitive Behavioral Therapy (CBT); however, the therapy approach is dependent on your needs. The therapy approach in your therapy will be tailored to what you need and to what works best for your presenting issues.
Hello. I'm Kristina Wiley, a Licensed Professional Counselor in the state of West Virginia. I have been in practice as an LPC for over 20 years and I am compassionate about helping others find who they are and overcoming traumatic events in their life. As a metal health provider, I use a variety of therapeutic approaches. The most sought after approach to therapy is Cognitive Behavioral Therapy (CBT); however, the therapy approach is dependent on your needs. The therapy approach in your therapy will be tailored to what you need and to what works best for your presenting issues.
(681) 381-3191 View (681) 381-3191
Photo of Nancy Ann Rush, Licensed Professional Counselor, MA, LCSW, LPC, ALPS
Nancy Ann Rush
Licensed Professional Counselor, MA, LCSW, LPC, ALPS
Bridgeport, WV 26330
I am here to help! Please call 304-842-8852 for an appointment or you can go to our website to e-mail us https://www.progressive-preventivehealthcare.com/
I am here to help! Please call 304-842-8852 for an appointment or you can go to our website to e-mail us https://www.progressive-preventivehealthcare.com/
(304) 301-3657 View (304) 301-3657
Photo of Brandie N Dodd, Counselor, MA, LPC
Brandie N Dodd
Counselor, MA, LPC
1 Endorsed
Weirton, WV 26062
Welcome! I have been in the mental health field since 2005 in a variety of different settings such as individual and family therapy, residential setting, in home and at school setting. I use an eclectic approach in practice to help my clients with their symptom management and meeting their personal goals and needs to the best of their abilities. I have had training in TF-CBT and have experience in helping clients with managing depression, anxiety, adjustment issues, family issues, grief/loss, as well as others. I see clients ages 12 and up. I currently do not have a waitlist if you are able to be seen during the day on weekdays.
Welcome! I have been in the mental health field since 2005 in a variety of different settings such as individual and family therapy, residential setting, in home and at school setting. I use an eclectic approach in practice to help my clients with their symptom management and meeting their personal goals and needs to the best of their abilities. I have had training in TF-CBT and have experience in helping clients with managing depression, anxiety, adjustment issues, family issues, grief/loss, as well as others. I see clients ages 12 and up. I currently do not have a waitlist if you are able to be seen during the day on weekdays.
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Photo of Spencer Lively, Pre-Licensed Professional, MA, EMDR-T
Spencer Lively
Pre-Licensed Professional, MA, EMDR-T
Morgantown, WV 26501
As a psychotherapist, I believe that humans have the innate capacity to heal. In our sessions together, I prioritize creating a warm, non-judgemental space where you can explore your thoughts, feelings, and experiences at your own pace. I am passionate about accompanying clients on their own healing journey. Together, we will work towards achieving your therapeutic goals while enhancing your overall well-being.
As a psychotherapist, I believe that humans have the innate capacity to heal. In our sessions together, I prioritize creating a warm, non-judgemental space where you can explore your thoughts, feelings, and experiences at your own pace. I am passionate about accompanying clients on their own healing journey. Together, we will work towards achieving your therapeutic goals while enhancing your overall well-being.
(304) 449-5197 View (304) 449-5197
Photo of Anna G Hrafnsdottir, Clinical Social Work/Therapist, LICSW, CTT
Anna G Hrafnsdottir
Clinical Social Work/Therapist, LICSW, CTT
Morgantown, WV 26508
Welcome to my page. I'm Anna, a certified trauma therapist in Morgantown, WV (office location). I am also licensed in Pennsylvania and Ohio, tele-health only, unless you can travel to my office. My therapeutic approach focuses on empowerment and collaboration. I strive to create a safe, healing, comfortable, and accepting environment for my clients. I believe that you are the expert in your own life and my job as a therapist is to guide you through your healing journey utilizing evidence-based methods such as EMDR, IFS, DBT, and CBT, to help you heal and restore balance and a positive outlook in your life.
Welcome to my page. I'm Anna, a certified trauma therapist in Morgantown, WV (office location). I am also licensed in Pennsylvania and Ohio, tele-health only, unless you can travel to my office. My therapeutic approach focuses on empowerment and collaboration. I strive to create a safe, healing, comfortable, and accepting environment for my clients. I believe that you are the expert in your own life and my job as a therapist is to guide you through your healing journey utilizing evidence-based methods such as EMDR, IFS, DBT, and CBT, to help you heal and restore balance and a positive outlook in your life.
(304) 443-9139 View (304) 443-9139
Photo of Maryjo Vera Parsley, Licensed Professional Counselor, MA, LPC
Maryjo Vera Parsley
Licensed Professional Counselor, MA, LPC
Charles Town, WV 25414
Are you ready to seek support and do the work to create the life that you have always deserved and wanted? In working with diverse ages and populations I have seen people battle and overcome the effects of trauma, negative thinking, substance use, suicidality, relationship ruptures, and grieving.
Are you ready to seek support and do the work to create the life that you have always deserved and wanted? In working with diverse ages and populations I have seen people battle and overcome the effects of trauma, negative thinking, substance use, suicidality, relationship ruptures, and grieving.
(304) 403-7198 View (304) 403-7198
Photo of Peggy V Steinbrunner - Horizon Behavioral Health, PLLC, Psychologist, PsyD
Horizon Behavioral Health, PLLC
Psychologist, PsyD
Morgantown, WV 26501
Horizon Behavioral Health is patient centered and evidence based practice with highly experienced psychotherapy and medication management providers that will flex to meet your clinical and logistical needs. Available in person and via telehealth, accepting government sponsored and commercial insurance as well as self pay, we strive to expand access to high quality behavioral health services. As the owner and with 20+ years in patient care in public safety sectors, we prioritize public safety officials (Military, First Responders) and specialize in treating trauma, substance use disorder, depression, stress and adjustment concerns.
Horizon Behavioral Health is patient centered and evidence based practice with highly experienced psychotherapy and medication management providers that will flex to meet your clinical and logistical needs. Available in person and via telehealth, accepting government sponsored and commercial insurance as well as self pay, we strive to expand access to high quality behavioral health services. As the owner and with 20+ years in patient care in public safety sectors, we prioritize public safety officials (Military, First Responders) and specialize in treating trauma, substance use disorder, depression, stress and adjustment concerns.
(814) 294-1410 View (814) 294-1410

How does your Therapist compare?

Number of Therapists in Preston County, WV

10+

Average cost per session

$157

Therapists in Preston County, WV who prioritize treating:

90% Depression
90% Anxiety
90% Trauma and PTSD
90% Stress
80% Grief
80% Emotional Disturbance
80% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
78% Aetna
56% Cigna and Evernorth

How Therapists in Preston County, WV see their clients

80% In Person and Online
20% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Preston 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.